Illinois Administrative Code › Title 50 - INSURANCE › Part 4203 - INSURANCE DATA REPORTING REQUIREMENTS › Subpart A - COST CONTAINMENT REPORTING › Section 4203.70 - Coding Conventions for Other Liability/Excess Insurance, Medical Malpractice, Earthquake, Commercial Auto Liability, and Business Owners Packages

Current through Register Vol. 48, No. 28, July 12, 2024
This Section provides instructions for coding the fields for
				  other liability, medical malpractice, earthquake, commercial auto liability,
				  and business owners packages (BOP). The following provides a detailed
				  description of each data field:
a)
				FEIN - This alpha-numeric field reflects the Federal Employer Identification
				Number assigned to the insurer. (Do not include the hyphen; for example
				555555555.)
b) Filing Method - This
				one-character alpha-numeric field identifies the source of the data as either
				an agent or an insurance company. Possible codes are:
1
=
American Association of Insurance Services
							 (AAIS)
2
=
Insurance Services Office, Inc. (ISO)
3
=
Property Casualty Insurers Association of America
							 (PCI)
4
=
National Independent Statistical Service
							 (NISS)
5
=
Company Direct - Partial
6
=
Company Direct - 100 Percent
7
=
Other
c)
				Line of Business - This alpha-numeric field identifies the line or general
				classification to which the data belongs. Possible codes are:
05.0
=
BOP (Business Owners Package)
11.0
=
Medical Malpractice
12.0
=
Earthquake
17.0
=
Other/Excess Liability
19.4
=
Commercial Auto Liability
d)
				State Identifier - This field identifies the geographical source of the data.
				Possible codes are:
12
=
Illinois only
MS
=
Multi-state
e)
Class Code
- The data call requires specific data for each Type of
				Insurance and class code identified below.
05.0 = BOP (Business Owners Package)
*
77777
=
Business Owners Package (BOP)
Other
*
OTHR
=
All other coverage contained in line 05.1 and
							 05.2
11.0 = Medical Malpractice
Cardiac - Other
*
80281
=
cardiovascular disease - minor surgery by MD
*
84281
=
cardiovascular disease - minor surgery by DO
*
80255
=
cardiovascular disease - no surgery by MD
*
84255
=
cardiovascular disease - no surgery by DO
Cardiac - Surgery
*
80141
=
surgery - cardiac by MD
*
80150
=
surgery - cardiovascular disease by MD
*
84150
=
surgery - cardiovascular disease by DO
Critical Care Medicine
*
80283
=
intensive care medicine - applies to any general
							 practitioner or specialist employed in intensive care hospital unit by
							 MD
*
84283
=
intensive care medicine - applies to any general
							 practitioner or specialist employed in intensive care hospital unit by
							 DO
Dentists
*
80210
=
Oral surgery with anesthesia
*
80211
=
Oral surgery without anesthesia
Emergency Room - Other
*
80102
=
emergency room - no major surgery by MD
*
84102
=
emergency room - no major surgery by DO
Emergency Room - Surgery
*
80157
=
emergency medicine - including major surgery by
							 MD
*
84157
=
emergency medicine - including major surgery by
							 DO
General Surgery
*
80143
=
surgery - general - not otherwise classified. Does
							 not apply to family or general practitioner or to any specialist who
							 occasionally performs major surgery by MD
*
84143
=
surgery - general - not otherwise classified. Does
							 not apply to family or general practitioner or to any specialist who
							 occasionally performs major surgery by DO
Neurosurgery
*
80152
=
surgery - neurology - including child by MD
*
84152
=
surgery - neurology - including child by DO
*
80288
=
neurology - including child - minor surgery by
							 MD
*
84288
=
neurology - including child - minor surgery by
							 DO
Obstetrics/Gynecology - Other
*
80277
=
gynecology - minor surgery by MD
*
84277
=
gynecology - minor surgery by DO
*
80244
=
gynecology - no surgery by MD
*
84244
=
gynecology - no surgery by DO
Obstetrics/Gynecology - Surgery
*
80167
=
surgery - gynecology by MD
*
84167
=
surgery - gynecology by DO
*
80168
=
surgery - obstetrics by MD
*
80153
=
surgery - obstetrics - gynecology by MD
*
84153
=
surgery - obstetrics - gynecology by DO
Orthopedic Surgery
*
80154
=
surgery - orthopedic by MD
*
84154
=
surgery - orthopedic by DO
Physicians and Surgeons
*
80420
=
family physician or general practitioner - no surgery
							 by MD
*
84420
=
family physician or general practitioner - no surgery
							 by DO
*
80421
=
family physician or general practitioner - minor
							 surgery by MD
*
84421
=
family physician or general practitioner - minor
							 surgery by DO
*
80117
=
surgery - general practice or family practice by
							 MD
Physicians, Surgeons, and Dentists
*
94999
=
physicians, surgeons, and dentists classes not
							 specifically listed
*
90430
=
physicians, surgeons, and dentists individual insurer
							 programs not rated using one of the exposure bases noted above
Plastic Surgery
*
80156
=
surgery - plastic - not otherwise classified by
							 MD
*
84156
=
surgery - plastic - not otherwise classified by
							 DO
*
80155
=
surgery - plastic - otorhinolaryngology by MD
*
84155
=
surgery - plastic - otorhinolaryngology by DO
Vascular Surgery
*
80146
=
surgery - vascular by MD
*
80144
=
surgery - thoracic by MD
*
84144
=
surgery - thoracic by DO
OTHER
*
OTHR
=
All other coverage contained in line 11.0
12.0 = Earthquake
* REQ = Residential Earthquake
* OTHR = All other coverage contained in line 12.0
17.0 = Other Liability
Day care
*
82115
=
day care center liability - day nurseries
*
41714
=
day care center liability - day care centers
*
81714
=
day care center liability individual insurance not
							 rated using one of the exposure bases noted above.
