black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

TIBURON INSURANCE SERVICES

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN136835
Status:
First Licensure:
02/17/2007
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
6800 W 115TH ST STE 2511
OVERLAND PARK, KS 66211-2205
Mailing:
6800 W 115TH ST STE 2511
OVERLAND PARK, KS 66211-2205
Phone:
+1 (913) 712-0889
Fax:
+1 (913) 904-3445
Email:
licensing@sqah.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 02/17/2007 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
01/15/2019 HMD45749
AETNA LIFE INSURANCE COMPANY
01/15/2019 LHF621
ALLIED INSURANCE COMPANY OF AMERICA
06/03/2019 PCF216138 11/27/2023
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY
06/03/2019 PCF223935 11/27/2023
AMCO INSURANCE COMPANY
06/03/2019 PCF223938 11/27/2023
AMERICAN MODERN PROPERTY & CASUALTY INSURANCE COMPANY
11/29/2023 PCF234561
DEPOSITORS INSURANCE COMPANY
06/03/2019 PCF223940 11/27/2023
FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY
01/15/2019 LHF842
GLOBE LIFE AND ACCIDENT INSURANCE COMPANY
05/22/2007 LHF854 05/23/2010
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
06/03/2019 PCF151937 11/27/2023
NATIONWIDE MUTUAL INSURANCE COMPANY
06/03/2019 PCF32 11/27/2023
PRUCO LIFE INSURANCE COMPANY
04/02/2007 LHF768 09/12/2008
PRUCO LIFE INSURANCE COMPANY
07/13/2018 LHF768
SAFECO NATIONAL INSURANCE COMPANY
05/20/2019 PCF248658 11/10/2023
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
05/18/2017 LHF58195 07/01/2020
UNITEDHEALTHCARE INSURANCE COMPANY
05/18/2017 LHF700 07/01/2020
UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA
05/18/2017 LHF983 07/01/2020
WELLCARE PRESCRIPTION INSURANCE INC
12/19/2018 LHF121869 05/03/2021

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
KODY MATTHEW BARWICK
01/05/2019 PRN323966
SHIRELLE BOOTH
07/06/2018 PRN271937
CLYDE CLARK
01/08/2019 PRN324037
MORGAN GENTRY DURHAM
07/29/2016 PRN244510
MICHAEL SHAWN GORIUS
01/03/2019 PRN323862
JARIANE L. JACKSON
07/29/2016 PRN244668
REGINA RENE JONES
08/04/2016 PRN199186
MARIA JUAREZ
08/04/2016 PRN222317
COLE KIRKPATRICK
07/29/2016 PRN244693
RYAN LEWIS
07/29/2016 PRN253386
JONATHAN J. LOMBARDI
07/06/2018 PRN277290
PATRICK JOSEPH LYNN
03/23/2018 PRN283577
SHAY LYNN MCFIELD
03/23/2018 PRN283703
MELISSA NICOLE O'DOWD
02/08/2019 PRN213723
ERJOLA QEFALIA
02/18/2020 PRN266653
SHANNAN KELLY REES
07/29/2016 PRN244667
JEFFREY ANDREW RINGEL
01/05/2019 PRN323962
THOMAS VERN ROBERTSON
08/16/2010 PRN179724
BENJAMIN ERNEST SHAPIRO
02/18/2020 PRN294399
MITCHELL R. SIMONS
04/07/2023 PRN289117
RICHARD N. SINGLETON III
07/06/2018 PRN271939
BRIAN PATRICK THOMAS
07/06/2018 PRN307405
MICHAEL JOE WOODRUFF
07/06/2018 PRN227494
KEITH J. YOUNG
01/08/2019 PRN324032

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
ROBERT CLAY GRANT PRN187257

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
9038483

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 11/13/2025 04:33:32 PM