South Carolina Department of Insurance

Transcription

1 South Carolina Department of Insurance Sponsor Information Packet Administrative Services Provided by Prometric September 2017

2 South Carolina Department of Insurance Continuing Education Sponsor Information Packet Contents Introduction... 1 Program Requirements for Sponsors... 3 Appeal Procedures... 8 Sponsor Information Instructions for Completing the Sponsor Approval Application... 9 Sponsor Approval Application Instructor Information Instructions for Completing the Instructor Registration Instructor Registration Form Course Information Instructions for Completing the Course Approval Application Course Approval Application Sample Course Outlines Sample Affidavit for Self-Study Exams Miscellaneous Forms Continuing Education Course Completion Certificate Authorized Representative Change Request Form Sponsor Name Change Request Form Sponsor Change of Address Request Form Instructor Change of Address Request Form Course Offering Schedule... 26

3 South Carolina Department of Insurance Continuing Education Sponsor Information Packet Introduction South Carolina law requires resident insurance producers to meet continuing education (CE) requirements by earning 24 credit hours in each two-year period ending with the producer's month and year of birth. To meet these requirements, producers must take courses approved by the South Carolina Department of Insurance Continuing Education Division. This information packet contains the information required for course sponsors to become approved and have their courses approved for South Carolina Insurance Continuing Education as well as instructors to become approved. In order for producers to sell annuity products in South Carolina, the producer needs to take a one-time four hour Suitability Annuity Training course in compliance with South Carolina regulation entitled Suitability in Annuity Transactions, South Carolina Regulation Prometric administers the recordkeeping continuing education services for resident producers for South Carolina Department of Insurance. Prometric provides internet services at The Department approves all continuing education sponsors, courses and instructors. The Department must review and approve all course materials prior to the offering of any course for continuing education credit. Sponsors must submit courses for approval at least 30 days before their presentation. The Department approves courses for three years from the effective date at which point a sponsor may apply to renew the course. The Department does not send out course renewal notices. Individual sponsors must have instructors approved by the Department before they may teach their CE courses. The Department approves instructors for three years from the approval effective date at which point a sponsor may apply to renew. The Department does not send out instructor renewal notices. The Department will return all incomplete submissions to the sponsor. Courses are considered received when the Department receives all necessary course materials. Samples of acceptable and unacceptable outlines are on Pages 18 and 19. Any of the materials in this packet may be photocopied. CE Fees: Sponsor approval: $ 0 Sponsor renewal: $ 0 Course approval: $100 Course renewal: $100 Instructor approval: $ 25 Instructor Renewal: $ 25 Course Rosters: $ 0 This Sponsor Packet and other CE information are also available through our Web site: Sponsors may download the forms from the Web site and use them to prepare applications. Sponsors must submit their roster online ( to Prometric within 30 days of the course completion date. Sponsors will receive a confirmation of all rosters submitted. Producers will receive a confirmation of compliance status only when they reach compliance. Sponsors must provide a course completion certificate to each student who successfully completes a course within 30 business days of the course completion. A recommended format is on Page 21. South Carolina participates in the NAIC CE Reciprocity Agreement. If you are a sponsor domiciled in a participating state, you must submit home state approval along with the course application and course material. See the application on Page 17. If the course is not approved in the home state, the sponsor must provide all course materials for review by the South Carolina Continuing Education Advisory Committee. Complete details about CE requirements for producers are in the South Carolina Frequently Asked Questions (FAQ). You can view the FAQ on our Web site: or the Department's Web site: doi.sc.gov. 1

4 Producers can check their compliance status and view their transcript at Prometric s Web site, For more information, contact Prometric Phone: (8:30 A.M. to 5:00 P.M. Eastern Time) Fax: pro.ce-services@prometric.com Web site: 2

