Official SealDepartment of Budget and Management


#26-005483-0019
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.

Please confirm that you hold a Fellow designation with the Casualty Actuarial Society, along with membership in the American Academy of Actuaries. If no confirmation, indicate N/A.

2.

Please explain the knowledge of and experience in actuarial analysis of homeowners and medical professional liability insurance. If no knowledge and experience, indicate N/A.

3.

Please describe your familiarity with the use of catastrophe models and generalized linear models in property insurance ratemaking. If no familiarity, indicate N/A.

4.

Please provide three professional references. One must be a former or current supervisor. Indicate name and contact information.


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