DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Worm, Ricky Lee	DOIID	623197	NAIC NPN	7496546

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	1/5/2006	7/31/2023
Inactive	Non Resident	Agent	Property	1/5/2006	7/31/2023
* 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	Encompass Indemnity Company	546376	Agent - Casualty	1/19/2006	6/30/2008
Inactive	Encompass Indemnity Company	546376	Agent - Property	1/19/2006	6/30/2008
Inactive	Essentia Insurance Company	300342	Agent - Casualty	12/26/2007	12/12/2022
Inactive	Essentia Insurance Company	300342	Agent - Property	12/26/2007	12/12/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/23/2015	12/28/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/23/2015	12/28/2020
Inactive	Markel Insurance Company	301475	Agent - Casualty	8/7/2015	7/31/2023
Inactive	Markel Insurance Company	301475	Agent - Property	8/7/2015	7/31/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hagerty Ins Agency LLC	541031	Agent - Casualty	2/2/2007	12/7/2022
Inactive	Hagerty Ins Agency LLC	541031	Agent - Property	2/2/2007	12/7/2022