Form TRIP 03 TRIP 03 Terrorism Risk Insurance Program Data Call
Recoupment Provisions of the Terrorism Risk Insurance Act (TRIA)
Draft Call Form 9-10-08.xls
TRIP Data Call [Recoupment]
OMB: 1505-0207
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1505-0207 can be found here:
Document [xlsx]
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| DRAFT 9.10.2008 | OMB No. XXXX-XXXX Expiration 200X | ||||||||
| TRIP 03 September 2008 | |||||||||
| TERRORISM RISK INSURANCE PROGRAM | |||||||||
| DATA CALL | |||||||||
| INSURER or INSURER GROUP NAME: _______________________ | |||||||||
| NAIC INSURER (or GROUP) NUMBER (or TIN if no NAIC #): ________________________ | |||||||||
| DATE (DATA AS OF):______________________ | |||||||||
| PROGRAM YEAR:_________________ | |||||||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | |
| CAT | LINE OF | TOTAL CUMULATIVE | ALAE | LOSS | ALAE CASE | LOSS | ALAE | TOTAL | |
| CODE | BUSINESS CODE | LOSS PAYMENTS | PAID | CASE RESERVES | RESERVES | IBNR | IBNR | (3 thru 8) | |
| 1.0 Fire | |||||||||
| 2.1 Allied Lines | |||||||||
| 5.1 Commercial Multi-Peril (non-liability) | |||||||||
| 5.2 Commercial Multi-Peril (liability) | |||||||||
| 8.0 Ocean Marine | |||||||||
| 9.0 Inland Marine | |||||||||
| 16.0 Workers’ Compensation | |||||||||
| 17.0 Other Liability | |||||||||
| 18.0 Products Liability | |||||||||
| 22.0 Aircraft (all perils) | |||||||||
| 27.0 Boiler and Machinery | |||||||||
| 50.0 Energy | |||||||||
| 51.0 All Other Property Risks | |||||||||
| 52.0 All Other Casualty Risks | |||||||||
| 80.0 Residual Market (Multiple Coverages) |
| File Type | application/vnd.ms-excel |
| Author | FurstN |
| Last Modified By | FurstN |
| File Modified | 2008-09-10 |
| File Created | 2008-08-15 |
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