Mo. Code Regs. Ann. tit. 20, § 700-3.100
PURPOSE: This rule is intended to outline the requirements for prelicensing education of insurance agents and insurance brokers set forth in section 375.018.1, RSMo.
(2) Authorized Educational Organizations.
(B) Each course instructor and each course must be approved by the director. Approval will be for a period of no more than one (1) year. Application forms for this approval are contained in Appendix E. Applicants holding courses intended to be offered for a longer period must reapply for approval by returning a renewal form generated by the department accompanied by a filing fee of fifty dollars ($50). Courses approved by the director prior to August 28, 1993, for which continuous certification is sought should be resubmitted for approval sixty (60) days before the anniversary date of the director’s previous approval. In order for the director to review applications for approval, the following must be submitted:
E-1, Appendix E), including resume and documentation of qualifications;
2, Appendix E), including a completed schedule of dates and times. A filing fee of fifty dollars ($50) for each course for which approval is sought must accompany the 20 CSR 700-3
*Original authority: 374.045, RSMo 1967, amended
provider’s application. No filing fee is 1993, 1995; and 375.018, RSMo 1965, amended 1967, required if the applicant for course approval 1981, 1984, 1985, 1990, 1991, 1992, 1993. is a not-for-profit agents’ group or association which provides no compensation to the course instructor. Upon approval of the course, an approved copy of the application will be returned to the provider indicating the course number assigned by the Department of Insurance; and
instructor which shows the topics to be taught and the time that will be devoted to each topic. Time devoted to each topic will need to be consistent with the weighting indicated on the enclosed outline. The department encourages the instructor to cover the licensing statutes and rules as the applicant will be tested on Missouri insurance practices, rules and general insurance principles in addition to the hours required for each line of insurance.
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AUTHORITY: sections 374.045, RSMo Supp. 1998 and 375.018, RSMo 1994.* This rule was previously filed as 4 CSR 190-12.100. Original rule filed Jan. 17, 1986, effective June 28, 1986. Amended: Filed July 5, 1988, effective Nov. 1, 1988. Amended: Filed April 23, 1991, effective Oct. 31, 1991. Amended: Filed April 29, 1994, effective Nov. 30, 1994. Amended: Filed April 23, 1999, effective Nov. 30, 1999. Appendix A Outline Missouri Pre-Licensing Education for Life Insurance 3.0 Traditional Life Insurance 23% Policy Types 3.1 Term 3.1.1 Types 8.0 Policy Riders 10% 3.1.2 Characteristics 3.1.3 Advantages and disadvantages 3.2 Whole life 3.2.1 Level premium concept 3.2.2 Types 3.2.3 Characteristics 3.2.4 Advantages and disadvantages 3.3 Endowment 9.0 Marketing Life Insurance 10% 3.3.1 Types 3.3.2 Characteristics 3.3.3 Advantages and disadvantages 4.0 Annuities 10% 4.1 Nature 4.2 Various classifications and descriptions of individual annuity contracts 4.3 Variable annuities 4.4 Tax-sheltered annuities 5.0 Specific Policies and Forms 7% 5.1 Traditional specialized policies or forms (Note: Some of these might be a combination of two or more common types of policies rather than a separate specific policy. The coverage and result are the same in either case.) 5.1.1 Family income 5.1.2 Family maintenance 5.1.3 Family protection 5.1.4 Multiple protection 5.1.5 Joint life 5.1.6 Reversionary 5.1.7 Survivorship 5.1.8 Juvenile 5.1.9 Minimum deposit 5.1.10 Modified life 5.1.11 Graded premium 5.1.12 Split life 5.2 Newer policy innovations 5.2.1 Adjustable life 5.2.2 Variable life 5.2.3 Universal life 5.2.4 Mortgage redemption 6.0 General Policy Provisions 17% 6.1 Standard life policy provisions 6.1.1 Suicide (as unique to Missouri) 6.1.2 Incontestability 6.1.3 Grace period 6.2 Provisions prohibited by law 6.3 Ownership 6.4 Beneficiaries 6.4.1 Options 6.4.2 Importance of naming the beneficiary 10.0 Underwriting Life Insurance 7% 6.4.3 Minors as beneficiaries 6.4.4 Problems with trusts 6.5 Miscellaneous provisions 6.5.1 Common disaster clause 6.5.2 Spendthrift clause 7.0 Policy Options 16% 