DEPARTMENT OF INSURANCE

Name	Shirley, Timothy	DOIID	886129	NAIC NPN	17231485

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	8/7/2015	3/31/2027
Active	Non Resident	Agent	Life	8/7/2015	3/31/2027
Active	Non Resident	Agent	Property	8/7/2015	3/31/2027
Active	Non Resident	Agent	Casualty	8/7/2015	3/31/2027
Active	Non Resident	Agent	Travel	8/7/2015	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

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025	02/13/2025	02/13/2025	Yes

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	9225 Ward Parkway Suite 200Kansas City, MO 64114
Residence	Not Public Information

Internet Information

Type	Address
Business Email	tshirley@tripmate.com

Phone Information

Type	Phone
Business / Home Office	(800) 888-0432