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

Current through Register Vol. 48, No. 45, November 8, 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

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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

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Earned premium by accident quarter

Accident Quarter

Earned Prem.

xxx

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