MATRICULATION FORM One-Time Fee: $250 for U.S. & Canada Members; $400 for U.S. & Canada Non-Members; $175 for International Members; $300 for International Non-Members. NOTE: If you have already matriculated with IDMA, you do not to resubmit this form.Select your current IDMA membership status*Choose OneUS & Canada MemberUS & Canada Non-MemberInternational MemberInternational Non-MemberName* First Last Title*Company*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*FaxEmail* IDMA Requirements for the Associate Insurance Data Manager (AIDM®) Designation: Completion of these four IDMA designed courses will earn students the AIDM ® designation: Introduction to Data Management Function and Tools (IDMA 201) Insurance Data Collection and Reporting (IDMA 1) Insurance Data Quality (IDMA 2) Systems Development and Project Management (IDMA 3) IDMA 1 Course Note: IDMA 1 will be sunset at the end of 2020 and will be replaced by a new course Data Management and the Insurance Industry (IDMA 202). Waiver Note: The AIT designation offered through The Institutes or a PMI-certified course will waive requirements for the IDMA 3 course. IDMA Requirements for the Certified Insurance Data Manager (CIDM®) Designation The CIDM® designation is earned when students complete the four IDMA certification courses + IDMA approved courses taken through one of the curricula options listed below:CIDM Requirements Option 1-1Option 1: IDMA requirements through the Chartered Property Casualty Underwriter (CPCU) designation from The Institutes: Please select the required courses that have been completed: CPCU 520 CPCU 540 CIDM Requirements Option 1-2Plus any two of the following: CPCU 551 CPCU 552 CPCU 553 CPCU 555 CPCU 556 CPCU 557 Waiver Note: Passing all three of INS 21, 22, and 23 will waive the CPCU 551, 552, 553, 555, 556 and 557 requirement (CPCU 520 and CPCU 540 are required in addition to the INS courses). We will accept the MBA waiver to CPCU 540.CIDM Requirements Option 2Option 2: IDMA requirements through the Fellow, Life Management Institute (FLMI) designation from LOMA: LOMA 280 – Principals of Insurance LOMA 290 – Insurance Company Operations LOMA 361 – Accounting and Financial Reporting in Life and Health Insurance Companies LOMA 371 – Risk Management and Product Design for Insurance Companies CIDM Requirements Option 3Option 3: IDMA requirements through the Society of Financial Examiners (SOFE) program: Life and Health Insurance Fundamentals Property and Liability Insurance Fundamentals Life and Health Insurance Accounting Property and Liability Insurance Accounting CIDM Requirements Option 4Option 4: IDMA requirements through the Casualty Actuarial Society (CAS) program: Exam 2 (Same as SOA Exam FM) Exam 3 (Both 3F (SOA Exam MFE) and 3L Segments) Exam 5 Exam 6 (Any one of the three Nation Specific exams) COLLEGE OR UNIVERSITY DEGREESCOLLEGE OR UNIVERSITY DEGREESWe do not require transcripts of college credits; however for purposes of your student record, please indicate when and from what institution you received your associate, baccalaureate or other degree.Degree grantedDate earnedGranting Institution Please upload copies of your transcripts (college and/or proof of professional designation) Drop files here or Select files Accepted file types: pdf, doc, docx, Max. file size: 25 MB, Max. files: 10. 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