DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Custard, Twila	DOIID	660897	NAIC NPN	3333176

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	7/31/2007	2/7/2011
Inactive	Non Resident	Agent	Casualty	7/31/2007	2/7/2011
* 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	Argonaut Great Central Insurance Company	300850	Agent - Casualty	2/8/2008	1/4/2010
Inactive	Argonaut Great Central Insurance Company	300850	Agent - Property	2/8/2008	1/4/2010
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	2/5/2009	2/7/2011
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	2/5/2009	2/7/2011
Inactive	Grange Insurance Company	300234	Agent - Casualty	2/5/2009	2/7/2011
Inactive	Grange Insurance Company	300234	Agent - Property	2/5/2009	2/7/2011
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	5/15/2009	1/8/2010
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	5/15/2009	1/8/2010
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	5/27/2009	1/8/2010
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	5/27/2009	1/8/2010
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	2/5/2009	2/7/2011
Inactive	Trustgard Insurance Company	300104	Agent - Property	2/5/2009	2/7/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	2/25/2008	12/22/2009
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	2/25/2008	12/22/2009