7.1 Settlement 7.2 Guaranteed values (nonforfeiture provisions) 7.2.1 Cash surrender value 7.2.2 Extended term 7.2.3 Paid-up life 7.3 Loan provisions (including automatic premium loan) 7.4 Dividends 8.1 Accidental death 8.2 Waiver of premium 8.3 Payer waiver of premium 8.4 Waiver of premium with disability income 8.5 Guaranteed insurability 8.6 Return of premium 8.7 Return of cash value 9.1 Considerations in selecting various policies, annuities and riders 9.1.1 Tax 9.1.2 Nontax 9.2 Consideration in selecting various options 9.2.1 Tax 9.2.2 Nontax 9.3 Provisions specific to group, credit and industrial life 9.4 Divisions of policies according to markets 9.4.1 Individual life 9.4.2 Group life 9.4.3 Credit life (and disability) 9.4.4 Industrial life 9.5 Uses of life insurance 9.5.1 Business 9.5.2 Personal 9.6 Uses of annuities 9.6.1 Business 9.6.2 Personal 9.7 Estate planning 9.8 Determining amounts of insurance necessary 9.8.1 Human life value approach 9.8.2 Needs approach 9.8.3 Social Security 9.9 Specialized markets and plans and their tax benefits 9.9.1 Keogh 9.9.2 IRAs 9.9.3 Others 9.10 Agents’ responsibilities 9.10.1 Application 9.10.2 Premium 9.10.3 Binding receipt 9.10.4 Policy delivery 9.11 Missouri marketing regulations 9.11.1 Replacement, twisting and rebate 9.11.2 Deceptive practices or misrepresentation 9.11.3 Sales to college students 9.11.4 Solicitation on military bases 9.11.5 Unfair practices and fraud 10.1 Sources of information 10.2 Selection criteria 10.2.1 Individual 10.2.2 Group 10.3 Premium determination 10.3.1 Standard risks 10.3.2 Substandard (high exposure) risks 10.3.3 Preferred risks (for example, nonsmokers) 10.4 Agents’ responsibilities in underwriting 10.5 Underwriting annuities v. underwriting life insurance 10.6 Unisex decisions and legislation Appendix B Outline Missouri Pre-Licensing Education for Accident and Health Insurance 3.0 Background of Health Insurance 4% 6.0 Medical Expense Insurance 17% 3.1 History and growth 3.2 Human life value—health insurance 3.3 Economic value of health insurance 3.4 Government programs 3.5 Definition of trust 4.0 Policy Provisions 24% 4.1 Types of loss and benefits 4.1.1 Loss of income/disability 4.1.2 Medical expenses 4.1.3 Accidental death/dismemberment 4.1.4 Dental insurance 4.1.5 Limited health insurance contracts—including credit, hospital income 7.0 Underwriting Health Insurance 17% 4.2 Types of contract provisions 4.2.1 Insuring clause 4.2.2 Renewal provisions 4.2.3 Free look 4.2.4 Waiver of premium 4.2.5 Uniform mandatory provision 8.0 Claims 10% 4.2.6 Uniform optional provisions 4.2.7 Missouri contract provisions (mental/nervous/drug/alcohol) 4.2.8 Miscellaneous provisions 4.2.9 Preexisting conditions 4.3 Approaches to marketing 4.3.1 Individual 4.3.2 Group—including provisions 4.3.3 Franchise 4.4 Types of insurers 9.0 Marketing Health Insurance 13% 4.4.1 Commercial insurers 4.4.2 Blue Cross-Blue Shield 4.4.3 Health maintenance organizations 4.4.4 Other providers of benefits or services (preferred provider, partial self-funding, self-funding) 5.0 Disability Income Insurance 15% 5.1 Perils (including maternity) 5.2 Occupational/Nonoccupational coverage 5.3 Period for which benefits payable 5.3.1 Short-term disability 5.3.2 Long-term disability 5.3.3 Lump sum benefits 5.4 Definitions 5.4.1 Disability 5.4.1.1 Total 5.4.1.2 Permanent 5.4.1.3 Partial 5.4.1.4 Temporary 5.4.2 Injury 5.4.3 Sickness 5.5 Waiting periods 5.6 Exclusions 5.7 Continuance provisions 5.8 Group contract provisions 5.9 Special uses of disability income 5.10 Limitations on amount of benefit 20 CSR 700-3 6.1 Basis of payment 6.1.1 Identification/reimbursement valued 6.1.2 Cash payment policies 6.1.3 Service benefits 6.2 Hospitalization 6.3 Surgical expense 6.4 Regular medical expense 6.5 Major medical insurance 6.6 Comprehensive major medical 6.7 Medicare supplement coverage 6.8 Individual policy provisions 6.9 Group policy provisions 7.1 Concepts—including rate-making and reserves 7.2 Groups 7.3 The application-legal role, agents’ responsibilities 7.4 Underwriting action 7.5 Process—Agents’ role as field underwriter—importance 8.1 Notice 8.2 Proof of loss 8.3 Investigation/verification 8.4 Coordination of benefits 8.5 Payment 8.6 The blues (providers associations) 8.7 Settlement procedures 8.8 Taxation of benefits 8.9 