DEPARTMENT OF INSURANCE

Affiliations

Name	Bizjak, David	DOIID	975854	NAIC NPN	1776929

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/27/2024		7/31/2025
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	9/26/2019	7/31/2023
Inactive	Non Resident	Agent	Health	9/26/2019	7/31/2023
* 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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	4/15/2024
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	4/20/2021	7/31/2023
Inactive	Forethought Life Insurance Company	301407	Agent - Life	9/26/2019	7/31/2023
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	12/22/2022	7/31/2023
Inactive	Standard Insurance Company	300185	Agent - Health	12/13/2021	7/31/2023
Active	Standard Insurance Company	300185	Agent - Life	3/3/2024
Active	Symetra Life Insurance Company	301691	Agent - Life	3/27/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Raymond James Insurance Group, Inc.	398342	Agent - Variable Life and Variable Annuities	4/28/2023	7/31/2023
Inactive	Raymond James Insurance Group, Inc.	398342	Agent - Life	9/26/2019	7/31/2023
Inactive	Raymond James Insurance Group, Inc.	398342	Agent - Health	4/28/2023	7/31/2023