Individual Information

BRYAN SCOTT KLEIN

Address:

KINGMAN, AZ 86409-3682

Status:

Active

Email:

bryankleinagent@gmail.com

Date:

07/01/2021

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3689301	07/01/2021	Active	07/01/2021	07/31/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	07/01/2021	Active	07/01/2021
Health	07/01/2021	Active	07/01/2021
Life	07/01/2021	Active	07/01/2021
Property	07/01/2021	Active	07/01/2021
Casualty	08/25/2020	Inactive	05/06/2021
Health	06/23/2020	Inactive	05/06/2021
Life	06/23/2020	Inactive	05/06/2021
Property	08/25/2020	Inactive	05/06/2021

Company Name	Appointment Type	Status	Active Date
105464
AMERICAN PET INSURANCE COMPANY	Property	Active	02/01/2022
166815
Company Name	Appointment Type	Status	Active Date
STATE FARM CLASSIC INSURANCE COMPANY	Casualty	Active	05/29/2026
	Property	Active	05/29/2026
613
Company Name	Appointment Type	Status	Active Date
STATE FARM FIRE & CASUALTY COMPANY	Casualty	Active	07/28/2021
	Property	Active	07/28/2021
615
Company Name	Appointment Type	Status	Active Date
STATE FARM LIFE INSURANCE COMPANY	Life	Active	07/28/2021
616
Company Name	Appointment Type	Status	Active Date
STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY	Casualty	Active	07/28/2021
	Health	Active	07/28/2021
	Property	Active	07/28/2021

row(s) 1 - 9 of 9

Organization	Association Type	Type	Beg dte	End dte
BRYAN KLEIN INSURANCE AGENCY INC.	Designated Resp Lic Prdcr	Agency	07/14/2021	-

1 - 1