PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameTiburon Insurance ServicesDOIID654167NAIC NPN9038483
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty2/6/2019 3/31/2027
ActiveNon ResidentAgentHealth5/4/2007 3/31/2027
ActiveNon ResidentAgentLife5/4/2007 3/31/2027
ActiveNon ResidentAgentProperty2/6/2019 3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/202501/02/202501/02/2025Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health Inc. (PA)660717Agent - Health9/12/2018 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/24/2020 
ActiveAetna Life Insurance Company301140Agent - Health9/12/2018 
ActiveAetna Life Insurance Company301140Agent - Life9/12/2018 
ActiveAmerican Economy Insurance Company300315Agent - Casualty2/11/2025 
ActiveAmerican Economy Insurance Company300315Agent - Property2/11/2025 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty7/29/2019 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property7/29/2019 
ActiveFirst Health Life & Health Insurance Company301735Agent - Health9/12/2018 
InactiveGlobe Life and Accident Insurance Company300639Agent - Health5/22/20075/18/2010
InactiveGlobe Life and Accident Insurance Company300639Agent - Life5/22/20075/18/2010
InactivePruco Life Insurance Company300954Agent - Health5/24/20079/12/2008
ActivePruco Life Insurance Company300954Agent - Life7/13/2018 
ActiveSilverScript Insurance Company663526Agent - Health8/23/2019 
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty7/4/2019 
ActiveStandard Fire Insurance Company (The)301068Agent - Property7/4/2019 
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty5/25/202111/16/2023
InactiveTravelers Indemnity Company of America (The)301093Agent - Property5/25/202111/16/2023
ActiveTravelers Personal Insurance Company705785Agent - Casualty3/22/2019 
ActiveTravelers Personal Insurance Company705785Agent - Property3/22/2019 
InactiveUnitedHealthcare Insurance Company300946Agent - Health5/18/20177/1/2020
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health5/18/201712/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/20197/1/2020
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/20187/1/2020
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health5/18/20177/1/2020
InactiveWellCare Prescription Insurance Inc.654329Agent - Health2/12/20195/13/2021
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAtkinson, Jill 895000Agent - Health7/29/20164/30/2017
InactiveAtkinson, Jill 895000Agent - Life7/29/20164/30/2017
InactiveAugst, Alan Robert 520679Agent - Health5/16/20071/4/2016
InactiveAugst, Alan Robert 520679Agent - Life5/16/20071/4/2016
ActiveBarwick, Kody 1016209Agent - Casualty2/7/2019 
ActiveBarwick, Kody 1016209Agent - Health6/4/2019 
ActiveBarwick, Kody 1016209Agent - Property2/7/2019 
InactiveBeall, Marc Andrew 536375Agent - Health6/8/200711/30/2013
InactiveBeall, Marc Andrew 536375Agent - Life6/8/200711/30/2013
InactiveBlake, Amanda Page 917755Agent - Health7/29/20169/25/2020
InactiveBlake, Amanda Page 917755Agent - Life7/29/20169/25/2020
InactiveBlue, Sarahlynn 1012492Agent - Casualty2/7/20197/22/2020
InactiveBlue, Sarahlynn 1012492Agent - Property2/7/20197/22/2020
ActiveBooth, Shirelle 540466Agent - Health7/9/2018 
ActiveBooth, Shirelle 540466Agent - Life7/9/2018 
InactiveBrown, Kevin W 306796Agent - Health7/29/20167/31/2022
InactiveBrown, Kevin W 306796Agent - Life7/29/20167/31/2022
InactiveBurton, Aaron William 577568Agent - Health5/16/20079/7/2010
InactiveBurton, Aaron William 577568Agent - Life5/16/20079/7/2010
InactiveCastillo, Jessica L 894174Agent - Health8/5/20165/31/2020
InactiveCastillo, Jessica L 894174Agent - Life8/5/20165/31/2020
InactiveCooper, Heather 895038Agent - Health7/29/20169/17/2019
ActiveDebell Rios, Erica Marie 865064Agent - Casualty2/6/2025 
ActiveDebell Rios, Erica Marie 865064Agent - Property2/6/2025 
InactiveDenatale, Michael 1016162Agent - Casualty2/7/20196/25/2019
InactiveDenatale, Michael 1016162Agent - Property2/7/20196/25/2019
ActiveDurham, Morgan Gentry 856157Agent - Health7/29/2016 
ActiveDurham, Morgan Gentry 856157Agent - Life7/29/2016 
InactiveEsler, Kelly Marie 906139Agent - Health7/9/20186/30/2022
InactiveEsler, Kelly Marie 906139Agent - Life7/9/20186/30/2022
InactiveFacklam, Karen Maria 825480Agent - Health8/5/20162/1/2022
InactiveFacklam, Karen Maria 825480Agent - Life8/5/20161/14/2022
InactiveGorius, Michael 844991Agent - Casualty2/7/20195/31/2021
InactiveGorius, Michael 844991Agent - Property2/7/20195/31/2021
ActiveGrant, Robert Clay 748109Agent - Health11/14/2018 
