Exhibit A - Property and Casualty Reporting Form

Current through Register Vol. 46, No. 15, April 8, 2022

Cumulative paid loss development history at successive quarterly evaluations for most recent four (4) accident years (Include paid ALAE)

Development Quarter (in months)

Accident Year

3

6

9

12

15

18

21

24

27

30

33

36

39

42

45

48

XXX

xxx

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Cumulative paid + case loss development history (excluding bulk & IBNR) at successive quarterly evaluations for most recent 4 accident yrs.

(This is referred to as "reported")

(Including paid ALAE)

Development Quarter (in months)

Accident Year

3

6

9

12

15

18

21

24

27

30

33

36

39

42

45

48

XXX

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

XXX

xxx

xxx

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Bulk and incurred but not reported reserves on losses and ALAE at successive quarterly evaluations for most recent four (4) accident years

(Pure bulk and IBNR as well as future development on reported claims)

Development Quarter (in months)

Accident Year

3

6

9

12

15

18

21

24

27

30

33

36

39

42

45

48

XXX

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

XXX

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Earned premium by accident quarter

Accident Quarter

Earned Prem.

xxx

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Notes

The following state regulations pages link to this page.



State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.