black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

TAMMY M. GIBSON

PRODUCER NON-RESIDENT

License Number:
PRN288413
Status:
First Licensure:
06/17/2017
Cancel Date:
None

Mailing:
WEST BLOOMFIELD, MI 48322
Phone:
+1 (947) 900-1267
Fax:
+1 (734) 927-7871
Email:
tammy.gibsonreynolds@wtwco.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/17/2017

Agency

Name Issue Date License Number Expiration Date Cancel Date
OPTAVISE LLC
09/25/2018 AGN167845
WILLIS TOWERS WATSON MIDWEST INC
02/03/2025 AGN36667

Employer

Name Issue Date License Number Expiration Date Cancel Date
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
08/04/2017 LHF250 01/24/2019
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
09/19/2019 LHF250
STARMOUNT LIFE INSURANCE COMPANY
12/03/2018 LHD131525
TRUSTMARK INSURANCE COMPANY
10/01/2018 LHF132 09/11/2023
UNUM INSURANCE COMPANY
12/03/2018 LHD241
UNUM LIFE INSURANCE COMPANY OF AMERICA
08/04/2017 LHD145 01/24/2019
UNUM LIFE INSURANCE COMPANY OF AMERICA
09/19/2019 LHD145

Authority

Description Issue Date Termination Date Status
HEALTH 06/17/2017 Active
LIFE 06/17/2017 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1004760

Other Addresses

Address Type
26555 EVERGREEN RD
SOUTHFIELD, MI 48076-4206
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: 07/03/2025 09:04:45 AM