DEPARTMENT OF INSURANCE
Affiliations
NameTiburon Insurance ServicesDOIID654167NAIC NPN9038483
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty2/6/2019 3/31/2027
ActiveNon ResidentAgentCasualty2/6/2019 3/31/2027
ActiveNon ResidentAgentLife5/4/2007 3/31/2027
ActiveNon ResidentAgentHealth5/4/2007 3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
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
InactiveShapiro, Benjamin Ernest 969226Agent - Health2/17/20203/31/2025
InactiveShapiro, Benjamin Ernest 969226Agent - Life2/17/20203/31/2025
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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