TITLE 50: INSURANCE
CHAPTER I: DEPARTMENT OF INSURANCE
SUBCHAPTER l: PROVISIONS APPLICABLE TO ALL COMPANIES
PART 926 INSURANCE DEPARTMENT CONSUMER COMPLAINTS
SECTION 926.EXHIBIT A COMPLAINT RECORD



Section 926.EXHIBIT A   Complaint Record

 

ILLINOIS DEPARTMENTAL REGULATIONS

 

ATTACHMENT A

 

COMPLAINT RECORD

 

Column A

Column B

Column C

Column D

Column E

Column F

Column G

Column H

 

 

 

 

 

 

 

 

 

Identifi-cation Number

Function Code

Reason Code

Line Type

Disposition after Complaint Receipt

Date Received

Date Closed

Insurance Department Complaint

State of Origin

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IX-156

 

(Source:  Amended at 23 Ill. Reg. 5695, effective 5/3/99)