CALL FOR FOURTH QUARTER EXPERIENCE – 2015 CALL FOR FOURTH QUARTER EXPERIENCE – 2015 WORKERS' COMPENSATION DEDUCTIBLE PLANS

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2016

B-0001-16

January 7, 2016

To:

ALL INSURANCE COMPANIES, CORPORATIONS, EXCHANGES, MUTUALS, RECIPROCALS, ASSOCIATIONS, LLOYDS, OR OTHER INSURERS LICENSED TO WRITE PRIVATE PASSENGER NONFLEET AUTOMOBILE, HOMEOWNERS MULTIPLE PERIL, WORKERS' COMPENSATION, COMMERCIAL FIRE AND ALLIED LINES, COMMERCIAL MULTIPLE PERIL, GENERAL LIABILITY, BOILER AND MACHINERY, COMMERCIAL CRIME, COMMERCIAL GLASS, MEDICAL PROFESSIONAL LIABILITY, OR MISCELLANEOUS PROFESSIONAL LIABILITY INSURANCE IN THE STATE OF TEXAS

Re:

CALL FOR FOURTH QUARTER EXPERIENCE – 2015 CALL FOR FOURTH QUARTER EXPERIENCE – 2015 WORKERS' COMPENSATION DEDUCTIBLE PLANS

The Texas Department of Insurance issues the attached mandatory data call under Texas Insurance Code, Sections 2251.003, 2251.008, 38.001, 38.401, and 38.402. This data call is the basis for a report that TDI is required to submit quarterly to the governor, lieutenant governor, the speaker, the Legislature, and the public.

You must respond to this data call using the instructions that are linked to this bulletin no later than

February 15, 2016

. You also must retain underlying data, individual source documents, and other information used to develop your response until at least February 15, 2018.

If you do not respond to this data call within the time limits specified, you will be in violation of the Texas Insurance Code and subject to the applicable penalties.

You must complete the data call using the interactive PDF forms included as a link in this bulletin. These forms require Adobe Acrobat 7.0 or higher, or a compatible version of Adobe Reader.

Submit separate forms for each company in your group licensed for one or more lines of business covered in this data call.

If you are unable to download the forms or have any questions concerning this data call, please contact Vicky Knox by phone at 512-676-6690, or by email at

PCDataCallQuarterly@tdi.texas.gov

se forms require Adobe Acrobat 7.0 or higher, or a compatible version of Adobe Reader.

Submit separate forms for each company in your group licensed for one or more lines of business covered in this data call.

If you are unable to download the forms or have any questions concerning this data call, please contact Vicky Knox by phone at 512-676-6690, or by email at

PCDataCallQuarterly@tdi.texas.gov

.

Brian Ryder, FCAS, MAAA

Data Services Team

Regulatory Policy Division – Property and Casualty Actuarial Office

Affidavit and instructions

Interactive PDF Forms

For more information, contact:

ChiefClerk@tdi.texas.gov

Last updated:

1/8/2016