I-Claim Expense August 2020 W1

SUMMARY CLAIM EXPENSES
Period : 1 August - 9 August 2020
BEBAN KLAIM :
a. Klaim Bruto
b. Klaim Reasuransi Diterima
Klaim Bruto Retensi Sendiri
c. Kenaikan (Penurunan) Cadangan Klaim Retensi Sendiri

- Klaim Baru
- Kenaikan (Penurunan)
- Close File
Jumlah Kenaikan (Penurunan) Cadangan Klaim Retensi Sendiri
JUMLAH BEBAN KLAIM

981,711,200
(652,885,368)
328,825,833
69,418,274
(393,665,757)
(324,247,482)
4,578,350
Claim Reserve July 2020 Claim Reserve August 2020 Mutation Claim Reserve August 2020
Period Claim Recoveries Claim Recoveries
No Claim No Policy No MO Code Source Branch Class of Business Rev Date Insured Register Date Date Of Loss Cause of Loss Currency Gross Claim Claim Net Forex Gross Claim (IDR) Claim Recoveries (IDR) Claim Net (IDR) Gross Claim Claim Net Forex Gross Claim (IDR) Claim Recoveries (IDR) Claim Net (IDR) Gross Claim (IDR) Claim Recoveries (IDR) Claim Net (IDR)
Beginning Ending BPPDAN Decree Quota Share Surplus Fac Obligatory Facultative XOL MaiparkCoinsurance Total BPPDAN Decree Quota Share Surplus Fac Obligatory Facultative XOL Maipark Coinsurance Total
1 51101101900002 51101101900002EU 5000110031900 KPA Care Kantor Pusat Property 12-Mar-19 PT KATWARA 1-Sep-18 28-Feb-19 12-Mar-19 24-Jan-19 Fire EUR 125.29 - - - - - - - - - - 125.29 17,252.00 2,161,549.33 - 2,161,549.33 125.29 - - - - - - - - - - 125.29 17,355.00 2,174,454.48 - 2,174,454.48 12,905.15 - 12,905.15 Kurs
2 51101101900003 51101101900003EU 5000110031900 KPA Care Kantor Pusat Property 12-Mar-19 PT KATWARA 1-Sep-18 28-Feb-19 12-Mar-19 24-Jan-19 Fire EUR 141.08 - - - - - - - - - - 141.08 17,252.00 2,433,850.51 - 2,433,850.51 141.08 - - - - - - - - - - 141.08 17,355.00 2,448,381.38 - 2,448,381.38 14,530.87 - 14,530.87 Kurs
3 51101101900002 51101101900002IDR5000110031900 KPA Care Kantor Pusat Property 12-Mar-19 PT KATWARA 1-Sep-18 28-Feb-19 12-Mar-19 24-Jan-19 Fire IDR 2,416,358.85 - - - - - - - - - - 2,416,358.85 1.00 2,416,358.85 - 2,416,358.85 2,416,358.85 - - - - - - - - - - 2,416,358.85 1.00 2,416,358.85 - 2,416,358.85 - - -
4 51101101900003 51101101900003IDR5000110031900 KPA Care Kantor Pusat Property 12-Mar-19 PT KATWARA 1-Sep-18 28-Feb-19 12-Mar-19 24-Jan-19 Fire IDR 2,720,759.65 - - - - - - - - - - 2,720,759.65 1.00 2,720,759.65 - 2,720,759.65 2,720,759.65 - - - - - - - - - - 2,720,759.65 1.00 2,720,759.65 - 2,720,759.65 - - -
5 51101101900002 51101101900002US 5000110031900 KPA Care Kantor Pusat Property 12-Mar-19 PT KATWARA 1-Sep-18 28-Feb-19 12-Mar-19 24-Jan-19 Fire USD 17.90 - - - - - - - - - - 17.90 14,653.00 262,273.38 - 262,273.38 17.90 - - - - - - - - - - 17.90 14,647.00 262,165.99 - 262,165.99 (107.39) - (107.39) Kurs
6 51101101900003 51101101900003US 5000110031900 KPA Care Kantor Pusat Property 12-Mar-19 PT KATWARA 1-Sep-18 28-Feb-19 12-Mar-19 24-Jan-19 Fire USD 20.15 - - - - - - - - - - 20.15 14,653.00 295,313.27 - 295,313.27 20.15 - - - - - - - - - - 20.15 14,647.00 295,192.35 - 295,192.35 (120.92) - (120.92) Kurs
7 51101051900002 51101051900002IDR5000105041900 kpa Care Kantor Pusat Property 23-Apr-19 PT PULAU KELAPA CARITA 21-Oct-18 21-Oct-19 23-Apr-19 22-Dec-18 Earthquake & Ts IDR 815,625.00 - - - - - - - - - - 815,625.00 1.00 815,625.00 - 815,625.00 815,625.00 - - - - - - - - - - 815,625.00 1.00 815,625.00 - 815,625.00 - - -
8 50001092000001 50001092000001IDR5000109072000 KPA Care Kantor Pusat Property 9-Jul-20 PT INTERWORLD STEEL MILLS IN 25-Jan-19 25-Jan-20 9-Jul-20 22-Feb-19 Kebakaran TugkuIDR 72,082.26 - - - - - - - - - - 72,082.26 1.00 72,082.26 - 72,082.26 72,082.26 - - - - - - - - - - 72,082.26 1.00 72,082.26 - 72,082.26 - - -
9 50001092000001 50001092000001US 5000109072000 KPA Care Kantor Pusat Property 9-Jul-20 PT INTERWORLD STEEL MILLS IN 25-Jan-19 25-Jan-20 9-Jul-20 22-Feb-19 Kebakaran TugkuUSD 165.19 - - - - - - - - - - 165.19 14,653.00 2,420,529.07 - 2,420,529.07 165.19 - - - - - - - - - - 165.19 14,647.00 2,419,537.93 - 2,419,537.93 (991.14) - (991.14) Kurs
10 50001092000002 50001092000002IDR5000109072000 KPA Care Kantor Pusat Property 9-Jul-20 PT INTERWORLD STEEL MILLS IN 25-Jan-19 25-Jan-20 9-Jul-20 22-Feb-19 Kebakaran TugkuIDR 178,449.31 - - - - - - - - - - 178,449.31 1.00 178,449.31 - 178,449.31 178,449.31 - - - - - - - - - - 178,449.31 1.00 178,449.31 - 178,449.31 - - -
11 50001092000002 50001092000002US 5000109072000 KPA Care Kantor Pusat Property 9-Jul-20 PT INTERWORLD STEEL MILLS IN 25-Jan-19 25-Jan-20 9-Jul-20 22-Feb-19 Kebakaran TugkuUSD 408.95 - - - - - - - - - - 408.95 14,653.00 5,992,344.35 - 5,992,344.35 408.95 - - - - - - - - - - 408.95 14,647.00 5,989,890.65 - 5,989,890.65 (2,453.70) - (2,453.70) Kurs
12 41102031700002 41102031700002IDR4000203101300 FIFI Care Kantor Pusat Motor Vehicle 29-May-17 PT. PUTRA SARANA TRANS BORN 28-Oct-13 28-Oct-14 29-May-17 8-Dec-13 Theft to Kobelco IDR 24,000,000.00 - - - - - - - - - - 24,000,000.00 1.00 24,000,000.00 - 24,000,000.00 24,000,000.00 - - - - - - - - - - 24,000,000.00 1.00 24,000,000.00 - 24,000,000.00 - - -
13 50004011700006 50004011700006IDR0004031700002 fifi Care Kantor Pusat Marine Hull 6-Apr-17 PT ASURANSI JASARAHARJA PUT 16-Jan-13 16-Jan-14 5-Apr-17 27-Sep-13 Telah terjadi tab IDR 7,598,430.00 - - - - - - - - - - 7,598,430.00 1.00 7,598,430.00 - 7,598,430.00 7,598,430.00 - - - - - - - - - - 7,598,430.00 1.00 7,598,430.00 - 7,598,430.00 - - -
14 50004011700007 50004011700007IDR0004031700003 fifi Care Kantor Pusat Marine Hull 6-Apr-17 PT ASURANSI JASARAHARJA PUT 16-Jan-13 16-Jan-14 5-Apr-17 27-Sep-13 Telah terjadi tab IDR 12,664,050.00 - - - - - - - - - - 12,664,050.00 1.00 12,664,050.00 - 12,664,050.00 12,664,050.00 - - - - - - - - - - 12,664,050.00 1.00 12,664,050.00 - 12,664,050.00 - - -
15 51104011800004 51104011800004IDR5000401091800 fifi Care Kantor Pusat Marine Hull 3-Oct-18 PT SAMUDRA ATLANTIS INTERNA 21-Aug-18 21-Aug-19 3-Oct-18 12-Sep-18 Generator on fire IDR 50,000,000.00 - - - - - - - - - - 50,000,000.00 1.00 50,000,000.00 - 50,000,000.00 50,000,000.00 - - - - - - - - - - 50,000,000.00 1.00 50,000,000.00 - 50,000,000.00 - - -
16 40004011900001 40004011900001IDR40004010218000FIFI Care Kantor Pusat Marine Hull 3-Jul-19 PT Freed Re - PT. FREED DINAMI 27-Feb-18 27-Feb-19 2-Jul-19 24-Jan-19 Masih di selidiki IDR 12,427,112.50 - - - - - - - - - - 12,427,112.50 1.00 12,427,112.50 - 12,427,112.50 12,427,112.50 - - - - - - - - - - 12,427,112.50 1.00 12,427,112.50 - 12,427,112.50 - - -
17 51104011900001 51104011900001IDR5000401061900 KPA Care Kantor Pusat Marine Hull 3-Jul-19 PT BINTANG MANUNGGAL PRATA 10-Nov-14 10-Nov-15 3-Jul-19 26-Nov-14 BG. Ricky 300-5 IDR 59,999,910.00 - - - - - - - - - - 59,999,910.00 1.00 59,999,910.00 - 59,999,910.00 59,999,910.00 - - - - - - - - - - 59,999,910.00 1.00 59,999,910.00 - 59,999,910.00 - - -
18 51104011900002 51104011900002IDR5000401061900 KPA Care Kantor Pusat Marine Hull 3-Jul-19 PT BINTANG MANUNGGAL PRATA 10-Nov-14 10-Nov-15 3-Jul-19 26-Nov-14 BG. Ricky 300-5 IDR 89,999,960.00 - - - - - - - - - - 89,999,960.00 1.00 89,999,960.00 - 89,999,960.00 89,999,960.00 - - - - - - - - - - 89,999,960.00 1.00 89,999,960.00 - 89,999,960.00 - - -
19 41104011900002 41104011900002IDR40004010816000KPA Care Kantor Pusat Marine Hull 13-Sep-19 6-Mar-16 7-Aug-17 13-Sep-19 17-Feb-17 Capsized IDR 157,250,000.00 - - 62,900,000.00 - - - - - - 62,900,000.00 94,350,000.00 1.00 157,250,000.00 62,900,000.00 94,350,000.00 157,250,000.00 - - 62,900,000.00 - - - - - - 62,900,000.00 94,350,000.00 1.00 157,250,000.00 62,900,000.00 94,350,000.00 - - -
20 50009011700001 50009011700001IDR0009121600001 syaifuddin Care Kantor Pusat Engineering 6-Jan-17 PT ASURANSI JASARAHARJA PUT 10-Dec-14 5-Dec-15 6-Jan-17 1-Dec-15 Wil. Kab. PalalawIDR 1,461,024.00 - - - - - - - - - - 1,461,024.00 1.00 1,461,024.00 - 1,461,024.00 1,461,024.00 - - - - - - - - - - 1,461,024.00 1.00 1,461,024.00 - 1,461,024.00 - - -
21 50009011700002 50009011700002IDR0009121600002 syaifuddin Care Kantor Pusat Engineering 6-Jan-17 PT ASURANSI JASARAHARJA PUT 10-Dec-14 5-Dec-15 6-Jan-17 1-Dec-15 Wil. Kab. PalalawIDR 24,077,952.00 - - - - - - - - - - 24,077,952.00 1.00 24,077,952.00 - 24,077,952.00 24,077,952.00 - - - - - - - - - - 24,077,952.00 1.00 24,077,952.00 - 24,077,952.00 - - -
22 51109011800001 51109011800001IDR5000901111800 fifi Care Kantor Pusat Engineering 29-Nov-18 PT WASKITA KARYA (PERSERO) 17-Dec-15 1-Dec-18 29-Nov-18 12-Oct-18 Sesuai surat PT. IDR 1,199,775.57 - - - - - - - - - - 1,199,775.57 1.00 1,199,775.57 - 1,199,775.57 1,199,775.57 - - - - - - - - - - 1,199,775.57 1.00 1,199,775.57 - 1,199,775.57 - - -
23 51109011800002 51109011800002IDR5000901111800 fifi Care Kantor Pusat Engineering 29-Nov-18 PT WASKITA KARYA (PERSERO) 17-Dec-15 1-Dec-18 29-Nov-18 12-Oct-18 Sesuai surat PT. IDR 21,595,960.33 - - - - - - - - - - 21,595,960.33 1.00 21,595,960.33 - 21,595,960.33 21,595,960.33 - - - - - - - - - - 21,595,960.33 1.00 21,595,960.33 - 21,595,960.33 - - -
24 41109011900001 41109011900001IDR4000901021800 FIFI Care Kantor Pusat Engineering 15-Jan-20 PT. HUTAMA KARYA INFRASTRUK 20-Jun-17 31-Oct-19 20-Nov-19 28-Oct-19 Damaged to Insure I DR 144,000,000.00 - - - - - - - - - - 144,000,000.00 1.00 144,000,000.00 - 144,000,000.00 144,000,000.00 - - - - - - - - - - 144,000,000.00 1.00 144,000,000.00 - 144,000,000.00 - - -
25 41110041700002 41110041700002IDR4001004051300 FIFI Care Kantor Pusat Liability 16-Aug-17 PT. BANK HIMPUNAN SAUDARA Q 8-May-13 8-May-17 16-Aug-17 1-Mar-15 Normally Death IDR 2,498,441.57 - - - - - - - - - - 2,498,441.57 1.00 2,498,441.57 - 2,498,441.57 2,498,441.57 - - - - - - - - - - 2,498,441.57 1.00 2,498,441.57 - 2,498,441.57 - - -
26 51110081900001 51110081900001IDR5001008071900 KPA Care Kantor Pusat Liability 31-Jul-19 PT ENGGANG ANGKASA SARANA 23-Jul-18 23-Jul-19 31-Jul-19 18-Jan-19 Tractor impact duIDR 6,412,500.00 - - - - - - - - - - 6,412,500.00 1.00 6,412,500.00 - 6,412,500.00 6,412,500.00 - - - - - - - - - - 6,412,500.00 1.00 6,412,500.00 - 6,412,500.00 - - -
27 41111041700001 41111041700001IDR4001104051700 FIFI Care Kantor Pusat Personal Accident 15-Aug-17 26-Sep-14 26-Nov-19 15-Aug-17 1-Dec-15 Normally Death IDR 5,351,525.10 - - - - - - - - - - 5,351,525.10 1.00 5,351,525.10 - 5,351,525.10 5,351,525.10 - - - - - - - - - - 5,351,525.10 1.00 5,351,525.10 - 5,351,525.10 - - -
