61
A.Overview of Current Reporting Requirements B.Quality Reviews

NJAIRE Data Reporting

Embed Size (px)

DESCRIPTION

NJAIRE Data Reporting. Overview of Current Reporting Requirements Quality Reviews. Reporting Requirements. Call Forms: Form # 4 – Accident Year 2001-present. Sample Form. Call Forms – Required Data - PowerPoint PPT Presentation

Citation preview

Page 1: NJAIRE Data Reporting

A.Overview of Current Reporting Requirements

B.Quality Reviews

Page 2: NJAIRE Data Reporting

A.A. Reporting RequirementsReporting Requirements

Call Forms:

Form # 4 – Accident Year 2001-present

Page 3: NJAIRE Data Reporting

Sample FormSample Form

Page 4: NJAIRE Data Reporting

Call Forms – Required Data

Accident Year 2008 & subsequent – Earned Exposures by threshold – current account quarter only, in car years

Page 5: NJAIRE Data Reporting
Page 6: NJAIRE Data Reporting

Reporting RequirementsReporting RequirementsCOMPANY/GROUP NAME: NJAIRE CALL FOR STATISTICS: FORM # 4COMPANY/GROUP NUMBER: Return to:CONTACT PERSON: Please check one: ( ) Voluntary (incl. A.R.) ( ) CAIP Insurance Services Office, Inc.ADDRESS: NOTE: Separate forms must be completed for voluntary (including assigned risks) and Special Data Initiatives

CAIP business. Completed forms for voluntary business must be returned to the 545 Washington BlvdTELEPHONE NUMBER: address at right. CAIP forms must be sent to the applicable association. 17-2

Jersey City, NJ 07310ACCIDENT YEAR 2010

TOTAL NUM OF BI LIAB. TOTAL NUM OF BI LIAB. REPORTABLE CLAIM INFORMATION DATE OF SUBMISSION:EARNED EXPOSURES PAID CLAIMANTS* PAID BI LIAB. TOTAL NUMBER PAID LOSS ADJUSTMENT EXPENSES

(CAR YEARS) AGAINST POLICIES IN WHICH REPORTABLE OF BI LIAB. COMBINED** __/__/__TERR. BY TORT THRESHOLD: INSURED CHOSE THRESHOLD: LOSS AMOUNT REPORTABLE ALLOCATED UNALLOCATED ALLOC. & UNALLOC. MO DAY YRCODE ZERO DOLLAR VERBAL ZERO DOLLAR VERBAL (DOLLARS ONLY) CLAIMANTS (DOLLARS ONLY) (DOLLARS ONLY) (DOLLARS ONLY)001 002003 ACCOUNT QUARTER:004 1st Qtr: Due 5/15 ( )005 2nd Qtr: Due 8/15 ( )006 3rd Qtr: Due 11/15 ( )007 4th Qtr: Due 2/15 ( )008010 RECORDS MAINTAINED ON A:011 ( ) CLAIMANT BASIS012 (NO CONVERSION NECESSARY)013 ----------------------------------------------014 ( ) PER CLAIM BASIS015 CONVERSION FACTOR:______

TOTAL 50 1,000 * INCLUDE ALL BI PAID CLAIMS REGARDLESS OF THE CLAIMANT'S TORT THRESHOLD OR WHETHER THE CLAIM IS A "REPORTABLE" CLAIM.

NJAIRE PAGE 1 ** THIS COLUMN MUST COMPLETED ONLY BY COMPANIES UNABLE TO SEPARATE ALLOCATED FROM UNALLOCATED LOSS ADJUSTMENT EXPENSES

Exhibit 2

Page 7: NJAIRE Data Reporting

Reporting RequirementsReporting RequirementsCOMPANY/GROUP NAME: NJAIRE CALL FOR STATISTICS: FORM # 4COMPANY/GROUP NUMBER: Return to:CONTACT PERSON: Please check one: ( ) Voluntary (incl. A.R.) ( ) CAIP Insurance Services Office, Inc.ADDRESS: NOTE: Separate forms must be completed for voluntary (including assigned risks) and Special Data Initiatives

CAIP business. Completed forms for voluntary business must be returned to the 545 Washington BlvdTELEPHONE NUMBER: address at right. CAIP forms must be sent to the applicable association. 17-2

