TITLE 50: INSURANCE
CHAPTER I: DEPARTMENT OF INSURANCE
SUBCHAPTER l: PROVISIONS APPLICABLE TO ALL COMPANIES
PART 936 SUPPLEMENTAL REPORTS FOR PROPERTY AND CASUALTY INSURANCE COMPANIES
SECTION 936.EXHIBIT A PROPERTY AND CASUALTY REPORTING FORM

Section 936.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

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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

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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

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Earned premium by accident quarter

 

Accident Quarter

Earned Prem.

 

 

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