Illinois Administrative Code › Title 50 - INSURANCE › Part 4203 - INSURANCE DATA REPORTING REQUIREMENTS › Subpart C - MARKET SURVEY FOR OCCURRENCE INSURANCE COVERAGE OF STATE RESPONSE ACTION CONTRACTORS › Appendix A - Filing Requirements for Medical Malpractice Reporting

Current through Register Vol. 48, No. 28, July 12, 2024
General Instructions
* All reports shall include only direct Illinois
				  medical malpractice insurance business.
* Each company must provide a Reconciliation as
				  outlined in these Filing Requirements.
* Sample tables are provided to assist companies
				  in understanding the required data elements. They are provided for illustrative
				  purposes only.
* Reporting will be segregated by policy type. The
				  policy types are as follows:
1) Claims made policy type that includes prior
				  acts coverage
2) Occurrence policy type that includes extended
				  reporting endorsements
* Reporting by claims made policy type will be
				  aggregated by county.
* Illinois counties will be identified in the data
				  submission by a three digit code. The following table lists the names of the
				  102 Illinois counties and the code designation for each:
County Name
County #
ADAMS
001
ALEXANDER
002
BOND
003
BOONE
004
BROWN
005
BUREAU
006
CALHOUN
007
CARROLL
008
CASS
009
CHAMPAIGN
010
CHRISTIAN
011
CLARK
012
CLAY
013
CLINTON
014
COLES
015
COOK
016
CRAWFORD
017
CUMBERLAND
018
DE KALB
019
DEWITT
020
DOUGLAS
021
DU PAGE
022
EDGAR
023
EDWARDS
024
EFFINGHAM
025
FAYETTE
026
FORD
027
FRANKLIN
028
FULTON
029
GALLATIN
030
GREENE
031
GRUNDY
032
HAMILTON
033
HANCOCK
034
HARDIN
035
HENDERSON
036
HENRY
037
IROQUOIS
038
JACKSON
039
JASPER
040
JEFFERSON
041
JERSEY
042
JO DAVIESS
043
JOHNSON
044
KANE
045
KANKAKEE
046
KENDALL
047
KNOX
048
LAKE
049
LA SALLE
050
LAWRENCE
051
LEE
052
LIVINGSTON
053
LOGAN
054
MCDONOUGH
055
MCHENRY
056
MCLEAN
057
MACON
058
MACOUPIN
059
MADISON
060
MARION
061
MARSHALL
062
MASON
063
MASSAC
064
MENARD
065
MERCER
066
MONROE
067
MONTGOMERY
068
MORGAN
069
MOULTRIE
070
OGLE
071
PEORIA
072
PERRY
073
PIATT
074
PIKE
075
POPE
076
PULASKI
077
PUTNAM
078
RANDOLPH
079
RICHLAND
080
ROCK ISLAND
081
SAINT CLAIR
082
SALINE
083
SANGAMON
084
SCHUYLER
085
SCOTT
086
SHELBY
087
STARK
088
STEPHENSON
089
TAZEWELL
090
UNION
091
VERMILION
092
WABASH
093
WARREN
094
WASHINGTON
095
WAYNE
096
WHITE
097
WHITESIDE
098
WILL
099
WILLIAMSON
100
WINNEBAGO
101
WOODFORD
102
OTHER
103
* For all reports requiring by county information, the
				  company may group the data by policy issuing county or other method that is
				  consistent with its ratemaking practices. The company must identify which
				  method is used. The company must use a consistent method to group the data in
				  all by county reports. Data grouped by territory is unacceptable.
* Reporting by occurrence policy type will be aggregated by
				  state and will include only Illinois data.
* Reports will contain 10 years of information on paid
				  losses, paid allocated loss adjustment expenses, paid claim counts, incurred
				  losses, incurred allocated loss adjustment expenses, incurred claim counts,
				  earned exposures and earned premium, all on a direct reporting basis.
* Provide the name, phone number and email address of the
				  person responsible for filing this report with the Department of
				  Insurance.
* Reports should be submitted via either Excel worksheet or
				  .txt file format. The submission shall be made electronically to the Illinois
				  Department of Insurance.
Company Defined Items
* Describe any changes made to the way in which the data has
				  been grouped during the past 10 years and the impact of the changes on the
				  reports.
* Describe any changes made to reserving or claim payment
				  practices in the past 10 years and the impact of the changes on the
				  reports.
* Explain/define the corporate policies written by the
				  company.
