50 Ill. Adm. Code 915.40
Biographical Affidavits
Section 915
Section 915.40 Biographical
Affidavits
a) Biographical affidavits must be furnished to the Director by
all companies and persons subject to this Part pursuant to Section 915.20.
Affidavits of persons specified in Section 915.20(a) and (b) must be filed
along with the other papers and documents required for purposes of formation of
a domestic company or issuance of a Certificate of Authority to a foreign or
alien company. Affidavits of persons specified in Section 915.20(c) must be
filed within 30 days after that person's election or appointment. The
domestic, foreign or alien company has ultimate responsibility for timely
filing of such affidavits.
b) The biographical affidavits shall include, but not be limited
to, the following information: 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; affiant's criminal charges and
convictions; civil, regulatory, administrative and disciplinary actions in affiant's
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 affiant's immediate family's equity holdings in any entity
subject to insurance regulation. The Department will accept the biographical
affidavit, and any supplement to that affidavit, that is obtained from the
website of the National Association of Insurance Commissioners (NAIC) or the
Department.