50 Ill. Adm. Code 2051.270
Organizational Requirements
Section 2051.270 Organizational Requirements
Upon application for
registration, administrators must file the following information:
a) An organizational chart describing the relationship between
the administrator, its parent organization and any affiliates, including the
state of domicile and the primary business of each entity;
b) Proof of registration with the Illinois Secretary of State and
the company's FEIN;
c) Names, addresses, official positions and biographical
affidavits of the person or persons responsible for the conduct of the affairs
of the administrator. The biographical affidavits shall include, but not be
limited to, the following information: identifying information of the
administrator; affiant's identifying and contact information; affiant's
educational, residential and employment history; affiant's professional,
business and technical licenses and memberships; a complete history of
affiant's fidelity bonding; criminal charges and convictions; civil,
regulatory, administrative and disciplinary actions in an individual or
corporate capacity; a complete history of affiant's bankruptcy, insolvency,
liens and foreclosures in an individual or corporate capacity; affiant's
consent to release background reports to the Department and consent for third
parties to cooperate in the gathering of background information; and affiant's
and his or her immediate family's equity holdings in any entity subject to
insurance regulation. The Department will accept the biographical affidavit,
and any supplement thereto, obtained from the website of the NAIC or the
Department. A copy of the NAIC Biographical Affidavit form is available under
"Managed Care License/Registration Information" on the Department's
website at http://insurance.illinois.gov/company/companyMain.html; and
d) Location of all administrative offices of the administrator
located in this State and regular business hours during which offices are open.