Exhibits - Claims Made Policy Type
* Direct paid losses by county for each of the past 10 report
				  years. For claims made policy type, direct paid losses and direct paid
				  allocated loss adjustment expenses shall be reported separately.
* Direct paid allocated loss adjustment expenses by county
				  for each of the past 10 report years. For claims made policy type, direct paid
				  losses and direct paid allocated loss adjustment expenses shall be reported
				  separately.
* Direct paid claim counts by county for each of the past 10
				  report years.
* Direct incurred losses by county for each of the past 10
				  report years. For claims made policy type, direct incurred losses and direct
				  incurred allocated loss adjustment expenses shall be reported
				  separately.
* Incurred losses equal paid losses plus case
				  reserves.
* Total incurred losses are required, not just
				  incurred on open claims.
* An accurate estimate for the claims related to
				  that report year and county is required. Average incurred severities are
				  unacceptable.
* Direct incurred allocated loss adjustment expenses by
				  county for each of the past 10 report years. For claims made policy type,
				  direct incurred losses and direct incurred allocated loss adjustment expenses
				  shall be reported separately.
* Total incurred allocated loss adjustment
				  expenses are required, not just incurred on open claims.
* Direct incurred claim counts by county for each of the past
				  10 report years.
* Direct earned exposures by county for each of the past 10
				  report years.
* Direct earned premium by county for each of the past 10
				  report years.
Examples of Reports for Claims Made Policy
				  Type:
Paid Losses
Current Year
1 Year Prior
2 Year Prior
3 Year Prior
4 Year Prior
5 Year Prior
6 Year Prior
7 Year Prior
8 Year Prior
9 Year Prior
County
001
$$
$$
$$
$$
$$
$$
$$
$$
$$
$$
002
$$
$$
$$
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$$
$$
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003
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004
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005
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006
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007
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$$
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$$
$$
...
$$
$$
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$$
$$
$$
$$
$$
Paid ALAE
Current Year
1 Year Prior
2 Year Prior
3 Year Prior
4 Year Prior
5 Year Prior
6 Year Prior
7 Year Prior
8 Year Prior
9 Year Prior
County
001
$$
$$
$$
$$
$$
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002
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003
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004
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005
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006
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007
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...
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Paid Counts
Current Year
1 Year Prior
2 Year Prior
3 Year Prior
4 Year Prior
5 Year Prior
6 Year Prior
7 Year Prior
8 Year Prior
9 Year Prior
County
001
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002
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007
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...
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Incurred Losses
Current Year
1 Year Prior
2 Year Prior
3 Year Prior
4 Year Prior
5 Year Prior
6 Year Prior
7 Year Prior
8 Year Prior
9 Year Prior
County
001
$$
$$
$$
$$
$$
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002
$$
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003
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004
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005
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006
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007
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...
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$$
Incurred ALAE
Current Year
1 Year Prior
2 Year Prior
3 Year Prior
4 Year Prior
5 Year Prior
6 Year Prior
7 Year Prior
8 Year Prior
9 Year Prior
County
001
$$
$$
$$
$$
$$
$$
$$
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002
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003
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004
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005
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006
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007
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...
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Incurred Counts
Current Year
1 Year Prior
2 Year Prior
3 Year Prior
4 Year Prior
5 Year Prior
6 Year Prior
7 Year Prior
8 Year Prior
9 Year Prior
County
001
##
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002
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003
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006
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007
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...
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Earned Exposures
Current Year
1 Year Prior
2 Year Prior
3 Year Prior
4 Year Prior
5 Year Prior
6 Year Prior
7 Year Prior
8 Year Prior
9 Year Prior
County
001
$$
$$
$$
$$
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002
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003
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004
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005
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006
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007
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...
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Earned Premium
Current Year
1 Year Prior
2 Year Prior
3 Year Prior
4 Year Prior
5 Year Prior
6 Year Prior
7 Year Prior
8 Year Prior
9 Year Prior
County
001
$$
$$
$$
$$
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002
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003
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004
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...
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Exhibits - Occurrence Policy Type
* Exhibits require information and data pertaining to only
				  Illinois medical malpractice liability business written. This data should be
				  aggregated to state level detail.
* Direct paid losses and allocated loss adjustment expenses
				  for each of the past 10 accident years by evaluation date. For occurrence
				  policy type, direct paid losses and direct paid allocated loss adjustment
				  expenses will be reported together. This data array shall be reported in
				  accordance with NAIC Annual Statement Schedule P Instructions. The difference
				  between a company's Schedule P and this requirement is that this array should
				  contain direct Illinois medical malpractice data.
