Chicago Underwriters Association
Contact information update 2022.
Please help us update our contact list and stay up to date on your bona fides.
To be shared with members only.

Question Title

* 1. Your Contact Information

Name/Title

Designation(s)

Company

Address/Suite (Optional)

City/Town

State

ZIP Code

Linked In URL

Email Address

Phone Number

Question Title

* 2. Which of the following best describes your current role? (Not shared)

Jet Underwriter/Life Underwriter

Senior Underwriter

Consultant Underwriter

Chief Underwriter/Director/UW Manager

AVP/VP Underwriting

Risk Management/Policy/Auditor

Claims

Other UWing Support

Vendor

Reinsurer

Question Title

* 3. Which of the following categories best describes your work environment - pre-Covid? (Not shared)

I work in the office

I am fully remote at home

I am part-time remote with a few days a week in the office

I am in the office sporadically

I am a contractor

I am retired

Question Title

* 4. Insurance expertise and channel - check all that apply (Not shared)

Life

Health

Disability

Group

Long Term Care

Medicare Suppl/Nursing Care Suppl

Chronic Illness

Structured Settlements

Agent Channel

Brokerage

Direct Response

Question Title

* 5. Topics you would like us to present

Cancer

Cardiovascular

Chronic Illnesses

Claim trends

Diabetes

Fibromyalgia

Juvenile disorders

Pharmaceuticals

Respiratory - COPD, OSA, Asthma

Substance use/abuse - opioids, marijuana, alcohol, drugs

Other or specifics for above choices

Question Title

* 6. How likely are you to attend a virtual CUA presentation?

Extremely likely

Very likely

Somewhat likely

Not so likely

Not at all likely

Thank you for completing this survey
Please feel free to pass along the link to others in your company.

Chicago Underwriters Association Contact information update 2022. Please help us update our contact list and stay up to date on your bona fides.To be shared with members only.

Question Title

* 1. Your Contact Information

Question Title

* 2. Which of the following best describes your current role? (Not shared)

Question Title

* 3. Which of the following categories best describes your work environment - pre-Covid? (Not shared)

Question Title

* 4. Insurance expertise and channel - check all that apply (Not shared)

Question Title

* 5. Topics you would like us to present

Question Title

* 6. How likely are you to attend a virtual CUA presentation?

Chicago Underwriters Association
Contact information update 2022.
Please help us update our contact list and stay up to date on your bona fides.
To be shared with members only.