I-Claim Expense August 2020 W3

SUMMARY CLAIM EXPENSES
Period : 1 August - 23 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

2,928,143,273
(1,965,852,855)
962,290,418
1,179,813,382
(1,019,677,612)
160,135,770
1,122,426,188
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 17,646.00 2,210,914.65 - 2,210,914.65 49,365.32 - 49,365.32 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 17,646.00 2,489,434.62 - 2,489,434.62 55,584.11 - 55,584.11 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 14,786.00 264,653.94 - 264,653.94 2,380.56 - 2,380.56 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 14,786.00 297,993.72 - 297,993.72 2,680.45 - 2,680.45 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 14,786.00 2,442,499.34 - 2,442,499.34 21,970.27 - 21,970.27 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 14,786.00 6,046,734.70 - 6,046,734.70 54,390.35 - 54,390.35 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 - - -
10102012000014 10102012000014IDR1010201121900 ahmad Care Cabang Bandung Motor Vehicle 10-Aug-20 FERRY SIMON 19-Dec-19 19-Dec-20 10-Aug-20 6-Aug-20 Sewaktu mau masuk IDR - - - - - - - - - - - - 1.00 - - - 1,328,750.00 - - - - - - - - - - 1,328,750.00 1.00 1,328,750.00 - 1,328,750.00 1,328,750.00 - 1,328,750.00 Baru
10102012000015 10102012000015IDR1010201032000 ahmad Care Cabang Bandung Motor Vehicle 13-Aug-20 Tn CHANDRA HARTANTO LIBRA 7-Apr-20 7-Apr-21 13-Aug-20 10-Aug-20 Ketika arus lalu l IDR - - - - - - - - - - - - 1.00 - - - 1,150,000.00 - - - - - - - - - - 1,150,000.00 1.00 1,150,000.00 - 1,150,000.00 1,150,000.00 - 1,150,000.00 Baru
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 14,786.00 24,655,655.00 - 24,655,655.00 221,777.50 - 221,777.50 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 14,786.00 14,786.00 14,046.70 739.30 133.00 126.35 6.65 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
297 11114031500002 11114031500002IDRPL11620212E.0 neni Care Cabang Jakarta Suretyship 2-Dec-15 PT BALI GRAHA SURYA 24-May-13 23-Dec-13 2-Dec-15 23-Dec-13 Tidak dapat menyIDR 5,846,464,400.00 - - 604,489,187.22 1,208,978,374.45 1,813,467,561.67 - - - - ### 2,219,529,276.65 1.00 5,846,464,400.00 3,626,935,123.35 2,219,529,276.65 5,846,464,400.00 - - 604,489,187.22 1,208,978,374.45 1,813,467,561.67 - - - - 3,626,935,123.35 2,219,529,276.65 1.00 5,846,464,400.00 3,626,935,123.35 2,219,529,276.65 - - -
298 11114041600001 11114041600001IDR1111404021600 victor Care Cabang Jakarta Suretyship 29-Nov-16 13-Oct-15 13-Apr-16 1-Feb-16 13-Jan-16 Wanprestasi IDR 38,516,500.00 - - 19,258,250.00 - - - - - - 19,258,250.00 19,258,250.00 1.00 38,516,500.00 19,258,250.00 19,258,250.00 38,516,500.00 - - 19,258,250.00 - - - - - - 19,258,250.00 19,258,250.00 1.00 38,516,500.00 19,258,250.00 19,258,250.00 - - -
299 11114021500001 11114021500001IDRPL11630214D.0 elvi MDA Cabang Jakarta Suretyship 31-Dec-18 PT KLARAS PUSAKA INTERNASIO 6-Nov-13 5-Nov-14 27-Dec-16 26-Oct-14 WANPRESTASI IDR 821,928,362.50 - - 410,964,181.25 - - - - - - 410,964,181.25 410,964,181.25 1.00 821,928,362.50 410,964,181.25 410,964,181.25 821,928,362.50 - - 410,964,181.25 - - - - - - 410,964,181.25 410,964,181.25 1.00 821,928,362.50 410,964,181.25 410,964,181.25 - - -
300 11114021900001 11114021900001IDR11114021015000sulistyo Care Cabang Jakarta Suretyship 11-Jan-19 JUNIAR PERKASA, SL, ST. Pejabat Pem1-Jan-18 31-Dec-18 11-Jan-19 31-Dec-18 Wanprestasi IDR 6,727,241,350.00 - - 987,337,956.83 4,258,896,457.92 - - - - - ### 1,481,006,935.25 1.00 6,727,241,350.00 5,246,234,414.75 1,481,006,935.25 6,727,241,350.00 - - 987,337,956.83 4,258,896,457.92 - - - - - 5,246,234,414.75 1,481,006,935.25 1.00 6,727,241,350.00 5,246,234,414.75 1,481,006,935.25 - - -