Jersey City, NJ 07310ACCIDENT YEAR 2010

TOTAL NUM OF BI LIAB. TOTAL NUM OF BI LIAB. REPORTABLE CLAIM INFORMATION DATE OF SUBMISSION:EARNED EXPOSURES PAID CLAIMANTS* PAID BI LIAB. TOTAL NUMBER PAID LOSS ADJUSTMENT EXPENSES

(CAR YEARS) AGAINST POLICIES IN WHICH REPORTABLE OF BI LIAB. COMBINED** __/__/__TERR. BY TORT THRESHOLD: INSURED CHOSE THRESHOLD: LOSS AMOUNT REPORTABLE ALLOCATED UNALLOCATED ALLOC. & UNALLOC. MO DAY YRCODE ZERO DOLLAR VERBAL ZERO DOLLAR VERBAL (DOLLARS ONLY) CLAIMANTS (DOLLARS ONLY) (DOLLARS ONLY) (DOLLARS ONLY)001 50 1,000002003 ACCOUNT QUARTER:004 1st Qtr: Due 5/15 ( )005 2nd Qtr: Due 8/15 ( )006 3rd Qtr: Due 11/15 ( )007 4th Qtr: Due 2/15 ( )008010 RECORDS MAINTAINED ON A:011 ( ) CLAIMANT BASIS012 (NO CONVERSION NECESSARY)013 ----------------------------------------------014 ( ) PER CLAIM BASIS015 CONVERSION FACTOR:______

TOTAL 50 1,000 * INCLUDE ALL BI PAID CLAIMS REGARDLESS OF THE CLAIMANT'S TORT THRESHOLD OR WHETHER THE CLAIM IS A "REPORTABLE" CLAIM.

NJAIRE PAGE 1 ** THIS COLUMN MUST COMPLETED ONLY BY COMPANIES UNABLE TO SEPARATE ALLOCATED FROM UNALLOCATED LOSS ADJUSTMENT EXPENSES

Exhibit 2

Page 8: NJAIRE Data Reporting

COMPANY/GROUP NAME: NJAIRE CALL FOR STATISTICS: FORM # 4COMPANY/GROUP NUMBER: Return to:CONTACT PERSON: Please check one: ( ) Voluntary (incl. A.R.) ( ) CAIP Insurance Services Office, Inc.ADDRESS: NOTE: Separate forms must be completed for voluntary (including assigned risks) and Special Data Initiatives

CAIP business. Completed forms for voluntary business must be returned to the 545 Washington BlvdTELEPHONE NUMBER: address at right. CAIP forms must be sent to the applicable association. 17-2

Jersey City, NJ 07310ACCIDENT YEAR 2010

TOTAL NUM OF BI LIAB. TOTAL NUM OF BI LIAB. REPORTABLE CLAIM INFORMATION DATE OF SUBMISSION:EARNED EXPOSURES PAID CLAIMANTS* PAID BI LIAB. TOTAL NUMBER PAID LOSS ADJUSTMENT EXPENSES

(CAR YEARS) AGAINST POLICIES IN WHICH REPORTABLE OF BI LIAB. COMBINED** __/__/__TERR. BY TORT THRESHOLD: INSURED CHOSE THRESHOLD: LOSS AMOUNT REPORTABLE ALLOCATED UNALLOCATED ALLOC. & UNALLOC. MO DAY YRCODE ZERO DOLLAR VERBAL ZERO DOLLAR VERBAL (DOLLARS ONLY) CLAIMANTS (DOLLARS ONLY) (DOLLARS ONLY) (DOLLARS ONLY)001 8 100002 0 12003 3 35 ACCOUNT QUARTER:004 4 26 1st Qtr: Due 5/15 ( )005 2 14 2nd Qtr: Due 8/15 ( )006 0 4 3rd Qtr: Due 11/15 ( )007 7 50 4th Qtr: Due 2/15 ( )008 3 17010 4 39 RECORDS MAINTAINED ON A:011 2 18 ( ) CLAIMANT BASIS012 2 22 (NO CONVERSION NECESSARY)013 1 9 ----------------------------------------------014 6 15 ( ) PER CLAIM BASIS015 4 80 CONVERSION FACTOR:______

TOTAL 50 1,000 * INCLUDE ALL BI PAID CLAIMS REGARDLESS OF THE CLAIMANT'S TORT THRESHOLD OR WHETHER THE CLAIM IS A "REPORTABLE" CLAIM.