28 41111041700002 41111041700002IDR4001104061600 KPA Care Kantor Pusat Personal Accident 15-Aug-17 Pegawai Negeri/Pemda, Pegawai BUMN 31-Dec-15 23-Mar-21 15-Aug-17 22-Aug-16 PHK IDR 3,750,000.00 - - 1,875,000.00 - - - - - - 1,875,000.00 1,875,000.00 1.00 3,750,000.00 1,875,000.00 1,875,000.00 3,750,000.00 - - 1,875,000.00 - - - - - - 1,875,000.00 1,875,000.00 1.00 3,750,000.00 1,875,000.00 1,875,000.00 - - -
29 41111041700003 41111041700003IDR0014.028.01.20 KPA Care Kantor Pusat Personal Accident 15-Aug-17 Pegawai Negeri/Pemda, Pegawai BUMN 11-May-14 20-Mar-20 15-Aug-17 18-Apr-16 PHK IDR 2,184,749.70 - - - - - - - - - - 2,184,749.70 1.00 2,184,749.70 - 2,184,749.70 2,184,749.70 - - - - - - - - - - 2,184,749.70 1.00 2,184,749.70 - 2,184,749.70 - - -
30 41111041700004 41111041700004IDR0014.028.01.20 KPA Care Kantor Pusat Personal Accident 15-Aug-17 Pegawai Negeri/Pemda, Pegawai BUMN 7-Nov-14 9-Jan-20 15-Aug-17 22-Apr-16 PHK IDR 2,473,753.05 - - - - - - - - - - 2,473,753.05 1.00 2,473,753.05 - 2,473,753.05 2,473,753.05 - - - - - - - - - - 2,473,753.05 1.00 2,473,753.05 - 2,473,753.05 - - -
32 41111041700006 41111041700006IDR0014.028.01.20 KPA Care Kantor Pusat Personal Accident 15-Aug-17 Pegawai Negeri/Pemda, Pegawai BUMN 19-Nov-14 17-Feb-20 15-Aug-17 27-Apr-16 PHK IDR 2,650,607.70 - - - - - - - - - - 2,650,607.70 1.00 2,650,607.70 - 2,650,607.70 2,650,607.70 - - - - - - - - - - 2,650,607.70 1.00 2,650,607.70 - 2,650,607.70 - - -
35 41111041700009 41111041700009IDR0014.028.01.20 KPA Care Kantor Pusat Personal Accident 15-Aug-17 Pegawai Negeri/Pemda, Pegawai BUMN 19-Nov-14 17-Feb-20 15-Aug-17 18-May-16 PHK IDR 1,266,665.76 - - - - - - - - - - 1,266,665.76 1.00 1,266,665.76 - 1,266,665.76 1,266,665.76 - - - - - - - - - - 1,266,665.76 1.00 1,266,665.76 - 1,266,665.76 - - -
36 41111041700010 41111041700010IDR0014.028.01.20 KPA Care Kantor Pusat Personal Accident 15-Aug-17 Pegawai Negeri/Pemda, Pegawai BUMN 11-May-14 20-Mar-20 15-Aug-17 18-May-16 PHK IDR 666,666.24 - - - - - - - - - - 666,666.24 1.00 666,666.24 - 666,666.24 666,666.24 - - - - - - - - - - 666,666.24 1.00 666,666.24 - 666,666.24 - - -
37 41111041800001 41111041800001IDR4001104021600 KPA Care Kantor Pusat Personal Accident 19-Mar-18 Pegawai Negeri/Pemda, Pegawai BUMN 29-May-15 27-Dec-20 19-Mar-18 3-Mar-17 PHK IDR 17,250,000.00 - - 8,261,969.08 - - - - - - 8,261,969.08 8,988,030.92 1.00 17,250,000.00 8,261,969.08 8,988,030.92 17,250,000.00 - - 8,261,969.08 - - - - - - 8,261,969.08 8,988,030.92 1.00 17,250,000.00 8,261,969.08 8,988,030.92 - - -
38 41111041800002 41111041800002IDR4001104011600 KPA Care Kantor Pusat Personal Accident 28-Dec-18 Pegawai Negeri/Pemda, Pegawai BUMN 25-Jun-15 26-Nov-20 28-Dec-18 29-Mar-16 PHK IDR 3,000,000.00 - - - - - - - - - - 3,000,000.00 1.00 3,000,000.00 - 3,000,000.00 3,000,000.00 - - - - - - - - - - 3,000,000.00 1.00 3,000,000.00 - 3,000,000.00 - - -
39 41111081900001 41111081900001IDR4001108071300 KPA Care Kantor Pusat Personal Accident 23-Oct-19 PT. BANK HS QQ DINI INDRIANI 17-Jul-13 17-Jul-17 23-Oct-19 4-Sep-15 PHK IDR 5,832,795.99 - - - - - - - - - - 5,832,795.99 1.00 5,832,795.99 - 5,832,795.99 5,832,795.99 - - - - - - - - - - 5,832,795.99 1.00 5,832,795.99 - 5,832,795.99 - - -
40 50014211700001 50014211700001IDR0014101700001 syaifuddin Care Kantor Pusat Suretyship 11-Oct-17 ASURANSI BHAKTI BHAYANGKAR 30-May-15 30-Mar-16 11-Oct-17 4-Feb-16 Obligee PT Siemen IDR 22,226,143.17 - - - - - - - - - - 22,226,143.17 1.00 22,226,143.17 - 22,226,143.17 22,226,143.17 - - - - - - - - - - 22,226,143.17 1.00 22,226,143.17 - 22,226,143.17 - - -
41 50014211700002 50014211700002IDR0014101700002 syaifuddin Care Kantor Pusat Suretyship 11-Oct-17 ASURANSI BHAKTI BHAYANGKAR 30-May-15 30-Mar-16 11-Oct-17 4-Feb-16 Obligee PT Siemen IDR 25,565,606.18 - - - - - - - - - - 25,565,606.18 1.00 25,565,606.18 - 25,565,606.18 25,565,606.18 - - - - - - - - - - 25,565,606.18 1.00 25,565,606.18 - 25,565,606.18 - - -
42 50014022000001 50014022000001IDR0014021700003 KPA Care Kantor Pusat Suretyship 26-May-20 19-Oct-15 19-May-17 26-May-20 29-Sep-16 Default (WanprestIDR 36,789,974.93 - - - - - - - - - - 36,789,974.93 1.00 36,789,974.93 - 36,789,974.93 36,789,974.93 - - - - - - - - - - 36,789,974.93 1.00 36,789,974.93 - 36,789,974.93 - - -
43 415091700001 415091700001IDR 0015041700001 fifi Care Kantor Pusat Miscellaneous 25-Jun-20 PT ASURANSI TUGU KRESNA PR 16-Jul-11 17-Jul-11 6-May-17 17-Jul-11 Hole in One di HoIDR 9,000,000.71 - - - - - - - - - - 9,000,000.71 1.00 9,000,000.71 - 9,000,000.71 9,000,000.71 - - - - - - - - - - 9,000,000.71 1.00 9,000,000.71 - 9,000,000.71 - - -
44 10102012000011 10102012000011IDR1010201101900 ahmad Care Cabang Bandung Motor Vehicle 9-Jul-20 PEMERINTAH KOTA BANJAR QQ D 20-Oct-19 20-Oct-20 9-Jul-20 23-Jun-20 Tertabrak sepedaIDR 7,041,400.00 - - - - - - - - - - 7,041,400.00 1.00 7,041,400.00 - 7,041,400.00 7,041,400.00 - - - - - - - - - - 7,041,400.00 1.00 7,041,400.00 - 7,041,400.00 - - -
45 10103031600001 10103031600001IDR1010303071400 setiabudi Care Cabang Bandung Marine Cargo 12-Jul-16 PT. SARANA BAJA PERKASA 7-Jul-14 6-Aug-14 12-Jul-16 27-Jul-14 Kapal kalimantan IDR 62,065,430.00 - - 31,032,715.00 - - - - - - 31,032,715.00 31,032,715.00 1.00 62,065,430.00 31,032,715.00 31,032,715.00 62,065,430.00 - - 31,032,715.00 - - - - - - 31,032,715.00 31,032,715.00 1.00 62,065,430.00 31,032,715.00 31,032,715.00 - - -
46 30104011600001 30104011600001US 3010401021200 setiabudi Care Cabang Bandung Marine Hull 21-Jul-16 PT. BANK CIMB NIAGA QQ PT. P 8-Feb-12 8-Feb-13 21-Jul-16 17-Aug-12 Tug Boat terhempUSD 1,667.50 - - - - - - - - - - 1,667.50 14,653.00 24,433,877.50 - 24,433,877.50 1,667.50 - - - - - - - - - - 1,667.50 14,647.00 24,423,872.50 - 24,423,872.50 (10,005.00) - (10,005.00) Kurs
47 10110011700001 10110011700001US 1011001121600 setiabudi Care Cabang Bandung Liability 13-Jul-17 PT. BURSA EFEK INDONESIA (IN 31-Dec-16 31-Dec-17 13-Jul-17 10-Jul-17 Pada tanggal 10 JUSD 1.00 - - - - - 0.95 - - - 0.95 0.05 14,653.00 14,653.00 13,920.35 732.65 1.00 - - - - - 0.95 - - - 0.95 0.05 14,647.00 14,647.00 13,914.65 732.35 (6.00) (5.70) (0.30) Kurs
48 10114031500001 10114031500001IDR1011403101200 setiabudi Care Cabang Bandung Suretyship 31-Dec-19 NY. IRAWATI 11-Oct-12 31-Dec-14 7-Dec-15 31-Dec-14 Pemutusan KontraIDR 2,335,019,257.00 - - 167,509,628.21 167,509,628.21 - - - - - 335,019,256.42 2,000,000,000.58 1.00 2,335,019,257.00 335,019,256.42 2,000,000,000.58 2,335,019,257.00 - - 167,509,628.21 167,509,628.21 - - - - - 335,019,256.42 2,000,000,000.58 1.00 2,335,019,257.00 335,019,256.42 2,000,000,000.58 - - -
49 10114031500002 10114031500002IDR1011403111200 setiabudi Care Cabang Bandung Suretyship 31-Dec-19 NY. IRAWATI 2-Nov-12 31-Dec-14 25-Jan-17 31-Dec-14 Pemutusan KontraIDR 1,540,350,621.80 - - 22,941,784.87 22,941,784.87 - 80,296,247.04 - - - 126,179,816.78 1,414,170,805.02 1.00 1,540,350,621.80 126,179,816.78 1,414,170,805.02 1,540,350,621.80 - - 22,941,784.87 22,941,784.87 - 80,296,247.04 - - - 126,179,816.78 1,414,170,805.02 1.00 1,540,350,621.80 126,179,816.78 1,414,170,805.02 - - -
50 10114021600001 10114021600001IDR10114020116000suhawan Care Cabang Bandung Suretyship 11-May-18 PPK Dinas Tata Ruang Pemukiman da 27-Jul-16 7-Nov-16 11-May-18 7-Nov-16 Proyek ini adala IDR 49,988,300.00 - - 19,995,320.00 - - - - - - 19,995,320.00 29,992,980.00 1.00 49,988,300.00 19,995,320.00 29,992,980.00 49,988,300.00 - - 19,995,320.00
305 31115162000002 31115162000002US 3111516101900 yulita Care Cabang Jakarta Miscellaneous 20-Feb-20 15-Sep-19 15-Sep-20 20-Feb-20 19-Feb-20 Broken Engine BloUSD 0.35 - - - - - 0.35 - - - 0.35 0.00 14,653.00 5,128.55 5,091.92 36.63 0.35 - - - - - 0.35 - - - 0.35 0.00 14,647.00 5,126.45 5,089.83 36.62 (2.10) (2.09) (0.01) Kurs
306 31115162000003 31115162000003IDR3111516101900 yulita Care Cabang Jakarta Miscellaneous 9-Jun-20 15-Sep-19 15-Sep-20 9-Jun-20 29-May-20 TBA IDR 0.35 - - - - - 0.35 - - - 0.35 0.00 1.00 0.35 0.35 0.00 0.35 - - - - - 0.35 - - - 0.35 0.00 1.00 0.35 0.35 0.00 - - -
307 11202011900011 11202011900011IDR1120201121800 desti Care Cabang Palembang Motor Vehicle 31-Oct-19 KANTOR KEC. KOTA KAYU AGUNG 26-Dec-18 26-Dec-19 22-Oct-19 21-Oct-19 IDR 1,187,750.00 - - - - - - - - - - 1,187,750.00 1.00 1,187,750.00 - 1,187,750.00 1,187,750.00 - - - - - - - - - - 1,187,750.00 1.00 1,187,750.00 - 1,187,750.00 - - -
308 11202022000007 11202022000007IDR11202020719000desti Care Cabang Palembang Motor Vehicle 25-Jun-20 SEKRETARIAT DPRD PROVINSI S 19-Jul-19 19-Jul-20 20-Apr-20 13-Apr-20 pada saat ditikun IDR 145,642,850.00 - - - - - - - - - - 145,642,850.00 1.00 145,642,850.00 - 145,642,850.00 145,642,850.00 - - - - - - - - - - 145,642,850.00 1.00 145,642,850.00 - 145,642,850.00 - - -
309 11202022000011 11202022000011IDR11202020420000desti Care Cabang Palembang Motor Vehicle 1-Jul-20 SEKRETARIAT DPRD PROVINSI S 29-Apr-20 29-Apr-21 1-Jul-20 24-Jun-20 Menabrak Mobil I IDR 1,683,000.00 - - - - - - - - - - 1,683,000.00 1.00 1,683,000.00 - 1,683,000.00 - - - - - - - - - - - - 1.00 - - - (1,683,000.00) - (1,683,000.00) Kenaikan (Penurunan)
310 11202022000014 11202022000014IDR1120202022000 desti Care Cabang Palembang Motor Vehicle 24-Jul-20 BENDAHARA BADAN PENDAPATAN 7-Feb-20 7-Feb-21 23-Jul-20 19-Jul-20 Pada saat hujan de I DR 1,900,000.00 - - - - - - - - - - 1,900,000.00 1.00 1,900,000.00 - 1,900,000.00 1,900,000.00 - - - - - - - - - - 1,900,000.00 1.00 1,900,000.00 - 1,900,000.00 - - -
311 11214021400001 11214021400001IDRPL12630209H.0 sulaiman Care Cabang Palembang Suretyship 1-Oct-15 PEJABAT PEMBUAT KOMITMEN B 28-Oct-13 28-Dec-13 1-Oct-15 28-Dec-13 Tidak MelaksanakIDR 38,171,450.00 - - 19,085,725.00 - - - - - - 19,085,725.00 19,085,725.00 1.00 38,171,450.00 19,085,725.00 19,085,725.00 38,171,450.00 - - 19,085,725.00 - - - - - - 19,085,725.00 19,085,725.00 1.00 38,171,450.00 19,085,725.00 19,085,725.00 - - -
313 11214021500004 11214021500004IDRPL12630209H.0 sulaiman Care Cabang Palembang Suretyship 1-Oct-15 CV Rizqullah Jasa Kontrindo QQ 127 2-Aug-13 14-Dec-13 20-Apr-15 13-Dec-13 Tidak dapat menyIDR 74,534,950.00 - - 37,267,475.00 - - - - - - 37,267,475.00 37,267,475.00 1.00 74,534,950.00 37,267,475.00 37,267,475.00 74,534,950.00 - - 37,267,475.00 - - - - - - 37,267,475.00 37,267,475.00 1.00 74,534,950.00 37,267,475.00 37,267,475.00 - - -
