black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

THOMAS CHRISTOPHER WORM

PRODUCER NON-RESIDENT

License Number:
PRN127879
Status:
First Licensure:
05/31/2006
Cancel Date:
None

Mailing:
INTERLOCHEN, MI 49643
Phone:
+1 (231) 932-4034
Fax:
+1 (231) 346-6172
Email:
tworm@globalmarineinsurance.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/31/2006

Agency

Name Issue Date License Number Expiration Date Cancel Date
HAGERTY INSURANCE AGENCY LLC
05/31/2006 AGN52295
SPECIALTY PROGRAM GROUP LLC
06/07/2023 AGN278764 06/05/2024
SPECIALTY PROGRAM GROUP LLC
12/12/2024 AGN278764

Employer

Name Issue Date License Number Expiration Date Cancel Date
ENCOMPASS INSURANCE COMPANY OF AMERICA
07/12/2006 PCF90705 06/30/2008
ESSENTIA INSURANCE COMPANY
12/27/2007 PCF27783 12/12/2022
THE HANOVER INSURANCE COMPANY
05/25/2023 PCF712

Authority

Description Issue Date Termination Date Status
PERSONAL LINES 05/31/2006 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8804789

Other Addresses

Address Type
12935 S WEST BAY SHORE DR STE 205
TRAVERSE CITY, MI 49684-6218
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: 12/10/2025 07:30:39 AM