Third-party administrator 9.1 Health insurance and financial planning 9.2 Programming of disability income 9.2.1 Social Security 9.2.1.1 Eligibility for disability 9.2.1.2 Calculation of benefits 9.2.2 Workers’ Compensation 9.2.3 Other disability income sources 9.3 Considerations in replacing existing health insurance 9.3.1 Preexisting conditions 9.3.2 Waiting periods 9.3.3 No loss-no gain 9.3.4 Exclusions and limitations 9.3.5 Underwriting requirements 9.3.6 Exposure to errors and omissions 9.3.7 Transfer of benefits Appendix C Outline Missouri Pre-Licensing Education for Fire and Allied Lines Insurance 3.0 Property Insurance Basics 36% 3.1 Property insurance principles 3.1.1 Hazards 3.1.2 Perils 3.1.3* Specified (named) perils vs. all risks (special) 3.1.4 Blanket vs. specific insurance 4.0 Insurance Types and Coverages 64% 3.1.5* Reporting forms (including full reporting provision; honesty clause) 3.2 Policy structure 3.2.1 Forms 3.2.2 Endorsements (general nature of) 3.2.3 Declarations 3.2.4 Insuring agreement 3.2.5 Conditions 3.2.6 Exclusions 3.3 Provisions commonly found in property insurance policies 3.3.1 Deductibles 3.3.2 Coinsurance 3.3.2.1 Agreed amount approach 3.3.3* Other insurance clause 3.3.3.1 Nonconcurrency 3.3.3.2 Primary & excess 3.3.3.3 Pro rata 3.3.4 Named insured, insured 3.3.5 Limits of liability (including sublimits) 3.3.6 Duties of insured 3.3.7 Duties of insurer 3.3.8* Cancellation and nonrenewal 3.3.9 Assignment 3.3.10 Subrogation (vs. subro-waiver agreements) 3.3.11 Policy period *Subject to change with ISO’s January 1986 introduction of simplified forms. Items without asterisk may also be affected; asterisk identifies anticipated substantial change. 3.3.12 Policy territory 3.3.13 Standard mortgage clause 3.4 Valuation 3.4.1 Actual cash value 3.4.2 Replacement cost 3.4.3 Market value 4.1 Standard fire policy 4.2 Dwelling policy 4.3 Homeowners’ policies (including mobile homes) (Section I) including HO-1 to HO-8 4.4* Commercial fire forms 4.5* Time element coverages 4.6* Builders’ risk forms 4.7* Sprinkler leakage 4.8* Earthquake insurance 4.9 Difference in conditions 4.10 Inland marine coverages 4.10.1 Personal 4.10.2 Commercial (including EDP floater) 4.10.3 Farm (incl. livestock floater) 4.10.4 Boat 4.11 Ocean marine basics 4.12* Special multi-peril and commercial packages (property sections) 4.13 Businessowners (property sections) 4.14 Farmowners-Ranchowners (property sections) 4.15* Condominium insurance on association property 4.16 National Flood Insurance Program (personal and commercial) 4.17 FAIR plans 4.18 Crop-Hail 4.19 Excess and surplus lines 4.20 Nuclear property insurance Appendix D Outline Missouri Pre-Licensing Education for General Casualty Insurance 3.0 Casualty Insurance 19% 6.0 Auto 27% 3.1* Policy structure 3.1.1 Forms (intent: deal with names of the pieces of paper forming the contract.) 3.1.2 Endorsements 3.1.3 Declarations 3.1.4 Insuring agreement 3.1.5 Conditions 3.1.6 Exclusions 3.2 Provisions commonly found in casualty insurance policies 3.2.1* Named insured, insured, additional insureds 3.2.2 Limits of liability (including sublimits) 3.2.2.1 Per person 3.2.2.2 Per occurrence 3.2.2.3 Aggregate 3.2.3 Duties of insured 3.2.4 Duties of insurer 3.2.5 Cancellation and nonrenewal 3.2.6 Assignment 3.2.7 Subrogation 3.2.8 Policy period 3.2.9 Policy territory 4.0 Legal Liability and General 27% Liability Insurance 4.1 Liability basics 4.1.1 Negligence and legal liability 4.1.2 Comparative negligence 4.1.3 Occurrence 4.1.4* Claims made vs. occurrence 7.0 Miscellaneous 18% 4.2 Liability policies and coverages 4.2.1 Homeowners’ policy (including mobile homes) Section II 4.2.2* Comprehensive general liability 4.2.3* Other general liability forms & endorsements (incl. broad form and contractual) 4.2.4 Environmental impairment liability 4.2.5 Professional liability 4.2.6 Umbrella policy 4.2.6.1 Personal 4.2.6.2 Commercial 4.2.7 Directors’ and officers’ liability 4.2.8 Employee benefit program/fiduciary 4.2.9* SMP liability coverages 4.2.10 Business owners’ policy coverages 4.2.11 Condominium insurance on association-liability coverages 4.2.12 Farm liability coverages 4.2.12.1 Livestock transit insurance 5.0 Workers’ Compensation 9% 5.1 Missouri Workers’ Compensation law 5.2 Workers’ Compensation policy 5.2.1 Employers’ liability coverage 5.2.2 Other states’ coverage
