PREVIOUS REINSURANCE YEAR INPUT: 2023 Exhibit 3.g.1 

COMPANY: DATE AS OF: 

Loss Adjusters Other Loss 

Adjustment/Claims 

Personnel Expense(s) 

LAE 

Claim Info

Non-Salary Salary Claims 

Worked 

# Avg Base Rate Total Amt. Paid # Avg Daily Salary Total Amt. Paid Travel. Expenses Other Expenses 

A B C D F G H J L M O 

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Totals / Averages 0 #DIV/0! $0 0 #DIV/0! $0 $0 $0 0 
PREVIOUS REINSURANCE YEAR REPORT: 2023 

COMPANY: DATE AS OF: 

Loss Adjustment Personnel Information LAE Claim Informat

Contracted Salaried 

Other Loss 

Adjustment/Claims 

Personnel Expense(s) 

Totals Past Information 

Contracted 

Avg.Base 

Rate 

Total Amt. 

Paid 

Days Worked 

(D/C) Salaried 

Avg. Daily 

Salary 

Total Amt. 

Paid 

Days Worked 

(H/G) 

Total Adjusters 

(B+F) 

Total Adjuster 

Pay (D+H) 

Total Personnel 

Pay (D+H+J) 

Travel 

Expenses 

Other 

Expenses 

Total LAE 

(M+N+O) 

# of 

Claims 

# Days Worked 

(E+I) 

Avg. Cost per 

Claim (P/Q) 

Avg. Claims 

per Day (Q/R) 

A B C D E F G H I J K L M N O P Q R S T 

Alabama 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Alaska 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Arizona 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Arkansas 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 California 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Colorado 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Connecticut 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Delaware 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Florida 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Georgia 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Hawaii 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Idaho 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Illinois 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Indiana 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Iowa 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Kansas 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Kentucky 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Louisiana 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Maine 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Maryland 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Massachusetts 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Michigan 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Minnesota 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Mississippi 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Missouri 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Montana 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Nebraska 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Nevada 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 New Hampshire 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 New Jersey 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 New Mexico 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 New York 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 North Carolina 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 North Dakota 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Ohio 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Oklahoma 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Oregon 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Pennsylvania 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Rhode Island 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 South Carolina 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 South Dakota 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Tennessee 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Texas 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Utah 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Vermont 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Virginia 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Washington 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 West Virginia 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Wisconsin 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Wyoming 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Totals / Averages 0 #DIV/0! $0 0.0 0 #DIV/0! $0 0.0 $0.00 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! #DIV/0! 
CURRENT REINSURANCE YEAR INPUT: 2024 Exhibit 3.g.2 - Input 

COMPANY: DATE AS OF: 

Loss Adjusters Other Loss 

Adjustment/Claims 

Personnel Expense(s) 

LAE 

Claim Information 

Gross 

(G

Non-Salary Salary Claims 

Worked 

Current 

Claims 

Open # Avg Base Rate Total Amt. Paid # Avg Daily Salary Total Amt. Paid Travel. Expenses Other Expenses 

A B C D F G H J L M O S 

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Totals / Averages 0 #DIV/0! $0 0 #DIV/0! $0 $0 $0 0 0.00 
CURRENT REINSURANCE YEAR REPORT: 2024 

COMPANY: DATE AS OF: 

Loss Adjustment Personnel Information LAE Claim Inform

Contracted Salaried 

Other Loss 

Adjustment/Claims 

Personnel Expense(s) 

Totals Past Information 

Contracted 

Avg.Base 

Rate 

Total Amt. 

Paid 

Days Worked 

(D/C) Salaried 

Avg. Daily 

Salary 

Total Amt. 