NJAIRE PAGE 1 ** THIS COLUMN MUST COMPLETED ONLY BY COMPANIES UNABLE TO SEPARATE ALLOCATED FROM UNALLOCATED LOSS ADJUSTMENT EXPENSES

Exhibit 2

Page 9: NJAIRE Data Reporting

COMPANY/GROUP NAME: NJAIRE CALL FOR STATISTICS: FORM # 4COMPANY/GROUP NUMBER: Return to:CONTACT PERSON: Please check one: ( ) Voluntary (incl. A.R.) ( ) CAIP Insurance Services Office, Inc.ADDRESS: NOTE: Separate forms must be completed for voluntary (including assigned risks) and Special Data Initiatives

CAIP business. Completed forms for voluntary business must be returned to the 545 Washington BlvdTELEPHONE NUMBER: address at right. CAIP forms must be sent to the applicable association. 17-2

Jersey City, NJ 07310ACCIDENT YEAR 2010

TOTAL NUM OF BI LIAB. TOTAL NUM OF BI LIAB. REPORTABLE CLAIM INFORMATION DATE OF SUBMISSION:EARNED EXPOSURES PAID CLAIMANTS* PAID BI LIAB. TOTAL NUMBER PAID LOSS ADJUSTMENT EXPENSES

(CAR YEARS) AGAINST POLICIES IN WHICH REPORTABLE OF BI LIAB. COMBINED** __/__/__TERR. BY TORT THRESHOLD: INSURED CHOSE THRESHOLD: LOSS AMOUNT REPORTABLE ALLOCATED UNALLOCATED ALLOC. & UNALLOC. MO DAY YRCODE ZERO DOLLAR VERBAL ZERO DOLLAR VERBAL (DOLLARS ONLY) CLAIMANTS (DOLLARS ONLY) (DOLLARS ONLY) (DOLLARS ONLY)100 5 150105 7 105110 2 55 ACCOUNT QUARTER:120 0 30 1st Qtr: Due 5/15 ( )125 12 350 2nd Qtr: Due 8/15 ( )130 6 75 3rd Qtr: Due 11/15 ( )135 2 40 4th Qtr: Due 2/15 ( )140 4 75145 3 25 RECORDS MAINTAINED ON A:150 9 95 ( ) CLAIMANT BASIS

TOTAL 50 1,000 * INCLUDE ALL BI PAID CLAIMS REGARDLESS OF THE CLAIMANT'S TORT THRESHOLD OR WHETHER THE CLAIM IS A "REPORTABLE" CLAIM.

NJAIRE PAGE 1 ** THIS COLUMN MUST COMPLETED ONLY BY COMPANIES UNABLE TO SEPARATE ALLOCATED FROM UNALLOCATED LOSS ADJUSTMENT EXPENSES

Exhibit 2

Page 10: NJAIRE Data Reporting

Earned Exposures by Threshold and Accident Year (Individual insurers may vary)

0

1,000,000

2,000,000

3,000,000

4,000,000

5,000,000

2004 2005 2006 2007 2008 2009

Zero

Verbal

Page 11: NJAIRE Data Reporting

Exposure Thresholds for Accident Year 2009 (Individual insurers may vary)

5%

95%Zero

Verbal

Page 12: NJAIRE Data Reporting

Exposure Thresholds for Accident Year 2009 Individual Company (Actual Data: Minimum

10,000 Exposures)

14%

86%

ZeroVerbal

Page 13: NJAIRE Data Reporting

Exposure Thresholds for Accident Year 2009 Individual Company (Actual Data: Minimum

10,000 Exposures)

1%99% Zero

Verbal

Page 14: NJAIRE Data Reporting

Call Forms – Required Data (cont.)

Accident Year 2008 & subsequent – BI Paid Claimants against private passenger type autos subject to the No-Fault law by insured threshold and accident year

Accident Year 2007 & prior – BI Paid Claimants against private passenger type autos subject to the No-Fault law by insured threshold, territory and accident year

Page 15: NJAIRE Data Reporting

Report:

Out of state claimants against NJ insured autos subject to the No-Fault law

Intra-Family claimants

Claimants involving only economic losses

A BI claimant for a claim that is not yet closed may be reported once initial payment is made for that particular claimant. These claimants are not to be reported again even if additional payments are made to that claimant.

