Illinois Administrative Code
Title 50 - INSURANCE
Part 939 - MEDICAL LIABILITY INSURANCE LOSS REPORTS
ILLUSTRATION F - Other Policies-Number of Claims

Current through Register Vol. 48, No. 12, March 22, 2024

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.

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