Ill. Admin. Code tit. 50, § 4203.60 – Line Item Matrix For Cost Containment Reporting

Revised Field #	Other Liability, Medical Malpractice, Earthquake (REQ), BOP, Excess Insurance & Commercial Auto	Homeowners & Residential Fire	Private Passenger Auto Liability	Private Passenger Physical Damage
1	FEIN	FEIN	FEIN	FEIN
2	Filing Method	Filing Method	Filing Method	Filing Method
3	Line of Business	Line of Business	Line of Business	Line of Business
4	State ID	State ID	State ID	State ID
5	Class Code	Class Code	Class Code	Class Code
6	Statistical Year	Statistical Year	Statistical Year	Statistical Year
7	Not used	Zip Code	Zip Code	Zip Code
8	Form Type	Not used	BI Written Premium	Comp Written Premium
9	Written Premium	Written Premium	BI Earned Premium	Comp Earned Premium
10	Earned Premium	Earned Premium	BI Paid Loss	Comp Paid Loss
11	Paid Losses	Paid Losses	BI OS Loss	Comp OS Loss
12	Outstanding Losses	Outstanding Losses	BI PD ALAE	# Comp Wr. Exposure
13	Paid ALAE	Written Exposures	BI OS ALAE	# Comp Paid Claims
14	OS ALAE	# Paid Claims	# BI Written Exposure	# Comp OS Claims
15	Written Exposures	# OS Claims	#BI Paid Claims	Collision Wr. Premium
16	# Paid Claims		#BI OS Claims	Collision Er. Premium
17	# OS Claims		PD Written Premium	Collision Paid Loss
18			PD Earned Premium	Collision OS Loss
19			PD Paid Loss	# Collision Paid Claims
20			PD OS Loss	# Collision OS Claims
21			PD Paid ALAE	Other Written Premium
22			PD OS ALAE	Other Earned Premium
23			# PD Paid Claims	Other Paid Loss
24			#PD OS Claims	Other OS Loss
25			UM/UIM Written Prem	# Other Paid Claims
26			UM/UIM Earned Prem	# Other OS Claims
27			UM/UIM Paid Loss
28			UM/UIM OS Loss
29			UM/UIM Paid ALAE
30			UM/UIM OS ALAE
31			# UM/UIM Paid Claims
32			# UM/UIM OS Claims
33			Med Pay Written Prem
34			Med Pay Earned Prem
35			Med Pay Paid Loss
36			Med Pay OS Loss
37			Med Pay Paid ALAE
38			Med Pay OS ALAE
39			# Med Pay Paid Claims
40			# Med Pay OS Claims
41			Other Written Prem
42			Other Earned Prem
43			Other Paid Loss
44			Other OS Loss
45			Other Paid ALAE
46			Other OS ALAE
47			# Other Paid Claims
48			# Other OS Claims
49			# SL Written Exposures
50			SL Written Prem
51			SL Earned Prem
52			BI SL Paid Loss
53			BI SL OS Loss
54			BI SL Paid ALAE
55			BI SL OS ALAE
56			# BI SL Paid Claims
57			# BI SL OS Claims
58			PD SL Paid Loss
59			PD SL OS Loss
60			PD SL Paid ALAE
61			PD SL OS ALAE
62			# PD SL Paid Claims
63			# PD SL OS Claims

(Source: Amended at 39 Ill. Reg. 2603, effective February 6, 2015)