05 SRA Exhibit 10 Loss
05SRA_Exh10loss.xls
Standard Reinsurance Agreement Plan of Operations
05 SRA Exhibit 10 Loss
OMB: 0563-0069
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0563-0069 can be found here:
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Overview
Last Year
Current Year
Approval Year
Sheet 1: Last Year
| FEDERAL CROP INSURANCE CORPORATION |
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EXHIBIT 10.n |
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| LOSS ADJUSTMENT EXPENSE TEMPLATE |
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| Reinsurane Year Ending June 30 of Last Year |
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| Company: |
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| Date as of: |
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| States |
# of Loss Adjusters |
Total Loss Adjuster Expenses |
Claim Information |
| Contracted |
Salary |
Total (B + C) |
Contracted |
Salary |
Travel |
Misc. |
Total (E+F+G+H) |
# of Claims Worked |
Avg. Expense per Claim ( I / J) |
Gross Premium (GP) |
LAE % of GP (I / L) |
| A |
B |
C |
D |
E |
F |
G |
H |
I |
J |
K |
L |
M |
| Alabama |
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| Alaska |
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| Arizona |
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| Arkansas |
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| California |
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| Colorado |
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| Connecticut |
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| Delaware |
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| Florida |
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| Georgia |
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| Hawaii |
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| Idaho |
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| Illinois |
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| Indiana |
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| Iowa |
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| Kansas |
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| Kentucky |
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| Louisiana |
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| Maine |
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| Maryland |
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| Massachusetts |
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| Michigan |
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| Minnesota |
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| Mississippi |
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| Missouri |
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| Montana |
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| Nebraska |
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| Nevada |
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| New Hampshire |
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| New Jersey |
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| New Mexico |
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| New York |
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| North Carolina |
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| North Dakota |
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| Ohio |
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| Oklahoma |
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| Oregon |
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| Pennsylvania |
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| Rhode Island |
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| South Carolina |
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| South Dakota |
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| Tennessee |
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| Texas |
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| Utah |
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| Vermont |
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| Virginia |
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| Washington |
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| West Virginia |
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| Wisconsin |
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| Wyoming |
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| Totals / Averages |
0 |
0 |
0 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
0 |
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$- |
|
Sheet 2: Current Year
| FEDERAL CROP INSURANCE CORPORATION |
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|
EXHIBIT 10.n |
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| LOSS ADJUSTMENT EXPENSE TEMPLATE |
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| Current Reinsurane Year |
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| Company: |
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| Date as of: |
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| States |
# of Loss Adjusters |
Total Loss Adjuster Expenses |
Claim Information |
| Contracted |
Salary |
Total (B + C) |
Contracted |
Salary |
Travel |
Misc. |
Total (E+F+G+H) |
# of Claims Worked |
Avg. Expense per Claim (I / J) |
Gross Premium (GP) |
LAE % of GP (I / L) |
| A |
B |
C |
D |
E |
F |
G |
H |
I |
J |
K |
L |
M |
| Alabama |
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| Alaska |
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| Arizona |
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| Arkansas |
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| California |
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| Colorado |
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| Connecticut |
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| Delaware |
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| Florida |
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| Georgia |
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| Hawaii |
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| Idaho |
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| Illinois |
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| Indiana |
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| Iowa |
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| Kansas |
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| Kentucky |
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| Louisiana |
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| Maine |
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| Maryland |
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| Massachusetts |
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| Michigan |
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| Minnesota |
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| Mississippi |
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| Missouri |
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| Montana |
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| Nebraska |
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| Nevada |
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| New Hampshire |
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| New Jersey |
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| New Mexico |
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| New York |
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| North Carolina |
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| North Dakota |
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| Ohio |
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| Oklahoma |
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| Oregon |
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| Pennsylvania |
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| Rhode Island |
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| South Carolina |
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| South Dakota |
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| Tennessee |
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| Texas |
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| Utah |
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| Vermont |
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| Virginia |
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| Washington |
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| West Virginia |
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| Wisconsin |
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| Wyoming |
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| Totals / Averages |
0 |
0 |
0 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
0 |
|
$- |
|
Sheet 3: Approval Year
| FEDERAL CROP INSURANCE CORPORATION |
|
|
|
|
|
|
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|
|
|
EXHIBIT 10.n |
|
| LOSS ADJUSTMENT EXPENSE TEMPLATE |
|
|
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|
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| Reinsurane Year for Which the Company is Seeking Approval |
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| Company: |
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| Date as of: |
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| States |
# of Loss Adjusters |
Total Loss Adjuster Expenses |
Claim Information |
| Contracted |
Salary |
Total (B + C) |
Contracted |
Salary |
Travel |
Misc. |
Total (E+F+G+H) |
# of Claims Worked |
Avg. Expense per Claim ( I / J) |
Gross Premium (GP) |
LAE % of GP (I / L) |
| A |
B |
C |
D |
E |
F |
G |
H |
I |
J |
K |
L |
M |
| Alabama |
|
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| Alaska |
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| Arizona |
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| Arkansas |
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| California |
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| Colorado |
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| Connecticut |
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| Delaware |
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| Florida |
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| Georgia |
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| Hawaii |
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| Idaho |
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| Illinois |
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| Indiana |
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| Iowa |
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| Kansas |
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| Kentucky |
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| Louisiana |
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| Maine |
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| Maryland |
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| Massachusetts |
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| Michigan |
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| Minnesota |
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| Mississippi |
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| Missouri |
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| Montana |
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| Nebraska |
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| Nevada |
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| New Hampshire |
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| New Jersey |
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| New Mexico |
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| New York |
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| North Carolina |
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| North Dakota |
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| Ohio |
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| Oklahoma |
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| Oregon |
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| Pennsylvania |
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| Rhode Island |
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| South Carolina |
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| South Dakota |
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| Tennessee |
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| Texas |
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| Utah |
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| Vermont |
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| Virginia |
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| Washington |
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| West Virginia |
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| Wisconsin |
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| Wyoming |
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| Totals / Averages |
0 |
0 |
0 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
0 |
|
$- |
|
| File Type | application/vnd.ms-excel |
| Author | Administrator |
| Last Modified By | debbie.haugan |
| File Modified | 2005-07-28 |
| File Created | 2003-06-17 |