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DEPARTMENT OF INSURANCE
Affiliations
Name
Bialczak, Henry W
DOIID
336703
NAIC NPN
1707266
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Life
6/20/1972
7/31/2025
Active
Resident
Agent
Variable Life and Variable Annuities
5/31/2001
7/31/2025
Active
Resident
Agent
Health
6/20/1972
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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Ability Insurance Company
301013
Agent - Health
1/31/1995
12/22/2000
Inactive
Ability Insurance Company
301013
Agent - Life
1/31/1995
12/22/2000
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
2/18/2002
12/30/2013
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
2/18/2002
12/30/2013
Inactive
American General Life Insurance Company
301585
Agent - Health
3/29/2002
12/20/2013
Inactive
American General Life Insurance Company
301585
Agent - Life
3/29/2002
12/20/2013
Inactive
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
3/29/2002
12/2/2019
Inactive
Banner Life Insurance Company
301696
Agent - Life
8/1/2002
11/10/2010
Inactive
Boston Mutual Life Insurance Company
300143
Agent - Health
9/30/2004
7/7/2005
Inactive
Boston Mutual Life Insurance Company
300143
Agent - Life
9/30/2004
7/7/2005
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Health
2/20/1991
3/31/1997
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
2/20/1991
3/31/1997
Inactive
Conseco Medical Insurance Company
300719
Agent - Health
12/30/1996
12/31/1998
Inactive
Conseco Medical Insurance Company
300719
Agent - Life
12/30/1996
12/31/1998
Inactive
Cotton States Life Insurance Company
300268
Agent - Life
4/19/2002
12/13/2006
Inactive
Encova Life Insurance Company
301818
Agent - Life
5/20/2004
5/16/2005
Inactive
First Colony Life Insurance Company
301179
Agent - Health
12/3/2004
1/1/2007
Inactive
First Colony Life Insurance Company
301179
Agent - Life
12/3/2004
1/1/2007
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Health
12/31/1998
12/18/2008
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
12/31/1998
12/18/2008
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
1/1/2007
12/4/2007
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
1/1/2007
12/4/2007
Inactive
National Western Life Insurance Company
301515
Agent - Health
12/14/1998
7/2/2002
Inactive
National Western Life Insurance Company
301515
Agent - Life
12/14/1998
7/2/2002
Inactive
North American Company for Life and Health Insurance
300291
Agent - Health
10/13/1993
3/31/1997
Inactive
North American Company for Life and Health Insurance
300291
Agent - Life
5/22/2012
3/22/2017
Active
Northwestern Long Term Care Insurance Company
300135
Agent - Health
11/7/2001
Inactive
Northwestern Long Term Care Insurance Company
300135
Agent - Life
11/7/2001
7/28/2011
Active
Northwestern Mutual Life Insurance Company
300931
Agent - Health
6/20/1972
Active
Northwestern Mutual Life Insurance Company
300931
Agent - Life
6/20/1972
Inactive
Northwestern Mutual Life Insurance Company
300931
Agent - Variable Life and Variable Annuities
5/31/2001
7/9/2024
Inactive
Old Line Life Insurance Company of America (The)
301709
Agent - Health
3/29/2002
3/31/2003
Inactive
Old Line Life Insurance Company of America (The)
301709
Agent - Life
3/29/2002
3/31/2003
Inactive
Old Line Life Insurance Company of America (The)
301709
Agent - Variable Life and Variable Annuities
3/29/2002
3/31/2003
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
11/1/2004
12/20/2006
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
11/1/2004
12/20/2006
Inactive
West Coast Life Insurance Company
301607
Agent - Life
7/17/2006
12/15/2008
Inactive
Western National Life Insurance Company
300461
Agent - Life
3/25/2002
11/30/2007
Inactive
300277
Agent - Life
6/10/2002
12/15/2006
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Quiet Benefits Agency Inc.
398115
Agent - Life
4/6/1990
3/31/1997
Inactive
Quiet Benefits Agency Inc.
398115
Agent - Health
4/6/1990
3/31/1997
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