Open Loss Runs Summary.pdf

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Attached to
Workers Compensation Claims Third Party Administrator (TPA)
Solicitation number
74BAI-S3432
Issued by
Churchill County, Nevada

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Written by GovTribe AI ·

This document appears to be a comprehensive claims loss and activity report tracking multiple workers' compensation insurance claims across various loss types from 1985 to 2022. The data contains detailed financial information for 78 individual claims, categorized by loss types including permanent total disability, temporary disability, medical only, and death claims. Each claim entry includes granular financial data such as medical activity paid, indemnity activity paid, total activity paid, medical reserves, indemnity reserves, and incurred costs.

The total aggregate financial impact across all claims is substantial, with cumulative totals showing $31,266,175.01 in medical paid, $22,475,887.53 in indemnity paid, and $5,781,738.93 in other paid expenses, resulting in a total paid amount of $59,523,801.47. The claims span multiple decades and represent varying severity levels, with medical reserves, indemnity reserves, and other reserves totaling $11,036,906.34. The claims are marked with different statuses (O for Open, R for Resolved) and cover loss dates ranging from July 13, 1985, to June 29, 2022, indicating a long-term tracking and management of workers' compensation claims with significant financial implications.

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Loss Type Loss Date Claim Status

Medical Activity Paid

Indemnity Activity Paid

Exp activity

Legal Activity

Paid

Rehab Activity

Paid

Total Activity Paid

Medical Paid Indemnity Paid Other Paid Total Paid Medical Reserves

Indemnity Reserves

Other Reserves Total Reserves Medical Incurred

Indemnity Incurred

Other Incurred Total Incurred

Perm Total Dis 7/13/1985 O 0.00 1,182.76 0.00 0.00 1,182.76 58,339.97 669,756.16 10,926.53 739,022.66 25,173.39 15,651.92 7,661.09 48,486.40 83,513.36 685,408.08 18,587.62 787,509.06 Death claim 3/30/1989 O 0.00 1,915.62 0.00 0.00 1,915.62 5,216.92 710,111.73 0.00 715,328.65 0.00 11,933.21 0.00 11,933.21 5,216.92 722,044.94 0.00 727,261.86 Perm Total Dis 8/27/1989 O 0.00 0.00 0.00 0.00 0.00 709,757.73 338,716.82 60,603.14 1,109,077.69 461,015.97 244,833.78 116,913.29 822,763.04 1,170,773.70 583,550.60 177,516.43 1,931,840.73 Perm Total Dis 5/19/1992 O 111.03 0.00 0.00 0.00 154.76 209,441.10 930.66 25,236.40 235,608.16 167,378.12 1,569.34 13,615.36 182,562.82 376,819.22 2,500.00 38,851.76 418,170.98 Perm Total Dis 11/7/1992 O 0.00 1,046.01 0.00 0.00 1,046.01 138,071.90 320,292.83 6,386.98 464,751.71 3,000.00 4,947.81 1,875.80 9,823.61 141,071.90 325,240.64 8,262.78 474,575.32 Temp disability 7/5/1995 R 7,417.76 0.00 374.00 0.00 8,586.12 253,451.66 133,186.35 54,160.73 440,798.74 3,995.77 3,259.17 7,951.81 15,206.75 257,447.43 136,445.52 62,112.54 456,005.49 Perm Total Dis 9/22/1998 O 0.00 3,620.41 0.00 0.00 3,620.41 0.00 278,603.87 240.00 278,843.87 0.00 346,829.61 3,260.00 350,089.61 0.00 625,433.48 3,500.00 628,933.48 Perm Total Dis 1/6/1999 R 0.00 2,383.67 0.00 0.00 2,383.67 365,120.06 603,134.93 126,273.91 1,094,528.90 356,028.15 7,576.45 41,020.52 404,625.12 721,148.21 610,711.38 167,294.43 1,499,154.02 Death claim 6/10/1999 O 0.00 2,640.83 0.00 0.00 0.00 2,640.83 1,065.26 752,908.75 21,541.29 775,515.30 0.00 13,523.02 586.00 14,109.02 1,065.26 766,431.77 22,127.29 789,624.32 PP 7/18/2000 O 0.00 0.00 0.00 0.00 0.00 0.00 291,755.50 192,420.71 117,732.56 601,908.77 0.00 5,200.00 