5 South Carolina Department of Insurance Continuing Education Program Requirements for Sponsors These requirements have been adopted by the South Carolina Insurance Department. Failure to comply with the program requirements may result in the suspension or termination of the sponsor s authorization to offer courses. General Program Information and Requirements 1. The South Carolina Department of Insurance processes all applications for courses, instructors and sponsors. 2. Sponsors must be approved by the Department of Insurance before they may submit courses for approval to the Department. The application to become a sponsor must be submitted to the Department at least thirty (30) days prior to the Continuing Education Advisory Committee meeting. If the applicant s type of business is a private entity, the applicant must submit a letter explaining the type of business and how long that business has been offering insurance continuing education courses. 3. Approved sponsors are responsible for the actions of their instructors. 4. Approved sponsors must notify the Department in writing within thirty (30) days of any change in address and of any change in the authorized representative of the sponsor. 5. Before an approved sponsor may offer any course, the sponsor must submit the course to the Department for approval and be assigned a course approval number by the Department. 6. Only courses approved by the Department may be conducted for credit. 7. The CE Advisory Committee meets the second Thursday of each month. Sponsors must submit courses reviewed by the CE Advisory Committee 30 days prior to the meeting. Course material should not be bound, submitted in a notebook or stapled. 8. Approved sponsors of courses presented for approval shall submit to the Department at least thirty (30) days in advance of the Continuing Education Advisory Committee meeting an application for approval, which shall include the following: a. A detailed outline of the course; b. A timetable, with instruction minutes assigned to each topic (classroom); c. A sample competency examination if the course is self-study with text reference for each exam question; d. Course material; e. Self-study courses must include a certification report of the number of words per document, grade level and degree of difficulty of the course; f. Online courses must include a screen count and number of words per screen; and g. A nonrefundable filing fee established by the Department 9. Sponsors may not use another sponsor's course approval number without the prior written authorization of the sponsor. The sponsor must submit a copy of the authorization to the Department before the course may be offered. 10. Sponsors are bound by the decisions of the Department regarding course approval and credit hours allowed. 11. No course may be advertised as an approved course until approval has been received from the Department. 12. Announcements, advertisements and information about courses designated as approved courses by the Department shall contain the statement "This course is approved by the South Carolina Department of Insurance for Insurance Continuing Education Credit" followed by a statement of the number of credit hours and the type of license to which the credit may apply. If the course offering contains material that is not approved, the announcement, advertisement or information must clearly state the amount of course time that is not approved for insurance continuing education credits. 13. Announcements, advertisements or information about approved courses shall contain clear and concise statements about the cost of the course, cancellation procedures, and refund policies. 14. Once approved, a course may not be substantially altered without a new application (including fee) being submitted to and approved by the Department. A substantial alteration is any change that would modify the 3

6 content or time allocations stated in the course outline or would change any of the course topics. A change in the focus of a course where all or significant portions are based on a particular concept (ISO policy form, policy type, etc.) would be considered substantial. A change to update a minor point (change in Medicare deductibles, changes in estate tax limits, etc.) would not be considered substantial. 15. Fifty minutes of instruction will qualify for one CE credit. Registration, coffee and lunch breaks, and social hours do not qualify for CE credit. Breaks and their duration must be indicated on the outline. No more than ten (10) minutes of any sixty-minute period may be used for breaks, roll taking or administrative instructions. 16. No partial hours will be awarded. 17. Course reviews are based on material received with the application. Applications that are incomplete, unclear, or lacking in detail will be returned or disapproved. 18. The Director has the discretion to develop different standards for approval of courses offered by accredited institutions of higher learning and to waive independent approval of courses offered by nationally recognized industry organizations. 19. Approved sponsors must allow representatives of the Department and/or the continuing education administrator, in an official capacity, to audit classroom course instruction, correspondence course review sessions, course records, records of examination and attendance rosters. These representatives may attend any course offered for the purpose of the audit without paying a fee. 20. The Director shall have the authority to conduct surveys of producers, approved sponsors, and approved instructors to verify that the approved courses are administered as filed with the Department, and to determine compliance with Section of the South Carolina Code of Laws and the regulations contained herein. 21. The failure of approved sponsors and instructors to comply with the provisions of Section of the South Carolina Code of Laws or with the provisions of these regulations may result in a fine of not less than $1,000, suspension of approval, or termination of approval status. 22. Approved sponsors of approved courses are responsible for collecting accurate attendance records and maintaining records containing the names of producers who completed all sessions of the approved course, or who successfully completed the competency examination for courses approved for self-study. Sponsors shall maintain these records for a three-year period following the date of approved course completion. These records must be made available to the Department upon request. 23. A sponsor shall report to the Director or his designee any administrative action taken against the sponsor in another jurisdiction or by another governmental agency in this State within thirty (30) days of the final disposition of the matter. This report shall include a copy of the order, consent to order or other relevant legal documents. 24. Courses are approved for three years from the course approval effective date. Sponsors may apply to renew course approvals. 25. Courses submitted for renewal must include all of the information requested in item #8 and must include the page numbers and sections where updates have been made to the course material. 26. Approved sponsors may file an appeal if a course submission is disapproved or if fewer hours are approved than were requested by the sponsor. The appeal must specify the exact disagreement and contain documentation to support the appeal. Appeals must be in writing and must be submitted to the Department within thirty (30) days of receipt of the notice of course disapproval or notice of fewer hours approved. Appeals will be submitted to three representatives of the Continuing Education Advisory Committee for review and recommendation to the Department. Classroom Courses 27. All classroom courses must have attendance verified through periodic roll call, sign-in/sign-out sheet; attendance and door monitor tickets, or other approved means of taking attendance. Only students meeting minimum attendance requirements may receive credit for course completion. 28. Producers are required to present picture identification to the course administrator upon admittance. 4

