Every insurer providing professional liability insurance to osteopathic or allopathic physicians or to any health care provider, is required to submit claim reports and reports of disposition to the Superintendent of Insurance pursuant to Title 24 M.R.S.A. §§ 2601-2608. "Health care provider" is defined at Title 24 M.R.S.A. § 2502(2) as:
any hospital, clinic, nursing home or other facility in which skilled nursing care or medical services are prescribed by or performed under the general direction of persons licensed to practice medicine, dentistry, podiatry or surgery in this State and which is licensed or otherwise authorized by the laws of this State.
The Bureau prescribed Medical Liability Claim Report Form has been redesigned and is attached to this bulletin as Appendix A. The new form must be used effective May 22, 1998. Insurers with open claims as of May 22, 1998, for which Section 1 of the old form was completed, must complete the new form in its entirety at the time Section 2 is submitted. Closed claims reported prior to May 22, 1998, do not need to be resubmitted on the new form.
Insurers are expected to make copies of the attached form for future submissions. Alternatively, insurers are free to create a form compatible with their computerized claims systems so long as the form: 1) captures the same information as the Bureau template, and; 2) is filed with the Bureau for prior review and approval. Please be sure that the Bureau instruction sheet is attached to any internally generated, Bureau approved form to ensure the reporting of accurate and consistent information. Claim report forms must be submitted in paper form as the Bureau is not at this time equipped to accept electronic filings.
If you have any questions on the form or the reporting requirements, please address them to the Property Casualty Actuarial Division.
Dated: July 27, 1998 __________________________________________
Alessandro A. Iuppa
Instructions for Completing Liability Claim Report - Word or Adobe PDF
Liability Claim Report - Word or Adobe PDF
NOTE: This bulletin is intended solely for informational purposes. It is not intended to set forth legal rights, duties or privileges nor is it intended to provide legal advice. Readers are encouraged to consult applicable statutes and regulations and to contact the Bureau of Insurance if additional information is needed.
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