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Actuarial Services Division
NC PROFESSIONAL LIABILITY DATA REPORT
 
Current Year Data Call
 
The Professional Liability Data Report is required under North Carolina General Statute §NCGS 58-2-170 (a) and (b), §NCGS 58-2-190 and 11 NCAC 16.0104. 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. A Verification Form is only required if a Data Call is being submitted.

The Professional Liability Data Report is requested by the Actuarial Services Division each year following the Annual Statement report and is typically due mid-year.

"Professional liability" insurance includes medical malpractice plus insurance on other professionals such as lawyers, accountants, and directors and officers. The term “professional liability” corresponds to North Carolina lines of authority 13b (Other Personal Injury Liability) and 14b (Other Property Damage Liability), or to Annual Statement line of business 11 (Medical Malpractice) and a portion of line 17 (Other Liability).

For more information on the Professional Liability Data Report, please send an email to actprofliab@ncdoi.net or call (919) 807-6649.
 
  1. Cover Letter

    09NCPL_CoverLetter.doc

  2. Verification Form
    For the Verification Form below, please complete either the Pre-Populating Version or the Fill In Version, but not both. The Pre-Populating Version allows you to enter your five digit NAIC Company Code. Then, the form will be pre-populated with information, which you can update or correct as needed. You can then save an electronic copy for your records, and electronically submit to the NCDOI. The Fill In Version allows you to print out a blank form and fill in the information by hand. This form can either be scanned and electronically submitted to the NCDOI, or can be mailed in or faxed in.

    The Pre-populating Version: 09NCVF_VerificationForm.xls

    The Fill In Version: 09NCVF_VerificationForm(FillInVersion).xls

  3. Data Call
    For the Data Call below, it is recommended that users right click on the Data Call, and Save to their computer, before opening the Data Call and entering data.

    The Data Call: 09NCPL_DataCall.xls

    Detailed instructions to complete the Data Call: 09Instructions_DataCall.doc

  4. Supporting Documents

    List of coverage: 09ProfessionalCoverageList.doc

    Questions or comments: 09QuestionsOrComments.doc