315 11214021500006 11214021500006IDRPL12630209H.0 sulaiman Care Cabang Palembang Suretyship 8-Oct-15 PEJABAT PEMBUAT KOMITMEN B 28-Oct-13 28-Dec-13 8-Oct-15 28-Dec-13 Tidak Menyelesai IDR 24,863,650.00 - - 12,431,825.00 - - - - - - 12,431,825.00 12,431,825.00 1.00 24,863,650.00 12,431,825.00 12,431,825.00 24,863,650.00 - - 12,431,825.00 - - - - - - 12,431,825.00 12,431,825.00 1.00 24,863,650.00 12,431,825.00 12,431,825.00 - - -
319 11214021500010 11214021500010IDRPL12630209H.0 sulaiman Care Cabang Palembang Suretyship 3-Dec-15 SELATAN JAYA PERMAI 2-Aug-13 27-Jan-14 3-Dec-15 27-Jan-14 Tidak Melaksana IDR 151,500,000.00 - - 75,750,000.00 - - - - - - 75,750,000.00 75,750,000.00 1.00 151,500,000.00 75,750,000.00 75,750,000.00 151,500,000.00 - - 75,750,000.00 - - - - - - 75,750,000.00 75,750,000.00 1.00 151,500,000.00 75,750,000.00 75,750,000.00 - - -
320 11214031400002 11214031400002IDRPL12620209H.0 sulaiman Care Cabang Palembang Suretyship 1-Oct-15 CV Rizqullah Jasa Kontrindo QQ 203 12-Aug-13 24-Dec-13 20-Apr-15 23-Dec-13 Tidak dapat menyIDR 169,939,686.00 - - 84,969,843.00 - - - - - - 84,969,843.00 84,969,843.00 1.00 169,939,686.00 84,969,843.00 84,969,843.00 169,939,686.00 - - 84,969,843.00 - - - - - - 84,969,843.00 84,969,843.00 1.00 169,939,686.00 84,969,843.00 84,969,843.00 - - -
328 11214021500002 11214021500002IDRPL12630214J.0 yuslan Care Cabang Palembang Suretyship 31-Mar-15 PT Putra Prima Mega Power QQ 30-Sep-14 27-Jan-15 24-Mar-15 31-Dec-14 tidak dapat meny IDR 425,838,200.00 - - 212,919,100.00 - - - - - - 212,919,100.00 212,919,100.00 1.00 425,838,200.00 212,919,100.00 212,919,100.00 425,838,200.00 - - 212,919,100.00 - - - - - - 212,919,100.00 212,919,100.00 1.00 425,838,200.00 212,919,100.00 212,919,100.00 - - -
329 11214021600003 11214021600003IDRPL126302141.0 yuslan Care Cabang Palembang Suretyship 24-Nov-16 PT KARYA CIPTA SEJAHTERA QQ 9-Sep-14 7-Jan-15 25-May-16 22-Dec-14 Tidak dapat menyIDR 167,122,945.00 - - 83,561,472.50 - - - - - - 83,561,472.50 83,561,472.50 1.00 167,122,945.00 83,561,472.50 83,561,472.50 167,122,945.00 - - 83,561,472.50 - - - - - - 83,561,472.50 83,561,472.50 1.00 167,122,945.00 83,561,472.50 83,561,472.50 - - -
330 31401091900001 31401091900001IDR3140109111900 mustahal Care Perwakilan Solo Property 4-Dec-19 PT BANK CENTRAL ASIA TBK KA 26-Sep-19 26-Sep-20 4-Dec-19 9-Nov-19 Windstorm IDR 177,975,000.00 112,965.25 - 12,103,419.61 117,344,936.68 - - - - - 129,561,321.54 48,413,678.46 1.00 177,975,000.00 129,561,321.54 48,413,678.46 177,975,000.00 112,965.25 - 12,103,419.61 117,344,936.68 - - - - - 129,561,321.54 48,413,678.46 1.00 177,975,000.00 129,561,321.54 48,413,678.46 - - -
331 31401101900002 31401101900002IDR31401100518000mustahal Care Perwakilan Solo Property 25-Feb-20 PT SRI REJEKI ISMAN 15-Mar-18 15-Mar-19 25-Feb-20 23-Nov-18 Kebakaran IDR 60,501,027.65 23,931.48 - 4,733,078.93 36,811,701.52 - - - - - 41,568,711.93 18,932,315.72 1.00 60,501,027.65 41,568,711.93 18,932,315.72 60,501,027.65 23,931.48 - 4,733,078.93 36,811,701.52 - - - - - 41,568,711.93 18,932,315.72 1.00 60,501,027.65 41,568,711.93 18,932,315.72 - - -
332 11403071500010 11403071500010IDRPL14210211A.0 mustahal Care Perwakilan Solo Marine Cargo 26-Oct-15 PT UNITED TRANSINDO QQ BP. A 19-Feb-14 26-Feb-14 26-Oct-15 22-Feb-14 KENDARAAN RUIDR 218,069,400.00 - - 109,034,700.00 - - - - - - 109,034,700.00 109,034,700.00 1.00 218,069,400.00 109,034,700.00 109,034,700.00 218,069,400.00 - - 109,034,700.00 - - - - - - 109,034,700.00 109,034,700.00 1.00 218,069,400.00 109,034,700.00 109,034,700.00 - - -
333 11403071500011 11403071500011IDRPL14210211A.0 mustahal Care Perwakilan Solo Marine Cargo 26-Oct-15 PT UNITED TRANSINDO QQ PT. P 21-Jul-14 28-Jul-14 26-Oct-15 23-Jul-14 SAAT PERJALA IDR 852,000.00 - - 426,000.00 - - - - - - 426,000.00 426,000.00 1.00 852,000.00 426,000.00 426,000.00 852,000.00 - - 426,000.00 - - - - - - 426,000.00 426,000.00 1.00 852,000.00 426,000.00 426,000.00 - - -
334 11403071700002 11403071700002IDR11403070117000mustahal Care Perwakilan Solo Marine Cargo 8-Oct-18 NISSAN CIKAMPEK 29-Jul-17 28-Aug-17 8-Oct-18 29-Jul-17 akibat rem blong IDR 3,112,780.00 - - 933,834.00 - - - - - - 933,834.00 2,178,946.00 1.00 3,112,780.00 933,834.00 2,178,946.00 3,112,780.00 - - 933,834.00 - - - - - - 933,834.00 2,178,946.00 1.00 3,112,780.00 933,834.00 2,178,946.00 - - -
335 11403071800003 11403071800003IDR11403070117000mustahal Care Perwakilan Solo Marine Cargo 13-Apr-18 NISSAN DAAN MOGOT 18-Dec-17 17-Jan-18 13-Apr-18 18-Dec-17 Pada Saat keluar IDR 700,000.00 - - 210,000.00 - - - - - - 210,000.00 490,000.00 1.00 700,000.00 210,000.00 490,000.00 700,000.00 - - 210,000.00 - - - - - - 210,000.00 490,000.00 1.00 700,000.00 210,000.00 490,000.00 - - -
336 11403071800011 11403071800011IDR11403070117000mustahal Care Perwakilan Solo Marine Cargo 9-Jul-18 NISSAN CIKAMPEK 4-May-18 3-Jun-18 9-Jul-18 7-May-18 Saat perjalanan IDR 6,570,000.00 - - 1,314,000.00 - - - - - - 1,314,000.00 5,256,000.00 1.00 6,570,000.00 1,314,000.00 5,256,000.00 6,570,000.00 - - 1,314,000.00 - - - - - - 1,314,000.00 5,256,000.00 1.00 6,570,000.00 1,314,000.00 5,256,000.00 - - -
337 11403071800015 11403071800015IDR11403070117000mustahal Care Perwakilan Solo Marine Cargo 4-Sep-18 PT MBD INA 12-Feb-18 14-Mar-18 3-Jul-18 15-Feb-18 Saat Unloading M IDR 4,500,000.00 - - 900,000.00 - - - - - - 900,000.00 3,600,000.00 1.00 4,500,000.00 900,000.00 3,600,000.00 4,500,000.00 - - 900,000.00 - - - - - - 900,000.00 3,600,000.00 1.00 4,500,000.00 900,000.00 3,600,000.00 - - -
338 11403071800018 11403071800018IDR11403070117000mustahal Care Perwakilan Solo Marine Cargo 7-Sep-18 PT KEDAUNG SATRYA MOTOR 29-Apr-18 29-May-18 7-Sep-18 9-May-18 Saat loading di P IDR 1,500,000.00 - - 300,000.00 - - - - - - 300,000.00 1,200,000.00 1.00 1,500,000.00 300,000.00 1,200,000.00 1,500,000.00 - - 300,000.00 - - - - - - 300,000.00 1,200,000.00 1.00 1,500,000.00 300,000.00 1,200,000.00 - - -
339 11403071800020 11403071800020IDR11403070117000mustahal Care Perwakilan Solo Marine Cargo 2-May-19 PT HYUNDAI 29-Aug-18 28-Sep-18 11-Oct-18 29-Aug-18 Terkena Rak AtasIDR 1,850,000.00 - - 370,000.00 - - - - - - 370,000.00 1,480,000.00 1.00 1,850,000.00 370,000.00 1,480,000.00 1,850,000.00 - - 370,000.00 - - - - - - 370,000.00 1,480,000.00 1.00 1,850,000.00 370,000.00 1,480,000.00 - - -
340 11403071800022 11403071800022IDR11403070117000mustahal Care Perwakilan Solo Marine Cargo 8-Jul-19 OT SUKONINDO AUTOMOBILE 6-Dec-18 5-Jan-19 8-Jul-19 8-Dec-18 Terkena Dahan / rIDR 3,099,000.00 - - 619,800.00 - - - - - - 619,800.00 2,479,200.00 1.00 3,099,000.00 619,800.00 2,479,200.00 3,099,000.00 - - 619,800.00 - - - - - - 619,800.00 2,479,200.00 1.00 3,099,000.00 619,800.00 2,479,200.00 - - -
341 11403071900002 11403071900002IDR11403070117000mustahal Care Perwakilan Solo Marine Cargo 8-Jul-19 BP I PUTU CRISTEVEN ABIDIEL 12-Feb-19 14-Mar-19 2-May-19 13-Feb-19 saat perjalanan k IDR 2,800,000.00 - - 560,000.00 - - - - - - 560,000.00 2,240,000.00 1.00 2,800,000.00 560,000.00 2,240,000.00 2,800,000.00 - - 560,000.00 - - - - - - 560,000.00 2,240,000.00 1.00 2,800,000.00 560,000.00 2,240,000.00 - - -
342 11409011900001 11409011900001IDR1140901031900 sumanto Care Perwakilan Solo Engineering 22-Apr-19 PT BANK BUKOPIN, TBK CAB. S 1-Mar-19 1-May-20 22-Apr-19 12-Apr-19 Longsor IDR 24,617,000.00 - - 4,923,400.00 - - - - - - 4,923,400.00 19,693,600.00 1.00 24,617,000.00 4,923,400.00 19,693,600.00 24,617,000.00 - - 4,923,400.00 - - - - - - 4,923,400.00 19,693,600.00 1.00 24,617,000.00 4,923,400.00 19,693,600.00 - - -
343 32201091800007 32201091800007IDR32201090418000Darmawan Care Perwakilan Slipi Property 9-Nov-18 PT INDOSAT MEGAMEDIA (IM2) 1-Apr-18 1-Apr-19 9-Nov-18 24-Oct-18 Tindakan yang beIDR 1,630,200.00 2,453.34 - 147,200.40 891,744.67 - - - - - 1,041,398.41 588,801.59 1.00 1,630,200.00 1,041,398.41 588,801.59 1,630,200.00 2,453.34 - 147,200.40 891,744.67 - - - - - 1,041,398.41 588,801.59 1.00 1,630,200.00 1,041,398.41 588,801.59 - - -
344 32201091800013 32201091800013IDR32201090418000Darmawan Care Perwakilan Slipi Property 4-Dec-18 PT INDOSAT MEGAMEDIA (IM2) 1-Apr-18 1-Apr-19 4-Dec-18 9-Sep-18 Damage FO CablIDR 2,791,107.00 4,200.43 - 252,025.56 1,526,778.80 - - - - - 1,783,004.78 1,008,102.22 1.00 2,791,107.00 1,783,004.78 1,008,102.22 2,791,107.00 4,200.43 - 252,025.56 1,526,778.80 - - - - - 1,783,004.78 1,008,102.22 1.00 2,791,107.00 1,783,004.78 1,008,102.22 - - -
345 32201091900007 32201091900007IDR32201090319000rapika Care Perwakilan Slipi Property 30-Apr-19 WILMAR NABATI INDONESIA, PT. includin
31-Dec-18 31-Dec-19 11-Apr-19 14-Mar-19 Insiden terjadi p IDR 1.00 - - - - - 0.97 - - - 0.97 0.03 1.00 1.00 0.97 0.03 1.00 - - - - - 0.97 - - - 0.97 0.03 1.00 1.00 0.97 0.03 - - -
346 32201101900006 32201101900006IDR3220110081800 rapika Care Perwakilan Slipi Property 22-Apr-19 PT VICTORY PAN MULTITEX including any7-Jun-18 15-Apr-19 22-Apr-19 19-Nov-18 Karena hujan lebaIDR 2,400,452.54 7,548.59 - 377,429.65 505,755.72 - - - - - 890,733.96 1,509,718.58 1.00 2,400,452.54 890,733.96 1,509,718.58 2,400,452.54 7,548.59 - 377,429.65 505,755.72 - - - - - 890,733.96 1,509,718.58 1.00 2,400,452.54 890,733.96 1,509,718.58 - - -
347 32201091900007 32201091900007US 32201090319000rapika Care Perwakilan Slipi Property 30-Apr-19 WILMAR NABATI INDONESIA, PT. includin
31-Dec-18 31-Dec-19 11-Apr-19 14-Mar-19 Insiden terjadi p USD 8,085.00 - - - - - 7,854.00 - - - 7,854.00 231.00 14,653.00 118,469,505.00 115,084,662.00 3,384,843.00 8,085.00 - - - - - 7,854.00 - - - 7,854.00 231.00 14,647.00 118,420,995.00 115,037,538.00 3,383,457.00 (48,510.00) (47,124.00) (1,386.00) Kurs
348 32201101900008 32201101900008IDR3220110061800 rapika Care Perwakilan Slipi Property 13-May-19 PT PAN BROTHERS, TBK including any15-Apr-18
su 15-Apr-19 3-May-19 13-Apr-19 Including Burglary IDR 5,000,001.00 10,570.83 - 528,541.33 2,346,723.51 - - - - - 2,885,835.67 2,114,165.33 1.00 5,000,001.00 2,885,835.67 2,114,165.33 5,000,001.00 10,570.83 - 528,541.33 2,346,723.51 - - - - - 2,885,835.67 2,114,165.33 1.00 5,000,001.00 2,885,835.67 2,114,165.33 - - -