50.00 5,250.00 291,755.50 197,620.71 117,782.56 607,158.77 Perm Total Dis 7/26/2000 O 0.00 2,894.54 0.00 0.00 2,894.54 495,345.57 716,985.60 107,118.81 1,319,449.98 85,920.27 36,780.04 46,200.34 168,900.65 581,265.84 753,765.64 153,319.15 1,488,350.63 PP 9/22/2000 O 607.50 0.00 82.38 0.00 0.00 689.88 446,111.83 167,884.76 123,924.64 737,921.23 17,003.00 4,917.80 7,221.71 29,142.51 463,114.83 172,802.56 131,146.35 767,063.74 PP 9/28/2000 O 0.00 227.83 0.00 0.00 0.00 227.83 248,567.56 139,815.84 121,494.32 509,877.72 0.00 15,357.85 0.00 15,357.85 248,567.56 155,173.69 121,494.32 525,235.57 PP 2/14/2001 O 0.00 204.56 0.00 0.00 0.00 204.56 396,835.33 180,794.65 145,503.75 723,133.73 42,315.00 81,421.64 7,388.00 131,124.64 439,150.33 262,216.29 152,891.75 854,258.37 Temp disability 3/26/2001 O 112.47 0.00 0.00 0.00 150.34 142,453.25 50,808.50 56,970.96 250,232.71 15,113.17 1.00 6,325.95 21,440.12 157,566.42 50,809.50 63,296.91 271,672.83 Perm Total Dis 4/11/2001 O 2,232.95 4,207.41 0.00 0.00 0.00 6,440.36 824,159.59 905,243.31 67,662.79 1,797,065.69 76,211.64 486,323.54 1,570.00 564,105.18 900,371.23 1,391,566.85 69,232.79 2,361,170.87 PP 6/5/2001 R 974.33 0.00 0.00 0.00 1,105.78 255,751.30 91,203.11 11,257.11 358,211.52 6,402.42 0.00 7,435.04 13,837.46 262,153.72 91,203.11 18,692.15 372,048.98 PP 8/1/2001 O 0.00 114.55 0.00 0.00 0.00 114.55 12,719.47 35,866.57 845.31 49,431.35 0.00 8,747.35 0.00 8,747.35 12,719.47 44,613.92 845.31 58,178.70 Temp disability 9/25/2001 O 0.00 0.00 0.00 0.00 0.00 0.00 559,467.64 259,882.22 161,160.30 980,510.16 0.00 0.00 638.00 638.00 559,467.64 259,882.22 161,798.30 981,148.16 PP 1/30/2002 O 0.00 0.00 0.00 0.00 0.00 0.00 160,798.07 152,292.87 17,339.85 330,430.79 2,287.65 1.00 2,955.69 5,244.34 163,085.72 152,293.87 20,295.54 335,675.13 PP 4/15/2002 O 0.00 0.00 0.00 0.00 0.00 0.00 150,408.46 49,161.64 66,484.97 266,055.07 0.00 10,018.63 2,973.56 12,992.19 150,408.46 59,180.27 69,458.53 279,047.26 Perm Total Dis 5/20/2002 O 15,565.97 2,991.72 0.00 0.00 18,990.09 2,599,457.94 445,599.25 274,254.29 3,319,311.48 3,907,191.12 377,726.88 556.71 4,285,474.71 6,506,649.06 823,326.13 274,811.00 7,604,786.19 Temp disability 2/8/2003 O 195.69 0.00 0.00 0.00 214.73 467,729.52 122,850.45 75,793.52 666,373.49 5,554.62 15,839.82 8,009.51 29,403.95 473,284.14 138,690.27 83,803.03 695,777.44 PP 5/28/2003 O 0.00 445.97 0.00 0.00 0.00 445.97 266,331.09 206,627.82 67,086.80 540,045.71 0.00 17,583.18 0.00 17,583.18 266,331.09 224,211.00 67,086.80 557,628.89 Temp disability 11/14/2003 R 0.00 0.00 0.00 0.00 0.00 0.00 128,801.61 5,944.75 883.56 135,629.92 4,982.15 0.00 1,478.21 6,460.36 133,783.76 5,944.75 2,361.77 142,090.28 Perm Total Dis 1/19/2004 O 0.00 3,105.97 0.00 0.00 0.00 3,105.97 101,927.26 633,469.93 30,335.82 765,733.01 0.00 10,850.18 451.00 11,301.18 101,927.26 644,320.11 30,786.82 777,034.19 Death claim 4/20/2004 O 0.00 1,510.57 0.00 0.00 0.00 1,510.57 88,919.96 338,946.36 10,341.32 438,207.64 0.00 9,019.58 240.00 9,259.58 88,919.96 347,965.94 10,581.32 447,467.22 PP 5/25/2004 O 0.00 0.00 0.00 0.00 0.00 0.00 460,136.68 168,348.61 91,963.39 720,448.68 0.00 1,266.14 0.00 1,266.14 460,136.68 169,614.75 91,963.39 721,714.82 Temp disability 9/17/2004 O 0.00 0.00 0.00 0.00 0.00 0.00 62,198.08 46,905.17 49,669.64 158,772.89 24,642.00 26,350.00 12,057.00 63,049.00 86,840.08 73,255.17 61,726.64 221,821.89 PP 9/21/2005 O 53.96 432.57 22.05 0.00 0.00 508.58 100,920.35 235,088.77 52,016.03 388,025.15 784.16 2,919.58 411.80 4,115.54 101,704.51 238,008.35 52,427.83 392,140.69 PD 3/6/2006 O 0.00 0.00 0.00 0.00 0.00 0.00 96,883.56 111,742.39 2,525.55 211,151.50 0.00 13,152.90 0.00 