black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

THOMAS MARK SELFRIDGE

PRODUCER NON-RESIDENT

License Number:
PRN212555
Status:
First Licensure:
01/11/2013
Cancel Date:
None

Mailing:
HAVERHILL, MA 01835
Phone:
+1 (978) 777-5820 x208
Fax:
+1 (978) 922-7650
Email:
toms@djgins.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 01/11/2013

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN MODERN HOME INSURANCE COMPANY
07/31/2013 PCF808 10/16/2015
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
12/05/2025 PCF659
COUNTRYWAY INSURANCE COMPANY
11/07/2022 PCF98
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
06/12/2013 PCF445 01/11/2017
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
11/16/2022 PCF445 11/23/2025
FRANKENMUTH INSURANCE COMPANY
11/23/2022 PCF83684 01/06/2023
NORTHERN SECURITY INSURANCE COMPANY INC
11/17/2022 PCF36 05/10/2023
PATRIOT INSURANCE COMPANY
11/23/2022 PCD208274 01/06/2023
PROGRESSIVE NORTHERN INSURANCE COMPANY
03/01/2013 PCF51006 11/16/2015
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
03/01/2013 PCF27738 11/16/2015
RIVERSTONE INTERNATIONAL INSURANCE, INC.
01/16/2013 PCF60 10/13/2015
THE STANDARD FIRE INSURANCE COMPANY
01/19/2016 PCF584 04/14/2017
THE STANDARD FIRE INSURANCE COMPANY
12/18/2018 PCF584 05/22/2020
THE STANDARD FIRE INSURANCE COMPANY
12/05/2025 PCF584
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
12/05/2025 PCF974
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
01/19/2016 PCF56556 04/14/2017
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
12/05/2025 PCF56556
TRAVELERS PERSONAL INSURANCE COMPANY
12/18/2018 PCF201268 05/22/2020
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
12/05/2025 PCF711
VERMONT MUTUAL INSURANCE COMPANY
11/17/2022 PCF37 05/10/2023

Authority

Description Issue Date Termination Date Status
CASUALTY 01/11/2013 Active
PROPERTY 01/11/2013 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16531017

Other Addresses

Address Type
99 ROSEWOOD DR STE 111
DANVERS, MA 01923-1300
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: 01/14/2026 05:07:09 PM