349 31101101900002 31101101900002IDR3220110071900 rapika Care Perwakilan Slipi Property 19-Feb-20 PT OCEAN ASIA INDUSTRY including any
15-Apr-19 15-Apr-20 8-Jul-19 17-May-19 Damage to perimet IDR 4,387,250.00 11,923.50 - 290,098.63 - - 2,924,833.33 - - - 3,226,855.46 1,160,394.54 1.00 4,387,250.00 3,226,855.46 1,160,394.54 4,387,250.00 11,923.50 - 290,098.63 - - 2,924,833.33 - - - 3,226,855.46 1,160,394.54 1.00 4,387,250.00 3,226,855.46 1,160,394.54 - - -
350 32201091900012 32201091900012IDR3220109011900 rapika Care Perwakilan Slipi Property 10-Jul-19 31-Dec-18 31-Dec-19 10-Jul-19 7-Jul-19 Property All Risk IDR 20,000,000.00 29,316.74 - 1,099,377.71 14,473,794.70 - - - - - 15,602,489.15 4,397,510.85 1.00 20,000,000.00 15,602,489.15 4,397,510.85 20,000,000.00 29,316.74 - 1,099,377.71 14,473,794.70 - - - - - 15,602,489.15 4,397,510.85 1.00 20,000,000.00 15,602,489.15 4,397,510.85 - - -
351 32201091900016 32201091900016IDR32201090319000rapika Care Perwakilan Slipi Property 21-Aug-19 WILMAR NABATI INDONESIA, PT. includin
31-Dec-18 31-Dec-19 12-Aug-19 29-Jul-19 Terjadi ledakan paIDR 1.00 - - - - - 0.97 - - - 0.97 0.03 1.00 1.00 0.97 0.03 1.00 - - - - - 0.97 - - - 0.97 0.03 1.00 1.00 0.97 0.03 - - -
352 32201091900016 32201091900016US 32201090319000rapika Care Perwakilan Slipi Property 21-Aug-19 WILMAR NABATI INDONESIA, PT. includin
31-Dec-18 31-Dec-19 12-Aug-19 29-Jul-19 Terjadi ledakan paUSD 24,500.00 - - - - - 23,800.00 - - - 23,800.00 700.00 14,653.00 358,998,500.00 348,741,400.00 10,257,100.00 24,500.00 - - - - - 23,800.00 - - - 23,800.00 700.00 14,647.00 358,851,500.00 348,598,600.00 10,252,900.00 (147,000.00) (142,800.00) (4,200.00) Kurs
353 31101091900041 31101091900041IDR3220109081900 rapika Care Perwakilan Slipi Property 16-Jun-20 31-Dec-18 1-Oct-19 22-Aug-19 20-Jul-19 Fire damage to c IDR 2,861,516.95 - - - - - 2,804,286.61 - - - 2,804,286.61 57,230.34 1.00 2,861,516.95 2,804,286.61 57,230.34 2,861,516.95 - - - - - 2,804,286.61 - - - 2,804,286.61 57,230.34 1.00 2,861,516.95 2,804,286.61 57,230.34 - - -
354 32201091900019 32201091900019IDR3220109091800 rapika Care Perwakilan Slipi Property 28-Jul-20 21-Aug-18 1-Oct-19 11-Sep-19 21-Aug-19 IDR 30,081,150.00 - - - - - 29,479,527.00 - - - 29,479,527.00 601,623.00 1.00 30,081,150.00 29,479,527.00 601,623.00 30,081,150.00 - - - - - 29,479,527.00 - - - 29,479,527.00 601,623.00 1.00 30,081,150.00 29,479,527.00 601,623.00 - - -
355 32201091900025 32201091900025IDR3220109091800 rapika Care Perwakilan Slipi Property 27-Sep-19 21-Aug-18 1-Oct-19 9-Sep-19 27-Aug-19 IDR 125,000,001.00 - - - - - 122,500,000.98 - - - 122,500,000.98 2,500,000.02 1.00 125,000,001.00 122,500,000.98 2,500,000.02 125,000,001.00 - - - - - 122,500,000.98 - - - 122,500,000.98 2,500,000.02 1.00 125,000,001.00 122,500,000.98 2,500,000.02 -
Claim Reserve July 2020 Claim Reserve August 2020 Mutation Claim Reserve August 2020
Period Claim Recoveries Claim Recoveries
No Claim No Policy No MO Code Source Branch Class of Business Rev Date Insured Register Date Date Of Loss Cause of Loss Currency Gross Claim Claim Net Forex Gross Claim (IDR) Claim Recoveries (IDR) Claim Net (IDR) Gross Claim Claim Net Forex Gross Claim (IDR) Claim Recoveries (IDR) Claim Net (IDR) Gross Claim (IDR) Claim Recoveries (IDR) Claim Net (IDR)
Beginning Ending BPPDAN Decree Quota Share Surplus Fac Obligatory Facultative XOL MaiparkCoinsurance Total BPPDAN Decree Quota Share Surplus Fac Obligatory Facultative XOL Maipark Coinsurance Total
418 12202022000048 12202022000048ID 1220202062000yonathan Care Perwakilan Slipi Motor Vehicle 6-Aug-20 SUTAN ALIF FATHAN 2-Jun-20 2-Jun-21 17-Jul-20 16-Jul-20 kendaraan didep IDR 2.00 - - - - - - - - - - 2.00 1.00 2.00 - 2.00 34,460,335.00 - - - - - - - - - - 34,460,335.00 1.00 34,460,335.00 - 34,460,335.00 34,460,333.00 - 34,460,333.00 Kenaikan (Penurunan)
12202022000053 12202022000053ID 1220202072000yonathan Care Perwakilan Slipi Motor Vehicle 4-Aug-20 Tn HARIS SETIAWAN QQ ERLINA S 15-Jul-20 15-Jul-21 4-Aug-20 31-Jul-20 SAAT SEDAMG DIDR - - - - - - - - - - - - 1.00 - - - 24,261,100.00 - - - - - - - - - - 24,261,100.00 1.00 24,261,100.00 - 24,261,100.00 24,261,100.00 - 24,261,100.00 Baru
32209032000001 32209032000001ID 3220903022000lilis Care Perwakilan Slipi Engineering 6-Aug-20 PT MAJU PAPUA KENCANA 29-Jan-20 29-Jan-21 6-Aug-20 26-Jul-20 IDR - - - - - - - - - - - - 1.00 - - - 67,500,000.00 - - 54,000,000.00 - - - - - - 54,000,000.00 13,500,000.00 1.00 67,500,000.00 54,000,000.00 13,500,000.00 67,500,000.00 54,000,000.00 13,500,000.00 Baru
394 12202022000007 12202022000007ID 1220202121900yonathan Care Perwakilan Slipi Motor Vehicle 6-Aug-20 M. ARRY YUDISTIRA 12-Dec-19 12-Dec-20 9-Jan-20 3-Jan-20 SAAT KELUAR DIDR 1.00 - - - - - - - - - - 1.00 1.00 1.00 - 1.00 7,317,500.00 - - - - - - - - - - 7,317,500.00 1.00 7,317,500.00 - 7,317,500.00 7,317,499.00 - 7,317,499.00 Kenaikan (Penurunan)
93 30204012000001 30204012000001ID 3020401111900adhi Care Cabang Surabaya Marine Hull 3-Aug-20 PT BANK NEGARA INDONESIA (PE 19-Nov-19 19-Nov-20 27-Mar-20 9-Mar-20 Km. Mila Utama m IDR 0.20 - - 0.04 - - - - - - 0.04 0.16 1.00 0.20 0.04 0.16 7,583,070.00 - - 1,516,614.00 - - - - - - 1,516,614.00 6,066,456.00 1.00 7,583,070.00 1,516,614.00 6,066,456.00 7,583,069.80 1,516,613.96 6,066,455.84 Kenaikan (Penurunan)
32201102000009 32201102000009ID 3220110072000Ishak Care Perwakilan Slipi Property 7-Aug-20 PT CAHAYA MURNI TIMUR JAYA 21-Jun-20 21-Jun-21 7-Aug-20 16-Jul-20 Flood IDR - - - - - - - - - - - - 1.00 - - - 7,500,000.00 187,500.00 - 1,462,500.00 - - - - - - 1,650,000.00 5,850,000.00 1.00 7,500,000.00 1,650,000.00 5,850,000.00 7,500,000.00 1,650,000.00 5,850,000.00 Baru
32201102000010 32201102000010ID 3220110072000Ishak Care Perwakilan Slipi Property 7-Aug-20 PT CAHAYA MURNI TIMUR JAYA 21-Jun-20 21-Jun-21 7-Aug-20 16-Jul-20 Flood IDR - - - - - - - - - - - - 1.00 - - - 7,500,000.00 187,500.00 - 1,462,500.00 - - - - - - 1,650,000.00 5,850,000.00 1.00 7,500,000.00 1,650,000.00 5,850,000.00 7,500,000.00 1,650,000.00 5,850,000.00 Baru
12202012000058 12202012000058ID 1220201121800Rita Care Perwakilan Slipi Motor Vehicle 4-Aug-20 PT MANDIRI TUNAS FINANCE QQ 19-Mar-20 19-Mar-25 4-Aug-20 1-Aug-20 SAAT BELOK KI IDR - - - - - - - - - - - - 1.00 - - - 4,690,000.00 - - - - - - - - - - 4,690,000.00 1.00 4,690,000.00 - 4,690,000.00 4,690,000.00 - 4,690,000.00 Baru
12202012000059 12202012000059ID 1220201091800Rita Care Perwakilan Slipi Motor Vehicle 7-Aug-20 PT MANDIRI TUNAS FINANCE QQ 3-Sep-18 3-Sep-21 7-Aug-20 3-Aug-20 IDR - - - - - - - - - - - - 1.00 - - - 4,273,500.00 - - - - - - - - - - 4,273,500.00 1.00 4,273,500.00 - 4,273,500.00 4,273,500.00 - 4,273,500.00 Baru
131 10502012000024 10502012000024ID 1050201091900raja Care Cabang Pekanbaru Motor Vehicle 4-Aug-20 PT ABADI ICE CREAM MULTIRASA 30-Sep-19 30-Sep-20 14-Jul-20 12-Jul-20 Body samping kiriIDR 1.00 - - - - - - - - - - 1.00 1.00 1.00 - 1.00 3,893,000.00 - - - - - - - - - - 3,893,000.00 1.00 3,893,000.00 - 3,893,000.00 3,892,999.00 - 3,892,999.00 Kenaikan (Penurunan)
10202012000049 10202012000049ID 1020201121900farichin Care Cabang Surabaya Motor Vehicle 5-Aug-20 Tn. BINERCO GUNAWAN 20-Dec-19 20-Dec-20 5-Aug-20 4-Aug-20 Mobil jalan pelan IDR - - - - - - - - - - - - 1.00 - - - 3,300,520.00 - - - - - - - - - - 3,300,520.00 1.00 3,300,520.00 - 3,300,520.00 3,300,520.00 - 3,300,520.00 Baru
57 30201091900001 30201091900001E 3020109091800adhi Care Cabang Surabaya Property 27-Mar-20 PT KATWARA 1-Sep-18 28-Feb-19 20-Sep-19 24-Jan-19 Kebakaran EUR 63,000.00 256.39 - 6,828.76 28,599.82 - - - - - 35,684.96 27,315.04 17,252.00 1,086,876,000.00 615,636,995.92 471,239,004.08 63,000.00 256.39 - 6,828.76 28,599.82 - - - - - 35,684.96 27,315.04 17,355.00 1,093,365,000.00 619,312,547.20 474,052,452.80 6,489,000.00 3,675,551.27 2,813,448.73 Kurs
12202022000055 12202022000055ID 1220202101900yonathan Care Perwakilan Slipi Motor Vehicle 7-Aug-20 EKA BAASITH SYAMSURI QQ LASM 23-Oct-19 23-Oct-20 7-Aug-20 4-Aug-20 DITABRAK MOTO IDR - - - - - - - - - - - - 1.00 - - - 1,806,500.00 - - - - - - - - - - 1,806,500.00 1.00 1,806,500.00 - 1,806,500.00 1,806,500.00 - 1,806,500.00 Baru
12202012000053 12202012000053ID 1220201121800Rita Care Perwakilan Slipi Motor Vehicle 3-Aug-20 PT MANDIRI TUNAS FINANCE QQ 17-Jan-20 17-Jan-25 3-Aug-20 18-Jul-20 IDR - - - - - - - - - - - - 1.00 - - - 1,733,898.00 - - - - - - - - - - 1,733,898.00 1.00 1,733,898.00 - 1,733,898.00 1,733,898.00 - 1,733,898.00 Baru
11002012000046 11002012000046ID 1100201121900eric Care Cabang Lampung Motor Vehicle 6-Aug-20 Ny ERLINA WATI 2-Dec-19 2-Dec-20 6-Aug-20 5-Aug-20 Saat mobil masukIDR - - - - - - - - - - - - 1.00 - - - 1,350,000.00 - - - - - - - - - - 1,350,000.00 1.00 1,350,000.00 - 1,350,000.00 1,350,000.00 - 1,350,000.00 Baru
11102022000069 11102022000069ID 1110202072000KPA Care Cabang Jakarta Motor Vehicle 7-Aug-20 PT TRILISTRINDO PRATAMA 10-Jul-20 10-Jul-21 7-Aug-20 3-Aug-20 IDR - - - - - - - - - - - - 1.00 - - - 1,310,000.00 - - - - - - - - - - 1,310,000.00 1.00 1,310,000.00 - 1,310,000.00 1,310,000.00 - 1,310,000.00 Baru
10202012000047 10202012000047ID 1020201081900farichin Care Cabang Surabaya Motor Vehicle 5-Aug-20 Ny LILIEK ANGGRAENI ADIKUSUM 20-Aug-19 20-Aug-20 5-Aug-20 24-Jul-20 Saat sedang puteIDR - - - - - - - - - - - - 1.00 - - - 1,185,000.00 - - - - - - - - - - 1,185,000.00 1.00 1,185,000.00 - 1,185,000.00 1,185,000.00 - 1,185,000.00 Baru
11102022000066 11102022000066ID 1110202091900KPA Care Cabang Jakarta Motor Vehicle 4-Aug-20 PT. SIM 31-Aug-19 31-Aug-20 4-Aug-20 4-Aug-20 SAAT PARKIR D IDR - - - - - - - - - - - - 1.00 - - - 307,750.00 - - - - - - - - - - 307,750.00 1.00 307,750.00 - 307,750.00 307,750.00 - 307,750.00 Baru
2 51101101900003 51101101900003E 5000110031900KPA Care Kantor Pusat Property 12-Mar-19 PT KATWARA 1-Sep-18 28-Feb-19 12-Mar-19 24-Jan-19 Fire EUR 141.08 - - - - - - - - - - 141.08 17,252.00 2,433,850.51 - 2,433,850.51 141.08 - - - - - - - - - - 141.08 17,355.00 2,448,381.38 - 2,448,381.38 14,530.87 - 14,530.87 Kurs
1 51101101900002 51101101900002E 5000110031900KPA Care Kantor Pusat Property 12-Mar-19 PT KATWARA 1-Sep-18 28-Feb-19 12-Mar-19 24-Jan-19 Fire EUR 125.29 - - - - - - - - - - 125.29 17,252.00 2,161,549.33 - 2,161,549.33 125.29 - - - - - - - - - - 125.29 17,355.00 2,174,454.48 - 2,174,454.48 12,905.15 - 12,905.15 Kurs
