PPC Agencies
PPC Services
Open Records
Leadership
Internships
PPC News
DEPARTMENT OF INSURANCE
Affiliations
Name
Tiburon Insurance Services
DOIID
654167
NAIC NPN
9038483
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Property
2/6/2019
3/31/2025
Active
Non Resident
Agent
Life
5/4/2007
3/31/2025
Active
Non Resident
Agent
Casualty
2/6/2019
3/31/2025
Active
Non Resident
Agent
Health
5/4/2007
3/31/2025
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
License Renewal Information
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
01/15/2025
03/31/2025
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Aetna Health Inc. (PA)
660717
Agent - Health
9/12/2018
Active
Aetna Health of Ohio Inc.
1065035
Agent - Health
7/24/2020
Active
Aetna Life Insurance Company
301140
Agent - Health
9/12/2018
Active
Aetna Life Insurance Company
301140
Agent - Life
9/12/2018
Inactive
American Economy Insurance Company
300315
Agent - Casualty
3/23/2022
3/29/2024
Inactive
American Economy Insurance Company
300315
Agent - Property
3/23/2022
3/29/2024
Active
American Modern Property and Casualty Insurance Company
301954
Agent - Casualty
7/29/2019
Active
American Modern Property and Casualty Insurance Company
301954
Agent - Property
7/29/2019
Active
First Health Life & Health Insurance Company
301735
Agent - Health
9/12/2018
Inactive
Globe Life and Accident Insurance Company
300639
Agent - Health
5/22/2007
5/18/2010
Inactive
Globe Life and Accident Insurance Company
300639
Agent - Life
5/22/2007
5/18/2010
Inactive
Pruco Life Insurance Company
300954
Agent - Health
5/24/2007
9/12/2008
Active
Pruco Life Insurance Company
300954
Agent - Life
7/13/2018
Active
SilverScript Insurance Company
663526
Agent - Health
8/23/2019
Active
Standard Fire Insurance Company (The)
301068
Agent - Casualty
7/4/2019
Active
Standard Fire Insurance Company (The)
301068
Agent - Property
7/4/2019
Inactive
Travelers Indemnity Company of America (The)
301093
Agent - Casualty
5/25/2021
11/16/2023
Inactive
Travelers Indemnity Company of America (The)
301093
Agent - Property
5/25/2021
11/16/2023
Active
Travelers Personal Insurance Company
705785
Agent - Casualty
3/22/2019
Active
Travelers Personal Insurance Company
705785
Agent - Property
3/22/2019
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
5/18/2017
7/1/2020
Inactive
UnitedHealthcare Insurance Company of America
301552
Agent - Health
5/18/2017
12/20/2018
Inactive
UnitedHealthcare Insurance Company of the River Valley
1027817
Agent - Health
8/5/2019
7/1/2020
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
7/15/2018
7/1/2020
Inactive
UnitedHealthcare of Wisconsin, Inc.
871491
Agent - Health
5/18/2017
7/1/2020
Inactive
WellCare Prescription Insurance Inc.
654329
Agent - Health
2/12/2019
5/13/2021
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Atkinson, Jill
895000
Agent - Health
7/29/2016
4/30/2017
Inactive
Atkinson, Jill
895000
Agent - Life
7/29/2016
4/30/2017
Inactive
Augst, Alan Robert
520679
Agent - Health
5/16/2007
1/4/2016
Inactive
Augst, Alan Robert
520679
Agent - Life
5/16/2007
1/4/2016
Active
Barwick, Kody
1016209
Agent - Casualty
2/7/2019
Active
Barwick, Kody
1016209
Agent - Health
6/4/2019
Active
Barwick, Kody
1016209
Agent - Property
