DEPARTMENT OF INSURANCE
Affiliations
NameBialczak, Henry WDOIID336703NAIC NPN1707266
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife6/20/1972 7/31/2025
ActiveResidentAgentVariable Life and Variable Annuities5/31/2001 7/31/2025
ActiveResidentAgentHealth6/20/1972 7/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAbility Insurance Company301013Agent - Health1/31/199512/22/2000
InactiveAbility Insurance Company301013Agent - Life1/31/199512/22/2000
InactiveAllianz Life Insurance Company of North America301791Agent - Health2/18/200212/30/2013
InactiveAllianz Life Insurance Company of North America301791Agent - Life2/18/200212/30/2013
InactiveAmerican General Life Insurance Company301585Agent - Health3/29/200212/20/2013
InactiveAmerican General Life Insurance Company301585Agent - Life3/29/200212/20/2013
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities3/29/200212/2/2019
InactiveBanner Life Insurance Company301696Agent - Life8/1/200211/10/2010
InactiveBoston Mutual Life Insurance Company300143Agent - Health9/30/20047/7/2005
InactiveBoston Mutual Life Insurance Company300143Agent - Life9/30/20047/7/2005
InactiveChase Insurance Life and Annuity Company300518Agent - Health2/20/19913/31/1997
InactiveChase Insurance Life and Annuity Company300518Agent - Life2/20/19913/31/1997
InactiveConseco Medical Insurance Company300719Agent - Health12/30/199612/31/1998
InactiveConseco Medical Insurance Company300719Agent - Life12/30/199612/31/1998
InactiveCotton States Life Insurance Company300268Agent - Life4/19/200212/13/2006
InactiveEncova Life Insurance Company301818Agent - Life5/20/20045/16/2005
InactiveFirst Colony Life Insurance Company301179Agent - Health12/3/20041/1/2007
InactiveFirst Colony Life Insurance Company301179Agent - Life12/3/20041/1/2007
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health12/31/199812/18/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life12/31/199812/18/2008
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health1/1/200712/4/2007
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/1/200712/4/2007
InactiveNational Western Life Insurance Company301515Agent - Health12/14/19987/2/2002
InactiveNational Western Life Insurance Company301515Agent - Life12/14/19987/2/2002
InactiveNorth American Company for Life and Health Insurance300291Agent - Health10/13/19933/31/1997
InactiveNorth American Company for Life and Health Insurance300291Agent - Life5/22/20123/22/2017
ActiveNorthwestern Long Term Care Insurance Company300135Agent - Health11/7/2001 
InactiveNorthwestern Long Term Care Insurance Company300135Agent - Life11/7/20017/28/2011
ActiveNorthwestern Mutual Life Insurance Company300931Agent - Health6/20/1972 
ActiveNorthwestern Mutual Life Insurance Company300931Agent - Life6/20/1972 
InactiveNorthwestern Mutual Life Insurance Company300931Agent - Variable Life and Variable Annuities5/31/20017/9/2024
InactiveOld Line Life Insurance Company of America (The)301709Agent - Health3/29/20023/31/2003
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life3/29/20023/31/2003
InactiveOld Line Life Insurance Company of America (The)301709Agent - Variable Life and Variable Annuities3/29/20023/31/2003
InactiveVenerable Insurance and Annuity Company301006Agent - Life11/1/200412/20/2006
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities11/1/200412/20/2006
InactiveWest Coast Life Insurance Company301607Agent - Life7/17/200612/15/2008
InactiveWestern National Life Insurance Company300461Agent - Life3/25/200211/30/2007
Inactive300277Agent - Life6/10/200212/15/2006
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveQuiet Benefits Agency Inc.398115Agent - Life4/6/19903/31/1997
InactiveQuiet Benefits Agency Inc.398115Agent - Health4/6/19903/31/1997

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