On the Aggregate Claims Reporting Summary page
you'll notice two primary sections:
Aggregate Paid Claims
Aggregate Unpaid Claims
The status of each of these sections must be
complete in order to submit the form to the Office of Insurance Regulation
for review.
The Aggregate Claims Reporting Summary Page
Section 1: Completing an Aggregate Paid Claims Report
Click the Aggregate Paid Claims
link on the Aggregate Claims Reporting Summary page to access the Aggregate
Paid Claims spreadsheet, shown below.
The Aggregate Paid Claims Spreadsheet
To Complete an Aggregate Paid Claims Report:
Fill in the following fields for each applicable
year in which premiums were earned and losses were incurred:
Premiums Earned
The total amount of premiums paid from all insureds.
Direct Business directly written by the insurance company.
Business directly written by the insurance company.
Assumed Reinsurance assumed, including from affiliated pooling agreements, but excluding any non-proportional reinsurance assumed reported as a separate line and reported accordingly. An insurer's act of accepting an insurance risk from another insurer.
Reinsurance assumed, including from affiliated pooling agreements, but
excluding any non-proportional reinsurance assumed reported as a separate
line and reported accordingly. An insurer An entity licensed by OIR under Chapter 624 (p. III) or Chapter 641 (p. I) of the Florida Statutes.'s act of accepting an insurance
risk from
another insurer.
Ceded Reinsurance ceded on business so reported as direct or assumed. An insurance company's transfer of all or part of a specified risk to a reinsurance company.
Reinsurance ceded on business so reported as direct or assumed. An insurance
company's transfer of all or part of a specified risk to a reinsurance
company.
Loss Payments
The total amount of money the insurance company paid on behalf of all
claims.
Direct
See definition above.
Assumed
See definition above.
Ceded
See definition above.
Defense and Cost Containment
The total amount of money the insurance company paid for legal representation.
Direct
See definition above.
Assumed
See definition above.
Ceded
See definition above.
Number of Closed Claims with Loss Payment
The total number of closed claims with loss payment.
Number of Closed Claims without Loss Payment
The total number of closed claims without loss payment.
Fill in any empty fields with zeros by clicking
the Fill Blanks With Zeros button.
Click the Save
button to save your work.
Be careful not to click the Cancel
or Workbench buttons prior to
clicking the Save button, unless
you wish to discard your work.
Click the Workbench
button to return to the PLCR Workbench.
Section 2: Completing an Aggregate Unpaid Claims Report
Click the Aggregate Unpaid Claims
link on the Aggregate Claims Reporting Summary page to access the Aggregate
Unpaid Claims spreadsheet, shown below.
The Aggregate Unpaid Claims Spreadsheet (part 1 of 2)
The Aggregate Unpaid Claims Spreadsheet (part 2 of 2)
To Complete an Aggregate Unpaid Claims Report:
Fill in the following fields for each applicable
year in which premiums were earned and losses were incurred:
Losses Unpaid
The total amount of money reserved for open claims.
Direct (for Case Basis Case reserves assigned to a specific claim., Bulk Reserves for future development on known claims, claims that re-open after they have been closed, and for claims that have been reported to the insurer but have not yet been recorded., and Pure IBNR Reserves for unknown claims that have occurred but have not yet been reported to the insurer. This does not include development on known cases)
Business directly written by the insurance company.
Assumed (for Case Basis, Bulk, and Pure IBNR)
Reinsurance assumed, including from affiliated pooling agreements, but
excluding any non-proportional reinsurance assumed reported as a separate
line and reported accordingly. An insurer's act of accepting an insurance
risk from
another insurer.
Ceded (for Case Basis, Bulk, and Pure IBNR)
Reinsurance ceded on business so reported as direct or assumed. An insurance
company's transfer of all or part of a specified risk to a reinsurance
company.
Defense and Cost Containment Unpaid
The total amount of money the insurance company reserved for legal representation.
Direct (for Case Basis, Bulk, and Pure IBNR)
See definition above.
Assumed (for Case Basis, Bulk, and Pure IBNR)
See definition above.
Ceded (for Case Basis, Bulk, and Pure IBNR)
See definition above.
Total Number of Open Claims
The total number of open claims.
Fill in any empty fields with zeros by clicking
the Fill Blanks With Zeros button.
Click the Save
button to save your work.
Be careful not to click the Cancel
or Workbench buttons prior to
clicking the Save button, unless
you wish to discard your work.
Click the Workbench
button to return to the PLCR Workbench.