112 30401011900003 30401011900003U 3040101061800rudy Care Cabang Medan Property 30-Jun-20 BANK KEB HANA INDONESIA QQ P 3-Jun-18 3-Jun-19 4-Oct-19 13-Apr-19 Terbakar USD - - - - - - - 907.66 - - 907.66 (907.66) 14,653.00 - 13,300,005.57 (13,300,005.57) - - - - - - - 907.66 - - 907.66 (907.66) 14,647.00 - 13,294,559.58 (13,294,559.58) - (5,445.99) 5,445.99 Kurs
62 30201101800009 30201101800009U 3020110081800larius Care Cabang Surabaya Property 6-Jul-20 PT. EVAPRATAMA INDOJAYA QQ M 21-Aug-18 21-Aug-19 2-Sep-19 5-Nov-18 Kebakaran USD - - - - - - - 49.47 - - 49.47 (49.47) 14,653.00 - 724,925.51 (724,925.51) - - - - - - - 49.47 - - 49.47 (49.47) 14,647.00 - 724,628.68 (724,628.68) - (296.84) 296.84 Kurs
12202012000057 12202012000057ID 1220201121800Rita Care Perwakilan Slipi Motor Vehicle 3-Aug-20 PT MANDIRI TUNAS FINANCE QQ 13-Mar-20 13-Mar-25 3-Aug-20 30-Jul-20 BAGIAN DEPAN IDR - - - - - - - - - - - - 1.00 - - - 2.00 - - - - - - - - - - 2.00 1.00 2.00 - 2.00 2.00 - 2.00 Baru
12202022000051 12202022000051ID 1220202012000yonathan Care Perwakilan Slipi Motor Vehicle 3-Aug-20 PUTRA UTAMA ABBAS 3-Jan-20 3-Jan-21 3-Aug-20 26-Jul-20 MOTOR TERBALIIDR - - - - - - - - - - - - 1.00 - - - 1.00 - - - - - - - - - - 1.00 1.00 1.00 - 1.00 1.00 - 1.00 Baru
10203032000005 10203032000005ID 1020303072000marsupa Care Cabang Surabaya Marine Cargo 3-Aug-20 CV BUANA RAYA DUTA 23-Jul-20 6-Aug-20 29-Jul-20 24-Jul-20 Kapal DJO 3 saatIDR - - - - - - - - - - - - 1.00 - - - 1.00 - - 0.20 - - - - - - 0.20 0.80 1.00 1.00 0.20 0.80 1.00 0.20 0.80 Baru
10203032000006 10203032000006ID 1020303072000marsupa Care Cabang Surabaya Marine Cargo 3-Aug-20 CV MITRA MANDIRI PRATAMA QQ 23-Jul-20 6-Aug-20 3-Aug-20 24-Jul-20 Kapal DJO 3 saatIDR - - - - - - - - - - - - 1.00 - - - 1.00 - - 0.20 - - - - - - 0.20 0.80 1.00 1.00 0.20 0.80 1.00 0.20 0.80 Baru
10203032000007 10203032000007ID 1020303072000marsupa Care Cabang Surabaya Marine Cargo 3-Aug-20 CV MITRA MANDIRI PRATAMA QQ 23-Jul-20 6-Aug-20 29-Jul-20 24-Jul-20 Kapal DJO 3 saatIDR - - - - - - - - - - - - 1.00 - - - 1.00 - - 0.20 - - - - - - 0.20 0.80 1.00 1.00 0.20 0.80 1.00 0.20 0.80 Baru
10401012000001 10401012000001ID 1040101121900rudy Care Cabang Medan Property 3-Aug-20 SEMANGAT JAYA QQ WILLIP 20-Dec-19 20-Dec-20 3-Aug-20 2-Aug-20 Kebakaran dari r IDR - - - - - - - - - - - - 1.00 - - - 1.00 0.03 - 0.20 - - - - - - 0.22 0.78 1.00 1.00 0.22 0.78 1.00 0.22 0.78 Baru
10511092000007 10511092000007ID 1051109091900zul Care Cabang Pekanbaru Personal Accident 6-Aug-20 BPR PRIMA RIAU SENTOSA - CAB 27-Dec-19 27-Dec-21 6-Aug-20 19-Jul-20 sebelum meningga IDR - - - - - - - - - - - - 1.00 - - - 1.00 - - - - 1.00 - - - - 1.00 - 1.00 1.00 1.00 - 1.00 1.00 - Baru
154 10811092000010 10811092000010ID 1081109031800sil Care Cabang Jambi Personal Accident 7-Aug-20 BISARA PANGARIBUAN QQ BANK 15-May-18 15-May-21 10-Jul-20 21-May-20 - meninggal duniaIDR 13,184,877.53 - - - - 13,184,877.53 - - - - 13,184,877.53 - 1.00 13,184,877.53 13,184,877.53 - 12,172,900.46 - - - - 12,172,900.46 - - - - 12,172,900.46 - 1.00 12,172,900.46 12,172,900.46 - (1,011,977.07) (1,011,977.07) - Kenaikan (Penurunan)
220 31101091900052 31101091900052U 01F0510130012sulistyo Care Cabang Jakarta Property 17-Sep-19 PT PLN (Persero) Kantor Pusat 1-Oct-13 1-Oct-14 17-Sep-19 16-Jan-14 Flood USD 0.03 - - - - - 0.03 - - - 0.03 0.00 14,653.00 439.59 438.12 1.47 0.03 - - - - - 0.03 - - - 0.03 0.00 14,647.00 439.41 437.95 1.46 (0.18) (0.18) (0.00) Kurs
175 301091700007 301091700007USD 1101041700002fifi Care Cabang Jakarta Property 29-May-17 PT ASURANSI TUGU KRESNA PRA 1-Oct-13 1-Oct-14 29-May-17 1-Dec-13 Damage to Trafo USD 2.50 - - - - - 2.50 - - - 2.50 0.00 14,653.00 36,632.50 36,614.18 18.32 2.50 - - - - - 2.50 - - - 2.50 0.00 14,647.00 36,617.50 36,599.19 18.31 (15.00) (14.99) (0.01) Kurs
305 31115162000002 31115162000002U 3111516101900yulita Care Cabang Jakarta Miscellaneous 20-Feb-20 15-Sep-19 15-Sep-20 20-Feb-20 19-Feb-20 Broken Engine BlUSD 0.35 - - - - - 0.35 - - - 0.35 0.00 14,653.00 5,128.55 5,091.92 36.63 0.35 - - - - - 0.35 - - - 0.35 0.00 14,647.00 5,126.45 5,089.83 36.62 (2.10) (2.09) (0.01) Kurs
183 31101091800006 31101091800006U 3110109041700sulistyo Care Cabang Jakarta Property 19-Mar-18 PT PLN (Persero) Kantor Pusat 30-Nov-16 30-Nov-17 19-Mar-18 19-Dec-16 Kebakaran akibatUSD 2.00 - - - - - 1.99 - - - 1.99 0.01 14,653.00 29,306.00 29,159.47 146.53 2.00 - - - - - 1.99 - - - 1.99 0.01 14,647.00 29,294.00 29,147.53 146.47 (12.00) (11.94) (0.06) Kurs
184 31101091800008 31101091800008U 3110109041700sulistyo Care Cabang Jakarta Property 19-Mar-18 PT PLN (Persero) Kantor Pusat 30-Nov-16 30-Nov-17 19-Mar-18 19-Jan-17 Damage USD 2.00 - - - - - 1.99 - - - 1.99 0.01 14,653.00 29,306.00 29,159.47 146.53 2.00 - - - - - 1.99 - - - 1.99 0.01 14,647.00 29,294.00 29,147.53 146.47 (12.00) (11.94) (0.06) Kurs
185 31101091800013 31101091800013U 3110109041700sulistyo Care Cabang Jakarta Property 19-Mar-18 PT PLN (Persero) Kantor Pusat 30-Nov-16 30-Nov-17 19-Mar-18 29-May-17 USD 2.00 - - - - - 1.99 - - - 1.99 0.01 14,653.00 29,306.00 29,159.47 146.53 2.00 - - - - - 1.99 - - - 1.99 0.01 14,647.00 29,294.00 29,147.53 146.47 (12.00) (11.94) (0.06) Kurs
186 31101091800016 31101091800016U 3110109041700sulistyo Care Cabang Jakarta Property 19-Mar-18 PT PLN (Persero) Kantor Pusat 30-Nov-16 30-Nov-17 19-Mar-18 23-Sep-17 Terbakarnya kab USD 2.00 - - - - - 1.99 - - - 1.99 0.01 14,653.00 29,306.00 29,159.47 146.53 2.00 - - - - - 1.99 - - - 1.99 0.01 14,647.00 29,294.00 29,147.53 146.47 (12.00) (11.94) (0.06) Kurs
193 31101091800058 31101091800058U 3110109021800sulistyo Care Cabang Jakarta Property 18-Oct-18 PT PLN (Persero) Kantor Pusat 30-Nov-17 30-Nov-18 18-Oct-18 15-Aug-18 PLTU Pangkalan USD 2.00 - - - - - 1.99 - - - 1.99 0.01 14,653.00 29,306.00 29,159.47 146.53 2.00 - - - - - 1.99 - - - 1.99 0.01 14,647.00 29,294.00 29,147.53 146.47 (12.00) (11.94) (0.06) Kurs
208 31101091900020 31101091900020U 3110109041700sulistyo Care Cabang Jakarta Property 13-May-19 PT PLN (Persero) Kantor Pusat 30-Nov-16 30-Nov-17 13-May-19 12-Oct-17 Gangguan Pada TuUSD 2.00 - - - - - 1.99 - - - 1.99 0.01 14,653.00 29,306.00 29,159.47 146.53 2.00 - - - - - 1.99 - - - 1.99 0.01 14,647.00 29,294.00 29,147.53 146.47 (12.00) (11.94) (0.06) Kurs
209 31101091900022 31101091900022U 3110109041700sulistyo Care Cabang Jakarta Property 14-May-19 PT PLN (Persero) Kantor Pusat 30-Nov-16 30-Nov-17 14-May-19 23-Aug-17 Kerusakan Pada SUSD 2.00 - - - - - 1.99 - - - 1.99 0.01 14,653.00 29,306.00 29,159.47 146.53 2.00 - - - - - 1.99 - - - 1.99 0.01 14,647.00 29,294.00 29,147.53 146.47 (12.00) (11.94) (0.06) Kurs
182 31101091800005 31101091800005U 3110109031500sulistyo Care Cabang Jakarta Property 19-Mar-18 PT PLN (Persero) Kantor Pusat 11-Nov-14 11-Nov-15 19-Mar-18 15-Oct-15 Damage USD 3.00 - - - - - 2.99 - - - 2.99 0.01 14,653.00 43,959.00 43,812.47 146.53 3.00 - - - - - 2.99 - - - 2.99 0.01 14,647.00 43,941.00 43,794.53 146.47 (18.00) (17.94) (0.06) Kurs
202 31101091900003 31101091900003ID 3110109091800KPA Care Cabang Jakarta Property 11-Feb-19 PT TELEKOMUNIKASI INDONESIA, 1-Jul-18 30-Jun-19 11-Feb-19 30-Dec-18 Putus IDR 2.50 - - - - - 2.25 - - - 2.25 0.25 1.00 2.50 2.25 0.25 - - - - - - - - - - - - 1.00 - - - (2.50) (2.25) (0.25) Kenaikan (Penurunan)
47 10110011700001 10110011700001U 1011001121600setiabudi Care Cabang Bandung Liability 13-Jul-17 PT. BURSA EFEK INDONESIA (IN 31-Dec-16 31-Dec-17 13-Jul-17 10-Jul-17 Pada tanggal 10 USD 1.00 - - - - - 0.95 - - - 0.95 0.05 14,653.00 14,653.00 13,920.35 732.65 1.00 - - - - - 0.95 - - - 0.95 0.05 14,647.00 14,647.00 13,914.65 732.35 (6.00) (5.70) (0.30) Kurs
56 30201101900004 30201101900004U 3020110031800adhi Care Cabang Surabaya Property 24-Jan-19 PT HAIR STAR INDONESIA QQ Dra 31-Mar-18 31-Mar-19 24-Jan-19 24-Jan-19 Banjir USD 0.10 0.00 - 0.02 - - - - - - 0.02 0.08 14,653.00 1,465.30 306.62 1,158.68 0.10 0.00 - 0.02 - - - - - - 0.02 0.08 14,647.00 1,464.70 306.49 1,158.21 (0.60) (0.13) (0.47) Kurs
174 301091700006 301091700006USD 1101101200001jean Care Cabang Jakarta Property 6-May-17 PT ASURANSI TUGU KRESNA PRA 1-Oct-12 1-Oct-13 6-May-17 1-Jul-13 Damage to ShanghUSD 600.00 - - - - - 598.00 - - - 598.00 2.00 14,653.00 8,791,800.00 8,762,494.00 29,306.00 600.00 - - - - - 598.00 - - - 598.00 2.00 14,647.00 8,788,200.00 8,758,906.00 29,294.00 (3,600.00) (3
SUMMARY CLAIM PRODUCTION
AUGUST 2020
NO CLAIMNO INSURED_NAME
1 12202012000052 PT MANDIRI TUNAS FINANCE QQ DICKY HANDOKO
2 31101091900005 PT TELEKOMUNIKASI INDONESIA, TBK. (TELKOM)
3 31101091900003 PT TELEKOMUNIKASI INDONESIA, TBK. (TELKOM)
4 10202012000020 PT EXCELSO MULTIRASA
5 11102022000062 Ny CRISLYANA QQ SYAMSUDIN
6 30201092000007 PT VICTORY MEGA SUKSES
7 10302012000004 Ny HELMIRA JUNIATI, S.Pdi
8 12202022000050 IR ALEX ISKANDAR WIRAYADI
9 10210152000001 PT JEMBATAN NUSANTARA
10 11002012000032 RIO ANDREAN
11 11002012000030 ELVA DESTIANA
12 11102022000056 Mr TSONG ANGRENY
14 31102022000001 PT DJOJONEGORO C-1000
15 11002012000042 Ny FITARINA, SKM
16 11002012000039 FERLITA RORA SUMENTA QQ SAPROMI
17 11102022000054 PT. SIM
18 11202022000011 SEKRETARIAT DPRD PROVINSI SUMATERA SELATAN
19 10202012000010 Tn IR. SUSANTO BUDI QQ Ny. TRIS SUSILOWATI WIYONO
20 12202012000049 PT MANDIRI TUNAS FINANCE QQ PT DHARMA DWITUNGGAL UTAMA
21 10211092000003 PT. RAJAWALI BERLIAN QQ MICHAEL RESTU
23 31102022000002 PT DJOJONEGORO C-1000
24 10210152000005 PT PRIMA VISTA
25 11102022000060 LAURENTIUS GUNAWAN QQ ELLIANY RUSLI
26 30201012000002 PT DONGXING PLASTIK INDONESIA
27 12202022000054 GEREJA KATHOLIK SANTO AMBROSIUS
28 10210152000004 PT PRIMA VISTA
29 10102052000003 SUYITNO
30 12202012000048 PT MANDIRI TUNAS FINANCE QQ SITI ROHAYATI
31 31101091800055 PT SRI TRANG GROUP and/or all associated and/or subsidiary companie
32 10202012000044 MULTI NINGSI HOSEA
33 10211092000001 PT BPR TERUSAN JAYA QQ SITI ULFAH
34 10502011900016 TONO ELLYSAN JAYA
35 10602011900003 Tn WIRAWAN TJAHJADI
36 11202102000001 PT United Equipment Indonesia QQ PT MAJU MIX BERSAMA ABAD
SUMMARY CLAIM PRODUCTION
AUGUST 2020
BRANCH COB CLAIM GROSS CLAIM NET PERSENTASE

