DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gibson, Tammy M	DOIID	956337	NAIC NPN	1004760

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/5/2017	2/28/2022
Inactive	Non Resident	Agent	Life	6/5/2017	2/28/2022
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	7/16/2021	2/28/2022
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	11/1/2018	6/8/2020
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	11/1/2018	6/8/2020
Inactive	Combined Insurance Company of America	301472	Agent - Health	12/28/2020	2/28/2022
Inactive	Combined Insurance Company of America	301472	Agent - Life	12/28/2020	2/28/2022
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	8/7/2017	2/28/2022
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	8/7/2017	2/28/2022
Inactive	Reserve National Insurance Company	301073	Agent - Health	5/7/2018	7/8/2019
Inactive	Reserve National Insurance Company	301073	Agent - Life	5/7/2018	7/8/2019
Inactive	Starmount Life Insurance Company	628031	Agent - Health	12/3/2018	2/28/2022
Inactive	Trustmark Insurance Company	300317	Agent - Health	10/1/2018	2/28/2022
Inactive	Trustmark Insurance Company	300317	Agent - Life	10/1/2018	2/28/2022
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	8/7/2017	2/28/2022
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	8/7/2017	2/28/2022
Inactive	Unum Insurance Company	301499	Agent - Health	12/3/2018	2/28/2022
Inactive	Unum Insurance Company	301499	Agent - Life	12/3/2018	2/28/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Optavise, LLC	671337	Agent - Life	9/18/2018	2/28/2022
Inactive	Optavise, LLC	671337	Agent - Health	9/18/2018	2/28/2022