DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hardin & Assoc Ins Group LLC DBA : Custom Insurance Solutions	DOIID	820340	NAIC NPN	17041804

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	8/19/2014	3/31/2018
Inactive	Non Resident	Agent	Health	8/19/2014	3/31/2018
Withdrawn	Non Resident	Managing General Agent	Not Applicable
* 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	Central States Indemnity Company of Omaha	300285	Agent - Health	3/25/2015	12/22/2015
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	9/11/2014	5/12/2017
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	9/11/2014	5/12/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/15/2016	12/13/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/15/2016	12/13/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/15/2016	12/13/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/3/2017	3/31/2018
Inactive	Humana Insurance Company	301104	Agent - Health	11/3/2017	3/31/2018
Inactive	Humana Insurance Company	301104	Agent - Life	11/3/2017	3/31/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/15/2016	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/15/2016	12/13/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/15/2016	12/13/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hardin, Misty Dean	848491	Agent - Health	8/19/2014	3/31/2018
Inactive	Hardin, Misty Dean	848491	Agent - Life	8/19/2014	3/31/2018