black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KATHRYN RAE BROCK

PRODUCER NON-RESIDENT

License Number:
PRN465738
Status:
First Licensure:
10/03/2023
Cancel Date:
None

Mailing:
TOOELE, UT 84074
Phone:
+1 (800) 328-7305
Fax:
+1 (877) 868-9694
Email:
agentinfo@healthplanone.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/03/2023

Agency

Name Issue Date License Number Expiration Date Cancel Date
FETCH INS SERVICES LLC
03/28/2024 AGN137169
PUMPKIN INSURANCE SERVICES INC
02/26/2025 AGN328661

Employer

Name Issue Date License Number Expiration Date Cancel Date
AXIS INSURANCE COMPANY
10/09/2023 PCF134278 08/12/2024
INDEPENDENCE AMERICAN INSURANCE COMPANY
11/15/2024 PCF86149
XL SPECIALTY INSURANCE COMPANY
10/09/2023 PCF43958

Authority

Description Issue Date Termination Date Status
CASUALTY 10/03/2023 Active
PROPERTY 10/03/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17318153

Other Addresses

Address Type
TOOELE, UT 84074
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 10/18/2025 10:45:03 PM