The highest possible dollar amount an insurer is liable for over the course of a policy period.
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.
Verification, through testing and tenure, to ensure an insured's competence in the specialty of the insured.
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.
Case reserves assigned to a specific claim.
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.
A demand for payment from a self-insured entity or an insurer for losses sustained by a claimant.
An individual or entity making an assertion of damages against a self-inured entity or an insurer.
Policy in which the insurer agrees to pay for damages for Bodily Injury or Property Damage for which a claim is first made during the policy period. Covers claims reported (\"made\") during the policy period, regardless of when the underlying accident occurred.
The disposition of a claim. This may be reopened.
The original closed claims database used from 1975 to 1999. The DCCS database replaced ICC in 1999. ICC data was not migrated to DCCS and is thus isolated.
Department Closed Claims System. Allows DOI to efficiently store and report closed claims information submitted by insurers via ICCS. The database portion of the DCCS application is also known as DCCS and replaced the ICC database in 1999.
Florida Department of Financial Services
Business directly written by the insurance company.
aka D&O Form. The Office of Insurance Regulation requires the Directors & Officers Liability Form to be submitted by insurers providing coverage for officers' and directors' liability for any claim resulting from error, omission, or negligence in the performance of the insured officer's or director's services.
An insurer that has a limit of liability above a primary insurer's limit of liability.
The Export Form includes two major functions: 1) assembling closed claims and 2) exporting the assembled closed claims to diskette.
The Annual Closed Claim Reporting form is used to prepare and submit an annual report containing information about personal injury and/or property damage claims closed by the insurer during the previous calendar year.
A collection of individual insureds.
The highest possible dollar amount an insurer is liable for over the course of a group policy period.
An individual or entity who is responsible for the actions that resulted in the filing of a medical malpractice claim.
Payment made on behalf of insured to a plaintiff for damages.
Insurance Closed Claims System. Allows insurers and/or self-insured medical facilities doing business in the state of Florida to electronically submit closed claims information to the Florida Department of Financial Services.
The name under which a policy is written.
An entity licensed by OIR under Chapter 624 (p. III) or Chapter 641 (p. I) of the Florida Statutes.
The final decision of the court resolving the dispute and determining the rights and obligations of the parties.
The Office of Insurance Regulation requires the Lawyers Professional Liability Form to be submitted by insurers providing coverage for members of the Florida Bar for any claim resulting from error, omission, or negligence in the performance of the insured.
The Office of Insurance Regulation requires the Medical Professional Liability Form to be submitted by self-insured medical facilities, insurers providing coverage for such facilities, or insurers providing coverage for individual practitioners for any claim resulting from error, omission, or negligence in the performance of the insured.
Policy in which the insurer agrees to pay for damages for Bodily Injury or Property Damage that occurs while the policy is in force. Covers claims occurring during the policy period and it does not matter when the claim is made.
The highest possible dollar amount an insurer is liable for per claim for a policy.
An individual or entity that contracts with an insurance company whereas the individual or entity pays a premium in return for protection against financial damages.
Reserves for unknown claims that have occurred but have not yet been reported to the insurer. This does not include development on known cases
An individual or entity that has not purchased liability insurance.
Limited to hospitals and ambulatory surgical centers.
States that an insured is responsible for paying the deductible of a professional liability insurance policy.
An individual or entity not licensed by OIR that carries insurance on itself.
An agreement by which parties having disputed matter between them reach or ascertain what is coming from one to the other.
The dollar amount of a cliam, including all costs such as defense costs. Severity is equal to loss payments divided by the number of closed claims.
A policy written for an insured who leaves the Claims-Made program. It covers losses whose accident date lies in the period during which the Claims-Made coverage was in force, and whose reported date is after the insured's last Claims-Made policy expired.
This term refers to the concept of each individual record in PLCR consisting of one claim per one doctor. If there are multiple doctors listed under the same policy, they will be tracked by policy numbers and injury information.
The formal decision or finding made by a jury, impaneled and sworn for the trial of a case, and reported to the court, upon the matters or questions duly submitted to them upon the trial.