13,152.90 96,883.56 124,895.29 2,525.55 224,304.40 PP 5/12/2006 O 0.00 225.30 0.00 0.00 0.00 225.30 258,841.81 97,517.30 46,588.26 402,947.37 0.00 9,283.20 0.00 9,283.20 258,841.81 106,800.50 46,588.26 412,230.57 Temp disability 5/16/2006 O 139.59 0.00 16.78 0.00 0.00 156.37 440,334.59 62,137.92 6,500.11 508,972.62 41,621.15 0.00 3,775.50 45,396.65 481,955.74 62,137.92 10,275.61 554,369.27 PP 4/7/2007 O 0.00 0.00 0.00 2,887.36 2,887.36 8,961.86 54,034.88 29,470.11 92,466.85 1,085.39 5,668.96 16,347.10 23,101.45 10,047.25 59,703.84 45,817.21 115,568.30 PP 5/2/2007 O 0.00 254.27 0.00 0.00 0.00 254.27 207,542.79 53,650.44 1,501.63 262,694.86 0.00 74,243.38 0.00 74,243.38 207,542.79 127,893.82 1,501.63 336,938.24 PP 3/20/2008 O 0.00 139.10 0.00 0.00 0.00 139.10 107,312.88 198,651.38 36,960.11 342,924.37 0.00 29,934.40 0.00 29,934.40 107,312.88 228,585.78 36,960.11 372,858.77 PP 11/19/2008 O 233.50 245.58 91.19 0.00 0.00 570.27 194,898.83 215,748.22 72,938.62 483,585.67 3,651.26 17,405.52 1,246.31 22,303.09 198,550.09 233,153.74 74,184.93 505,888.76 Medical only 3/27/2012 R 0.00 0.00 0.00 0.00 0.00 326.39 0.00 2,221.07 2,547.46 3,173.61 0.00 1,778.93 4,952.54 3,500.00 0.00 4,000.00 7,500.00 PP 12/27/2012 O 0.00 257.12 0.00 0.00 0.00 257.12 59,392.56 114,557.33 49,866.52 223,816.41 0.00 12,434.40 0.00 12,434.40 59,392.56 126,991.73 49,866.52 236,250.81 Temp disability 9/26/2013 O 3,496.22 2,200.32 37.89 0.00 0.00 5,734.43 1,712,925.39 274,576.70 93,059.41 2,080,561.50 396,742.07 685,202.08 95,550.33 1,177,494.48 2,109,667.46 959,778.78 188,609.74 3,258,055.98 Temp disability 4/29/2015 O 0.00 3,284.68 0.00 0.00 3,284.68 9,518.15 239,662.19 4,195.86 253,376.20 2,970.12 10,650.60 1,218.87 14,839.59 12,488.27 250,312.79 5,414.73 268,215.79 Temp disability 11/30/2015 O 0.00 684.81 0.00 0.00 684.81 4,413,590.00 6,377,611.44 1,133,616.00 11,924,817.44 0.00 16,434.24 0.00 16,434.24 4,413,590.00 6,394,045.68 1,133,616.00 11,941,251.68 Perm Total Dis 12/14/2015 O 6,146.46 3,676.10 99.88 0.00 0.00 9,922.44 1,101,930.28 377,664.32 24,914.86 1,504,509.46 951,701.09 440,530.40 390,307.13 1,782,538.62 2,053,631.37 818,194.72 415,221.99 3,287,048.08 PP 2/20/2016 O 0.00 358.13 0.00 0.00 358.13 65,030.76 416,979.30 69,675.07 551,685.13 19,665.75 106,006.48 2,283.19 127,955.42 84,696.51 522,985.78 71,958.26 679,640.55 PP 6/6/2016 O 0.00 0.00 153.00 0.00 153.00 68,898.76 205,663.76 81,963.03 356,525.55 348.51 4,642.33 44,036.42 49,027.26 69,247.27 210,306.09 125,999.45 405,552.81 Temp disability 7/18/2016 O 0.00 199.64 0.00 4,168.60 4,368.24 98,969.25 407,522.29 177,506.24 683,997.78 1,336.98 62,651.41 2,504.92 66,493.31 100,306.23 470,173.70 180,011.16 750,491.09 PP 9/24/2016 O 0.00 0.00 0.00 0.00 0.00 4,742.50 74,505.37 18,345.78 97,593.65 1,000.00 0.00 3,370.12 4,370.12 5,742.50 74,505.37 21,715.90 101,963.77 Temp disability 2/28/2017 O 0.00 0.00 0.00 0.00 0.00 22,627.58 157,322.71 2,151.83 182,102.12 16,914.81 0.00 8,348.17 25,262.98 39,542.39 157,322.71 10,500.00 207,365.10 PP 5/14/2017 O 0.00 0.00 0.00 0.00 0.00 82,612.26 279,740.10 96,415.48 458,767.84 14,011.15 0.00 363.52 14,374.67 96,623.41 279,740.10 96,779.00 473,142.51 PP 9/29/2017 O 0.00 0.00 0.00 0.00 0.00 27,193.32 213,793.74 7,851.47 248,838.53 271.50 0.00 482.51 754.01 27,464.82 213,793.74 8,333.98 249,592.54 Temp disability 10/14/2017 O 0.00 0.00 0.00 0.00 0.00 32,284.94 336,852.24 108,753.21 477,890.39 766.40 7,385.32 -1,582.89 6,568.83 33,051.34 344,237.56 107,170.32 484,459.22 Temp disability 1/15/2018 O 0.00 0.00 0.00 0.00 0.00 37,303.70 45,522.39 5,350.59 88,176.68 1,196.30 8.44 5,899.41 7,104.15 38,500.00 45,530.83 11,250.00 95,280.83

