Ill. Admin. Code tit. 50, pt. 936, exh. A

Current through Register Vol. 48, No. 43, October 25, 2024

Exhibit A - Property and Casualty Reporting Form

Cumulative paid loss development history at successive quarterly evaluations for most recent four (4) accident years (Include paid ALAE)

Development Quarter (in months)

Accident Year

3

6

9

12

15

18

21

24

27

30

33

36

39

42

45

48

XXX

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Cumulative paid + case loss development history (excluding bulk & IBNR) at successive quarterly evaluations for most recent 4 accident yrs.

(This is referred to as "reported")

(Including paid ALAE)

Development Quarter (in months)

Accident Year

3

6

9

12

15

18

21

24

27

30

33

36

39

42

45

48

XXX

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

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xxx

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Bulk and incurred but not reported reserves on losses and ALAE at successive quarterly evaluations for most recent four (4) accident years

(Pure bulk and IBNR as well as future development on reported claims)

Development Quarter (in months)

Accident Year

3

6

9

12

15

18

21

24

27

30

33

36

39

42

45

48

XXX

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

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Earned premium by accident quarter
Accident Quarter			Earned Prem.
xxx			xxx
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Ill. Admin. Code tit. 50, pt. 936, exh. A