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Accreditation Application
Insurance Regulatory Examiners Society
(please print)
Mr. Mrs. Ms.
Name
State, Agency Name *
Mailing Address
Phone E-mail address
*Under the IRES bylaws, AIE and CIE designations may be
awarded only to individuals who meet the Society's membership definition,
which requires that the individual spend 75% or more of his/her time working
for an insurance regulatory agency (whether as an employee or a contractor).
I hereby certify
that I meet IRES qualifications for individual membership and that I spend
at least 75% of my time working for an insurance regulatory agency.
I began full-time insurance regulatory work in (month/year):
(You must have at least two years of full-time regulatory work to seek accreditation. Effective August 1, 2002, this will change to a three-year work requirement for CIE applications.)
If you have been
an IRES member for less than 2 years, you must send proof of when you began
regulatory work.
Designation Applied for:
Accredited Insurance Examiner (AIE)
Certified Insurance Examiner (CIE)
The curriculum for which I am seeking credit is:
Details of the Society's accreditation curriculum, as specified by the
NAIC, is detailed on the back of this form. You must enclose your proof
of completion for these courses.
I hereby attest that I am currently a member of the Insurance
Regulatory Examiners Society and that I am enclosing documentation for the
Accreditation Committee. I authorize the Insurance Regulatory Examiners
Society and persons acting on its behalf to obtain such other and further
information as may be necessary to verify the information provided in this
application and to evaluate my eligibility for the designation applied for.
I further authorize any educational institution, governmental agency, employer,
supervisor or any other organization or person that has records or knowledge
of my eligibility to give such information to the Society.
Signature Date
Your application MUST be accompanied by two items:
1) A recent shapshot or photo of you. We cannot process your application without this. Any informal back & white or color shapshot is fine. Please no group photos!
2) A very, very short biographical sketch of no more than 75 words -- summarizing your current regulatory position and duties and a few lines of your choosing about academic background, family and civic or hobby activities. Do not send a resume.
Mail to: Insurance Regulatory Examiners Society, 130 N.
Cherry, Suite 202, Olathe, KS 66061
913-768-4700 FAX 913-768-4900
Regulators having a minimum of two years of fulltime
regulatory experience and who have
obtained a CPCU, CLU or FLMI designation will be granted the AIE designation.
You must send proof of designation along with this application.
Circle the number next to each course below you have successfully
completed.
You must also attach with this application the completion certificates for
each course.
Property & Casualty Educational Path
AIE, Must Take Any 8 may take in any order
|
INS 22 |
Personal Insurance |
|
INS 23 |
Commercial Insurance |
|
CPCU 4 |
Commercial Liability Risk Management & Insurance |
|
CPCU 5 |
Insurance Company Operation |
|
CPCU 6 |
The Legal Environment of Insurance |
|
CPCU 7 |
Management |
|
CPCU 9 |
Economics |
|
IR 201 |
Insurance Regulation |
|
AIAF 111 |
Insurance Accounting |
|
AIC 34,35 or 36 |
Claims (may only count 1) |
CIE, Must Take Any 4 may take in any order
|
FLMI 280 |
Principles of Life & Health Insurance |
|
FLMI 290 |
Life & Health Insurance Company Operations |
|
FLMI 320 |
Marketing Life & Health Insurance |
|
FLMI 340 |
Information Management in Insurance |
|
AIRC 410 |
Regulatory Compliance - Companies, Producers & Operations |
|
AIRC 420 |
Regulatory Compliance - Insurance and Annuity Product |
Life & Health Educational Path
AIE, Must Take Any 8 may take in any order
|
FLMI 280 |
Principles of Life & Health Insurance |
|
FLMI 290 |
Life & Health Insurance Company Operations |
|
FLMI 310 |
Legal Aspects of Life and Health Insurance |
|
FLMI 320 |
Marketing Life & Health Insurance |
|
FLMI 330 |
Management of Organizations and Human Resources |
|
FLMI 340 |
Information Management in Insurance |
|
FLMI 361 |
Accounting & Financial Reporting in Life and Health |
|
ICA C3 |
The Claims Environment |
| (Choose either ICA C3 or ICA C1) |
|
ICA C1 |
Medical and Dental Aspects of Claims (candidate may choose either ICA C3 or ICA C1) |
|
AIRC 410 |
Regulatory Compliance - Companies, Producers & Operations |
|
AIRC 420 |
Regulatory Compliance - Insurance and Annuity Product |
CIE, Must Take Any 4 may take in any order
|
INS 21 |
Principles of Insurance |
|
CPCU 5 |
Insurance Company Operation |
|
CPCU 6 |
The Legal Environment of Insurance |
|
IR 201 |
Insurance Regulation |
|
AIC 34,35 or 36 |
Claims (may only count one) |
Where to call for course information . . .
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