* Direct paid claim counts for each of the past 10 accident
				  years by evaluation date. This data array shall be reported in accordance with
				  NAIC Annual Statement Schedule P Instructions. The difference between a
				  company's Schedule P and this requirement is that this array should contain
				  direct Illinois medical malpractice data.
* Direct incurred losses and incurred allocated loss
				  adjustment expenses for each of the past 10 accident years by evaluation date.
				  For occurrence type policies, direct incurred losses and incurred allocated
				  loss adjustment expenses shall be reported together. This data array shall be
				  reported in accordance with NAIC Annual Statement Schedule P Instructions. The
				  difference between a company's Schedule P and this requirement is that this
				  array should contain direct Illinois medical malpractice data.
* Direct incurred claim counts for each of the past 10
				  accident years by evaluation date. This data array shall be reported in
				  accordance with NAIC Annual Statement Schedule P Instructions. The difference
				  between a company's Schedule P and this requirement is that this array should
				  contain direct Illinois medical malpractice data.
* Direct earned exposures by accident year for each of the
				  past 10 years.
* Direct earned premium by accident year for each of the past
				  10 years.
Examples of Reports for Occurrence Policy
				  Type:
Paid Losses and ALAE
Years in which losses were
							 incurred
9
Year Prior
8 Year Prior
7 Year Prior
6 Year Prior
5 Year Prior
4 Year Prior
3 Year Prior
2 Year Prior
1 Year Prior
Current Year
9 Year Prior
$$
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8 Year Prior
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7 Year Prior
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6 Year Prior
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5 Year Prior
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4 Year Prior
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3 Year Prior
$$
$$
$$
$$
2 Year Prior
$$
$$
$$
1 Year Prior
$$
$$
Current Year
$$
Paid Counts
Years in which losses were
							 incurred
9 Year Prior
8 Year Prior
7 Year Prior
6 Year Prior
5 Year Prior
4 Year Prior
3 Year Prior
2 Year Prior
1 Year Prior
Current Year
9 Year Prior
##
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8 Year Prior
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7 Year Prior
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6 Year Prior
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5 Year Prior
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4 Year Prior
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3 Year Prior
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2 Year Prior
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1 Year Prior
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Current Year
##
Incurred Losses and ALAE
Years in which losses were
							 incurred
9 Year Prior
8 Year Prior
7 Year Prior
6 Year Prior
5 Year Prior
4 Year Prior
3 Year Prior
2 Year Prior
1 Year Prior
Current Year
9 Year Prior
$$
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8 Year Prior
$$
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7 Year Prior
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6 Year Prior
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5 Year Prior
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4 Year Prior
$$
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3 Year Prior
$$
$$
$$
$$
2 Year Prior
$$
$$
$$
1 Year Prior
$$
$$
Current Year
$$
Incurred Counts
Years in which losses were
							 incurred
9 Year Prior
8 Year Prior
7 Year Prior
6 Year Prior
5 Year Prior
4 Year Prior
3 Year Prior
2 Year Prior
1 Year Prior
Current Year
9 Year Prior
##
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8 Year Prior
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7 Year Prior
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6 Year Prior
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5 Year Prior
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4 Year Prior
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3 Year Prior
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2 Year Prior
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1 Year Prior
##
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Current Year
##
Earned Exposures
Years in which losses were
							 incurred
Direct and Assumed
9 Year Prior
8 Year Prior
7 Year Prior
6 Year Prior
5 Year Prior
4 Year Prior
3 Year Prior
2 Year Prior
1 Year Prior
Current Year
Earned Premium
Years in which losses were
							 incurred
Direct and Assumed
9 Year Prior
8 Year Prior
7 Year Prior
6 Year Prior
5 Year Prior
4 Year Prior
3 Year Prior
2 Year Prior
1 Year Prior
Current Year
Reconciliation
Each company shall take steps to determine the data submitted
				  under these requirements is accurate, reasonable, and appropriately reconciles
				  to the most recently filed annual statutory financial statement.
Describe the process used to reconcile the 1204 data, filed
				  under this requirement, to the annual statutory financial statement. Please
				  include the magnitude of any discrepancies, a description of the differences,
				  and the reasons for the differences.
The company's senior financial officer and a qualified
				  actuary must certify that the data filed under these requirements is accurate
				  and reasonably reconciles with the most recently filed annual statutory
				  financial statement.