Form TRIP 05 TRIP 05 Terrorism Risk Insurance Program Data Call
Recoupment Provisions of the Terrorism Risk Insurance Act (TRIA)
Data Call Form 6-10-09.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⚠️ Notice: This form may be outdated.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]
Download: xlsx | pdf
|
|||||||||
| DRAFT 6/10/09 | OMB No. XXXX-XXXX Expiration 200X | ||||||||
| TRIP 05 June 2009 | |||||||||
| TERRORISM RISK INSURANCE PROGRAM | |||||||||
| DATA CALL | |||||||||
| INSURER NAME: _________________________________________ | |||||||||
| INSURER (Group) NAIC#: _______________ | |||||||||
| INSURER TIN: ________________ | |||||||||
| DATE: ___________ | |||||||||
| PROGRAM YEAR:__________ | |||||||||
| SUBMITTING INSURER DEDUCTIBLE ESTIMATE____________________________ | |||||||||
| 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) | |||||||||
| SUMMARY INFORMATION |
| File Type | application/vnd.ms-excel |
| Author | FurstN |
| Last Modified By | clarys |
| File Modified | 2009-06-10 |
| File Created | 2008-08-15 |
© 2024 OMB.report | Privacy Policy