*Subject to change with ISO’s January 1986 introduction of simplified forms. Items without asterisk may also be affected; asterisk identifies areas where substantial change is anticipated. 20 CSR 700-3 6.1 Legal liability and the automobile 6.1.1 Basic no-fault concepts 6.2 Missouri highlights 6.2.1 Financial responsibility laws 6.2.2 Uninsured motorists’ laws 6.2.3 Missouri Joint Underwriting Association 6.3 Personal auto insurance 6.3.1 Personal auto policy 6.3.2 Family automobile policy 6.3.3 Special automobile policy 6.3.4 Basic automobile policy 6.3.5 Named nonowner policy 6.4 Commercial Auto Insurance 6.4.1 Liability of common carrier for passenger injuries 6.4.2 Federal and states rules requiring insurance by commercial carriers 6.5 Business auto policy 6.6 Garage insurance 6.6.1 Liability 6.6.2 Dealers’ physical damage 6.6.3 Garagekeepers 6.7 Truckers’ forms 6.8 Miscellaneous vehicles and coverages 6.8.1 Recreational vehicles 6.8.2 Campers 6.8.3 Motorcycles 6.8.4 Auto mechanical breakdown policy 7.1* Crime coverages 7.2* Fidelity coverages 7.3 Surety bonds 7.4 Liquor liability 7.5 Watercraft liability coverages 7.6 Aviation insurance 7.7 Credit insurance 7.8 Mortgage guarantee insurance 7.9 Title insurance 7.10 Rain insurance 7.11* Plate glass insurance 7.12 Nuclear liability insurance 7.13 Government insurance and residual markets 7.13.1 Auto residual markets & pools 7.13.2 Excess and surplus lines Appendix E Form E-1 Missouri Department of Insurance P.O. Box 690 Jefferson City, MO 65102-0690 Pre-Licensing Education Instructor Application Name:_____________________________________________________________________ Social Security # __________________________ Home Address:______________________________________________________________________ Home Phone:_____________________ Business Address: _______________________________________________________________Business Phone:________________________ Employer:___________________________________________________________________________________________________________ Employer’s Address: __________________________________________________________________________________________________ Supervisor:______________________________________________________Current Position:______________________________________ Educational Background: High School __________________________________________________________________ Dates _________________________________ College ______________________________________________________________________ Dates _________________________________ Professional Background—Training, schools/industry experience, or both: 1. ___________________________________________________________________________ Dates ________________________________ 2. ___________________________________________________________________________ Dates ________________________________ 3. ___________________________________________________________________________ Dates ________________________________ 4. ___________________________________________________________________________ Dates ________________________________ Professional Designations: _____________________________________________________________________________________________ Prior Teaching Experience: ____________________________________________________________________________________________ 1. ___________________________________________________________________________ When________________________________ Objectives of course or subject taught: (Be specific.) A. B. C. D. E. 2. ___________________________________________________________________________ When________________________________ A. B. C. D. E. List three (3) professional references: (Add additional pages if needed.) 