Perwakilan Slipi Motor Vehicle (222,180,000.00) (150,000,000.00) 67.51%
Cabang Jakarta Property (501,218,684.62) (50,121,868.46) 10.00%
Cabang Jakarta Property (258,095,903.91) (25,809,590.39) 10.00%
Cabang Surabaya Motor Vehicle (21,892,000.00) (21,892,000.00) 100.00%
Cabang Jakarta Motor Vehicle (14,430,000.00) (14,430,000.00) 100.00%
Cabang Surabaya Property (11,470,170.00) (8,946,732.60) 78.00%
Cabang Padang Motor Vehicle (8,060,100.00) (8,060,100.00) 100.00%
Cabang Surabaya Liability (5,000,000.00) (5,000,000.00) 100.00%
Cabang Lampung Motor Vehicle (4,284,000.00) (4,284,000.00) 100.00%
Cabang Palembang Motor Vehicle (1,683,000.00) (1,683,000.00) 100.00%
Cabang Surabaya Motor Vehicle (1,643,500.00) (1,643,500.00) 100.00%
Cabang Surabaya Personal Accident (1,061,500.00) (1,061,500.00) 100.00%
Cabang Surabaya Liability (900,000.00) (900,000.00) 100.00%
Cabang Jakarta Motor Vehicle (849,500.00) (849,500.00) 100.00%
Cabang Surabaya Property (735,000.00) (573,300.00) 78.00%
Perwakilan Slipi Motor Vehicle (535,700.00) (535,700.00) 100.00%
Cabang Surabaya Liability (500,000.00) (500,000.00) 100.00%
Cabang Bandung Motor Vehicle (350,000.00) (350,000.00) 100.00%
Perwakilan Slipi Motor Vehicle (310,000.00) (310,000.00) 100.00%
Cabang Jakarta Property (531,248.16) (88,591.67) 16.68%
Cabang Surabaya Motor Vehicle (60,000.00) (60,000.00) 100.00%
Cabang Surabaya Personal Accident (5,194,444.00) - 0.00%
Cabang Pekanbaru Motor Vehicle - - #DIV/0!
Perwakilan Denpasar Motor Vehicle - - #DIV/0!
Cabang Palembang Motor Vehicle 111,000,000.00 - 0.00%
(981,711,200.35) (328,825,832.78)
No CNO ANO POLICY_BRANCH HANDLING_BRANCSEGMENT
1 9018 1008362 06 06 AGENT
2 9103 1184778 02 02 AGENT
3 9497 1224055 02 02 AGENT
4 9638 1195933 02 02 AGENT
5 9710 1208161 03 03 AGENT
6 10064 1244267 12 12 DIRECT
7 10126 1228569 02 02 AGENT
8 10134 1209510 22 22 DIRECT
9 10188 1099771 02 02 AGENT
10 10232 1213558 02 02 DIRECT
11 10234 1225560 02 02 DIRECT
12 10235 1236776 02 02 DIRECT
13 10244 1210273 02 02 DIRECT
14 10245 1225518 02 02 DIRECT
15 10258 933668 11 11 AGENT
16 10274 947679 22 22 LEASING
17 10284 1253382 01 01 AGENT
18 10289 1178012 02 02 AGENT
19 10291 1188305 02 02 AGENT
20 10297 1195933 02 02 AGENT
21 10301 1003838 22 22 LEASING
22 10302 1118140 11 11 AGENT
23 10303 1249855 11 11 AGENT
24 10304 1260967 11 11 AGENT
25 10305 1120914 11 11 AGENT
26 10308 933668 11 11 AGENT
27 10309 984600 11 11 DIRECT
28 10310 1064321 11 11 DIRECT
29 10311 1189154 10 10 AGENT
30 10318 1247510 22 22 DIRECT
31 10320 1099985 22 22 LEASING
32 10324 1179162 10 10 AGENT
33 10325 1157765 10 10 AGENT
34 10329 786498 11 11 BROKER
35 10331 1062957 05 05 AGENT
36 10335 1224055 02 02 AGENT
37 10337 1153763 10 10 AGENT
38 10339 1008362 06 06 AGENT
39 10342 1258650 12 12 DIRECT
40 10343 1258650 12 12 DIRECT
SEGMENT_GROUP MO_CODE COB TOC TOC_DESCRIPTION
dewa 02 0201 PSKBI
widodo 02 0201 PSKBI
marsupa 11 1109 PA - PLUS ND
af 02 0201 PSKBI
desti 02 0202 Motor Vehicle (with
Rita 02 0201 PSKBI
farichin 02 0201 PSKBI
adhi 10 1015 ATJP Kendaraan
KPA 01 0109 PAR
Rita 02 0201 PSKBI
ahmad 02 0205 Motor Cycle / Scoot
james 01 0109 PAR
james 01 0101 PSAKI
Rita 02 0201 PSKBI
KPA 02 0202 Motor Vehicle (with
KPA 01 0109 PAR
eric 02 0201 PSKBI
Ishak 02 0202 Motor Vehicle (with
yonathan 02 0202 Motor Vehicle (with
eric 02 0201 PSKBI
eric 02 0201 PSKBI
yulita 01 0109 PAR
monalisa 02 0201 PSKBI
yudi 02 0201 PSKBI
dewa 02 0201 PSKBI
desti 02 0210 Contractor Plant a
desti 02 0210 Contractor Plant a
TOC_GROUP POLICYNO POLICY_REFNO INSURED_ID INSURED_NAME
02 106020102190000 Q10602011900004 D02WT00001 Tn WIRAWAN TJA
02 102020111190001 Q10202011900255 D02IS00008 Tn IR. SUSANTO
11 1021109041900001102110904190000 D02PB00017 PT BPR TERUSAN
02 102020112190002 Q10202011900290 D02EX00003 PT EXCELSO MUL
02 103020101200000 REN. 10302010119D03HJ00005 Ny HELMIRA JUNIAT
02 1120202042000005Q11202022000018 D12SD00006 SEKRETARIAT DP
11 1021109032000002Q10211092000010 D02RA00026 PT. RAJAWALI BE
02 12202011218000119921901564 D22SR00010 PT MANDIRI TUNA
02 102020108190001 Q10202011900171 D02MU00032 MULTI NINGSI HO
10 PL02210212G.1728Q10210151900001 C02JE00001 PT JEMBATAN NU
10 PL02210211K.2268Q10210151900002 C02PR00001 PT PRIMA VISTA
10 PL02210211K.2268Q10210151900002 C02PR00001 PT PRIMA VISTA
01 311010909180000 401.297.300.18.00 D11TI00012 PT TELEKOMUNIKA
02 122020110180000 9161800969/MANDM22MT00003
02 1010205012000002Q10102052000002 T01SU00004 SUYITNO
01 302010911190001 12.03.01.19.11.0.0 D02VM00002 PT VICTORY MEG
01 302010112190000 12.03.01.19.12.0.0 D02DP00016 PT DONGXING PLA
02 102020112190002 Q10202011900290 D02EX00003 PT EXCELSO MUL
02 122020111180003 9661801295/MANDM22PT00001
02 111020209190001 Q11102021900126 D11TS00022 Mr TSONG ANGRE
02 111020205200001 Q11102022000072 D00LA00016 LAURENTIUS GUN
02 111020206200002 Q11102022000103 D11CR00003 Ny CRISLYANA Q
02 1110202091900019Q11102021900113 D11SI00030 PT. SIM
01 311010909180000 401.297.300.18.00 D11TI00012 PT TELEKOMUNIKA
02 311020212180000 JK-AMO-0032701-0D11DJ00008 PT DJOJONEGORO
02 311020206190000 JK-AMO-0039986-0D11DJ00008 PT DJOJONEGORO
02 110020112190001 Q11002011900163 D10FI00003 Ny FITARINA, SKM
02 122020205200001 Q12202022000153 D22GK00001 GEREJA KATHOLI
02 122020208190003 Q12202021900382 D22IA00001 IR ALEX ISKANDA
02 110020111190000 Q11002011900135 D10RI00006 RIO ANDREAN
02 110020110190001 Q11002011900124 D10SA00010 FERLITA RORA S
01 311010902180001945013018001295 D11ST00020 PT SRI TRANG GROUP
02 105020106190000 Q10502011900053 D05TE00001 TONO ELLYSAN J
11 1021109041900001102110904190000 D02PB00017 PT BPR TERUSAN
02 110020110190000 Q11002011900119 D10EL00002 ELVA DESTIANA
02 106020102190000 Q10602011900004 D02WT00001 Tn WIRAWAN TJA
02 1120905022000002Q11202102000001 D12MA00016 PT United Equipm
02 1120905022000002Q11202102000001 D12MA00016 PT United Equipm
INCEPTION EXPIRY CLAIMNO CLAIM_REFNO CAUSE_OF_LOSS
4-Feb-19 4-Feb-20 10602011900003 10602011900003 A01
25-Nov-19 25-Nov-20 10202012000010 10202012000010 A01
7-Jan-20 7-Jul-21 10211092000001 10211092000001 I03
31-Dec-19 31-Dec-20 10202012000020 10202012000020 A01
21-Jan-20 21-Jan-21 10302012000004 10302012000004 A01
29-Apr-20 29-Apr-21 11202022000011 11202022000011 a01
20-Feb-20 20-Feb-21 10211092000003 10211092000003 A01
18-Jan-20 18-Jan-25 12202012000048 12202012000048 A01
14-Aug-19 14-Aug-20 10202012000044 10202012000044 A01
1-Dec-19 31-Dec-19 10210152000001 10210152000001 A01
1-Jan-20 31-Jan-20 10210152000002 10210152000002 A01
1-Feb-20 29-Feb-20 10210152000003 10210152000003 A01
1-Nov-19 30-Nov-19 10210152000004 10210152000004 A01
1-Jan-20 31-Jan-20 10210152000005 10210152000005 A01
1-Jul-18 30-Jun-19 31101091900005 31101091900005 D07
3-Oct-18 3-Oct-20 12202012000052 12202012000052 A01
20-Jan-20 20-Jan-21 10102052000003 10102052000003 T03
9-Nov-19 11-May-20 30201092000007 30201092000007 F03
1-Dec-19 1-Dec-20 30201012000002 30201012000002 D07
31-Dec-19 31-Dec-20 10202012000020 10202012000020 A01
3-Dec-18 3-Dec-21 12202012000049 12202012000049 A01
31-Aug-19 31-Aug-20 11102022000056 11102022000056 A01
16-May-20 16-May-21 11102022000060 11102022000060 A01
27-Jun-20 27-Jun-21 11102022000062 11102022000062 A01
31-Aug-19 31-Aug-20 11102022000054 11102022000054 A01
1-Jul-18 30-Jun-19 31101091900003 31101091900003 D07
16-Dec-18 16-Dec-19 31102022000001 31102022000001 A01
4-Jun-19 4-Jun-20 31102022000002 31102022000002 A01
11-Dec-19 11-Dec-20 11002012000042 11002012000042 A01
9-May-20 9-May-21 12202022000054 12202022000054 A01
9-Aug-19 9-Aug-20 12202022000050 12202022000050 A01
16-Nov-19 16-Nov-20 11002012000032 11002012000032 A01
21-Oct-19 21-Oct-20 11002012000039 11002012000039 A01
31-Dec-17 31-Dec-18 31101091800055 31101091800055 D07
19-Jun-19 19-Jun-20 10502011900016 10502011900016 A01
7-Jan-20 7-Jul-21 10211092000001 10211092000001 D02
10-Oct-19 10-Oct-20 11002012000030 11002012000030 A01
4-Feb-19 4-Feb-20 10602011900003 10602011900003 A01
27-Feb-20 27-May-20 11202102000001 11202102000001 M06
27-Feb-20 27-May-20 11202102000001 11202102000001 M06
USER_INPUT DATE_INPUT DOL REGDATE REPORT_DATE
ADE 10-Jan-20 31-Mar-19 5-Feb-20 1-Apr-19
WINARYO 27-Jul-20 17-Jan-20 27-Jul-20 18-Jan-20
WINARYO 17-Jun-20 24-Feb-20 17-Jun-20 6-Mar-20
WINARYO 7-Apr-20 13-Feb-20 7-Apr-20 19-Feb-20
YULHAM 30-Jul-20 16-Apr-20 30-Jul-20 17-Apr-20
SATA 1-Jul-20 24-Jun-20 1-Jul-20 24-Jun-20
PERMANA 27-Jul-20 5-Jul-20 30-Jul-20 6-Jul-20
ADE 6-Jul-20 15-Jun-20 3-Aug-20 17-Jun-20
WINARYO 24-Jul-20 13-Jul-20 24-Jul-20 14-Jul-20
WINARYO 23-Jul-20 15-Dec-19 23-Jul-20 24-Jan-20
WINARYO 23-Jul-20 23-Jan-20 23-Jul-20 11-Mar-20
WINARYO 23-Jul-20 5-Feb-20 23-Jul-20 11-Mar-20
WINARYO 23-Jul-20 20-Nov-19 23-Jul-20 20-Mar-20
WINARYO 23-Jul-20 23-Jan-20 23-Jul-20 20-Mar-20
MUNA 27-Jul-20 9-Jan-19 27-Jul-20 17-Jan-19
ADE 28-Jul-20 13-Jul-20 28-Jul-20 13-Jul-20
ASP 29-Jul-20 5-Jun-20 29-Jul-20 5-Jun-20
WINARYO 29-Jul-20 23-Feb-20 29-Jul-20 24-Feb-20
WINARYO 29-Jul-20 16-Jan-20 29-Jul-20 16-Jan-20
WINARYO 3-Aug-20 13-Feb-20 3-Aug-20 19-Feb-20
ADE 3-Aug-20 4-Jul-20 3-Aug-20 6-Jul-20
ADE 3-Aug-20 29-Jun-20 3-Aug-20 3-Jul-20
ADE 3-Aug-20 29-Jun-20 3-Aug-20 30-Jun-20
MUNA 3-Aug-20 30-Dec-18 3-Aug-20 4-Jan-19
MUNA 4-Aug-20 19-May-19 4-Aug-20 3-Aug-20
MUNA 4-Aug-20 16-Jan-20 4-Aug-20 3-Aug-20
HADI 4-Aug-20 8-Jul-20 4-Aug-20 8-Jul-20
ACHMAD 5-Aug-20 15-Jul-20 5-Aug-20 16-Jul-20
HADI 5-Aug-20 1-Jun-20 5-Aug-20 5-Jun-20
HADI 5-Aug-20 27-Jun-20 5-Aug-20 29-Jun-20
MUNA 6-Aug-20 21-Sep-18 6-Aug-20 24-Sep-18
ADE 6-Aug-20 29-Jun-19 6-Aug-20 1-Jul-19
FITA 6-Aug-20 24-Feb-20 6-Aug-20 6-Mar-20
HADI 6-Aug-20 30-May-20 6-Aug-20 2-Jun-20
WINARYO 6-Aug-20 31-Mar-19 6-Aug-20 1-Apr-19
