Utah Medical Insurance Association - Page 6

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          reserves for unpaid losses.  A property and casualty company's              
          loss reserve is the amount that is needed to make all future                
          payments on claims that have already been incurred.  Utah Code              
          Ann. sec. 31A-17-402(1) (1997) requires insurers to report a                
          liability for unpaid losses equal to "the estimated amount                  
          necessary to pay all its unpaid losses and claims incurred on or            
          prior to the date of statement, whether reported or unreported,             
          together with the expense of adjustment or settlement of the loss           
          or claim".                                                                  
               The reserve for unpaid losses3 includes all incurred losses.           
          Incurred losses include insured events for which a claim has been           
          filed (reported losses), and insured events for which no claim              
          has been filed with the company; i.e., incurred but not reported            
          (IBNR) losses.                                                              
               The first step in estimating loss reserves is to estimate              
          the total amount that will ultimately be paid for a coverage year           
          for all claims existing on a given date (ultimate losses).                  
          Ultimate losses equal paid losses plus an estimate of unpaid                
          losses at the end of the year.  Unpaid losses are generally                 
          estimated not later than the year in which the insured event                
          giving rise to the loss occurred (the accident year).4  In                  

               3 Unless otherwise indicated, we use the terms "loss" and              
          "unpaid loss" to include both losses and loss adjustment                    
          expenses; that is, amounts paid to defend or settle claims.                 
               4 Unless otherwise indicated, we use the term "coverage                
                                                             (continued...)           




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Last modified: May 25, 2011