Loss Type Loss Date Claim Status

Medical Activity Paid

Indemnity Activity Paid

Exp activity

Legal Activity

Paid

Rehab Activity

Paid

Total Activity Paid

Medical Paid Indemnity Paid Other Paid Total Paid Medical Reserves

Indemnity Reserves

Other Reserves Total Reserves Medical Incurred

Indemnity Incurred

Other Incurred Total Incurred

Temp disability 2/10/2018 R 884.55 0.00 0.00 0.00 1,115.55 6,733.37 104,101.39 2,280.01 113,114.77 615.45 0.00 769.00 1,384.45 7,348.82 104,101.39 3,049.01 114,499.22 Medical only 5/19/2018 O 900.05 0.00 877.50 0.00 2,013.30 1,310.84 0.00 2,348.26 3,659.10 2,439.16 0.00 901.74 3,340.90 3,750.00 0.00 3,250.00 7,000.00 Medical only 11/23/2018 O 0.00 0.00 0.00 0.00 0.00 2,407.94 0.00 1,977.09 4,385.03 902.90 0.00 537.10 1,440.00 3,310.84 0.00 2,514.19 5,825.03 PP 2/19/2019 O 0.00 0.00 39.31 0.00 39.31 2,155.22 16.01 2,001.81 4,173.04 0.00 103.99 1,998.19 2,102.18 2,155.22 120.00 4,000.00 6,275.22 PD 5/15/2019 O 0.00 0.00 0.00 0.00 0.00 18,757.54 101,211.21 76,127.86 196,096.61 0.00 0.00 5,829.28 5,829.28 18,757.54 101,211.21 81,957.14 201,925.89 Temp disability 5/27/2019 O 0.00 0.00 0.00 2,448.16 2,448.16 45,217.80 201,056.04 189,591.05 435,864.89 0.00 5,582.87 3,375.53 8,958.40 45,217.80 206,638.91 192,966.58 444,823.29 Medical only 6/5/2019 R 2,791.85 0.00 0.00 0.00 3,299.80 7,630.14 54,291.63 2,555.72 64,477.49 6,369.86 0.00 4,708.28 11,078.14 14,000.00 54,291.63 7,264.00 75,555.63 PP 6/8/2019 O 0.00 0.00 0.00 0.00 0.00 11,454.33 73,819.97 16,901.76 102,176.06 0.00 0.00 64,905.56 64,905.56 11,454.33 73,819.97 81,807.32 167,081.62 PP 6/24/2019 O 0.00 0.00 0.00 0.00 0.00 7,826.30 2,303.78 1,139.25 11,269.33 0.00 15,636.86 2,860.75 18,497.61 7,826.30 17,940.64 4,000.00 29,766.94 Temp disability 8/23/2019 O 0.00 0.00 0.00 0.00 0.00 20,899.17 41,871.05 6,976.82 69,747.04 14.77 0.00 4,418.22 4,432.99 20,913.94 41,871.05 11,395.04 74,180.03 PP 9/10/2019 R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2,585.40 2,585.40 0.00 0.00 9,000.00 9,000.00 0.00 0.00 11,585.40 11,585.40 Temp disability 11/1/2019 O 354.98 3,738.56 17.00 0.00 4,254.22 280,577.03 220,975.60 53,690.88 555,243.51 4,911.28 11,012.23 4,189.16 20,112.67 285,488.31 231,987.83 57,880.04 575,356.18 Temp disability 12/17/2019 R 0.00 0.00 0.00 0.00 0.00 26,491.66 93,574.16 4,089.83 124,155.65 0.00 0.00 0.00 0.00 26,491.66 93,574.16 4,089.83 