WAC 284-24C-050. Additional medical professional liability statistical plan reporting requirements required by the commissioner

In addition to the data items specified by the NAIC Statistical Handbook , these data items, specific to this medical malpractice statistical plan rule, must be reported by each medical malpractice insurer to a medical malpractice statistical agent: (1) Claim dates: (a) Incident month/year; and (b) Report month/year. (c) Closed month/year (closed claims only). (2) Additional transaction identifiers and details. Identify the following items and their respective amounts: (a) Paid losses segmented by amounts paid or incurred for past and future: (i) Wage loss; (ii) Medical expenses; and (iii) All other losses. (b) Paid allocated loss adjustment expenses segmented by amounts paid for: (i) Defense counsel; (ii) Expert witness; and (iii) All other allocated loss adjustment expenses. (c) Outstanding losses segmented by amounts paid or incurred for past and future: (i) Wage loss; (ii) Medical expenses; and (iii) All other losses. (d) Outstanding allocated loss adjustment expense segmented by amounts paid or incurred for: (i) Defense counsel; (ii) Expert witness; and (iii) All other allocated loss adjustment expenses. (3) Policy limit per incident. (4) Deductible or retention. (5) Medical outcome classifications (use only one code): (a) Emotional only: Fright, no physical damage. (b) Temporary: Slight - lacerations, contusions, minor scars, rash. No delay. (c) Temporary: Minor - infections, mis-set fracture, fall in hospital. Recovery delayed. (d) Temporary: Major - burns, surgical material left, drug side effect, brain damage. Recovery delayed. (e) Permanent: Minor - loss of fingers, loss or damage to organs. Includes nondisabling injuries. (f) Permanent: Significant - deafness, loss of limb, loss of eye, loss of one kidney or lung. (g) Permanent: Major - paraplegia, blindness, loss of two limbs, brain damage. (h) Permanent: Grave - quadriplegia, severe brain damage, lifelong care or fatal prognosis. (i) Permanent: Death. (6) Act or omission classification, as follows: (a) Diagnosis related; (b) Anesthesia related; (c) Surgery related; (d) Medication related; (e) Intravenous and/or blood products related; (f) Obstetrics related; (g) Treatment related; (h) Monitoring related; (i) Biomedical equipment and/or product related; (j) Behavioral health related; or (k) All other. (7) Territory indicator for the county of the principal location in which the incident of alleged medical malpractice occurred.