1. (a) With the initial captive insurance company application, and within 30 days of employment, contract, or other association with the captive insurance company, the following individuals must complete a biographical affidavit and submit it to the department:

   1. (1) with the exception of functions provided by a captive management company, individuals who oversee the management of the captive insurance company, including the following functions, must complete a biographical affidavit addressing:

      1. (A) risk management;
      2. (B) financial reporting;
      3. (C) underwriting;
      4. (D) claims; and
      5. (E) investments;
   2. (2) members of the governing body; and
   3. (3) corporate officers.

2. (b) Biographical affidavits required of individuals under subsection (a) of this section must include the following information and disclosures:

   1. (1) the affiant's current name and any names the individual may have used in the past, social security number, date of birth, and current mailing addresses, phone numbers, email addresses;
   2. (2) the name and address of the captive insurance company;
   3. (3) the affiant's position or title at the captive insurance company;
   4. (4) information regarding the affiant's education, memberships in professional organizations, and any professional, occupational, or vocational licenses held;
   5. (5) the affiant's employment history for the previous 10 years ; and
   6. (6) the affiant's fidelity bond coverage history, criminal history, and ownership or control of entities involved in the business of insurance.

Source Note:The provisions of this §6.303 adopted to be effective April 27, 2014, 39 TexReg 3232.