Form TRIP 05 TRIP 05 Data Call

Terrorism Risk Insurance Program Cap on Annual Liability

TRIP 05 Data Call Form 7June2012.xls

TRIP Data Call [Cap on Annual Liability]

OMB: 1505-0208

Document [xlsx]
Download: xlsx | pdf























OMB No. 1505-0208 Expiration: November 30, 2015









TRIP 05























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








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File Modified2012-06-07
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