Page 16: NJAIRE Data Reporting

2004

Exposures(Insurers may vary)

BI Paid Claimants (Insurers may vary)

7%93% Zero

Verbal

6%94% Zero

Verbal

Page 17: NJAIRE Data Reporting

Call Forms – Required Data (cont.)

Accident Year 2008 & subsequent:

Reportable Claimant loss amounts and number of Reportable Claimants by accident year

Loss Adjustment Expenses for Reportable Claimants, allocated and unallocated (separately or combined)

Page 18: NJAIRE Data Reporting

Call Forms – Required Data (cont.)

Accident Year 2007 & prior:

Reportable Claimant loss amounts and number of Reportable Claimants by territory and accident year

Loss Adjustment Expenses for Reportable Claimants, allocated and unallocated (separately or combined)

Page 19: NJAIRE Data Reporting

A Reportable Claimant is...

One that could not be made had the claimant selected the Verbal Threshold, and

One where the claimant selected or defaulted to the Zero Dollar Threshold and the insured selected the Verbal Threshold

...the basis for establishing NJAIRE

Page 20: NJAIRE Data Reporting

How are Reportable Claimants identified?

Page 21: NJAIRE Data Reporting

NJ AIRE REPORTABLE CLAIMANT DETERMINATION FORM(For Accident Years 1999 and subsequent for policies issued or renewed on or after 7/1/99)

Claimant's Name Claim Number

1. Date of Closure (if claim is not yet closed for this claimant, do not fill out form.) / /

2a. Date of Accident (if prior to 1/1/99, STOP - this form does not apply.) / /

2b. Policy effective date (if prior to (7/1/99), STOP - this form does not apply) / /

3. Was the insured automobile a PRIVATE PASSENGER AUTOMOBILE as defined in the New J ersey YES NONo-Fault Bill? "Automobile" means a private passenger automobile of a private passenger or station wagon typethat is owned or hired and is neither used as a public or livery conveyance for passengers norrented to others with a driver; and a motor vehicle with a pickup body, a delivery sedan, a van, or apanel truck or a camper type vehicle used for recreational purposes owned by an individual or by ahusband and wife who are residents of the same household, not customarily used in theoccupation, profession or business of the insured other than farming or ranching.

(If "NO", check "NO" on Line 11 and STOP)

**PRIVATE PASSENGER AUTO ALSO INCLUDES A COMMERCIAL VEHICLE THAT MEETS THEDEFINITION OF A PRIVATE PASSENGER AUTO AS DEFINED IN THE NEW J ERSEY NO-FAULTBILL.

4. Is this an Uninsured Motorists (UM) or an Underinsured Motorists (UIM) claimant? YES NO(If "YES", check "NO" on line 11 and stop)

5. Is the claimant a New J ersey resident? YES NO(If "NO", check "NO" on line 11 and stop)

6. Is the claimant a person who is required to maintain PIP insurance YES NO(i.e., does he own a private passenger auto registered in New J ersey),or is he eligible to collect PIP benefits as a result of the accident?(If "NO", check "NO" on line 11 and stop)

7. Is the accident state New J ersey? YES NO(If "NO", check "NO" on line 11 and stop)

8. Did the insured choose the New J ersey verbal tort threshold? YES NO(If "NO", check "NO" on line 11 and stop)

9. Did the claimant choose the New J ersey zero tort threshold or did the the zero tort threshold YES NOapply due to the default provided by law (i.e., for people not owning an automobile)?(If "NO", check "NO" on line 11 and stop)

10. Do any of the following characterize this injury? YES NOa. deathb. dismembermentc. significant disfigurement or significant scarringd. displaced fracturese. loss of a fetusf. permanent injury within a reasonable degree of medical probability

other than scarring or disfigurement

(If the answer to #10 is "YES", check "NO" on line 11 and stop)

11. Is this a REPORTABLE CLAIMANT? YES NO(If "NO" has not already been checked here, this is a REPORTABLE CLAIMANT.)

12. If the answer on line 11 is "YES", this is a REPORTABLE CLAIMANT. Fill in the dollar amount $of that portion of the BI Liability settlement which reimbursed noneconomic losses.

11/99

Page 22: NJAIRE Data Reporting

How are Reportable Claimants identified? (cont.)

Reportable Claimants should be reported consistent with the facts involved in the settling of the claim.