Lawyer
*
81400
=
lawyers professional liability - lawyers
*
81420
=
lawyers professional liability - employed law clerks,
							 investigators, abstractors and paralegals
*
81401
=
lawyers professional liability individual insurance
							 not rated using one of the exposure bases noted above.
Liquor
*
70412
=
clubs
*
59211
=
package stores and other retail establishments
*
50911
=
manufacturers, wholesalers, and distributors
*
58161
=
restaurants, taverns, hotels, motels including
							 package sales
*
58168
=
temporary licenses
*
58169
=
owners or lessors of premises used by others
*
11111
=
liquor liability - not otherwise classified
*
81111
=
liquor liability individual insurer programs not
							 rated using one of the exposure bases noted
							 above.1
Excess Coverage
*
9772
=
commercial auto
*
99930
=
personnel umbrella
*
99935
=
commercial umbrella
*
88888
=
excess insurance - all other
Other
* OTHR = All other coverage contained in line 17.1 and
				  17.2
19.4 = Commercial Auto Liability
*
1A
=
fleet and non-fleet combined trucks, tractors, and
							 trailers - zone rated (car-months (BI))
*
1B
=
fleet and non-fleet combined trucks, tractors, and
							 trailers - zone rated (receipts)
*
1C
=
fleet and non-fleet combined trucks, tractors, and
							 trailers - zone rated (number of miles)
*
2A
=
fleet and non-fleet combined trucks, tractors, and
							 trailers - all other, regardless of miles (car-months (BI))
*
3A
=
fleet and non-fleet taxicabs, and public livery,
							 regardless of mileage, including limousines (car-months (BI))
*
3B
=
fleet and non-fleet taxicabs, and public livery,
							 regardless of mileage, including limousines (receipts)
*
3C
=
fleet and non-fleet taxicabs, and public livery,
							 regardless of mileage, including limousines (number of miles)
*
OTHR
=
All other coverage contained in line 19.4
f)
				Statistical Data Year - This four-character alpha-numeric field reflects the
				experience year. (For example, for the November 2017 annual data filing, the
				statistical data year will be coded 2016.)
g) Field Not Currently Used
h) Form Type - This alpha-numeric field
				reflects the form type that was used in providing coverage. The insurer will
				report a separate record for each form type for each class and geographic
				location (Illinois-only or multi-state). Possible codes are:
C
=
claims-made
O
=
occurrence
T
=
claims-made tail coverage
i)
				Amount of Written Premium - This field reflects the amount of total written
				premiums corresponding to each of the class codes.
j) Amount of Earned Premium - This field
				reflects the total amount of earned premiums corresponding to each of the class
				codes.
k) Amount of Paid Losses -
				This field reflects the amount of paid losses corresponding to each of the
				class codes. Please see Section
				4203.30(g)
				for the definition of paid losses. If the insurer is unable to separate paid
				losses from ALAE, the insurer will follow the instructions provided in Section
				4203.30(h).
l) Amount of Outstanding Losses - This field
				reflects the amount of outstanding losses corresponding to each of the class
				codes. Please see Section
				4203.30(g)
				for the definition of outstanding losses and Section
				4203.30(h)
				for special instructions for those situations where separating outstanding
				losses and outstanding ALAE are not possible.
m) Amount of Paid ALAE - This field reflects
				the amount of paid ALAE for each of the class codes. If an insurer is unable to
				separate paid ALAE from the paid losses, the combined paid losses and paid ALAE
				will be reported in the paid losses field for the line and the code "combined"
				will appear in the paid ALAE field. For the earthquake data, the amount of paid
				ALAE field should be blank.
n)
				Amount of Outstanding ALAE - This field reflects the amount of outstanding
				allocated loss adjustment expenses for each of the class codes. If an insurer
				is unable to separate outstanding ALAE from the outstanding losses, the
				combined outstanding losses and outstanding ALAE will be reported in the
				outstanding losses field for the line and the code "combined" will appear in
				the ALAE field. For the earthquake data, the amount of outstanding ALAE field
				should be blank.
o) Number of
				Written Exposures - This field reflects the count of written exposures for each
				of the class codes. The field "number of exposures" for BOP, earthquake, and
				excess insurance will be left blank.
p) Number of Paid Claims - This field
				reflects the paid claims count corresponding to each of the class codes. Please
				see Section
				4203.30(i)
				for the definition of paid claims.
q) Number of Outstanding Claims - This field
				reflects the outstanding claims count corresponding to each of the class codes.
				Please see Section
				4203.30(j)
				for the definition of outstanding claims.