Paid 

Days Worked 

(H/G) 

Total Adjusters 

(B+F) 

Total Adjuster 

Pay (D+H) 

Total Personnel 

Pay (D+H+J) 

Travel 

Expenses 

Other 

Expenses 

Total LAE 

(M+N+O) 

# of 

Claims 

# Days Worked 

(E+I) 

Avg. Cost per 

Claim (P/Q) 

Avg. Claims 

per Day (Q/R

A B C D E F G H I J K L M N O P Q R S T 

Alabama 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Alaska 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Arizona 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Arkansas 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0California 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Colorado 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Connecticut 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Delaware 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Florida 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Georgia 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Hawaii 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Idaho 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Illinois 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Indiana 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Iowa 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Kansas 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Kentucky 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Louisiana 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Maine 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Maryland 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Massachusetts 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Michigan 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Minnesota 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Mississippi 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Missouri 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Montana 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Nebraska 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Nevada 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0New Hampshire 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0New Jersey 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0New Mexico 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0New York 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0North Carolina 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0North Dakota 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Ohio 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Oklahoma 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Oregon 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Pennsylvania 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Rhode Island 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0South Carolina 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0South Dakota 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Tennessee 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Texas 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Utah 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Vermont 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Virginia 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Washington 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0West Virginia 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Wisconsin 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Wyoming 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.0Totals / Averages 0 #DIV/0! $0 0.0 0 #DIV/0! $0 0.0 $0.00 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! #DIV/0! 
UPCOMING REINSURANCE YEAR INPUT: 2025 Exhibit 3.g.3 - Input 

COMPANY: DATE AS OF: 

Loss Adjusters Other Loss 

Adjustment/Claims 

Personnel Expense(s) 

LAE 

Claim Information 

Gross 

(G

Non-Salary Salary Claims 

Worked 

Current 

Claims 

Open # Avg Base Rate Total Amt. Paid # Avg Daily Salary Total Amt. Paid Travel. Expenses Other Expenses 

A B C D F G H J L M O S 

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Totals / Averages 0 #DIV/0! $0 0 #DIV/0! $0 $0 $0 0 0.00 
UPCOMING REINSURANCE YEAR REPORT: 2025 

COMPANY: DATE AS OF: 

Loss Adjustment Personnel Information LAE Claim Informat

Contracted Salaried 

Other Loss 

Adjustment/Claims 

Personnel Expense(s) 

Totals Past Information 

Contracted 

Avg.Base 

Rate 

Total Amt. 

Paid 

Days Worked 

(D/C) Salaried 

Avg. Daily 

Salary 

Total Amt. 

Paid 

Days Worked 

(H/G) 

Total Adjusters 

(B+F) 

Total Adjuster 

Pay (D+H) 

Total Personnel 

Pay (D+H+J) 

Travel 

Expenses 

Other 

Expenses 

Total LAE 

(M+N+O) 

# of 

Claims 

# Days Worked 

(E+I) 

Avg. Cost per 

Claim (P/Q) 

Avg. Claims 

per Day (Q/R) 

A B C D E F G H I J K L M N O P Q R S T 

Alabama 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Alaska 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Arizona 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Arkansas 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 California 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Colorado 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Connecticut 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Delaware 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Florida 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Georgia 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Hawaii 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Idaho 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Illinois 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Indiana 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Iowa 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Kansas 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Kentucky 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Louisiana 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Maine 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Maryland 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Massachusetts 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Michigan 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Minnesota 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Mississippi 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Missouri 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Montana 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Nebraska 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Nevada 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 New Hampshire 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 New Jersey 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 New Mexico 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 New York 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 North Carolina 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 North Dakota 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Ohio 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Oklahoma 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Oregon 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Pennsylvania 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Rhode Island 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 South Carolina 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 South Dakota 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Tennessee 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Texas 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Utah 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Vermont 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Virginia 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Washington 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 West Virginia 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Wisconsin 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Wyoming 0 $0 $0 0.0 0 $0 $0 0.0 #DIV/0! 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! 0.00 Totals / Averages 0 #DIV/0! $0 0.0 0 #DIV/0! $0 0.0 $0.00 0 $0 #DIV/0! $0 $0 #DIV/0! 0 0.0 #DIV/0! #DIV/0!