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PA Bulletin, Doc. No. 00-545

NOTICES

Notice to Workers' Compensation Insurance Carriers

[30 Pa.B. 1708]

   Insurance companies that write Workers' Compensation are required to report workers' compensation premium, loss and claim count information using 1999 Special Schedule ''W.'' This information is to be reported to the Insurance Department (Department) and to the Pennsylvania Compensation Rating Bureau (PCRB). Authority for this call is contained in section 655 of the Insurance Company Law of 1921 (40 P.S. § 815).

   Information to be reported by May 1, 2000 to the Department and the PCRB includes the following:

   For calendar year 1999:

   *  Premiums--Written, Unearned, Earned

   *  Losses--Indemnity vs. Medical for Paid, Reserves (Case vs. Bulk & IBNR), Incurred

   *  Amounts added to premium to yield PCRB Standard Earned Premium at Designated Statistical Reporting Level

   *  Deductible adjustments to yield first dollar premiums and losses

   For evaluations as of December 31, 1998 and December 31, 1999, policy year information for large deductible (that is, deductible > $100,000) policies vs. all other policies including small deductible policies on a first dollar basis:

   *  Premiums--Earned

   *  Losses--Indemnity vs. Medical for Paid, Reserves (Case vs. Bulk & IBNR), Incurred

   *  Claim counts--Indemnity vs. Medical for Incurred, Closed with and without payments

   Reports must be submitted in both a printed form and an electronic form. The forms for submission and preformatted Excel spreadsheets were mailed on March 15, 2000. The same information is also available at the Department's web site address, http://www. insurance.state.pa.us, under the ''What's New'' section.

   Persons who have not received this information or have questions concerning information contained in this notice should contact Brenna Bafik, Actuarial Associate, 1311 Strawberry Square, Harrisburg, PA 17120, phone: (717) 783-2114 or e-mail: bbafik@ins.state.pa.us.

M. DIANE KOKEN,   
Insurance Commissioner

[Pa.B. Doc. No. 00-545. Filed for public inspection March 24, 2000, 9:00 a.m.]


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