50 Ill. Adm. Code 939.ILLUSTRATION D
D Other Policies-Claim Payments
Section 939
Section 939.ILLUSTRATION D Other
Policies-Claim Payments
Illinois
Medical Liability Insurance
Loss
Report Format
–
Other
Policies
–
Claim Payments
Year in Which
Losses
Were Incurred
Loss Payments
for
Closed Claims
As of
Difference
a) 12/31/84,
b) 12/31/85,
(b) – a)
Prior to 1978
1978
1979
1980
1981
1982
1983
1984
1985
x
x
TOTALS
Year In Which
Losses
Were Incurred
Loss Payments
For Open
and Reopened
Claims
As of
Difference
a) 12/31/84,
b) 12/31/85,
(b) – a)
Prior to 1978
1978
1979
1980
1981
1982
1983
1984
1985
x
x
TOTALS
General Instructions
1) The above information is due on June 1, 1986 and on June 1
every year thereafter as may be required by the Director. For subsequent due
dates of June 1, 1987, June 1, 1988, etc., all years shown in this Illustration
should be advanced by one, two, etc.
2) If a loss payment is included in "loss payments for
closed claims", it shall not be included in "loss payments for open
and reopened claims", or vice versa.