DEPARTMENT OF INSURANCE

Affiliations

Name	Blue Ridge Brokerage Network LLC	DOIID	745561	NAIC NPN	16115773

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	1/7/2011	3/31/2013
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Scott, Robert H	380874	Agent - Life	1/7/2011	3/31/2013