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PA Bulletin, Doc. No. 10-254


Notice to Workers' Compensation Insurance Carriers

[40 Pa.B. 825]
[Saturday, February 6, 2010]

 Insurance companies that write Workers' Compensation are required to report workers' compensation premium, loss and claim count information using 2009 Special Schedule ''W''. Authority for this call is contained in section 655 of the Insurance Company Law of 1921 (40 P. S. Section 815). Information to be reported by April 15, 2010 includes the following:

 For calendar year 2009:

 • Premiums—Written, Unearned, Earned

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

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

 • Deductible adjustments to yield first dollar premiums and losses

 For evaluations as of December 31, 2008 and December 31, 2009, policy year information for large deductible (that is, deductible > $100,000) policies versus 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

 Information regarding the submission of 2009 Special Schedule ''W'' has been sent to carriers and has also been posted at the Department's web site address,

 Persons who have not received this information or have questions concerning information contained in this notice should contact Bojan Zorkic, Actuarial Associate, 1311 Strawberry Square, Harrisburg, PA 17120, (717) 787-6968 or

Insurance Commissioner

[Pa.B. Doc. No. 10-254. Filed for public inspection February 5, 2010, 9:00 a.m.]

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