Individual Information

BRETT STEVEN FULMER

Address:

COSTA MESA, CA 92627-5115

Status:

Active

Email:

marble@3hcs.com

Date:

12/05/2019

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3504242	12/05/2019	Active	12/05/2019	12/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	12/05/2019	Active	12/05/2019
Health	12/05/2019	Active	12/05/2019
Life	12/05/2019	Active	12/05/2019
Property	12/05/2019	Active	12/05/2019

Company Name	Appointment Type	Status	Active Date
36
AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS	Health	Active	01/08/2025
	Life	Active	01/08/2025
1101
Company Name	Appointment Type	Status	Active Date
C M LIFE INSURANCE COMPANY	Life	Active	09/01/2022
580
Company Name	Appointment Type	Status	Active Date
SYMETRA LIFE INSURANCE COMPANY	Health	Active	02/03/2023
	Life	Active	02/03/2023

row(s) 1 - 5 of 5

Organization	Association Type	Type	Beg dte	End dte
FINAEO US, INC.	Designated Resp Lic Prdcr	Agency	11/04/2022	-
MARBLE INSURANCE AGENCY, INC.	Designated Resp Lic Prdcr	Agency	02/08/2023	-

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