7 29. Paper rosters must be properly completed on Form 3609, typewritten or computer-generated and contain the names and identification numbers of producers who completed all sessions of the approved course. Incomplete or inaccurate rosters will be returned to the sponsor. Subsequent submissions of any roster that has been returned must include a letter from the sponsor explaining corrections or any changes made. 30. Sponsors are required to report course completion rosters within 30 days of course completion. Sponsors must distribute course completion certificates to all individuals who meet the requirements of the CE course within 30 business days of course completion. 31. Sponsors should make students aware that producers cannot receive CE credit for the same self-study (examination) course and classroom course based on the same published materials. 32. Producers will earn credit only once for a course completed in the current biennium regardless of the number of times the same course is taken. The producer may not receive credit for a course completed within two years of its original completion date. 33. Courses conducted as videoconferences must be submitted as classroom courses. An approved instructor must be present to respond to questions. A list of all locations must be submitted with the schedule. Qualifying/Non Qualifying Course Subjects 34. For courses to qualify, they must: Include information on specific insurance products approved for sale in the state; Relevant state or national laws; Taxation related to insurance; Insurance practices; Ethics; Claim procedures; Policyholder relations; Special rating information; Special underwriting practices; or Specialized or unique claim procedures of a company or group of companies. 35. The following are not approved courses: pre-license training; personal development; motivation; sales; or personal enrichment Self-Study Courses 36. A self-study hour is a study period of fifty minutes from an approved course followed by a competency examination. Self-study hours may include textbook study, video study, intranet, internet, CD-ROM and other electronic means of information communication. 37. A competency examination is a closed book examination taken and passed by the producer without assistance and personally monitored by a proctor, who is not related to the producer, is not an immediate supervisor, or his employee. A score of 70 or above is required for the examinee to pass the examination. 38. Sponsors are required to provide certification of course completion to each individual who successfully completes an approved self-study course within thirty (30) business days after the competency examination results are received. 39. Applications for self-study courses must include a copy of all materials that a student must study in order to pass the exam. The materials may be in the form of paper, diskette, CD or other electronic medium. In addition, a word count excluding glossaries, indexes, tables of contents and appendices must be included. If the required materials and information are not included, the course may be disapproved. A copy of one version 5

8 of the exam must be submitted with the course materials. It is suggested that all questions should be fouralternative multiple choice. 40. Self-study examinations must be proctored by a disinterested third party in the manner described by the sponsor and be consistent with the course as approved by the Department. The proctor must complete an Affidavit of Exam Proctoring (see page 20). A disinterested third party is a person who is not in the direct line of supervision of nor has any financial interest in the success of the person taking the examination. The proctoring process must ensure the student complete the examination on a closed-book basis without assistance. Exams must be sealed until the exam starts. The proposed exam will be approved as part of the course approval process. Actual course materials are required to be submitted with the application. Credit hours are determined by the estimated study time adjusted by the percentage of the course content that is acceptable as CE. Credit will be allowed only if the student passes the exam with a score of 70 percent or higher. 41. Self-study courses presented via the Internet must adhere to the same requirements as other self-study methods. The exam may be presented via the Internet, but it must be completely separated from the text while the exam is being presented. The proctor must be physically present as the student takes the exam. The same affidavit requirement for proctors is in effect. Instructors 42. Instructors must be approved by the Department of Insurance before teaching any course. The application packet must be submitted by an approved sponsor thirty (30) days prior to the instructor teaching any course and must include the following: (1) a properly completed instructor approval application; (2) documentation of one of the following must be submitted with the application for approval: a college degree in insurance from an accredited institution of higher learning; a professional designation of CPCU or CIC for property and casualty approval and ChFC, CFP, FLMI, LUTCF or CLU for life, accident and health approval; a letter signed by employer verifying that the applicant has seven or more years of practical experience in the subject matter (life/health or property/casualty); a copy of college degree and letter indicating that the applicant has three or more years of practical experience in the subject matter (life/health or property/casualty); a copy of AAI designation or a copy of INS certificate indicating that the applicant has five or more years of practical experience in the subject matter and has one or more of the following professional insurance designations or programs in the subject matter for which approval is sought; a letter indicating that the applicant has a minimum of one year experience as an Insurance Department regulator; and (3) a nonrefundable filing fee to be established by the Department of Insurance. 43. Incomplete submissions will be returned to the sponsor. 44. Instructors will be approved for a period of not more than three (3) years from the approval effective date. Sponsors may apply to renew instructor approval. 45. Instructors must ensure that attendees do not use class time for any purpose other than learning the material being presented. Instructors should deny credit to anyone who is inattentive or who does not attend the entire classroom session. 46. Instructors must distribute SCID Form 3617 prior to each continuing education classroom session. Proctors are responsible for checking an examinee's photograph identification before administering an examination. Proctors are responsible for returning all examination material to the sponsor within two days following the completion of the examination. 6