124,155.65 Temp disability 12/28/2019 O 0.00 0.00 0.00 0.00 0.00 21,761.63 177,537.21 113,188.24 312,487.08 0.00 0.00 3,970.00 3,970.00 21,761.63 177,537.21 117,158.24 316,457.08 Temp disability 1/4/2020 O 0.00 0.00 0.00 0.00 0.00 37,158.32 175,591.21 115,665.17 328,414.70 4,989.28 0.00 8,089.77 13,079.05 42,147.60 175,591.21 123,754.94 341,493.75 PP 1/5/2020 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39,737.14 39,737.14 0.00 0.00 24,762.86 24,762.86 0.00 0.00 64,500.00 64,500.00 Medical only 2/6/2020 O 0.00 0.00 0.00 0.00 0.00 5,045.90 72,983.32 3,212.90 81,242.12 339.35 16.68 1,162.10 1,518.13 5,385.25 73,000.00 4,375.00 82,760.25 PD 3/6/2020 R 0.00 0.00 0.00 0.00 0.00 25,822.27 36,753.08 946.44 63,521.79 1,596.80 0.00 194.74 1,791.54 27,419.07 36,753.08 1,141.18 65,313.33 Medical only 3/8/2020 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 99.00 99.00 0.00 0.00 201.00 201.00 0.00 0.00 300.00 300.00 Temp disability 3/14/2020 R 0.00 0.00 0.00 0.00 0.00 7,084.09 137,089.28 400.40 144,573.77 0.00 0.00 0.00 0.00 7,084.09 137,089.28 400.40 144,573.77 Medical only 3/14/2020 O 0.00 0.00 0.00 0.00 0.00 0.00 50,000.00 78.10 50,078.10 0.00 0.00 2,496.90 2,496.90 0.00 50,000.00 2,575.00 52,575.00 Temp disability 12/8/2020 O 0.00 0.00 0.00 0.00 0.00 2,242,423.44 340,719.82 304,003.27 2,887,146.53 1,760.56 240.83 922.73 2,924.12 2,244,184.00 340,960.65 304,926.00 2,890,070.65 Temp disability 8/18/2021 O 0.00 290.97 0.00 0.00 290.97 2,847,411.00 760,647.98 139,189.00 3,747,247.98 0.00 31,424.76 0.00 31,424.76 2,847,411.00 792,072.74 139,189.00 3,778,672.74 Temp disability 2/28/2022 O 0.00 0.00 0.00 0.00 0.00 782,219.00 0.00 125,761.00 907,980.00 0.00 0.00 83.00 83.00 782,219.00 0.00 125,844.00 908,063.00 Temp disability 3/21/2022 O 0.00 0.00 0.00 0.00 0.00 3,679,101.83 352,777.47 305,945.00 4,337,824.30 95.17 7,397.72 942.00 8,434.89 3,679,197.00 360,175.19 306,887.00 4,346,259.19 Temp disability 6/29/2022 O 0.00 0.00 0.00 0.00 0.00 2,133,303.37 209,327.92 243,668.00 2,586,299.29 782.63 2,042.08 0.00 2,824.71 2,134,086.00 211,370.00 243,668.00 2,589,124.00

78 42,218.86 44,479.57 350.17 1,460.81 9,504.12 100,590.76 31,266,175.01 22,475,887.53 5,781,738.93 59,523,801.47 6,686,271.90 3,329,540.60 1,021,093.84 11,036,906.34 37,952,446.91 25,805,428.13 6,802,832.77 70,560,707.81

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