ADMINISTRATIVE CODE

TITLE 50: INSURANCE
CHAPTER I: DEPARTMENT OF INSURANCE
SUBCHAPTER l: PROVISIONS APPLICABLE TO ALL COMPANIES
PART 939 MEDICAL LIABILITY INSURANCE LOSS REPORTS

Section 939.10 Purpose

Section 939.20 Required Information

Section 939.30 Penalties

Section 939.ILLUSTRATION A Policies Covering Physicians and Surgeons-Claims Payments

Section 939.ILLUSTRATION B Policies Covering Physicians and Surgeons-Reserves

Section 939.ILLUSTRATION C Policies Covering Physicians and Surgeons–Number of Claims

Section 939.ILLUSTRATION D Other Policies-Claim Payments

Section 939.ILLUSTRATION E Other Policies-Reserves

Section 939.ILLUSTRATION F Other Policies-Number of Claims

AUTHORITY: Implementing and authorized by Sections 155.25 and 401 of the Illinois Insurance Code (Ill. Rev. Stat. 1991, ch. 73, pars. 767.25 and 1013) [215 ILCS 5/155.25 and 401].

SOURCE: Adopted at 10 Ill. Reg. 8751, effective May 9, 1986; amended at 17 Ill. Reg. 15838, effective September 14, 1993.

Section 939.10 Purpose

The purpose of this Part is to implement Section 155.25 of the Illinois Insurance Code (Ill. Rev. Stat. 1991, ch. 73, par. 767.25) [215 ILCS 5/155.25 and 401] by listing that information which upon request of the Director of Insurance shall be filed with the Director regarding the direct claims experience of insurance companies licensed to write medical liability insurance in this State.

(Source: Amended at 17 Ill. Reg. 15838, effective September 14, 1993)

Section 939.20 Required Information

a) Any insurance company licensed to sell the type of insurance listed in Class 2(c) of Section 4 of the Illinois Insurance Code (Ill. Rev. Stat. 1991, ch. 73, par. 616) [215 ILCS 5/4] and which is writing or has written medical liability insurance in this State, may be required by the Director to file a report with the Director in the format, and containing the information, as specified in Illustrations A, B, C, D, E, and F.

b) The report shall be filed as specified in the Director's request on or before June 1 of each year. It should be directed to the Casualty Actuary, Illinois Department of Insurance, Springfield, Illinois 62767.

(Source: Amended at 17 Ill. Reg. 15838, effective September 14, 1993)

Section 939.30 Penalties

Failure of a company to timely file the report which may be required by the Director under this Part and Section 155.25 of the Illinois Insurance Code shall subject the company to the provisions of Section 403A of the Illinois Insurance Code (Ill. Rev. Stat. 1991, ch. 73, par. 1015A) [215 ILCS 5/403A].

(Source: Amended at 17 Ill. Reg. 15838, effective September 14, 1993)

Section 939.ILLUSTRATION A Policies Covering Physicians and Surgeons-Claims Payments

Illinois Medical Liability Insurance

Loss Report Format – Policies

Covering Physicians and Surgeons – Claim Payments

Year In Which Losses Were Incurred				Loss Payments For 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	Loss Payments For 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 loss payment is included in "loss payments for closed claims", it shall not be included in "loss payments for open and reopened claims", or vice versa.

(Source: Amended at 17 Ill. Reg. 15838, effective September 14, 1993)

Section 939.ILLUSTRATION B Policies Covering Physicians and Surgeons-Reserves

Year In Which Losses Were Incurred					Losses Unpaid On Reported 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				Losses Unpaid On Incurred But Not Reported 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						Other Unpaid Losses

		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
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.

(Source: Amended at 17 Ill. Reg. 15838, effective September 14, 1993)

Section 939.ILLUSTRATION C Policies Covering Physicians and Surgeons–Number of Claims

Illinois Medical Liability Insurance

Loss Report Format – Policies Covering

Physicians and Surgeons – 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 in this Illustration should be advanced by one, two, etc.

2) If a claim count is included in "number of closed claims", it shall not be included in "number of open and reopened claims", or vice versa.

(Source: Amended at 17 Ill. Reg. 15838, effective September 14, 1993)

Section 939.ILLUSTRATION D Other Policies-Claim Payments

Illinois Medical Liability Insurance

Loss Report Format – Other Policies – Claim Payments

Year in Which Losses Were Incurred					Loss Payments for 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				Loss Payments For 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 loss payment is included in "loss payments for closed claims", it shall not be included in "loss payments for open and reopened claims", or vice versa.

(Source: Amended at 17 Ill. Reg. 15838, effective September 14, 1993)

Section 939.ILLUSTRATION E Other Policies-Reserves

Illinois Medical Liability Insurance

Loss Report Format – Other Policies – Reserves

Year in Which Losses Were Incurred					Loss Unpaid on Reported 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				Losses Unpaid on Incurred But Not Reported 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				Other Unpaid Losses

		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

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.

(Source: Amended at 17 Ill. Reg. 15838, effective September 14, 1993)

Section 939.ILLUSTRATION F Other Policies-Number of Claims

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.

(Source: Amended at 17 Ill. Reg. 15838, effective September 14, 1993)