9 47. Instructors/Proctors of correspondence course review sessions must not disclose the examination questions or answers to the examination questions on the competency examination during the review session. 48. An instructor shall report to the Director or his designee any administrative action taken against the instructor in another jurisdiction or by another governmental agency in this State within thirty (30) days of the final disposition of the matter. This report shall include a copy of the order, consent to order, or other relevant legal documents. 49. Within thirty (30) days, an instructor shall report to the Director any criminal prosecution of the instructor taken in any jurisdiction. The report shall include a copy of the initial complaint filed, the order resulting from the hearing, and any other relevant legal documents. Webinars 50. All webinar courses must be submitted and approved as classroom courses. 51. The title of the course must state clearly that the course is webinar based. 52. The course must be taught by an approved South Carolina instructor. 53. The class must be conducted in real time in all locations. 54. The students in all locations must be able to interact in real time with the instructor. (Describe your procedure and submit it.) 55. The sponsor must verify the identity and license number of all participants. (Describe your procedure and submit it.) 56. The sponsor must verify the sign-in and sign-out of all participants and maintain a record of their attendance. (Describe your procedure and submit it.) 57. The sponsor must send the Department an invitation to each of their webinars at the following address: kwilson@doi.sc.gov. This invitation will be used for course auditing purposes. 58. All materials required for the web course must be provided to all participants at all locations. (Submit electronic copies of all course materials and student handouts.) 59. The sponsor must maintain records of all affidavits from attendees verifying their identity and their participation in the course. Electronic affidavits are also acceptable. Please provide the Department a sample copy of your student affidavit. Refer to the example on page 21 for the required information. 7

10 South Carolina Department of Insurance Continuing Education Appeal Procedures Approved sponsors may file an appeal if a course submission is disapproved or if fewer hours are approved than were requested by the sponsor. The appeal must specify the exact disagreement and contain documentation to support the appeal. Appeals must be in writing and must be submitted to the Department within thirty (30) days of receipt of the notice of course disapproval or notice of fewer hours approved. Appeals will be submitted to three representatives of the Continuing Education Advisory Committee for review and recommendation to the Department. State of South Carolina Department of Insurance Continuing Education Division P. O. Box Columbia, SC

11 South Carolina Department of Insurance Continuing Education Instructions for Completing the Sponsor Approval Application Organizations providing insurance CE for South Carolina credit must be reviewed and approved by the Department. The Department will assign a sponsor number that will allow courses and instructors to be tracked by the sponsor. Completing the Approval Application Sponsor Name Print or type the full legal name of the organization providing the education. FEIN # A Federal Employer Identification number is required for the sponsor. Address A complete street address, including zip code, is required. A post office box may also be provided. Contact Person and Title Please provide the name and title of one individual with whom we should communicate for all business matters. Where several people may be applicable, give the name of the one who knows the contact person for each type of issue that may arise. Voice Phone Provide the voice phone number where the contact person may be reached. Also provide a fax number and e- mail address. URL Address Provide the company s URL address. Prometric will provide a link to this address on the list of approved courses available to the public. How Long in Business Provide the number of years your organization has been in the business of providing CE courses. Type of Organization Check the type that best describes your organization. A Professional Organization is a not-for-profit association of insurance professionals whose primary function is to foster professionalism through training, fellowship, and communication. Insurance Agency includes independent and exclusive agencies, wholesalers, E&S brokers, and MGAs. Training Company offers courses of training to insurance professionals. Insurance Company is an insurer, a company that underwrites and issues policies. The Other category is intended to cover organizations that do not fit into the previous categories. If you use the other category, briefly describe your organization; your application may be assigned to another category. Submission Submit the approval application to the Department: South Carolina Department of Insurance Continuing Education Division P.O. Box Columbia, SC

12 SOUTH CAROLINA DEPARTMENT OF INSURANCE CONTINUING EDUCATION DIVISION P.O. BOX , COLUMBIA, SC APPLICATION FOR CONTINUING EDUCATION SPONSOR APPROVAL SECTION I. Name of Sponsor: Address: City: State: ZIP: Telephone No.: Address: Sponsor Type of Business Sponsor s FEIN No.: Web Address: Insurance Company (Provide SC Company Code ) Institution of Higher Learning Agent Association 10 Insurance Trade Association Private Organization (In accordance with Regulation 69-50(IV)(A): the applicant must provide a letter explaining type of business and how long the business has been offering insurance courses). Name of Sponsor Authorized Representative: Address: City: State: ZIP: Telephone No.: SECTION II. Address: To remain qualified as an approved sponsor, the sponsor agrees to comply with all of the following requirements of Regulation Failure to comply with any of these requirements may result in a fine of not less than $1,000, suspension of approval or termination of approval status. 1. Monitor producers attendance by maintaining accurate attendance records; 2. Issue a Certificate of Approval Course Completion to all producers who satisfactorily complete an approved course within the time required by Regulation (VII)(B); 3. Submit to the Continuing Education Administrator a class roster of the producers who satisfactorily complete an approved course within the time required by Regulation (VII)(A); 4. Monitor the activities of approved instructors and promptly report any change in the status of the relationship between the instructor and the sponsor; 5. Provide the authorized representative and all instructors with a current copy of Laws and Regulation concerning continuing education producers. Has anyone in your organization, who handles CE, ever been the subject of disciplinary action, including suspension, cancellation or revocation by an Insurance Department, Governmental entity or other licensing authority? Yes No If yes, attach a statement providing complete details Has anyone in your organization, who handles CE, ever been charged by an entity with misappropriation, conversion or withholding of money? Yes No If yes, attach a statement providing complete details. STATEMENT OF APPLICANT, do solemnly swear that the information and answers contained in this application are complete, true and correct to the best of my AUTHORIZED REPRESENTATIVE S SIGNATURE knowledge. SECTION III. Approved Approval Sponsor Number FOR INTERNAL USE ONLY Not Approved (Explanation:

