Individual Information

KATHERINE A BIRTCH

DESERT HILLS, AZ 85086

Active

kbirtch@forbesadvisor.com

01/19/2023

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3868133	01/19/2023	Active	01/19/2023	01/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	01/19/2023	Active	01/19/2023
Health	03/30/2023	Active	03/30/2023
Life	06/30/2023	Active	06/30/2023
Limited Travel Baggage	03/30/2023	Active	03/30/2023
Property	01/19/2023	Active	01/19/2023

Company Name	Appointment Type	Status	Active Date
105464
AMERICAN PET INSURANCE COMPANY	Property	Active	04/10/2024
619
Company Name	Appointment Type	Status	Active Date
BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY	Health	Active	03/19/2024
	Travel Baggage	Active	03/19/2024
270
Company Name	Appointment Type	Status	Active Date
GENERALI - U.S. BRANCH	Casualty	Active	03/15/2024
	Property	Active	03/15/2024
11242
Company Name	Appointment Type	Status	Active Date
INDEPENDENCE AMERICAN INSURANCE COMPANY	Casualty	Active	04/09/2024
	Property	Active	04/15/2024
461
Company Name	Appointment Type	Status	Active Date
NATIONWIDE MUTUAL INSURANCE COMPANY	Casualty	Active	07/26/2023
	Health	Active	07/26/2023
	Property	Active	07/26/2023
	Travel Baggage	Active	07/26/2023
1680
Company Name	Appointment Type	Status	Active Date
SPINNAKER INSURANCE COMPANY	Casualty	Active	02/13/2024
	Property	Active	02/13/2024
1399
Company Name	Appointment Type	Status	Active Date
U S SPECIALTY INSURANCE COMPANY	Casualty	Active	01/18/2024
	Health	Active	01/18/2024
	Property	Active	01/18/2024
	Travel Baggage	Active	01/18/2024
692
Company Name	Appointment Type	Status	Active Date
UNITED STATES FIRE INSURANCE COMPANY	Casualty	Active	08/16/2023
	Health	Active	08/16/2023
	Property	Active	08/16/2023
1561
Company Name	Appointment Type	Status	Active Date
XL SPECIALTY INSURANCE COMPANY	Casualty	Active	03/28/2024
	Property	Active	03/28/2024

row(s) 1 - 22 of 22

Organization	Association Type	Type	Beg dte	End dte
MARKETPLACE OPERATIONS INC.	Designated Resp Lic Prdcr	Agency	04/27/2023	-
MARKETPLACE P&C LLC	Designated Resp Lic Prdcr	Agency	06/21/2023	-
MARKETPLACE HEALTH LIFE LLC	Designated Resp Lic Prdcr	Agency	07/13/2023	-

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