Occurrences/Claims to be reported to ACCEL

Claims Administrators should be instructed to report the following occurrences to ACCEL:

(1) Member Agencies will report to the Authority’s Claims Administrator as soon as possible all events meeting any of the criteria identified below, without regard to liability: 

1. 1. Claims in which the ultimate net loss is estimated to exceed 25% of the Member Agency’s retained limit.
   2. Claims falling within any of the following classifications: 
   1. 1. Class action suits.
      2. Law enforcement actions alleging excess use of force or wrongful conviction.
      3. Claims involving allegations of harassment, including but not limited to sexual, employment-based or third-party.
      4. Sexual misconduct or molestation – including allegations of assault, misconduct, rape and related offenses.
      5. Fatalities.
      6. Spinal cord injuries resulting in any degree of paraplegia or quadriplegia.
      7. Nerve damage injuries resulting in paralysis or loss of sensation.
      8. Brain damage claims including; but not limited to, closed head injuries, permanent disorientation, behavior disorder, personality change, seizure, motor deficit or other cognitive disorders.
      9. Burns – Third degree burns involving 10% of the body, or second degree burns involving 30% of the body.
      10. Amputation – complete or partial.
      11. Impairment of vision or hearing – 50% or greater.
      12. Multiple injuries arising out of one occurrence, including but not limited to; massive internal injuries or multiple fractures involving more than one claimant.
      13. Severe disfigurement.
      14. Long term hospitalization (30 days or more).
      15. Multiple claims arising out of the same occurrence in which the aggregate ultimate net loss is estimated to exceed 25% of the Member Agency’s retained limit.
      16. Any claim with an assigned trial date in the next 60 days that has not been otherwise reported.
   2. Lawsuits or writs involving employment practices liability.
   3. Demands in excess of $250,000 arising out of any of the following settings:
      1. Statutory demand;
      2. Post closed discovery (not expert) demand;
      3. Mandatory Settlement Conference demand;
      4. Mediation demand; or
      5. Arbitration demand.

Where Reports are to be sent

Subsequent claim status reports should be sent to the Claim Management firm only.

What needs to accompany the First Report

The following information should accompany the first report, if available and applicable:

ACCEL Claim Reporting Form

1. Investigation reports/reserve recommendation
2. Police report
3. Pleading (i.e., Summons and Complaint)
4. Medical reports
5. Case analysis report (CAR). Sample copy attached. This report is required to be updated every six months or sooner, at the request of the Claims Committee

Distribution of First Report of Claims

The Claims Management Firm will forward a copy of the first report to the Claims Committee members.

Contact Information