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Code · California · Insurance Code

§ 11555.2

441 words·~2 min read·/ca/insurance-code/11555-2

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

Each insurer transacting insurance covering liability for malpractice of any person licensed under the Dental Practice Act (Chapter 4 (commencing with Section 1600) of Division 2 of the Business and Professions Code), under the Medical Practice Act (Chapter 5 (commencing with Section 2000) of Division 2 of the Business and Professions Code), or under the State Bar Act (Chapter 4 (commencing with Section 6000) of Division 3 of the Business and Professions Code), shall report all of the following statistics to the commissioner, by profession and by medical specialty, upon request of the commissioner:
(a)The total number of doctors or lawyers written during the immediately preceding calendar year.
(b)The total amount of premiums received from insureds, both written and earned (as reported in the annual statement), during the immediately preceding calendar year.
(c)The number of claims reported to the insurer for the first time separately by the year the claim occurred, and the number of claims reported closed during a previous calendar year which were reopened separately by the year the claim occurred.
(d)The total number of claims outstanding, together with the monetary amount reserved for loss and allocated loss expense, in the annual statement as of December 31 of the calendar year next preceding, separately stated by the year the claim occurred.
(1)The number of claims closed with payment to the claimant during the calendar year next preceding, to be reported by the year the claim occurred,
(2)the total monetary amount paid thereon, reported by the year the claim occurred, and
(3)the total allocated loss expense paid thereon, reported by the year the claim occurred.
(f)The monetary amount paid on claims during the calendar year next preceding, to be reported separately by the year the claim occurred, with allocated loss expense paid, to be reported separately by the year the claim occurred.
(g)The number of claims closed without payment to the claimant during the calendar year next preceding, by the year the claim occurred, and the allocated loss expense paid thereon, separately by the year the claim occurred.
(h)The monetary amount reserved in the annual statement for the calendar year next preceding on claims incurred but not reported to the insurer.
(i)The number of lawsuits filed against the insurer’s insureds, and the number of doctors, included therein, during the calendar year next preceding, to be separately reported by the year the claim occurred.
(j)A distribution by size of payment for those claims closed during the calendar year next preceding, showing the number of claims and total amount paid for each monetary category, as determined by the commissioner.
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