Official SealDepartment of Budget and Management


#22-006304-0025
Supplemental Questionnaire

Last Name
First Name

 

***Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.***


1.

Do you have knowledge of and experience working with Systems for Electronic Rate and Form Filing (SERFF). If Yes, provide employer, dates of service, and job duties. If No, indicate N/A.

2.

Have you completed (1) Society of Actuary exam?

Yes No
3.

Do you have knowledge of rate development methodologies, homeowners coverages and policy provisions? If Yes, provide employer, dates of service, and job duties. If No, indicate N/A.

4.

Explain your experience with using databases and MS office programs. If No experience, indicate N/A.


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