2/7/2019
Inactive
Beall, Marc Andrew
536375
Agent - Health
6/8/2007
11/30/2013
Inactive
Beall, Marc Andrew
536375
Agent - Life
6/8/2007
11/30/2013
Inactive
Blake, Amanda Page
917755
Agent - Health
7/29/2016
9/25/2020
Inactive
Blake, Amanda Page
917755
Agent - Life
7/29/2016
9/25/2020
Inactive
Blue, Sarahlynn
1012492
Agent - Casualty
2/7/2019
7/22/2020
Inactive
Blue, Sarahlynn
1012492
Agent - Property
2/7/2019
7/22/2020
Active
Booth, Shirelle
540466
Agent - Health
7/9/2018
Active
Booth, Shirelle
540466
Agent - Life
7/9/2018
Inactive
Brown, Kevin W
306796
Agent - Health
7/29/2016
7/31/2022
Inactive
Brown, Kevin W
306796
Agent - Life
7/29/2016
7/31/2022
Inactive
Burton, Aaron William
577568
Agent - Health
5/16/2007
9/7/2010
Inactive
Burton, Aaron William
577568
Agent - Life
5/16/2007
9/7/2010
Inactive
Castillo, Jessica L
894174
Agent - Health
8/5/2016
5/31/2020
Inactive
Castillo, Jessica L
894174
Agent - Life
8/5/2016
5/31/2020
Inactive
Cooper, Heather
895038
Agent - Health
7/29/2016
9/17/2019
Inactive
Denatale, Michael
1016162
Agent - Casualty
2/7/2019
6/25/2019
Inactive
Denatale, Michael
1016162
Agent - Property
2/7/2019
6/25/2019
Active
Desturler, Shannan Kelly
865461
Agent - Health
7/29/2016
Active
Desturler, Shannan Kelly
865461
Agent - Life
7/29/2016
Active
Durham, Morgan Gentry
856157
Agent - Health
7/29/2016
Active
Durham, Morgan Gentry
856157
Agent - Life
7/29/2016
Inactive
Esler, Kelly Marie
906139
Agent - Health
7/9/2018
6/30/2022
Inactive
Esler, Kelly Marie
906139
Agent - Life
7/9/2018
6/30/2022
Inactive
Facklam, Karen Maria
825480
Agent - Health
8/5/2016
2/1/2022
Inactive
Facklam, Karen Maria
825480
Agent - Life
8/5/2016
1/14/2022
Inactive
Gorius, Michael
844991
Agent - Casualty
2/7/2019
5/31/2021
Inactive
Gorius, Michael
844991
Agent - Property
2/7/2019
5/31/2021
Active
Grant, Robert Clay
748109
Agent - Health
11/14/2018
Active
Grant, Robert Clay
748109
Agent - Life
11/14/2018
Inactive
Hebler, Erik Douglas
586938
Agent - Health
5/16/2007
10/31/2023
Inactive
Hebler, Erik Douglas
586938
Agent - Life
5/16/2007
10/31/2023
Inactive
Hibbs, Gerald Leon
1014584
Agent - Casualty
2/7/2019
5/31/2022
Inactive
Hibbs, Gerald Leon
1014584
Agent - Property
2/7/2019
5/31/2022
Inactive
Hudnall, Barry Joseph
895011
Agent - Health
7/29/2016
10/31/2020
Inactive
Hudnall, Barry Joseph
895011
Agent - Life
7/29/2016
10/31/2020
Inactive
Huntley, Phillip A
830905
Agent - Health
7/29/2016
5/31/2021
Inactive
Huntley, Phillip A
830905
Agent - Life
7/29/2016
5/31/2021
Active
Jackson, Jariane L
865466
Agent - Health
7/29/2016
Active
Jackson, Jariane L
865466
Agent - Life
7/29/2016
Inactive
Johnson, Perez M
865465
Agent - Health
8/5/2016
8/29/2016
Inactive
Johnson, Perez M
865465
Agent - Life
8/5/2016
8/29/2016
Active
Jones, Regina Rene
772807
Agent - Health
8/5/2016
Active
Jones, Regina Rene
772807
Agent - Life
8/5/2016
Active
Juarez, Maria
822110
Agent - Health
8/5/2016
Active
Juarez, Maria
822110
Agent - Life
8/5/2016
Active
Kirkpatrick, Cole
865489
Agent - Health
7/29/2016
Active
Kirkpatrick, Cole
865489
Agent - Life
7/29/2016
Inactive
Kuestersteffen, Gary
840532
Agent - Health
7/29/2016
9/20/2022
Inactive
Kuestersteffen, Gary
840532
Agent - Life
7/29/2016
9/20/2022
Inactive
Lewis, Ryan