1. Name _________________________________________________________ Address___________________________________________ _________________________________________________________ Phone ____________________________________________ 2. Name _________________________________________________________ Address___________________________________________ _________________________________________________________ Phone ____________________________________________ 3. Name _________________________________________________________ Address___________________________________________ _________________________________________________________ Phone ____________________________________________ List three (3) personal references: 1. Name _________________________________________________________ Address___________________________________________ _________________________________________________________ Phone ____________________________________________ 2. Name _________________________________________________________ Address___________________________________________ _________________________________________________________ Phone ____________________________________________ 3. Name _________________________________________________________ Address___________________________________________ _________________________________________________________ Phone ____________________________________________ Please attach a resume' which becomes a part of this application. Included in my resume' is documentation that I— _____________________________Have a CLU, FLMI, CPCU, CIC, Master of Insurance Degree or other equivalent insurance education; _____________________________Have a minimum of three years’ insurance training experience; or _____________________________Am an instructor of insurance courses at an educational institution accredited by North Central Association of Colleges and Schools. Other applicants will be considered on an individual basis. I hereby authorize the Missouri Department of Insurance, through its representatives, to contact any or all of the above-mentioned references for the purpose of ascertaining my fitness to serve as an instructor of the prelicensing, educational requirements contained in section 375.018, RSMo, and I also hereby authorize the above-mentioned references to release any information requested by the Department of Insurance in furtherance of this same objective. I am applying to teach the following subject matter: ______________________Life ____________________Fire & Allied Lines ______________________Accident & Health _____________________General Casualty I further understand that my submission of this application does not obligate the Missouri Department of Insurance to approve me as an instructor for the courses of study as required by section 375.018.1 and I will not instruct in courses required by section 375.018.1 until such time as I have been approved as an instructor for the subject matter required by section 375.018.1. Date ___________________________________ Name_______________________________________________________________________ Signature____________________________________________________________________ Form E-2 Request for Course Approval Provider’s Name ________________________________________ Provider’s Address_____________________________________________ Provider’s Telephone Number___________________________________________________________________________________________ Please check below the appropriate class(es) of insurance being requested. __________________LIFE (15 hour minimum) Name of Instructor _______________________________________Date and Time Course Will be Offered____________________________ Dates and Times Successive Courses Are Scheduled_________________________________________________________________________ Missouri Course Number to be Assigned by Department of Insurance __________________________________________________________ __________________ACCIDENT & HEALTH (15 hour minimum) Name of Instructor _______________________________________Date and Time Course Will be Offered____________________________ Dates and Times Successive Courses Are Scheduled_________________________________________________________________________ Missouri Course Number to be Assigned by Department of Insurance __________________________________________________________ __________________FIRE & ALLIED LINES (20 hour minimum) Name of Instructor _______________________________________Date and Time Course Will be Offered____________________________ Dates and Times Successive Courses Are Scheduled_________________________________________________________________________ Missouri Course Number to be Assigned by Department of Insurance __________________________________________________________ __________________GENERAL CASUALTY (20 hour minimum) Name of Instructor _______________________________________Date