Section 939.10  Purpose

 

The purpose of this Part is to implement Section 155.25 of the Illinois Insurance Code (Ill. Rev. Stat. 1991, ch. 73, par. 767.25) [215 ILCS 5/155.25 and 401] by listing that information which upon request of the Director of Insurance shall be filed with the Director regarding the direct claims experience of insurance companies licensed to write medical liability insurance in this State.

 

(Source:  Amended at 17 Ill. Reg. 15838, effective September 14, 1993)

 

Section 939.20  Required Information

 

a)         Any insurance company licensed to sell the type of insurance listed in Class 2(c) of Section 4 of the Illinois Insurance Code (Ill. Rev. Stat. 1991, ch. 73, par. 616) [215 ILCS 5/4] and which is writing or has written medical liability insurance in this State, may be required by the Director to file a report with the Director in the format, and containing the information, as specified in Illustrations A, B, C, D, E, and F.

 

b)         The report shall be filed as specified in the Director's request on or before June 1 of each year.  It should be directed to the Casualty Actuary, Illinois Department of Insurance, Springfield, Illinois  62767.

 

(Source:  Amended at 17 Ill. Reg. 15838, effective September 14, 1993)

 

Section 939.30  Penalties

 

Failure of a company to timely file the report which may be required by the Director under this Part and Section 155.25 of the Illinois Insurance Code shall subject the company to the provisions of Section 403A of the Illinois Insurance Code (Ill. Rev. Stat. 1991, ch. 73, par. 1015A) [215 ILCS 5/403A].

 

(Source:  Amended at 17 Ill. Reg. 15838, effective September 14, 1993)

Section 939.ILLUSTRATION A   Policies Covering Physicians and Surgeons-Claims Payments

 

Illinois Medical Liability Insurance

Loss Report Format – Policies

Covering Physicians and Surgeons – Claim Payments

 

Year In Which Losses Were Incurred								Loss Payments For Closed Claims
			As of							Difference
		a) 12/31/84,			b) 12/31/85,					b)   –   a)
Prior to 1978
1978
1979
1980
1981
1982
1983
1984
1985		x								x
TOTALS
Year In Which Losses Were Incurred		Loss Payments For Open And Reopened Claims
			As of						Difference
		a)  12/31/84,			b) 12/31/85,					b)   –   a)
Prior to 1978
1978
1979
1980
1981
1982
1983
1984
1985		x								x
TOTALS

 

General Instructions

 

1)         The above information is due on June 1, 1986 and on June 1 every year thereafter as may be required by the Director.  For subsequent due dates of June 1, 1987, June 1, 1988, etc.) all years shown in this Illustration should be advanced by one, two, etc.

 

2)         If a loss payment is included in "loss payments for closed claims", it shall not be included in "loss payments for open and reopened claims", or vice versa.

 

(Source:  Amended at 17 Ill. Reg. 15838, effective September 14, 1993)

Section 939.ILLUSTRATION B   Policies Covering Physicians and Surgeons-Reserves

 

Year In Which Losses Were Incurred										Losses Unpaid On Reported Claims
				As of								Difference
			a)  12/31/84,			b) 12/31/85,						b)   –   a)
Prior to 1978
1978
1979
1980
1981
1982
1983
1984
1985			x									x
TOTALS
Year In Which Losses Were Incurred									Losses Unpaid On Incurred But Not Reported Claims
				As of								Difference
			a)  12/31/84,			b) 12/31/85,						b)   –   a)
Prior to 1978
1978
1979
1980
1981
1982
1983
1984
1985			x									x
TOTALS
Year In Which Losses Were Incurred											Other Unpaid Losses
				As of								Difference
			a)  12/31/84,			b) 12/31/85,						b)   –   a)
Prior to 1978
1978
1979
1980
1981
1982
1983
1984
1985			x									x
TOTALS
General Instructions
The above information is due on June 1, 1986 and on June 1 every year thereafter as may be required by the Director.  For subsequent due dates of June 1, 1987, June 1, 1988 etc., all years shown in this Illustration should be advanced by one, two etc.