884821
Agent - Health
7/29/2016
1/31/2022
Inactive
Lewis, Ryan
884821
Agent - Life
7/29/2016
1/31/2022
Inactive
Lombardi, Jonathan J
927305
Agent - Health
7/9/2018
9/30/2019
Inactive
Lombardi, Jonathan J
927305
Agent - Life
7/9/2018
9/30/2019
Active
Lynn, Patrick Joseph
894143
Agent - Health
3/23/2018
Active
Lynn, Patrick Joseph
894143
Agent - Life
3/23/2018
Active
McDaniel, Henry Keith
818197
Agent - Casualty
8/23/2023
Active
McDaniel, Henry Keith
818197
Agent - Property
8/23/2023
Active
Mcdonough, Brianna
894187
Agent - Health
8/5/2016
Active
Mcdonough, Brianna
894187
Agent - Life
8/5/2016
Inactive
Mcfield, Shay Lynn
927344
Agent - Health
3/23/2018
4/30/2024
Inactive
Mcfield, Shay Lynn
927344
Agent - Life
3/23/2018
4/30/2024
Inactive
Mcknight, Matthew Mills
639758
Agent - Health
5/16/2007
2/8/2008
Inactive
Mcknight, Matthew Mills
639758
Agent - Life
5/16/2007
2/8/2008
Inactive
Newhouse, Shirley L
865468
Agent - Health
7/29/2016
3/31/2019
Inactive
Newhouse, Shirley L
865468
Agent - Life
7/29/2016
3/31/2019
Inactive
O'Dowd, Melissa Nicole
845939
Agent - Casualty
2/6/2019
8/23/2023
Inactive
O'Dowd, Melissa Nicole
845939
Agent - Property
2/6/2019
8/23/2023
Inactive
Padgett, Nicholas A
831036
Agent - Health
7/9/2018
2/18/2020
Inactive
Padgett, Nicholas A
831036
Agent - Life
7/9/2018
2/18/2020
Inactive
Payne, Zachary R
865469
Agent - Health
7/29/2016
12/31/2022
Inactive
Payne, Zachary R
865469
Agent - Life
7/29/2016
12/31/2022
Inactive
Perry, Michael B
830821
Agent - Health
7/29/2016
9/30/2018
Inactive
Perry, Michael B
830821
Agent - Life
7/29/2016
9/30/2018
Inactive
Pringle, Randy J
1016025
Agent - Casualty
6/4/2019
6/25/2019
Inactive
Pringle, Randy J
1016025
Agent - Property
6/4/2019
6/25/2019
Active
Qefalia, Erjola
911882
Agent - Health
2/17/2020
Active
Qefalia, Erjola
911882
Agent - Life
2/17/2020
Inactive
Richardson, Sirryan G
927362
Agent - Health
7/9/2018
2/18/2020
Inactive
Richardson, Sirryan G
927362
Agent - Life
7/9/2018
2/18/2020
Inactive
Rynearson, Bradley K
932103
Agent - Casualty
6/4/2019
9/5/2019
Inactive
Rynearson, Bradley K
932103
Agent - Property
6/4/2019
9/5/2019
Inactive
Schmalz, David
761496
Agent - Health
7/29/2016
3/31/2019
Inactive
Schmalz, David
761496
Agent - Life
7/29/2016
3/31/2019
Active
Shapiro, Benjamin Ernest
969226
Agent - Health
2/17/2020
Active
Shapiro, Benjamin Ernest
969226
Agent - Life
2/17/2020
Inactive
Singh, Charan Jit
334930
Agent - Health
5/4/2007
12/31/2020
Inactive
Singh, Charan Jit
334930
Agent - Life
5/4/2007
12/31/2020
Active
Singleton, Richard N
894190
Agent - Health
7/9/2018
Active
Singleton, Richard N
894190
Agent - Life
7/9/2018
Inactive
Thomas, Brian Patrick
990782
Agent - Health
7/9/2018
3/31/2022
Inactive
Thomas, Brian Patrick
990782
Agent - Life
7/9/2018
3/31/2022
Inactive
Waybright, Adam Marvin
1000138
Agent - Casualty
2/7/2019
12/31/2023
Inactive
Waybright, Adam Marvin
1000138
Agent - Property
2/7/2019
12/31/2023
Inactive
Williams, Frank
1012562
Agent - Casualty
2/7/2019
11/30/2021
Inactive
Williams, Frank
1012562
Agent - Property
2/7/2019
11/30/2021
Active
Woodruff, Michael Joe
830976
Agent - Health
7/9/2018
Active
Woodruff, Michael Joe
830976
Agent - Life
7/9/2018
© Commonwealth of Kentucky. All rights reserved.