50 Ill. Adm. Code 939.ILLUSTRATION E
E Other Policies-Reserves
Section 939
Section 939.ILLUSTRATION E Other
Policies-Reserves
Illinois
Medical Liability Insurance
Loss
Report Format
–
Other
Policies
–
Reserves
Year in Which
Losses
Were Incurred
Loss Unpaid on
Reported 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
Losses Unpaid on
Incurred
But Not Reported
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
Other Unpaid
Losses
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
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.