 

(Source:  Amended at 17 Ill. Reg. 15838, effective September 14, 1993)

Section 939.ILLUSTRATION C   Policies Covering Physicians and Surgeons–Number of Claims

Illinois Medical Liability Insurance

Loss Report Format – Policies Covering

Physicians and Surgeons – Number of Claims

 

Year in Which Losses Were Incurred										Number of Closed Claims
					As of					Difference
			a) 12/31/84,				b) 12/31/85,			(b)     –     a)
Prior to 1978
1978
1979
1980
1981
1982
1983
1984
1985			x								x
TOTALS
Year In Which Losses Were Incurred									Number of Open And Reopened Claims
					As of					Difference
			a) 12/31/84,				b) 12/31/85,			(b)     –     a)
Prior to 1978
1978
1979
1980
1981
1982
1983
1984
1985			x								x
TOTALS

 

General Instructions

 

1)         The above information is due on June 1, 1986 and on June 1 every year thereafter as may be required by the Director.  For subsequent due dates of June 1, 1987, June 1, 1988, etc., all years in this Illustration should be advanced by one, two, etc.

 

2)         If a claim count is included in "number of closed claims", it shall not be included in "number of open and reopened claims", or vice versa.

 

(Source:  Amended at 17 Ill. Reg. 15838, effective September 14, 1993)

Section 939.ILLUSTRATION D   Other Policies-Claim Payments

 

Illinois Medical Liability Insurance

Loss Report Format – Other Policies – Claim Payments

 

Year in Which Losses Were Incurred										Loss Payments for Closed Claims
					As of					Difference
			a) 12/31/84,				b) 12/31/85,			(b)     –     a)
Prior to 1978
1978
1979
1980
1981
1982
1983
1984
1985			x								x
TOTALS
Year In Which Losses Were Incurred									Loss Payments For Open and Reopened Claims
					As of					Difference
			a) 12/31/84,				b) 12/31/85,			(b)     –     a)
Prior to 1978
1978
1979
1980
1981
1982
1983
1984
1985			x								x
TOTALS

 

General Instructions

 

1)         The above information is due on June 1, 1986 and on June 1 every year thereafter as may be required by the Director.  For subsequent due dates of June 1, 1987, June 1, 1988, etc., all years shown in this Illustration should be advanced by one, two, etc.

 

2)         If a loss payment is included in "loss payments for closed claims", it shall not be included in "loss payments for open and reopened claims", or vice versa.

 

(Source:  Amended at 17 Ill. Reg. 15838, effective September 14, 1993)

Section 939.ILLUSTRATION E   Other Policies-Reserves

 

Illinois Medical Liability Insurance

Loss Report Format – Other Policies – Reserves

 

Year in Which Losses Were Incurred										Loss Unpaid on Reported Claims
					As of					Difference
			a) 12/31/84,				b) 12/31/85,			(b)     –     a)
Prior to 1978
1978
1979
1980
1981
1982
1983
1984
1985			x								x
TOTALS
Year In Which Losses Were Incurred									Losses Unpaid on Incurred But Not Reported Claims
					As of					Difference
			a) 12/31/84,				b) 12/31/85,			(b)     –     a)
Prior to 1978
1978
1979
1980
1981
1982
1983
1984
1985			x								x
TOTALS
Year In Which Losses Were Incurred									Other Unpaid Losses
					As of					Difference
			a) 12/31/84,				b) 12/31/85,			(b)     –     a)
Prior to 1978
1978
1979
1980
1981
1982
1983
1984
1985			x								x
TOTALS

 

 

General Instructions

 

The above information is due on June 1, 1986 and on June 1 every year thereafter as may be required by the Director.  For subsequent due dates of June 1, 1987, June 1, 1988, etc., all years shown in this Illustration should be advanced by one, two, etc.

 

(Source:  Amended at 17 Ill. Reg. 15838, effective September 14, 1993)

Section 939.ILLUSTRATION F   Other Policies-Number of Claims

 

Illinois Medical Liability Insurance

Loss Report Format  –  Other Policies  –  Number of Claims

 

Year in Which Losses Were Incurred										Number of Closed Claims
					As of					Difference
			a) 12/31/84,				b) 12/31/85,			(b)     –     a)
Prior to 1978
1978
1979
1980
1981
1982
1983
1984
1985			x								x
TOTALS
Year In Which Losses Were Incurred									Number of Open And Reopened Claims
					As of					Difference
			a) 12/31/84,				b) 12/31/85,			(b)     –     a)
Prior to 1978
1978
1979
1980
1981
1982
1983
1984
1985			x								x
TOTALS

 

General Instructions

 

1)         The above information is due on June 1, 1986 and on June 1 every year thereafter as may be required by the Director.  for subsequent due dates of June 1, 1987, June 1, 1988, etc., all years shown in this Illustration should be advanced by one, two, etc.

 

2)         If a claim or loss payment is included in "number of closed claims", it shall not be included in "number of open and reopened claims", or vice versa.

 

(Source:  Amended at 17 Ill. Reg. 15838, effective September 14, 1993)