A. Each health care insurer providing professional liability insurance to a health professional as defined in section 32-3201 shall report to the appropriate health profession regulatory board, except the Arizona medical board, within thirty days of its receipt, any written or oral claim or action for damages for personal injury claimed to have been caused by:

1. 1. An error, omission or negligence in the performance of an insured's professional services.
2. 2. The performance of professional services without adequate informed consent.
3. 3. An alleged breach of contract for professional services.

B. The reports required by subsection A of this section shall be confidential, nondiscoverable and nonadmissible as evidence, shall be filed on such forms as the health profession regulatory board, except the Arizona medical board, may require and shall contain:

1. 1. The name and address of the health professional involved in the claim.
2. 2. The name and address of the person on whose behalf the claim is being filed.
3. 3. The date of the occurrence that created the claim.
4. 4. The date of the claim if a complaint is not simultaneously filed.
5. 5. The date the complaint is filed, if applicable.
6. 6. A summary of the occurrence on which the claim is based as stated by the claimant.
7. 7. Such other reasonable information related to the claim as the director may require.