WILLIAM DONALD SCHAEFER, Governor                    Ch. 590

(6) ANY OTHER ANNUAL STATEMENT LIABILITY LINE
DESIGNATED BY THE COMMISSIONER.

(D) A REPORT FILED UNDER THIS SECTION SHALL INCLUDE THE
FOLLOWING DATA SPECIFIC TO THIS STATE AND OTHER STATES BY THE
TYPE OF INSURANCE FOR THE PREVIOUS YEAR ENDING ON THE DECEMBER 31
NEXT PRECEDING:

(1) PREMIUMS WRITTEN;

(2) PREMIUMS EARNED;

(3) NET INVESTMENT INCOME, INCLUDING NET REALIZED
CAPITAL GAINS AND LOSSES, USING APPROPRIATE ESTIMATES WHERE
NECESSARY;

(4) TOTAL AMOUNT OF INCURRED CLAIMS EXPRESSED IN
TERMS OF THE FOLLOWING COMPONENTS:

(I) CLOSED CLAIMS EXPRESSED IN TERMS OF THE
FOLLOWING COMPONENTS:

1. DOLLAR AMOUNT OF CLAIMS PAID BY FINAL
JUDGMENTS; PLUS

2. DOLLAR AMOUNT OF CLAIMS PAID BY
SETTLEMENTS; PLUS

(II) RESERVES FOR REPORTED CLAIMS AT THE END OF
THE CURRENT YEAR; MINUS

(III) RESERVES FOR REPORTED CLAIMS AT THE END
OF THE PREVIOUS YEAR; PLUS

(IV) RESERVES FOR INCURRED BUT NOT REPORTED
CLAIMS AT THE END OF THE CURRENT YEAR; MINUS

(V) RESERVES FOR INCURRED BUT NOT REPORTED
CLAIMS AT THE END OF THE PREVIOUS YEAR; PLUS

(VI) LOSS ADJUSTMENT EXPENSES PAID; PLUS

(VII) RESERVES FOR REPORTED LOSS ADJUSTMENT
EXPENSES AT THE END OF THE CURRENT YEAR; PLUS

(VIII) RESERVES FOR UNREPORTED LOSS ADJUSTMENT
EXPENSES AT THE END OF THE CURRENT YEAR; MINUS

(IX) RESERVES FOR REPORTED LOSS ADJUSTMENT
EXPENSES AT THE END OF THE PREVIOUS YEAR; MINUS

(X) RESERVES FOR UNREPORTED LOSS ADJUSTMENT
EXPENSES AT THE END OF THE PREVIOUS YEAR;

- 2675 -