Agency Information

TIBURON INSURANCE SERVICES

6800 W 115TH ST STE 2511

OVERLAND PARK, KS 66211-2205

877-660-5420

agentlicensing@selectquote.com

9038483

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3171294	07/19/2016	Active	07/19/2016	07/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	01/18/2019	Active	01/18/2019
Health	07/19/2016	Active	07/19/2016
Life	07/19/2016	Active	07/19/2016
Property	01/18/2019	Active	01/18/2019

Company Name	Appointment Type	Status	Active Date
106276
AETNA HEALTH INC (PA)	Health	Active	09/27/2018
7
Company Name	Appointment Type	Status	Active Date
AETNA LIFE INSURANCE COMPANY	Health	Active	09/27/2018
	Life	Active	09/27/2018
1795
Company Name	Appointment Type	Status	Active Date
AMERICAN MODERN PROPERTY AND CASUALTY INSURANCE COMPANY	Casualty	Active	07/11/2019
	Property	Active	07/11/2019
150903
Company Name	Appointment Type	Status	Active Date
COVENTRY HEALTH CARE OF NEBRASKA INC	Health	Active	10/21/2019
817
Company Name	Appointment Type	Status	Active Date
PRUCO LIFE INSURANCE COMPANY	Life	Active	07/13/2018
608
Company Name	Appointment Type	Status	Active Date
STANDARD FIRE INSURANCE COMPANY (THE)	Casualty	Active	06/21/2019
	Property	Active	06/21/2019
1488
Company Name	Appointment Type	Status	Active Date
TRAVELERS PROPERTY CASUALTY INSURANCE COMPANY	Casualty	Active	06/21/2019
	Property	Active	06/21/2019
16894
Company Name	Appointment Type	Status	Active Date
WELLCARE PRESCRIPTION INSURANCE INC	Health	Active	12/20/2018

row(s) 1 - 12 of 12

Name	Association Type	Agent	Begin Date	End Date
ERICA MARIE DEBELL RIOS	Designated Resp Lic Prdcr	Yes	01/13/2025	-
ROBERT CLAY GRANT	Designated Resp Lic Prdcr	Yes	03/06/2020	-

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