Page 23: NJAIRE Data Reporting

Reportable Claimants to Verbal BI by Accident Year (Individual insurers may vary)

05,000

10,00015,00020,00025,00030,00035,000

2004 2005 2006 2007 2008 2009

Reportable

Verbal

Page 24: NJAIRE Data Reporting

Reportable Claimants to Verbal BI Accident Year 2005 (Individual insurers may vary)

10%

90%Verbal/Reportable

Verbal

Page 25: NJAIRE Data Reporting

Loss Severities by Year (Individual insurers may vary)

$0$5,000

$10,000$15,000$20,000$25,000$30,000$35,000

2005 2006 2007 2008 2009

AVG NJAIRE Reportable Claim Loss Amt (By Accident Year)

AVG NJ BI Claim Loss Amt (By Calendar Year)

Page 26: NJAIRE Data Reporting

Due Dates: to ISO (other than CAIP) or AIPSO (CAIP only):

ACCOUNT QUARTER DUE DATE

FIRST QUARTER MAY 15

SECOND QUARTER AUGUST 15

THIRD QUARTER NOVEMBER 15

FOURTH QUARTER FEBRUARY 15

Page 27: NJAIRE Data Reporting

B.B. Quality ReviewsQuality Reviews1.Use of the Data

a. Provisional Financial Transactionsb. Annual Cash Settlement (ACS)

2.Financial Impact on Companies

3.Cost of Late, Erroneous Data

4.Detecting Errors at the Call Form Level

Page 28: NJAIRE Data Reporting

1.1. Use of the DataUse of the DataThe Call Form data is used to calculate:

Provisional Financial Transactions

Each company’s quarterly assessment (monthly payments)

Each company’s quarterly reimbursement, plus share of investment income

Page 29: NJAIRE Data Reporting

Provisional Financial Transactions:

Quarterly Assessment - The quarterly assessment is determined by multiplying the number of Zero Dollar Exposures reported by your company, from two quarters prior, by the Assessment per Exposure determined by the Actuarial Committee for that Accident Year.

Example (Exhibit A) – 3rd Quarter 2010 Assessment:

Assessment per Exposure = $90Zero Dollar Exposures reported for 1st Quarter

2010 = 100Quarterly Assessment = $9,000Monthly Payments = $3,000

Page 30: NJAIRE Data Reporting

Provisional Financial Transactions (cont.):

Quarterly Disbursement – The quarterly disbursement is determined by multiplying your company’s share of the Industry-wide Verbal Exposures, from two quarters prior, by the total amount collected via the monthly payments.

Note: Your company’s share of Investment Income is calculated similar to above except it is multiplied by the amount of Investment Income earned on those funds collected via the monthly payments instead.

Page 31: NJAIRE Data Reporting

Example – 3rd quarter 2010 Reimbursement:

Company Verbal Exposures reported for 1st Quarter 2010 = 500

Industry Verbal Exposures reported for 1st Quarter 2010 = 1,000,000

Total amount collected via the 3rd Quarter 2010 monthly payments = $9,000,000

Investment Income earned on 3rd Quarter 2010 monthly payments = $100,000

Quarterly Reimbursement = (500/1,000,000)*$9,000,000 = $4,500

Share of Investment Income = (500/1,000,000)*$100,000 = $50

Total Quarterly Reimbursement = $4,550

Page 32: NJAIRE Data Reporting

The Call Form data is also used in:

Annual Cash Settlement (ACS):

Purpose Using the latest available accident year data:

Evaluates provisional financial transactions performed in previous calendar year

Re-evaluates assessment and reimbursement calculations for all other prior years (typically 10 accident years included in each ACS)

Accounts for all previous financial transactions for each member company as well as the time value of money

Page 33: NJAIRE Data Reporting

Annual Cash Settlement (ACS):

The “Pot” of losses to be reimbursed for each accident year being evaluated

Determined by NJAIRE Actuarial Committee using Reportable Loss and Loss Adjustment Expense data reported by all member companies

Each company’s Assessment* per accident year , accounting for the time value of money – based on zero dollar threshold data

* Calculated at the territory level for accident years 2007 and prior. For accident years 2008 and subsequent, this is calculated at the statewide level.