13 South Carolina Department of insurance Continuing Education Instructions for Completing the Instructor Application To be submitted by Sponsor An approved instructor must teach courses approved for South Carolina continuing education credit hours. Sponsors must submit an instructor application for approval to the Department in order for an instructor to teach a sponsor's approved classroom course or courses. Completing the Application Instructor Information must be certified as correct by applicant Requested approval categories Demographic Information Name(s), Date of Birth (Required), Social Security Number (Required), Address Home Street Address Provide home street address; a post office box alone is not acceptable Phone Numbers Provide a daytime business phone number and home phone number Instructor Number For renewal only - Type or print the instructor approval number Qualifying as an Instructor Provide at least one required item that best indicates your qualifications to be an instructor. Resumes or bios will not be accepted. Professional Designation(s) List one of the professional designations indicated on the instructor application only. The full meanings of the acronyms listed on the form are given below. CFP Certified Financial Planner, the American College ChFC Chartered Financial Consultant, the American College CIC Certified Insurance Counselor, the National Alliance for Insurance Education and Research CLU Chartered Life Underwriter, the American College CPCU Chartered Property and Casualty Underwriter, American Institute of CPCU FLMI Fellow, Life Management Institute, Life Office Management Association LUTCF Fellow, Life Underwriter Training Council Certification Print or type the instructor s name. The applicant must sign and date the form to certify that all of the information provided on the application is an accurate representation of the applicant s education and experience. Furthermore, the applicant certifies agreement to abide by applicable South Carolina laws, regulations, and program requirements. Sponsor Information to be completed and certified by sponsor Sponsor Name Print or type the full legal name of the organization providing the education. 11

14 Sponsor Number Enter the sponsor number assigned to your organization by the Department. If your organization is applying now, leave this space blank. Sponsor Certification Print or type your name and sign and date the form to certify all of the information provided on the form is an accurate representation of the instructor's education and experience. Submission Send instructor forms to the Department at least thirty (30) days before the first course the instructor teaches. The instructor application must be signed and dated by sponsor s representative and by the applicant. Send the application to: South Carolina Department of Insurance Continuing Education Division P.O. Box Columbia, SC

15 SOUTH CAROLINA DEPARTMENT OF INSURANCE CONTINUING EDUCATION DIVISION P.O. BOX , COLUMBIA, SC Continuing Education Instructor/Renewal Application Filing Fee $25 PLEASE TYPE OR PRINT LEGIBLY Applicant s Information NO FAX COPIES (Submission by sponsor only) If the applicant is a licensed SC producer, please make sure the address provided below is the same address the Department has on file for the applicant. The Department will return any application to the sponsor that is not properly completed or the required document is not provided and the filing fee will be forfeited. (SCDOI must be notified within 30 days of a change in address.) Applicant is requesting approval to teach courses in L&H P&C Bail Bondsman Full Name of Applicant: DOB (Required): Social Security No (Required): Address: Home Mailing Address (Required): Telephone No (Required): Instructor Approval No: 1. A $25 nonrefundable filing fee. Documentation not required for renewal 2. Pursuant to Regulation (VI)(A)(2)(a-f) an applicant must submit one of the following documents. Only check one of the boxes below. (A resume or a bio will not be accepted) (a) (b) (c) (d) (e) (f) Submit copy of college degree in insurance from an accredited institution of higher learning; Submit copy of one of the following professional designations CPCU or CIC for property and casualty approval or ChFC, CFP, FLMI, LUTCF or CLU for life, accident and health approval; Submit a letter on insurance company letterhead which is signed by the employer verifying that the applicant has at least seven or more years of practical experience in the subject matter. The letter should include the applicant s job title and description of job duties; Submit copy of college degree and letter indicating that the applicant has three or more years of practical experience in LAH or P&C to teach the subject matter and bail bonding experience to teach bail bonding courses. The letter should include applicant s experience in subject matter; Submit copy of AAI designation or a copy of INS certificate indicating that the applicant has five or more years of practical experience in LAH or P&C to teach the subject matter and has one or more of the professional designations indicated in (b) above for which approval is sought; Submit copy of letter on letterhead indicating that the applicant has a minimum of one year of experience as an Insurance Department Regulator. 13

