Ill. Admin. Code tit. 50 § 4203.60
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 |
Ill. Admin. Code tit. 50, § 4203.60
Amended at 37 Ill. Reg. 18744, effective December 17, 2012