and Time Course Will be Offered____________________________ Dates and Times Successive Courses Are Scheduled_________________________________________________________________________ Missouri Course Number to be Assigned by Department of Insurance __________________________________________________________ If the above dates are unknown at the time of this application, the provider must notify the Missouri Department of Insurance 30 days prior to scheduled date. Instructor’s complete course outline indicating amount of time devoted to each topic must be enclosed. Class Size__________________________________________________ The minimum class size is five and the maximum class size is 30. Any exceptions to this required class size must be authorized by the Missouri Department of Insurance. We agree that the length of educational instruction will be limited to eight hours in any day. A five minute break will be taken on an hourly basis and a full one hour lunch break will be given. We agree that we will provide each student a “Licensing Information Bulletin” published by the testing service. We hereby certify that this course meets all of the requirements of the Missouri Department of Insurance. We agree that we will provide the Missouri Department of Insurance, within fifteen (15) days of completion of each course, the name, address and Social Security Number of the individuals who completed the course. (Form E-3 attached). A department-approved Certification of Completion will be issued to each individual completing the course. The Completion Certificate must be signed by the person certifying that the course has been completed. We understand that failure to comply with these requirements will result in revocation of our authority. __________________________________________________________ ____________________________________________ (Authorized Signature) (Title) ____________________________________________ (Date) Form E-3 Class Roster—Attendance Record Provider’s Name ___________________________________________________________ Today’s Date ______________________________ Course Name and Number___________________________________________________ Course Dates______________________________ Location__________________________________________________________________ Instructor _________________________________ Sign In Student Signature Social Security No. Time In Sign Out Time Out Class roster must be completed for each day classes are held. ____________________________________________ _______________________________________ _______________________________________ (Signature of Course Instructor) _______________________________________ _______________________________________ _______________________________________ FIRE & ALLIED LINES COURSE _______________________________________ _______________________________________ (Signature of Course Instructor) _______________________________________ _______________________________________ _______________________________________ The original of this form must be submitted to the Missouri Department of Insurance with the application for licensure. This certificate is valid for one year after completion date. Form E-4 Certificate of Completion This Certificate of Completion is to certify that ____________________________________________________________________ (Student’s Name) (Birth Date) has successfully completed the following Course(s) of Study LIFE COURSE (Name of Course Instructor) (Provider’s Name) (Date Course Completed) (Missouri Course Number) (Name of Course Instructor) (Provider’s Name) (Date Course Completed) (Missouri Course Number) ________________________________________________ (Social Security Number) ACCIDENT & HEALTH COURSE ___________________________________________ (Name of Course Instructor) ___________________________________________ (Signature of Course Instructor) ___________________________________________ (Provider’s Name) ___________________________________________ (Date Course Completed) ___________________________________________ (Missouri Course Number) GENERAL CASUALTY COURSE ___________________________________________ (Name of Course Instructor) ___________________________________________ (Signature of Course Instructor) ___________________________________________ (Provider’s