16 The following questions must be answered by the applicant: 1. Have you ever been the subject of any disciplinary action, including suspension, cancellation or revocation by any Insurance Department, governmental entity, or other licensing authority? Yes No 2. Have you ever been convicted, pled guilty, or no contest in any criminal proceedings? Yes No If yes, attach a statement providing complete details. 3. Have you ever been charged by any entity with misappropriation, conversion, or withholding of money? Yes No If yes, attach a statement providing complete details. 4. I understand that if I violate South Carolina Code (A)(1) or Regulation relating to the continuing education insurance program requirements, I may be assessed a fine of not less than $1,000, suspension of approval or termination of approval status Yes No I,, do solemnly swear that the information and answers contained (Applicant s signature) herein are true and complete to the best of my knowledge. Sponsor Information (This section must be completed by the sponsor and the sponsor must sign and date the application) PLEASE TYPE The information provided below is required. Name of Approved Sponsor: Sponsor No: Sponsor s Authorized Representative: Sponsor s Address: Sponsor s Telephone No: Address: Please check here if sponsor has had an address change within the past year. Yes Signature of Sponsor s Authorized Representative Date For Department Use Only Date Reviewed _ Approved Disapproved Instructor Approval Number Reason for Disapproval _ 14

17 South Carolina Department of Insurance Continuing Education Instructions for Completing the Course Approval Application Only courses that have been reviewed and approved by the South Carolina Department of Insurance may be offered for South Carolina CE credit. No course may be conducted for credit until approval has been received in writing. South Carolina participates in the NAIC CE Reciprocity Agreement. If you are a sponsor domiciled in a participating state, you must submit course application along with course material and home state approval. Completing the Application Sponsor Name Print or type the full legal name of the organization providing the course. Sponsor Number Enter the sponsor number assigned to your organization by Prometric. If your organization is applying now, leave this space blank. Course Title Enter the title Course Number Leave blank; the Department assigns a number. Course Type Mark the format that will apply for this course. Classroom includes single- and multiple-session classroom courses, seminars, conferences, and conventions. Self-study courses are non-classroom courses that must be followed by a monitored, closed-book exam. Classroom, taught by other sponsors, includes classes that were developed by one sponsor, but will be taught by another sponsor. How Will This Course be Taught? Check all the methods that will be used to teach this course. A lecture refers to a presentation given by a speaker on a specific insurance topic with some student interaction. A workshop generally has a discussion leader who may make a short presentation and usually will lead a discussion among participants or guide them through a hands-on exercise. A panel discussion will typically include two or more subject-matter experts discussing issues surrounding the topic; active participation by the students is usually encouraged. Video/teleconference is generally a presentation of a course using video multimedia transmitted to multiple locations at one time, or on videotape for viewing at a later date. Videotape courses must be presented and/or facilitated by an approved instructor, whether viewed at interactive teleconference sites or at a later date. How Many Hours? Enter the number of hours that the student will be required to attend class. One credit is 50 minutes of instruction. Credits will be awarded based on the duration of the course and the percentage of the material that is approved. Do You Require an Examination for Credit? Indicate whether or not an examination must be passed in order to receive credit for the class. 15

18 The Level of Ability Required for This Course Check the level of ability that is required in order to gain benefits from attending this class. The level of ability is determined by sponsors based on their own assessment. The level will be displayed on the list of approved courses available to producers. Comprehensive Outline Attach a comprehensive course outline providing details of what will be taught. Annotate this outline to provide the information necessary to evaluate the course properly. See Regulation V (A) (1-2) for specific information. Attachments 1. Annotated course outline. Case studies must be included, if applicable. 2. Copies of all study materials, examinations and affidavits for self-study courses. 3. Course pamphlet/brochure is optional. Submission Send your application form and attachments, along with the $100 fee in the form of a company check, cashier's check, or money order to: South Carolina Department of Insurance Continuing Education Division P. O. Box Columbia, SC

