Ill. Admin. Code tit. 50, § 939.ILLUSTRATION C – Policies Covering Physicians and Surgeons–Number of Claims

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.

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

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