Page 34: NJAIRE Data Reporting

Annual Cash Settlement (ACS) (cont.):

Each company’s Reimbursement* per accident year, accounting for the time value of money – based on verbal threshold data

Re-distribution of investment income per accident year – based on verbal threshold data

Each company’s share of the NJAIRE administrative expenses – based on zero dollar threshold data

* Calculated at the territory level for accident years 2007 & prior. For accident years 2008 and subsequent, this is calculated at the statewide level.

Page 35: NJAIRE Data Reporting

2.2. Financial Impact on CompaniesFinancial Impact on CompaniesThe magnitude of the financial

transactions:

Approximately $6.5 million every quarter via the monthly payments and quarterly disbursements (the provisional financial transactions)

Approximately $412 million every year via the Annual Cash Settlement True-up

Page 36: NJAIRE Data Reporting

3.3. Cost of Late, Erroneous DataCost of Late, Erroneous Data

The costs can be significant:

Late Data - $50 per work day

Resubmissions - $250 per account quarter

Undetected Data Errors – can be over $1,000,000!

Page 37: NJAIRE Data Reporting

How can it be that much?

The ultimate Annual Cash Settlement formula assesses and reimburses based on BI Claimants: by Threshold, Territory* & Accident Year

BI Claimants reported incorrectly can potentially have a real financial impact

*For accident years 2007 and prior

Page 38: NJAIRE Data Reporting
Page 39: NJAIRE Data Reporting

4.4. Detecting Errors at the Call Form LevelDetecting Errors at the Call Form Level

What is done today?

ISO performs high level data checks upon receipt and in the financial transaction process

Companies are contacted regarding unusual data

Page 40: NJAIRE Data Reporting

AIPSO performs completeness checks and detailed checks on claim samples in the compliance audit process

This covers about 10 companies per year

The ISO and AIPSO checks alone can not catch everything

Page 41: NJAIRE Data Reporting

What can companies do? What kind of reviews will be useful?

What types of errors are commonly made?

How many can be caught by expending a reasonable amount of company resources?

Page 42: NJAIRE Data Reporting

Common errors:

Exposures: Car months, Written, Cumulative, Threshold

BI Claimants: Threshold, Territory *

* Territory errors apply to accident year 2007 & prior

Page 43: NJAIRE Data Reporting

COMPANY/GROUP NAME:Company B NJAIRE CALL FOR STATISTICS: FORM # 4COMPANY/GROUP NUMBER: #CONTACT PERSON: Please check one: ( X ) Voluntary (incl. A.R.) ( ) CAIPADDRESS: NOTE: Separate forms must be completed for voluntary (including assigned risks) and

CAIP business. Completed forms for voluntary business must be returned to theTELEPHONE NUMBER: address at right. CAIP forms must be sent to the applicable association.

ACCIDENT YEAR 2008TOTAL NUM OF BI LIAB. TOTAL NUM OF BI LIAB. REPORTABLE CLAIM INFORMATIONEARNED EXPOSURES PAID CLAIMANTS* PAID BI LIAB. TOTAL NUMBER

(CAR YEARS) AGAINST POLICIES IN WHICH REPORTABLE OF BI LIAB.TERR. BY TORT THRESHOLD: INSURED CHOSE THRESHOLD: LOSS AMOUNT REPORTABLECODE ZERO DOLLAR VERBAL ZERO DOLLAR VERBAL (DOLLARS ONLY) CLAIMANTS001 0 0002 0 0003 0 0004 1 0005 0 0006 1 1,071007 39 5008 0 77010 0 126 11 0011 1 116012 0 36

Page 44: NJAIRE Data Reporting

Common errors:

Reportable Claimants: All BI Paid Claimants included

ALAE, ULAE: Reported separately and combined

Page 45: NJAIRE Data Reporting

CONTACT PERSON: Please check one: ( X ) Voluntary (incl. A.R.) ( ) CAIPADDRESS: NOTE: Separate forms must be completed for voluntary (including assigned risks) and

CAIP business. Completed forms for voluntary business must be returned to theTELEPHONE NUMBER: address at right. CAIP forms must be sent to the applicable association.

ACCIDENT YEAR 2006REPORTABLE CLAIM INFORMATION

PAID BI LIAB. TOTAL NUMBER PAID LOSS ADJUSTMENT EXPENSES

REPORTABLE OF BI LIAB. COMBINED**

TERR. LOSS AMOUNT REPORTABLE ALLOCATED UNALLOCATEDALLOC. & UNALLOC.