ActiveGrant, Robert Clay 748109Agent - Life11/14/2018 
InactiveHebler, Erik Douglas 586938Agent - Health5/16/200710/31/2023
InactiveHebler, Erik Douglas 586938Agent - Life5/16/200710/31/2023
InactiveHibbs, Gerald Leon 1014584Agent - Casualty2/7/20195/31/2022
InactiveHibbs, Gerald Leon 1014584Agent - Property2/7/20195/31/2022
InactiveHudnall, Barry Joseph 895011Agent - Health7/29/201610/31/2020
InactiveHudnall, Barry Joseph 895011Agent - Life7/29/201610/31/2020
InactiveHuntley, Phillip A 830905Agent - Health7/29/20165/31/2021
InactiveHuntley, Phillip A 830905Agent - Life7/29/20165/31/2021
ActiveJackson, Jariane L 865466Agent - Health7/29/2016 
ActiveJackson, Jariane L 865466Agent - Life7/29/2016 
InactiveJohnson, Perez M 865465Agent - Health8/5/20168/29/2016
InactiveJohnson, Perez M 865465Agent - Life8/5/20168/29/2016
ActiveJones, Regina Rene 772807Agent - Health8/5/2016 
ActiveJones, Regina Rene 772807Agent - Life8/5/2016 
ActiveJuarez, Maria 822110Agent - Health8/5/2016 
ActiveJuarez, Maria 822110Agent - Life8/5/2016 
ActiveKirkpatrick, Cole 865489Agent - Health7/29/2016 
ActiveKirkpatrick, Cole 865489Agent - Life7/29/2016 
InactiveKuestersteffen, Gary 840532Agent - Health7/29/20169/20/2022
InactiveKuestersteffen, Gary 840532Agent - Life7/29/20169/20/2022
InactiveLewis, Ryan 884821Agent - Health7/29/20161/31/2022
InactiveLewis, Ryan 884821Agent - Life7/29/20161/31/2022
InactiveLombardi, Jonathan J 927305Agent - Health7/9/20189/30/2019
InactiveLombardi, Jonathan J 927305Agent - Life7/9/20189/30/2019
ActiveLynn, Patrick Joseph 894143Agent - Health3/23/2018 
ActiveLynn, Patrick Joseph 894143Agent - Life3/23/2018 
InactiveMcDaniel, Henry Keith 818197Agent - Casualty8/23/20232/6/2025
InactiveMcDaniel, Henry Keith 818197Agent - Property8/23/20232/6/2025
ActiveMcdonough, Brianna 894187Agent - Health8/5/2016 
ActiveMcdonough, Brianna 894187Agent - Life8/5/2016 
InactiveMcfield, Shay Lynn 927344Agent - Health3/23/20184/30/2024
InactiveMcfield, Shay Lynn 927344Agent - Life3/23/20184/30/2024
InactiveMcknight, Matthew Mills 639758Agent - Health5/16/20072/8/2008
InactiveMcknight, Matthew Mills 639758Agent - Life5/16/20072/8/2008
InactiveNewhouse, Shirley L 865468Agent - Health7/29/20163/31/2019
InactiveNewhouse, Shirley L 865468Agent - Life7/29/20163/31/2019
InactiveO'Dowd, Melissa Nicole 845939Agent - Casualty2/6/20198/23/2023
InactiveO'Dowd, Melissa Nicole 845939Agent - Property2/6/20198/23/2023
InactivePadgett, Nicholas A 831036Agent - Health7/9/20182/18/2020
InactivePadgett, Nicholas A 831036Agent - Life7/9/20182/18/2020
InactivePayne, Zachary R 865469Agent - Health7/29/201612/31/2022
InactivePayne, Zachary R 865469Agent - Life7/29/201612/31/2022
InactivePerry, Michael B 830821Agent - Health7/29/20169/30/2018
InactivePerry, Michael B 830821Agent - Life7/29/20169/30/2018
InactivePringle, Randy J 1016025Agent - Casualty6/4/20196/25/2019
InactivePringle, Randy J 1016025Agent - Property6/4/20196/25/2019
ActiveQefalia, Erjola 911882Agent - Health2/17/2020 
ActiveQefalia, Erjola 911882Agent - Life2/17/2020 
ActiveRees, Shannan Kelly 865461Agent - Health7/29/2016 
ActiveRees, Shannan Kelly 865461Agent - Life7/29/2016 
InactiveRichardson, Sirryan G 927362Agent - Health7/9/20182/18/2020
InactiveRichardson, Sirryan G 927362Agent - Life7/9/20182/18/2020
InactiveRynearson, Bradley K 932103Agent - Casualty6/4/20199/5/2019
InactiveRynearson, Bradley K 932103Agent - Property6/4/20199/5/2019
InactiveSchmalz, David 761496Agent - Health7/29/20163/31/2019
InactiveSchmalz, David 761496Agent - Life7/29/20163/31/2019
Pending ReplacementShapiro, Benjamin Ernest 969226Agent - Health2/17/2020 
Pending ReplacementShapiro, Benjamin Ernest 969226Agent - Life2/17/2020 
InactiveSingh, Charan Jit 334930Agent - Health5/4/200712/31/2020
InactiveSingh, Charan Jit 334930Agent - Life5/4/200712/31/2020
ActiveSingleton, Richard N 894190Agent - Health7/9/2018 
ActiveSingleton, Richard N 894190Agent - Life7/9/2018 
InactiveThomas, Brian Patrick 990782Agent - Health7/9/20183/31/2022
InactiveThomas, Brian Patrick 990782Agent - Life7/9/20183/31/2022
InactiveWaybright, Adam Marvin 1000138Agent - Casualty2/7/201912/31/2023
InactiveWaybright, Adam Marvin 1000138Agent - Property2/7/201912/31/2023
InactiveWilliams, Frank 1012562Agent - Casualty2/7/201911/30/2021
InactiveWilliams, Frank 1012562Agent - Property2/7/201911/30/2021
ActiveWoodruff, Michael Joe 830976Agent - Health7/9/2018 
ActiveWoodruff, Michael Joe 830976Agent - Life7/9/2018 

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