| Plan Name | BLUE RIDGE RISK PARTNERS BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | BLUE RIDGE RISK PARTNERS LLC |
| Employer identification number (EIN): | 520373470 |
| NAIC Classification: | 524210 |
| NAIC Description: | Insurance Agencies and Brokerages |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2022-12-01 | KENT REYNOLDS | 2024-03-01 | ||
| 501 | 2021-12-01 | KENT REYNOLDS | 2023-02-17 | ||
| 501 | 2020-12-01 | KENT REYNOLDS | 2022-05-10 |
| CAREFIRST BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 47058 ) | |
| Policy contract number | 2J9L |
| Policy instance | 1 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |
| Policy contract number | GLUG0AQ7N |
| Policy instance | 2 |
| CAREFIRST BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 47058 ) | |
| Policy contract number | 2J9L |
| Policy instance | 1 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |
| Policy contract number | GLUG0AQ7N |
| Policy instance | 2 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |
| Policy contract number | GLUG0AQ7N |
| Policy instance | 2 |
| CAREFIRST OF MARYLAND, INC. (National Association of Insurance Commissioners NAIC id number: 47058 ) | |
| Policy contract number | 2J9L |
| Policy instance | 1 |