SATA 6-Aug-20 12-Apr-20 6-Aug-20 12-Apr-20
SATA 7-Aug-20 12-Apr-20 7-Aug-20 12-Apr-20
LAPSE_IN_DAYS PAYMENT_TO BOOKING_DATE USER_APPROVE USER_APPROVE_DAT
284 D02WT00001 6-Aug-20 WINARYO 6-Aug-20
191 D02IS00008 4-Aug-20 WINARYO 4-Aug-20
103 D02PB00017 5-Aug-20 WINARYO 5-Aug-20
48 D02EX00003 3-Aug-20 WINARYO 3-Aug-20
104 D03BS00012 5-Aug-20 DANIL 5-Aug-20
7 D10BE00002 5-Aug-20 SATA 5-Aug-20
21 D02RA00026 5-Aug-20 WINARYO 5-Aug-20
19 D22SR00010 4-Aug-20 DODY 4-Aug-20
10 T02DI00001 4-Aug-20 WINARYO 4-Aug-20
181 C02JE00001 4-Aug-20 WINARYO 4-Aug-20
125 C02PR00001 4-Aug-20 WINARYO 4-Aug-20
125 C02PR00001 4-Aug-20 WINARYO 4-Aug-20
557 D11AJ00023 5-Aug-20 FITA 5-Aug-20
15 M22MT00003 5-Aug-20 DODY 5-Aug-20
54 T01SU00004 7-Aug-20 AHMAD 7-Aug-20
156 D02VM00002 4-Aug-20 WINARYO 4-Aug-20
195 D02MA00017 4-Aug-20 WINARYO 4-Aug-20
166 D02EX00003 5-Aug-20 WINARYO 5-Aug-20
28 M22PT00001 4-Aug-20 DODY 4-Aug-20
31 D11TS00022 4-Aug-20 DODY 4-Aug-20
18 D00LA00016 4-Aug-20 DODY 4-Aug-20
11 D11CR00003 4-Aug-20 DODY 4-Aug-20
34 D11SI00030 4-Aug-20 DODY 4-Aug-20
577 D11AJ00023 5-Aug-20 FITA 5-Aug-20
1 D00SJ00020 5-Aug-20 FITA 5-Aug-20
1 D00SJ00020 5-Aug-20 FITA 5-Aug-20
27 T10AA00002 5-Aug-20 HADI 5-Aug-20
20 D22GK00001 5-Aug-20 DODY 5-Aug-20
14 D22IA00001 5-Aug-20 DODY 5-Aug-20
61 D10BE00002 7-Aug-20 HADI 7-Aug-20
37 D10BE00002 7-Aug-20 HADI 7-Aug-20
682 D11AM00019 6-Aug-20 FITA 6-Aug-20
402 D05TE00001 6-Aug-20 DODY 6-Aug-20
153 D02PB00017 6-Aug-20 FITA 6-Aug-20
65 M10PB00006 7-Aug-20 HADI 7-Aug-20
493 D02WT00001 6-Aug-20 WINARYO 6-Aug-20
116 D12MA00016 6-Aug-20 SATA 6-Aug-20
117 D12MA00016 7-Aug-20 SATA 7-Aug-20
CLAIM_STATUS EVENT_NAME REMARKS PLACE_OF_LOSS DESCRIPTION_OF_LOSS
PARTIALLY SETT Accident Pintu keluar Banda Saat itu mobil saya BMW
FULLY SETTLED Accident Process RS Kaliwates, Jem Ditabrak motor saat ber
FULLY SETTLED Mininggal Dunia Mojokerto Pada tanggal 15-2-2020
FULLY SETTLED Accident Pandaan - malang Pada hari kamis tanggal
FULLY SETTLED ok Pakiran kantor PT, Kendaraan Honda Jazz BA 1143 ON digunakan
FULLY SETTLED Laporan Awal KlaimKantor DPRD BandMenabrak Mobil Innova
FULLY SETTLED Accident proses Pelabuhan KalimasSaat sedang sandar, kapa
FULLY SETTLED Proses settled 3/8/2020
Jakarta Pada tanggal 15 juni ja
PARTIALLY SETT Accident Process Surabaya -lalu membanting stir ke kanan karena kaget seh
FULLY SETTLED KLAIM LIABILLITY Process KM. SWARNA BAHPada saat kapal sudah t
FULLY SETTLED KLAIM LIABILLITY Process KM. MADANI NUS Dikarenakan kapal berg
FULLY SETTLED KLAIM LIABILLITY Process KM. SWARNA BAHPada saat pemuatan berl
FULLY SETTLED KLAIM LIABILLITY Process KM. MADANI NUS Dikarenakan Kapal Goya
FULLY SETTLED KLAIM LIABILLITY Process KK. MADANI NUS Akibat ombak Kapal ber
FULLY SETTLED Claim (Full & Final KM 72.006 Dari BMKabel Putus
FULLY SETTLED Proses CCS Settledgading
28/7/2020
serpong Sekitar jam 2 pagi hari
FULLY SETTLED Proses Komp. Permata KopOrang yang tidak diken
FULLY SETTLED Banjir Process Adjuster F Pasar kemis KM9 NBanjir
FULLY SETTLED Angin Kencang Process Adjuster f Jl. Panjunan Km. 3 Angin kencang disertai
FULLY SETTLED Accident Process Casco yanPandaan - malang Pada hari kamis tanggal
KEDOYA MOBIL DITABRAK DAR
FULLY SETTLED Kapuk Raya
Proses settled 3/8/2020 saat di jalan diserempet motor dari kiri
JAKARTA SAAT PARKIR MOBIL
MANGGA DUA MOBIL DITABRAK DARI
FULLY SETTLED RADEN INTEN JA SAAT AKAN PUTER BA
Proses settled 3/8/2020
FULLY SETTLED Claim Process (FullSKKL ASBL Link BaPutus
FULLY SETTLED Terima DLA 8/3/2020 Jakarta Selatan Bagian kiri ditabrak ole
FULLY SETTLED Terima DLA 8/4/2020 DKI Jakarta - di tabrak oleh mobil lain dari belakang kiri
FULLY SETTLED Process 04/08/202 08 Juli 2020 Pukul Pada pukul 08.00 mobil
tanggerang mobil menyerempet di b
FULLY SETTLED proses settled 5/8/2020
kebun jeruk saat parkir kena besi cor
FULLY SETTLED Process Claim 05/ 1 Juni 2020 Pukul 2. Bagian depan menabrak pagar
FULLY SETTLED process Claim 05/0 27 Juni 2020 Pukul ketika parker masuk k
FULLY SETTLED 8/6/2020 Process Adjuster
Palembang, SumateraTBASelatan 30259
FULLY SETTLED Proses klaim ini Di Belilas Tabrakan
FULLY SETTLED Mininggal Dunia Process Mojokerto Pada tanggal 15-2-2020
FULLY SETTLED Process Claim 06/ 30 Mei 2020 Pukul Pada saat mengeluarkan
PARTIALLY SETT Accident Pintu keluar Banda Saat itu mobil saya BMW
FULLY SETTLED Lembah, Muara Du Tertimpa Pohon
FULLY SETTLED Lembah, Muara Du Tertimpa Pohon
Menunggu DFR 6/26/2020
CURRENCY TSI S_TSI INDEMNITY DEDUCTIBLE
IDR 850,000,000.00 850,000,000.00 (57,552,060.00) 300,000.00
IDR 230,000,000.00 230,000,000.00 (1,943,500.00) 300,000.00
IDR 5,500,000.00 5,500,000.00 (5,194,444.00) -
IDR 85,000,000.00 85,000,000.00 (25,080,000.00) 300,000.00
IDR 257,000,000.00 257,000,000.00 (8,360,100.00) 300,000.00
IDR 613,000,000.00 613,000,000.00 (1,683,000.00) -
IDR 50,000,000.00 50,000,000.00 (1,061,500.00) -
IDR 199,500,000.00 199,500,000.00 (1,210,000.00) 900,000.00
IDR 130,000,000.00 130,000,000.00 (660,000.00) 600,000.00
IDR 45,597,500,000.00 80,000,000.00 (5,000,000.00) -
IDR 31,307,500,000.00 80,000,000.00 (1,040,000.00) -
IDR 40,967,500,000.00 80,000,000.00 (3,350,000.00) -
IDR 12,842,500,000.00 80,000,000.00 (500,000.00) -
IDR 20,445,000,000.00 80,000,000.00 (900,000.00) -
IDR 1,327,404,632,126.73 1,327,404,632,126.73 (606,168,566.93) 121,233,713.39
IDR 247,200,000.00 247,200,000.00 (222,480,000.00) 300,000.00
IDR 14,000,000.00 14,000,000.00 - -
IDR 1,800,000,000.00 1,800,000,000.00 - -
IDR 250,000,000.00 250,000,000.00 - -
IDR 85,000,000.00 85,000,000.00 2,888,000.00 -
IDR 554,800,000.00 554,800,000.00 (1,707,750.00) 300,000.00
IDR 280,000,000.00 280,000,000.00 (4,281,750.00) 600,000.00
IDR 126,000,000.00 126,000,000.00 (1,149,500.00) 300,000.00
IDR 202,000,000.00 202,000,000.00 (14,730,000.00) 300,000.00
IDR 145,000,000.00 145,000,000.00 (2,745,875.17) 600,000.00
IDR 1,327,404,632,126.73 1,327,404,632,126.73 (313,456,475.58) 62,691,295.12
IDR 135,000,000.00 135,000,000.00 (3,232,390.00) -
IDR 40,500,000.00 40,500,000.00 (1,040,625.00) -
IDR 160,000,000.00 160,000,000.00 (3,190,825.00) 300,000.00
IDR 150,000,000.00 150,000,000.00 (835,700.00) 300,000.00
IDR 860,000,000.00 860,000,000.00 (7,213,800.00) 300,000.00
IDR 150,000,000.00 150,000,000.00 (4,884,000.00) 600,000.00
IDR 140,000,000.00 140,000,000.00 (2,568,500.00) 300,000.00
IDR 27,284,498,005.08 27,284,498,005.08 - -
IDR 175,000,000.00 175,000,000.00 - -
IDR 5,500,000.00 5,500,000.00 - -
IDR 65,000,000.00 65,000,000.00 (4,089,415.00) 300,000.00
IDR 850,000,000.00 850,000,000.00 57,552,060.00 (300,000.00)
IDR 2,200,000,000.00 2,200,000,000.00 - -
IDR 2,200,000,000.00 2,200,000,000.00 - -
EXPENSE SALVAGE SUBROGATION CLAIM_AMOUNT ADJUSTMENT
- - - (57,252,060.00) -
- - - (1,643,500.00) -
- - - (5,194,444.00) -
- - - (24,780,000.00) -
- - - (8,060,100.00) -
- - - (1,683,000.00) -
- - - (1,061,500.00) -
- - - (310,000.00) -
- - - (60,000.00) -
- - - (5,000,000.00) -
- - - (1,040,000.00) -
- - - (3,350,000.00) -
- - - (500,000.00) -
- - - (900,000.00) -
(16,283,831.08) - - (501,218,684.62) -
- - - (222,180,000.00) -
(350,000.00) - - (350,000.00) -
(11,470,170.00) - - (11,470,170.00) -
(735,000.00) - - (735,000.00) -
- - - 2,888,000.00 -
- - - (1,407,750.00) -
- - - (3,681,750.00) -
- - - (849,500.00) -
- - - (14,430,000.00) -
- - - (2,145,875.17) -
(7,330,723.45) - - (258,095,903.91) -
- 30,324.00 - (3,202,066.00) -
- 4,156.50 - (1,036,468.50) -
- - - (2,890,825.00) -
- - - (535,700.00) -
- - - (6,913,800.00) -
- - - (4,284,000.00) -
- - - (2,268,500.00) -
(531,248.16) - - (531,248.16) -
- - - - -
- - - - -
- - - (3,789,415.00) -
- - - 57,252,060.00 -
- - - - -
- 111,000,000.00 - 111,000,000.00 -
CLAIM_DIRECT_INSURED CLAIM_INWARD_COINSURANCE CLAIM_INWARD_REINSURANCE
(57,252,060.00) - -
(1,643,500.00) - -
(5,194,444.00) - -
(24,780,000.00) - -
(8,060,100.00) - -
(1,683,000.00) - -
(1,061,500.00) - -
(310,000.00) - -
(60,000.00) - -
(5,000,000.00) - -
(1,040,000.00) - -
(3,350,000.00) - -
(500,000.00) - -
(900,000.00) - -
- (501,218,684.62) -
(222,180,000.00) - -
- - -
- 0.00 -
- - -
2,888,000.00 - -
(1,407,750.00) - -
(3,681,750.00) - -
(849,500.00) - -
(14,430,000.00) - -
(2,145,875.17) - -
- (258,095,903.91) -
- (3,202,066.00) -
- (1,036,468.50) -
(2,890,825.00) - -
(535,700.00) - -
(6,913,800.00) - -
(4,284,000.00) - -
(2,268,500.00) - -
- - -
- - -
- - -
(3,789,415.00) - -
57,252,060.00 - -
- - -
- - -
CLAIM_INWARD_TREATY CLAIM_COINSURANCE_OUT CLAIM_JOINT_PLACEMENT
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
CLAIM_OTHER_PARTIES CLAIM_GROSS BPPDAN DECREE MAIPARK QUOTA_SHARE
- (57,252,060.00) - - - -
- (1,643,500.00) - - - -
- (5,194,444.00) - - - -
- (24,780,000.00) - - - -
- (8,060,100.00) - - - -
- (1,683,000.00) - - - -
- (1,061,500.00) - - - -
- (310,000.00) - - - -
- (60,000.00) - - - -
- (5,000,000.00) - - - -
- (1,040,000.00) - - - -
- (3,350,000.00) - - - -
- (500,000.00) - - - -
- (900,000.00) - - - -
- (501,218,684.62) - - - -
- (222,180,000.00) - - - -
(350,000.00) (350,000.00) - - - -
(11,470,170.00) (11,470,170.00) 286,754.25 - - 2,236,683.15
(735,000.00) (735,000.00) 18,375.00 - - 143,325.00
- 2,888,000.00 - - - -
- (1,407,750.00) - - - -
- (3,681,750.00) - - - -
- (849,500.00) - - - -
- (14,430,000.00) - - - -
- (2,145,875.17) - - - -
- (258,095,903.91) - - - -
- (3,202,066.00) - - - -
- (1,036,468.50) - - - -
- (2,890,825.00) - - - -
- (535,700.00) - - - -
- (6,913,800.00) - - - -
- (4,284,000.00) - - - -
- (2,268,500.00) - - - -
(531,248.16) (531,248.16) 151.87 - - 37,967.86
- - - - - -
- - - - - -
- (3,789,415.00) - - - -
- 57,252,060.00 - - - -
- - - - - -
111,000,000.00 111,000,000.00 - - - -
(981,711,200.35) 305,281.12 - - 2,417,976.01

