<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 31.04.02.04" title_num="31" subtitle_num="04" chapter_num="02" heading="Biographical Affidavit and Disclosure Authorization Format.">
  <paragraph num="A.">
    <text>Form. Each biographical affidavit required by this chapter shall be submitted to the Commissioner and the approved independent third party in a legible format, in the most recent form made available by the NAIC.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Contents. The biographical affidavit requires an affiant to provide information, including the affiant’s employment history, education, personal information, and character.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Date. Biographical affidavits must be certified by the affiant, notarized, and dated no earlier than 1 year prior to the date of submission of the application or statement, or management change.</text>
  </paragraph>
  <paragraph num="D.">
    <text>NAIC Disclosure and Authorization Concerning Background Form.</text>
    <paragraph num="(1)">
      <text>Consent to Release Information. By completing the NAIC “Disclosure and Authorization Concerning Background” form, the affiant consents to:</text>
      <paragraph num="(a)">
        <text>The release of the information in the biographical affidavit to the approved independent third party;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The background investigation conducted by the approved independent third party; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The approved independent third party’s release of the results of its background report to the Commissioner.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>An affiant may revoke the authorization at any time by delivering a written revocation to the applicant.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The applicant shall, upon an affiant’s action pursuant to §D(2) of this regulation, forward such revocation promptly to any approved independent third party that either prepared or is preparing a background report under the “NAIC Disclosure and Authorization Concerning Background” form.</text>
    </paragraph>
  </paragraph>
</regulation>