LOSS RUN FOR CLIENT: @ Tax ID: @<br>@<br>************************************************************************************************<br>POLICY NUMBER: @ Policy Term: @ - @<br>Company: @ Client ID: @<br>Policy Premium: @ Loss Ratio: @ Claim Count: @<br>@************************************************************************************************<br> @END OF POLICY @<br><br><br>CLAIM NUMBER: @ Claimant: @<br>Claim Stauts: @ Date Reported: @ Close Date: @<br>Date of Loss: @ Loss Description: @<br>Class Code: @ Class Description: @<br>@<br>Claim Totals<br>Paid<br>Outstanding<br>Incurred<br>Medical<br>@<br>@<br>@<br>Indemnity<br>@<br>@<br>@<br>Other<br>@<br>@<br>@<br>Total<br>@<br>@<br>@<br>Policy Totals<br>Paid<br>Outstanding<br>Incurred<br>Medical<br>@<br>@<br>@<br>Indemnity<br>@<br>@<br>@<br>Other<br>@<br>@<br>@<br>Total<br>@<br>@<br>@<br>