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  LOSS CLAIM CHARACTERISTICS
Data Current as of: 5/12/2008

 
  Claims Requiring Individual Claim Reports
 
 
  • All Death, Permanent Total or Major Permanent Partial Claims
  • All other claims with Total Incurred Indemnity of $10,000 or more
  • All claims settled under Part Two of the Policy (not Admiralty/FELA)
  • All Third Party claims with Total Incurred Indemnity, prior to recovery, of $10,000 or more
  • All Pension claims upon death or remarriage of surviving spouse or upon death of other recipients
  • All claims adjudicated pursuant to R.S.N.J. 34:15-20 (Section 20)

Class Code: (leave blank for all)
Claim Type:
Claim Sub-Type:
 
 
 
 
 
 
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