19 Provider Name UNIFORM CONTINUING EDUCATION RECIPROCITY COURSE FILING FORM Please clearly print or type information on this form. Thank you for helping us promptly process your application. Provider Information FEIN # (if applicable) Contact Person Address of Contact Person Phone Number ( ) - ext. Fax Number ( ) - Home State Home State Provider # Reciprocal State Mailing Address City State Zip Reciprocal State Provider # Course Title Course Information Date of Course Offering (if applicable) Self Study (non-contact) Correspondence On-Line Training (Self-Study) Video/Audio/CD/DVD Word Count Difficulty (Circle) Basic Intermediate Advanced Method of Instruction Classroom (contact) Seminar/Workshop Webinar Teleconference Other Examination Required? Yes No Course Concentration Credit Hours Requested and Course/Hours Decision Hrs Requested by Hrs Approved by Provider Home State Sales/Mktg Sales/Mktg Insurance Insurance A. Insurance Topics: (Circle Appropriate Course Concentration) Life / Health Property / Casualty/Personal Lines Ethics General (Applies to all lines) Insurance Laws Other (LTC, NFIP, Viatical, Annuities, ) Total Hours B. Adjuster Topics (Total Hours) Information Below is for Regulator Use Only Approval Date Course Number assigned Course approval expiration date Signature of Home State Regulator/Representative OR ATTACH Provider Home State Approval Form Signature of Reciprocal State Regulator/Representative OR ATTACH Reciprocal State Approval Form See State Matrix for Instruction Sheet and State Specific Fee Schedule 17 National Course National Insurance Designation? Yes Designation Type: No Is this Course Open to the Public? Yes No Hrs Approved by Reciprocal State Sales /Mktg Insurance

20 Sample Acceptable Course Outline DIRECTORS AND OFFICERS LIABILITY 25 minutes 8:30-8:55 I. Recent history of D&O liability exposure A. Trends in D&O claim frequency and severity B. Major Problem areas 1. Federal securities laws 2. Mergers/acquisitions 3. Pollution claims 4. Financial institutions claims 5. Third-party claims C. Recent large settlements and judgments 25 minutes 8:55-9:20 II. Legal concepts underlying the D&O exposure A. Basic legal duties of directors and officers 1. Duty of obedience 2. Duty of loyalty 3. Duty of care B. To whom duties are owed C. Common defenses D. Recent legislation limiting director liability 9:20 9:30 BREAK 50 minutes 9:30 10:20 III. Common exclusions A. Public policy exclusions 1. Dishonesty 2. Gaining an illegal profit or advantage 3. Section 16(b) of the Securities Exchange Act 4. Return of excessive remuneration B. Intended to be covered elsewhere 1. Libel and slander 2. Nuclear energy 3. Employment practice 10:20 10:30 BREAK 50 minutes 10:30 11:20 IV. Case study Review of ABC Corporation s stockholder lawsuit alleging mismanagement by the corporation s board of directors and senior management. Study includes review of facts, company s defense and participation in defense by the insurer. Reason for Acceptability: 1. Sufficient detail is given on subject matter covered. 2. Sufficient detail is given on amount of time spent on each topic. 3. Insurance policy content is a topic that qualifies for credit. 4. Breaks are noted on the outline. 5. Case study is described. NOTE: CREDIT CANNOT BE GIVEN FOR SECTIONS WHERE NO DETAIL IS PROVIDED. WHEN CASE STUDIES ARE USED, DESCRIPTIONS MUST BE INCLUDED. 18

21 Sample Unacceptable Course Outline 8:00 a.m. Noon I. Introduction Working luncheon ADVANCED WORKERS COMPENSATION SEMINAR II. Policy coverages A. Benefits to injured workers B. Employer liability III. Writing workers compensation coverages with Middle Atlantic Life and Casualty A. Sales support to agents B. Price and service comparisons to competitors IV. Use of technology by agents to service clients A. Wonder Wizard claim reporting software B. Visit the Middle Atlantic Life and Casualty Interactive Website Noon 1:00 p.m. V. Reserving 1:00 p.m. 4:00 p.m. VI. Loss control activities VII. Case studies VIII. Panel discussion with experts Problems: Reasons for Unacceptability Deficiencies in this outline: 1. Insufficient detail on subject matter covered. 2. Insufficient detail on amount of time spent on each topic. 3. Sales and Marketing topics are not eligible for credit. 4. Company-specific procedural or marketing content is not eligible for credit. 5. Training for office technology or use of the Internet is not eligible for credit. 6. Course material may not be presented concurrently with meals. 7. Where case studies are used, a description of the case study must be included with the course outline. 8. Where panel discussions are used, a description must be provided along with a description of the topic(s) to be addressed and backgrounds of the panel members. 9. Breaks are not noted on the outline. 19

