Attachment I - Loss Run - 10052021.pdf

PDF 384 KB Posted

Attached to
Public Officials Liability Insurance
Solicitation number
RFB 758 2200000252 3
Issued by
Elliott County, Kentucky

About this file

This is a Loss Run document from RSUI Group, Inc., dated October 5, 2021, detailing workers' compensation insurance claims history for the Kentucky Worker's Compensation Funding Commission. The document covers two policy periods: NPP690759 from December 31, 2020 to December 31, 2021, and NPP684706 from December 31, 2019 to December 31, 2020. No claims were filed during either policy year, indicating a clean claims history for the insured entity.

The loss run summary shows zero gross incurred losses, zero paid indemnity expenses, and zero total expenses across both policy periods. This document serves as verification of the commission's risk profile and claims experience, which is typically required for insurance renewal, bid evaluations, or financial underwriting purposes.

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Text version

(cont)Claim No:

Loss Run for NPP690759 - Kentucky Worker's Compensation Funding Commission For all years

Insured Name: Kentucky Worker's Compensation Funding Commission

Policy No: NPP690759 0 Term: 12/31/2020 - 12/31/2021

False

No claims exist for this policy year.

Insured Name: Kentucky Worker's Compensation Funding Commission

Policy No: NPP684706 0 Term: 12/31/2019 - 12/31/2020

False

No claims exist for this policy year.

Total Gross Incurred Paid Indemnity $0.00

Expense $0.00 Total $0.00

CLMSRS001E-3; 10/5/2021 11:14 AMRSUI Group, Inc.Page 1 of 1

File details come from the government source that posted it. Updated .