Diversity Affairs Survey
Instructions for Completing Survey:
- Review Bulletin 2022-07 completely.
- Complete each section.
- Review each question on the survey and answer according to the employees, producers or producer appointments working for your company.
- Please answer every question or enter N/A.
- Email questions to the Louisiana Department of Insurance, Division of Diversity & Opportunity at diversity@ldi.la.gov.
Click here for a PDF copy of the survey questions.
Corporate Information
1. Please enter your contact information:
2. Please enter at least one of the following numbers below:
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6. Provide the contact information of your designated officer responsible for diversity.
7. What is your Company/Corporate Structure?
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a) Of those in management positions, how many identify as:
b) Of those in management positions, how many are:
c) Of those in management positions, how many identify as:
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e) Of those in non‐management positions, how many identify as:
f) Of those in non‐management positions, how many are:
g) Of those in non‐management positions, how many identify as:
Louisiana Employees
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a) Of those employees how many identify as:
b) Of those employees how many are:
c) Of those employees how many identify as:
9. Of those employees identified as domiciled in Louisiana, how many are in the following areas:
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a) Of those contracted how many identify as:
b) Of those contracted how many are:
c. Of those contracted how many are:
d) Of those contracted how many identify as:
11. Of those contracted how many are in the following area:
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