Name) ___________________________________________ (Date Course Completed) ___________________________________________ (Missouri Course Number) I certify that I personally completed the above course(s). _________________________________________________________ (Student Must Sign Here) _________________________________________________________ (Date) I. FACILITIES AND LOGISTICS Please rate the following items on a scale of 1 to 10: Poor 1—3; Fair 4—6; Good 7—8; Excellent 9—10. A. Notebook Materials B. Audio/Visual Aids (if used) C. Meeting Facility (overall) 1. Temperature 2. Lighting 3. Acoustical 4. Seating 5. Other D. Class Break Schedule E. Overall Quality of Instructor(s) II. INSTRUCTIONS (Please complete for each subject and each instructor.) Use rating scale 1 to 10 as above. A. Subject__________ B. Subject__________ Form E-5A Part A Evaluation Form For Instructions of Requirements Of Section 385.018, RSMo Date____________ 1. Knowledge of Subject Matter 2. Presentation of Subject Matter Date____________ 1. Knowledge of Subject Matter 2. Presentation of Subject Matter 20 CSR 700-3 Numerical Rating _______________ _______________ _______________ _______________ _______________ _______________ _______________ _______________ _______________ _______________ Instructor____________ Time________________ Numerical Rating ____________________ ____________________ Instructor____________ Time________________ Numerical Rating ____________________ ____________________ III. The intent of the instructional requirement of section 375.018, RSMo is to promote more professionalism in the insurance industry in the state of Missouri. The space below is to provide your input into improving the instruction of the requirements. Please feel free to offer your suggestions and comments. Comments:__________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ This form will be filed at your school. C. Subject__________ Date____________ 1. Knowledge of Subject Matter 2. Presentation of Subject Matter D. Subject__________ Date____________ 1. Knowledge of Subject Matter 2. Presentation of Subject Matter E. Subject__________ Date____________ 1. Knowledge of Subject Matter 2. Presentation of Subject Matter Instructor____________ Time________________ Numerical Rating ____________________ ____________________ Instructor____________ Time________________ Numerical Rating ____________________ ____________________ Instructor____________ Time________________ Numerical Rating ____________________ ____________________ Use back if needed. Form E-5B Part B This form is not to be turned in at your school— Take it home with you. The Missouri Department of Insurance will be monitoring the schools that are to fulfill the educational requirements of section 375.018, RSMo. School Attended _____________________________________________________________________________________________ Date Attended________________________________________________________________________________________________ City____________________________________________________________ State _______________________________________ Each item below deals with the quality of instruction which students consider important. Rate each item on the following scale, “5” is high and “1” is low. Circle your choice. 1. Did you feel the instructor was knowledgeable? 2. Was the instructor prepared? 3. Was the instructor’s presentation interesting? 4. Did the instructor follow the course outline? 5. Was the instructor helpful in answering questions? 6. Did you have freedom to ask questions or express ideas? 7. Study material 8. Class room 9. Break time 10. Class participation 11. Considering everything, how would you rate the quality of this course? 12. Considering everything, how would you rate the quality of the instruction? Yes or No Questions 13. Did the instructor meet with the class at the required time? 14. Did you receive the Licensing Information Bulletin? 15. Did the instructor stress the importance of completing this evaluation? Comments: _________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ Mail completed form to: Missouri Department of Insurance 301 West High Street P.O. Box 690 Jefferson City, Missouri 65102 Rating Level 5 4 5 4 5 4 5 4 5 4 5 4 5 4 5 4 5 4 5 4 5 4 5 4 Yes No Yes No Yes No 20 CSR 700-3 3 2 3 2 3 2 3 2 3 2 3 2 3 2 3 2 3 2 3 2 3 2 3 2