50 Ill. Adm. Code 928.30
Definitions
Section 928
Section 928.30 Definitions
"Code"
means the Illinois Insurance Code [215 ILCS 5].
"Department"
means the Illinois Department of Insurance.
"Director"
means the Director of the Illinois Department of Insurance.
"Insurance
Claim" means a formal or written demand for compensation under a medical professional
liability insurance policy relating to allegations of liability on the part of
one or more providers, as defined in this Section, for any act, error or
omission in the rendering of, or failure to render, medical services for
medically related injuries. Insurance claim includes any instance for which
benefits or compensation are payable or eligible to be paid under any coverage
under the policy.
"Insurance
Claim Closed" means any insurance claim, as defined in this Section, for
which all indemnity and/or expense payments have been made or for which the
loss or loss expense reserve is withdrawn by the insurer.
"Insurance
Claim Filed" means any insurance claim, as defined in this Section, that
alleges liability on the part of any provider, as defined in this Section, for
medically related injuries and/or for which coverage is provided, for which a
loss or loss expense reserve is established under a medical professional liability
insurance policy.
"Insurer"
means an insurance company that has delivered or issued for delivery in this
State a medical professional liability insurance policy.
"Lawsuit"
means a complaint filed in any court in this State alleging liability on the
part of one or more providers, as defined in this Section, for any act, error
or omission in the rendering of, or failure to render, medical services for
medically related injuries.
"Lawsuit
Closed" means any lawsuit, as defined in this Section, for which final
disposition has been reached.
"Lawsuit
Filed" means a lawsuit filed in any court of this State that alleges
liability on the part of any physician, hospital or other health care provider
for medically related injuries.
"Other
Entity" means any stop loss insurer, captive insurer, risk retention
group, county risk retention trust, religious or charitable risk pooling trust
or surplus line insurer, or any other entity authorized or permitted by law to
provide medical professional liability insurance as identified in Section
155.19 of the Code [215 ILCS 5/155.19].
"
Provider
"
means any physician, hospital facility, or other person that is licensed or
otherwise authorized to furnish health care services and also includes any
other entity that arranges for the delivery or furnishing of health care
services.
[215 ILCS 125/1-2(12)].