black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

STACEY DEVONNA GREEN

PRODUCER NON-RESIDENT

License Number:
PRN431198
Status:
First Licensure:
09/22/2022
Cancel Date:
None

Mailing:
ROSEVILLE, MI 48066
Phone:
+1 (231) 928-2000
Fax:
+1 (833) 952-1078
Email:
stacey.green@gerberlife.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/22/2022

Agency

Name Issue Date License Number Expiration Date Cancel Date
INSURANCE SUPERMARKET INC
03/02/2023 AGN360856

Employer

Name Issue Date License Number Expiration Date Cancel Date
EMC NATIONAL LIFE COMPANY
03/02/2023 LHF161 06/29/2023
GERBER LIFE INSURANCE COMPANY
09/21/2023 LHF185

Authority

Description Issue Date Termination Date Status
HEALTH 09/20/2023 Active
LIFE 09/22/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18714803

Other Addresses

Address Type
ROSEVILLE, MI 48066
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: 11/21/2025 06:05:31 AM