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Sample Claim Requests

Your current and previous carriers are required to provide you with a loss history upon request. The sample language below may be useful to you if they tell you to send an email or letter in order to receive a Loss Run / History.




Sample Claim Information Request Email:


Subject: Lawyers Professional Liability Coverage for {YOUR FIRM NAME} policy {YOUR POLICY NUMBER}

Pursuant to Illinois Insurance Code, we hereby request that you provide, within 30 days of today’s date, the following information for each of our previous policy years for open and closed claims and occurrences reported against the above-referenced policy.

  1. (a) Closed Claims, Suits, Circumstances, Incidences and Occurrences – date and description of occurrence and amount of payments (defense and indemnity), if any.
  2. (b) Open Claims, Suits, Circumstances, Incidents and Occurrences – date and description of occurrence and amount of payments and total reserves (defense and indemnity), if any.
  3. (c) Claims, Suits, Circumstances, Incidences and Occurrences – If not included above, date and description of occurrence and amount of payments and total reserves (defense and indemnity), if any.
Create email &body=Pursuant%20to%20Illinois%20Insurance%20Code,%20we%20hereby%20request%20that%20you%20provide,%20within%2030%20days%20of%20today’s%20dte,%20the%20following%20information%20for%20each%20of%20our%20previous%20policy%20years%20for%20open%20and%20closed%20clais%20and%20occurrences%20reported%20against%20the%20above-referenced%20policy.%0D%0A%0D%0A(a)%20Closed%20Claims,%20Suits,%20Circumstances,%20Incidences%20and%20Occurrences%20–%20date%20and%20description%20of%20occurrence%2and%20amount%20of%20payments%20(defense%20and%20indemnity),%20if%20any.%0D%0A(b)%20Open%20Claims,%20Suits,%20Circumstances,%20Incidents%20and%20Occurrences%20–%20date%20and%20description%20of%20occurrence%20an%20amount%20of%20payments%20and%20total%20reserves%20(defense%20and%20indemnity),%20if%20any.%0D%0A(c)%20Claims,%20Suits,%20Circumstances,%20Incidences%20and%20Occurrences%20–%20If%20not%20included%20above,%20date%20and%20descriptin%20of%20occurrence%20and%20amount%20of%20payments%20and%20total%20reserves%20(defense%20and%20indemnity),%20if%20any.%0D%0A">Create email



Sample Claim Information Request Letter:


{DATE}

{INSURANCE CARRIER}
{STREET ADDRESS}
{CITY}, {STATE} {ZIP/POSTAL CODE}

Subject: Lawyers Professional Liability Coverage for {YOUR FIRM NAME} policy {YOUR POLICY NUMBER}

Pursuant to Illinois Insurance Code, we hereby request that you provide, within 30 days of today’s date, the following information for each of our previous policy years for open and closed claims and occurrences reported against the above-referenced policy.

  1. (a) Closed Claims, Suits, Circumstances, Incidences and Occurrences – date and description of occurrence and amount of payments (defense and indemnity), if any.
  2. (b) Open Claims, Suits, Circumstances, Incidents and Occurrences – date and description of occurrence and amount of payments and total reserves (defense and indemnity), if any.
  3. (c) Claims, Suits, Circumstances, Incidences and Occurrences – If not included above, date and description of occurrence and amount of payments and total reserves (defense and indemnity), if any.