Attachment J - 2023 Commonwealth of KY Loss Runs - RFB 758 2300000826.pdf

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Attached to
Master Aviation Insurance
Solicitation number
RFB 758 2300000826 1
Issued by
Elliott County, Kentucky

About this file

This document is a Loss Runs report for the Commonwealth of Kentucky's various state agencies under insurance policy 1000237730, administered through the State Risk & Insurance Services Division with Starr as the underwriter at 100% share. The report covers five policy years spanning August 2018 through August 2023, documenting the loss experience across the insured portfolio.

The loss history demonstrates minimal claims activity across the five-year period reviewed as of May 11, 2023. Only one loss was recorded during the policy year 2020 (8/13/2020 - 8/13/2021), involving aircraft damage from a gear-up landing incident reported on claim number N85A AVSIL0544849. This claim resulted in total incurred losses of $117,076.11, comprised of $110,000.00 in losses paid and $7,076.11 in expenses paid, with an outstanding reserve of $49,325.11. The remaining four policy years—2018, 2019, 2021, and 2022—reported no losses. Overall totals across all five years show $110,000.00 in losses paid and $7,076.11 in expenses paid, for a combined total of $117,076.11 incurred against the portfolio.

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*all numbers represent the Starr written line LOSS EXPERIENCE as of 5/11/2023 Commonwealth of Kentucky - VARIOUS STATE AGENCIES C/O STATE RISK & INSURANCE SERVICES DIVISION Policy #: 1000237730-05 Policy Year: 2022 Policy Period: 8/13/2022 - 8/13/2023 Starr Share: 100% *all numbers represent the Starr written line There are no Losses for this period

Commonwealth of Kentucky - VARIOUS STATE AGENCIES C/O STATE RISK & INSURANCE SERVICES DIVISION Policy #: 1000237730-04 Policy Year: 2021 Policy Period: 8/13/2021 - 8/13/2022 Starr Share: 100% *all numbers represent the Starr written line There are no Losses for this period

Commonwealth of Kentucky - VARIOUS STATE AGENCIES C/O STATE RISK & INSURANCE SERVICES DIVISION Policy #: 1000237730-03 Policy Year: 2020 Policy Period: 8/13/2020 - 8/13/2021 Starr Share: 100% *all numbers represent the Starr written line

Claimant Claim # Date of Loss Date

Reported Losses Paid

Expenses Paid

Total Paid

Loss Reserve

Expense Reserve

O/S Reserve

Total Incurred Summary Adjustor Status

N85A AVSIL0544849 5/14/2021 6/25/2021 $110,000.00 $7,076.11 $117,076.11 $0.00 $0.00 $0.00 $49,325.11Gear up landing. Damage is on the propeller, belly, gear doors and exhaust. Engine will need to be inspected as well.

Mueller, Warren

Closed

TOTALS8/13/2020 - 8/13/2021 $110,000.00 $7,076.11 $117,076.11 $0.00 $0.00 $0.00 $49,325.11

Commonwealth of Kentucky - VARIOUS STATE AGENCIES C/O STATE RISK & INSURANCE SERVICES DIVISION Policy #: 1000237730-02 Policy Year: 2019 Policy Period: 8/13/2019 - 8/13/2020 Starr Share: 100% *all numbers represent the Starr written line There are no Losses for this period

Commonwealth of Kentucky Policy #: 1000237730-01 Policy Year: 2018 Policy Period: 8/13/2018 - 8/13/2019 Starr Share: 100% *all numbers represent the Starr written line There are no Losses for this period

Losses Paid

Expenses Paid

Total Paid

Loss Reserve

Expense Reserve

O/S Reserve

Total Incurred

OVERALL TOTALS $110,000.00 $7,076.11 $117,076.11 $0.00 $0.00 $0.00 $49,325.11

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