SURPLUS AUTO_FACULTATIVE FACULTATIVE_OUT XOL ANR
- - - 57,252,060.00 -
- - - - (1,643,500.00)
- - - - (5,194,444.00)
- - - - (24,780,000.00)
- - - - (8,060,100.00)
- - - - (1,683,000.00)
- - - - (1,061,500.00)
- - - - (310,000.00)
- - - - (60,000.00)
- - - - (5,000,000.00)
- - - - (1,040,000.00)
- - - - (3,350,000.00)
- - - - (500,000.00)
- - - - (900,000.00)
- - 451,096,816.15 - (50,121,868.46)
- - - 72,180,000.00 (150,000,000.00)
- - - - (350,000.00)
- - - - (8,946,732.60)
- - - - (573,300.00)
- - - - 2,888,000.00
- - - - (1,407,750.00)
- - - - (3,681,750.00)
- - - - (849,500.00)
- - - - (14,430,000.00)
- - - - (2,145,875.17)
- - 232,286,313.52 - (25,809,590.39)
- - - - (3,202,066.00)
- - - - (1,036,468.50)
- - - - (2,890,825.00)
- - - - (535,700.00)
- - - - (6,913,800.00)
- - - - (4,284,000.00)
- - - - (2,268,500.00)
404,536.77 - - - (88,591.67)
- - - - -
- - 5,194,444.00 - 5,194,444.00
- - - - (3,789,415.00)
- - - (57,252,060.00) -
- - - - -
- - - (111,000,000.00) -
404,536.77 - 688,577,573.67 (38,820,000.00) (328,825,832.78)

CLAIM_FEE CLAIM_DUTY BACKDATED_FLAG
- - -
- - -
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- - -
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- - -
- - -
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- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- -

I-Claim Expense August 2020 W1

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I-Claim Expense August 2020 W1

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SUMMARY CLAIM EXPENSES

Period : 1 August - 9 August 2020

c. Kenaikan (Penurunan) Cadangan Klaim Retensi Sendiri

JUMLAH BEBAN KLAIM

BRANCH COB CLAIM GROSS CLAIM NET PERSENTASE

(981,711,200.35) 305,281.12 - - 2,417,976.01

404,536.77 - 688,577,573.67 (38,820,000.00) (328,825,832.78)

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