Ill. Admin. Code tit. 50, § 939.ILLUSTRATION A – Policies Covering Physicians and Surgeons-Claims Payments

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.

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

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