black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

TIMOTHY SHIRLEY

PRODUCER LIMITED NON-RESIDENT

License Number:
PLN259022
Status:
First Licensure:
10/22/2015
Cancel Date:
None

Mailing:
INDEPENDENCE, MO 64050
Phone:
+1 (800) 888-0432
Email:
tshirley@tripmate.com

History

License Type Start Date End Date
PRODUCER LIMITED NON-RESIDENT 08/22/2018
*** NOT ACTIVE *** 10/24/2015 08/21/2018
PRODUCER LIMITED NON-RESIDENT 10/22/2015 10/23/2015

Agency

Name Issue Date License Number Expiration Date Cancel Date
TRIP MATE INC
10/22/2015 AGN51954 10/24/2015

Employer

None.

Authority

Description Issue Date Termination Date Status
TRAVEL AND BAGGAGE 08/22/2018 Active
TRAVEL AND BAGGAGE 10/22/2015 10/24/2015 Terminated

License/Disciplinary Action

None.

PRODUCER NON-RESIDENT

License Number:
PRN259193
Status:
First Licensure:
10/24/2015
Cancel Date:
None

Mailing:
INDEPENDENCE, MO 64050
Phone:
+1 (800) 888-0432
Email:
tshirley@tripmate.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/24/2015

Agency

Name Issue Date License Number Expiration Date Cancel Date
TRIP MATE INC
10/24/2015 AGN51954 03/12/2024

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN MODERN HOME INSURANCE COMPANY
01/18/2017 PCF808 03/18/2020
ARCH INSURANCE COMPANY
11/11/2015 PCF62719
NATIONWIDE LIFE INSURANCE COMPANY
06/29/2021 LHF29
UNITED STATES FIRE INSURANCE COMPANY
03/10/2016 PCF101256

Authority

Description Issue Date Termination Date Status
CASUALTY 10/24/2015 Active
HEALTH 10/24/2015 Active
LIFE 10/24/2015 Active
PROPERTY 10/24/2015 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17231485

Other Addresses

Address Type
9225 WARD PKWY STE 200
KANSAS CITY, MO 64114-3324
Office

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: 06/18/2025 03:15:45 AM