CODE VERBAL (DOLLARS ONLY) CLAIMANTS(DOLLARS ONLY)(DOLLARS ONLY)(DOLLARS ONLY)

001002003 15 100,000 15 4,000 4,500004005006007008 1 8,000 1 750 1,250 2,000010011012013014015

Page 46: NJAIRE Data Reporting

Review needs:

Current & previous quarter’s data

Knowledge about your company

About 15 minutes per quarter

Page 47: NJAIRE Data Reporting

Exposures by Threshold:

Data needed: Statewide totals

General expectation: Volume +/- 5%

Zero Dollar Exposures as % of total: +/- 2%

Page 48: NJAIRE Data Reporting

Company A:Earned Exposures by Quarter

0

10,000

20,000

30,000

40,000

200903 200906 200909 200912 201003

Exposures

Page 49: NJAIRE Data Reporting

Company B:Earned Exposures by Quarter

0

10,000

20,000

30,000

40,000

50,000

60,000

70,000

200903 200906 200909 200912 201003

Exposures

Page 50: NJAIRE Data Reporting

BI Paid Claimants by Insured Threshold:

Data needed: Statewide totals, all Accident Years

General expectation: Similar volume per Accident Year, allowing for development

Claim Frequencies per Threshold similar, averaging 0.5 – 1.5 per 100 Car Years

Page 51: NJAIRE Data Reporting

Company A:BI Paid Claimants by Quarter

0

50

100

150

200

250

300

350

201003 201006 201009 201012 201103

BI Paid Claimants

Page 52: NJAIRE Data Reporting

Company B:BI Paid Claimants by Threshold and Quarter

0

10

20

30

40

50

201003 201006 201009 201012

Zero

Verbal

Page 53: NJAIRE Data Reporting

Reportable Claimants & Losses:

Data needed: Statewide totals, all Accident Years

General expectations:

Percentage of Verbal: 4 - 28%, average 12%

Reportable Losses: $3,000 - $15,000, average $ 7,900

Page 54: NJAIRE Data Reporting

Company A:Verbal and Reportable Claimants by Quarter

01020304050

201003 201006 201009 201012

Reportable

Verbal

Page 55: NJAIRE Data Reporting

Loss Adjustment Expenses:

Data needed: Statewide totals, all Accident Years

General expectation: 5 – 35% of Reportable Losses (Note: may lag)

Company Methodology: Formula?

Page 56: NJAIRE Data Reporting

More difficult errors to detect:

Territory errors *

Completeness

Checks that could help:

Territory errors *

Visual Checks

* Territory errors apply to accident year 2007 & prior

Page 57: NJAIRE Data Reporting

Visual Checks by Territory *:

Possible problem areas –

Large change in Exposures by Quarter

Exposures in Other than Current Accident Year for the Current Quarter

Zero Dollar Exposures > Verbal Exposures

* Territory applies to accident year 2007 & prior. Same checks can be performed at Statewide or Territory level for accident year 2008 & subsequent depending on how each company opts to report their data.

Page 58: NJAIRE Data Reporting

Visual Checks by Territory *:

Possible problem areas –

BI Paid Claimants vs. Zero Dollar > BI Paid Claimants vs. Verbal

Reportable Claimants > BI Paid Claimants vs. Verbal

Reportable Losses w/o Reportable Claimants, and vice-versa

* Territory applies to accident year 2007 & prior. Same checks can be performed at Statewide or Territory level for accident year 2008 & subsequent depending on how each company opts to report their data.

Page 59: NJAIRE Data Reporting

Checks that could help:

Completeness

Other Existing Internal Data

Special Reports

Page 60: NJAIRE Data Reporting

SummarySummary

Poor data quality can have a large, hidden impact on your company’s bottom line

With a reasonable effort you can help ensure that your company is properly assessed and reimbursed

Page 61: NJAIRE Data Reporting

REMEMBER,REMEMBER,ISO is here to help make your reporting of NJAIRE

data as easy and accurate as possible.

If you have any questions, you can email [email protected] or contact:Mike McAuley, [email protected] (201-469-2323)Pat Lloyd, [email protected] (201-469-2326)Katrine Pertsovski, [email protected] (201-469-

3841)

You can also visit the NJAIRE website at www.njaire.org. It contains a Frequently Asked Questions section, copies of all reporting forms, seminar information including the PowerPoint presentations, Plan of Operation, Procedure Manual, etc.