22 SOUTH CAROLINA DEPARTMENT OF INSURANCE AFFIDAVIT OF EXAM PROCTORING FORM Please note: This form should be faxed, mailed or electronically submitted to the sponsor/vendor. The sponsor/vendor must keep a copy of this affidavit with a copy of the exam for three (3) years after the exam was completed. Section I To be completed by Proctor I certify under the penalty of perjury that I have verified the identification (including a photo ID and producer license number) of the said producer named below. The producer completed the examination independently and without the assistance of any course materials, other source materials, advance review of the examination or from any persons. I certify that the exam answer sheet and all scratch paper given to the examinee were returned and no copy of the examination(s) was/were made by the examinee. I also certify that I mailed/delivered the answer sheet and all other required materials to the vendor within two business days of the exam date. I hereby certify that I have not made or retained copies of any examination or work papers for further distribution. Further, I certify that I am a Disinterested Third Party and not someone who is: (A) a minor; (B) a relative of the producer; (C) an immediate supervisor/manager of the producer, or (D) a person with an economic or other interest in assuring the successful outcome of the examination. NOTE: Employment by the same company or working for the same employer does not mean a person has an economic or other direct interest in assuring the successful outcome of the examination. For example: a co-employee or co-worker of the producer taking the competency examinations may administer the examination so long as the other requirements of this subparagraph are met and such co-employee or co-worker does not work on a regular basis with the producer in marketing or sales capacity the examinee is not related. Proctor s Printed Name: Proctor s Business Mailing Address: Day Time Phone Number: Signature of Proctor: Section II To be completed by Examinee I certify under the penalty of perjury that I took the examination(s) independently and without the assistance of any course materials, other source material, advance review of the examination(s), or from any persons. I did immediately (Within 24 Hours), upon completion of the examination(s) return the exam, and answer sheet and all scratch paper to No copy of the examination(s) was/were made. Proctor s Printed Name: (NAME OF CE COURSE SPONSOR) Date Exam Taken: Course Title Examinee s Printed Name: Examinee s Signature: Examinee s License Number: Section III To be completed by Examinee If you participated in a classroom review session, please answer the following questions: I did I did not participate in a classroom review session. If so, provide course number Name of the individual who conducted my review session: Date/time/location of review session: Length of review session: Did you receive your course material at least seven (7) days in advance of the review session? receive the course material? SCID Form 3616 (Revised 09/27/2012) If no, when did you 20

23 CERTIFICATION OF APPROVED COURSE COMPLETION FOR SOUTH CAROLINA INSURANCE CONTINUING EDUCATION SECTION I. Insurance Producer s Name: Last First M.I. Producer s License Number: SECTION II. Sponsor Number: Name of Sponsor: Course Completion Date: SECTION III. Course Number: Course Title Number of Continuing Education Credit Hours Earned: Type of Course (Check One): Life, Accident & Health Property & Casualty Ethics Bail Bonding This is to certify that the insurance producer identified above successfully completed the approved course for the actual number of credit hours indicated. Signature of Approved Instructor or Authorized Representative of Sponsor SCID FORM #3605 (Revised 01/2/08) Sponsors must provide the student with a course completion certificate within 30 calendar days of a student's successful completion of an approved course. For self-study courses, use the date of the exam as the course completion date. 21

24 South Carolina Department of Insurance Continuing Education Division 1201 Main St, Suite 1000, Columbia, SC Mailing Address: P.O. Box , Columbia, SC HENRY McMASTER Governor RAYMOND G. FARMER Director of Insurance Authorized Representative Change Request Form Pursuant to South Carolina Code of Laws and Regulation (IV) (G), Approved sponsors must notify the Department in writing within thirty (30) days of any change in address and of any change in the authorized representative of the sponsor. Please complete the form below if you have had a change in the authorized representative and the completed form to kwilson@doi.sc.gov. Name of Sponsor/Provider: Sponsor/Provider SC Approval Number: Authorized Representative: Telephone Number: Address: Address: Signature: 22

25 South Carolina Department of Insurance Continuing Division 1201 Main St, Suite 1000, Columbia, SC Mailing Address: P.O. Box , Columbia, SC HENRY McMASTER Governor RAYMOND G. FARMER Director of Insurance Sponsor Name Change Request Form This form may be attached to an and sent to Only original signatures will be accepted. Sponsors must provide a Certificate of Authority for verification of the name change or proof that the name has been changed in the resident state. Sponsor Approval Number: Previous Name: New Name: Signature: 06/29/

26 South Carolina Department of Insurance Continuing Education Division 1201 Main St, Suite 1000, Columbia, SC Mailing Address: P.O. Box , Columbia, SC HENRY McMASTER Governor RAYMOND G. FARMER Director of Insurance Sponsor Change of Address Request Form This form may be attached to an and sent to Sponsor Name: Sponsor Approval Number: Mailing Address: Business Phone: Business Fax: Business Website: Business Signature: 06/29/

27 South Carolina Department of Insurance Continuing Education Division 1201 Main St, Suite 1000, Columbia, SC Mailing Address: P.O. Box , Columbia, SC HENRY McMASTER Governor RAYMOND G. FARMER Director of Insurance Instructor Change of Address Request Form This form may be attached to an and sent to If you are also a South Carolina producer, please visit to complete the Individuals Address Change Form. Instructor Name: _ Instructor Approval Number: New Mailing Address: City State Zip Code Phone Number: Address: Signature: 06/29/201 25