Professional Liability Data Report
Current Year Data Call
The Professional Liability Data Call is required under North Carolina General Statute §NCGS 58-2-170 (a) and (b), §NCGS 58-2-190, and 11 NCAC 16.0105. Every insurer, self-insurer, and risk retention group authorized to write "professional liability" insurance in North Carolina must complete a data call if $25,000 or more in "professional liability" premium was written in the calendar year.
"Professional liability" insurance is defined to only include medical malpractice. The term "professional liability" corresponds to North Carolina lines of authority 13b (Other Personal Injury Liability), or to Annual Statement line of business 11 (Medical Malpractice).
For more information on the Professional Liability Data Report, please send an email to firstname.lastname@example.org or call (919) 807-6646.
What's New for the Professional Liability Data Call for Data from the 2014 Calendar Year
- The forms should be submitted with names in the following format: 99999 2014NCAttestation; 99999 2014 NCContact; 99999 2014NCData; for the Attestation form, the Contact information form, and the Data Call, respectively. The 99999 should be replaced with your company's unique five digit NAIC Company code. For example, if your company code is 89621 then the forms should be submitted as: 89621 2014NCAttestation, 89621 2014NCContact, and 89621 2014NCPL.
- TThe Data Call now includes an expense allocation worksheet.
- TBefore submitting the Data Call, please make three checks. First, please check that the sum of the data by healthcare provider in the Total column, matches the data from the Annual Statement. Second, please check that the Self-tests at the bottom all say OK. Third, please check that the data for Written and Earned exposures has been submitted.
Attestation Form and Contact Form - For the Attestation Form below, please print, sign, scan, and email to the North Carolina DOI. For the Contact form, please fill in the current information and email to the NCDOI
Data Call - For the Data Call, it is recommended that users right click on the Data Call, and Save to their computer, before opening the Data Call.