Call for Second Quarter Experience-2005 & 2005 Workers' Compensation Deductible Plans due no later than 8/15/05 - forms in Word

Texas Department of Insurance Property & Casualty Program – Data Services, Mail Code 105-5D 333 Guadalupe z P. O. Box 149104, Austin, Texas 78714-9104 512-475-1878 telephone z 512-463-6122 fax z www.tdi.state.tx.us July 1, 2005 COMMISSIONER’S BULLETIN NO. B-0027-05 TO ALL INSURANCE COMPANIES, CORPORATIONS, EXCHANGES, MUTUALS, RECIPROCALS, ASSOCIATIONS, LLOYDS, OR OTHER INSURERS LICENSED TO WRITE PRIVATE PASSENGER NON FLEET AUTOMOBILE, HOMEOWNERS MULTIPLE PERIL, WORKERS' COMPENSATION, COMMERCIAL FIRE & ALLIED, COMMERCIAL MULTIPLE PERIL, GENERAL LIABILITY, BOILER & MACHINERY, COMMERCIAL CRIME, COMMERCIAL GLASS, MEDICAL PROFESSIONAL LIABILITY OR MISCELLANEOUS PROFESSIONAL LIABILITY IN THE STATE OF TEXAS RE: CALL FOR SECOND QUARTER EXPERIENCE - 2005 CALL FOR SECOND QUARTER EXPERIENCE - 2005 - WORKERS’ COMPENSATION DEDUCTIBLE PLANS The attached mandatory calls are being issued pursuant to Section 38.001 of the Texas Insurance Code. This information is the basis for a report required under Article 5.13-2, Section 5(e) of the Texas Insurance Code, for submission to the Governor and certain members of the Texas Legislature. These calls are designed to provide the Texas Department of Insurance with immediate access to market condition information. These calls must be completed and returned in accordance with the instructions by not later than August 15, 2005. Underlying data, individual source documents and other information utilized in the development of your call response must be maintained in your records for a minimum of three years after August 15, 2005. Failure to comply with the requirements of this call within the time limits specified may constitute a violation or violations of the Texas Insurance Code and may subject the insurer to the penalties provided by law. Forms no longer attached The forms, instructions, transmittal form, and affidavit should now be downloaded from the Department’s website located at http://www.tdi.state.tx.us/commish/bulletin.html Once you locate b-0027-05 on the web page, you may click directly on the bulletin number or on “forms in MS WORD” in the description column. If you do not have internet access or are unable to download the forms, or have any questions concerning this call, please contact Julie Jones at (512) 475-3030. Please submit separate forms for each company in your group that is licensed for one or more lines of business covered in these data calls. Clare Pramuk Director, Data Services Property & Casualty Program