DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blue Sky Assurance, LLC	DOIID	519820	NAIC NPN	7223249

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	3/2/2001	2/12/2007
Inactive	Resident	Agent	Health	3/2/2001	2/12/2007
* 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	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	3/2/2001	2/12/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	3/2/2001	2/12/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bentley, Chad Edward	362977	Agent - Health	3/2/2001	2/12/2007
Inactive	Bentley, Chad Edward	362977	Agent - Life	3/2/2001	2/12/2007