Note X – Risk Pools – Excess Insurance Contracts/Reinsurance [1]
This guidance applies to stand-alone risk pools and governments that manage risk pools.
The Pool maintains excess insurance contracts with several insurance carriers [2] which provide various limits of coverage over the Pool’s self-insured retention limits. The limits provided by these excess insurance contracts are as follows:
| Excess Insurance Contracts | 20__ |
| General Liability | $_____ |
| Automobile Liability | ______ |
| Public Officials Liability | ______ |
| Police Professional Liability | ______ |
| Gas Liability | ______ |
| Workers' Compensation Liability | ______ |
| Property | 100% Replacement Cost Per Location |
| Crime | ______ |
| All Lines Aggregate | ______ |
| Workers' Compensation Aggregate | ______ |
| Excess Liability Aggregate | ______ |
Per-occurrence coverage limits provided by the Pool, including the excess insurance limits combined with the Pool’s self-insured retention limits are as follows:
| Excess Insurance Contracts | 20__ |
| General Liability | $_____ |
| Automobile Liability | ______ |
| Public Officials Liability | ______ |
| Police Professional Liability | ______ |
| Gas Liability | ______ |
| Workers' Compensation Liability | ______ |
| Property | 100% Replacement Cost Per Location |
| Crime | ______ |
Reinsurance transactions related to the pool were:
Reinsurance premiums ceded during the year were ________________________. The estimated amounts that are recoverable from excess and reinsurers that reduced the liabilities on the balance sheet were _________________________.
Instructions to preparer:
[1] Disclose:
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Information regarding solvency of reinsurer,
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Information regarding policy years of pool,
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Information on exposure regarding changes in excess limits,
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Details describing policies as occurrence based, claims paid or claims made.
[2] State the specific carriers used.