DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blue Ridge Insurance Group, Llc	DOIID	920316	NAIC NPN	18006622

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Casualty	10/13/2021
Denied	Resident	Agent	Personal Lines
Denied	Resident	Agent	Property	10/13/2021
Inactive	Resident	Agent	Health	7/7/2016	9/1/2021
Inactive	Resident	Agent	Life	7/7/2016	9/1/2021
* 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	West Bend Insurance Company	672974	Agent - Casualty	8/18/2016	9/1/2021
Inactive	West Bend Insurance Company	672974	Agent - Property	8/18/2016	9/1/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Delpont, Johnny A	332658	Agent - Casualty
Inactive	Delpont, Johnny A	332658	Agent - Health	7/7/2016	6/30/2021
Inactive	Delpont, Johnny A	332658	Agent - Life	7/7/2016	6/30/2021
Denied	Delpont, Johnny A	332658	Agent - Property