301 11114021900002 11114021900002IDR1111402071800 anto Care Cabang Jakarta Suretyship 5-Jun-20 PT DUHIMA PERSADA As Principal 2-Jul-18 27-May-19 20-Feb-19 6-Feb-19 Wanprestasi IDR 3,150,530,530.00 - - 400,000,000.00 2,150,530,530.00 - - - - - ### 600,000,000.00 1.00 3,150,530,530.00 2,550,530,530.00 600,000,000.00 3,150,530,530.00 - - 400,000,000.00 2,150,530,530.00 - - - - - 2,550,530,530.00 600,000,000.00 1.00 3,150,530,530.00 2,550,530,530.00 600,000,000.00 - - -
302 11114031900001 11114031900001IDR1111403071800 anto Care Cabang Jakarta Suretyship 26-Dec-19 PT DUHIMA PERSADA As Principal 2-Jul-18 27-Apr-19 30-Jul-19 6-Feb-19 Wanprestasi IDR 6,786,242,761.62 - - 861,600,000.00 4,632,242,761.62 - - - - - ### 1,292,400,000.00 1.00 6,786,242,761.62 5,493,842,761.62 1,292,400,000.00 6,786,242,761.62 - - 861,600,000.00 4,632,242,761.62 - - - - - 5,493,842,761.62 1,292,400,000.00 1.00 6,786,242,761.62 5,493,842,761.62 1,292,400,000.00 - - -
303 11114031900002 11114031900002IDRPL11621213B.0 lia Care Cabang Jakarta Suretyship 16-Apr-19 PT ELJINDO KONSTRUKSI ABADI 1-Feb-15 30-Apr-19 16-Apr-19 10-Apr-19 Wanprestasi IDR 1.00 - - 0.50 - - - - - - 0.50 0.50 1.00 1.00 0.50 0.50 1.00 - - 0.50 - - - - - - 0.50 0.50 1.00 1.00 0.50 0.50 - - -
304 11114021900003 11114021900003IDRPL11631213B.0 lia Care Cabang Jakarta Suretyship 16-Apr-19 PT ELJINDO KONSTRUKSI ABADI 1-Feb-15 30-Apr-19 16-Apr-19 10-Apr-19 Wanprestasi IDR 1.00 - - - - - - - - - - 1.00 1.00 1.00 - 1.00 1.00 - - - - - - - - - - 1.00 1.00 1.00 - 1.00 - - -
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 14,786.00 5,175.10 5,138.13 36.97 46.55 46.22 0.33 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 - - - - - - - - - - - - 1.00 - - - (0.35) (0.35) (0.00) Kenaikan (Penurunan)
31115162000003 31115162000003US 3111516101900 yulita Care Cabang Jakarta Miscellaneous 13-Aug-20 15-Sep-19 15-Sep-20 13-Aug-20 28-May-20 Damage to the con USD - - - - - - - - - - - - 14,653.00 - - - 4,200.00 - - - - - 4,170.00 - - - 4,170.00 30.00 14,786.00 62,101,200.00 61,657,620.00 443,580.00 62,101,200.00 61,657,620.00 443,580.00 Baru
31115162000004 31115162000004IDR3111516101900 yulita Care Cabang Jakarta Miscellaneous 14-Aug-20 15-Sep-19 15-Sep-20 14-Aug-20 30-Jul-20 Damage IDR - - - - - - - - - - - - 1.00 - - - 0.35 - - - - - 0.35 - - - 0.35 0.00 1.00 0.35 0.35 0.00 0.35 0.35 0.00 Baru
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 deI 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 - - -
11202022000015 11202022000015IDR11202020420000desti Care Cabang Palembang Motor Vehicle 14-Aug-20 SEKRETARIAT DPRD PROVINSI S 29-Apr-20 29-Apr-21 12-Aug-20 8-Aug-20 karena berhenti mIDR - - - - - - - - - - - - 1.00 - - - 3,611,600.00 - - - - - - - - - - 3,611,600.00 1.00 3,611,600.00 - 3,611,600.00 3,611,600.00 - 3,611,600.00 Baru
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 32
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
10203032000006 10203032000006I 102030307200 marsupa Care Cabang Surabaya Marine Cargo 18-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 - - - 495,000,000.00 - - 99,000,000.00 - - - - - - 99,000,000.00 396,000,000.00 1.00 495,000,000.00 99,000,000.00 396,000,000.00 495,000,000.00 99,000,000.00 396,000,000.00 Baru
10401012000001 10401012000001I 104010112190 rudy Care Cabang Medan Property 11-Aug-20 SEMANGAT JAYA QQ WILLIP 20-Dec-19 20-Dec-20 3-Aug-20 2-Aug-20 Kebakaran dari r IDR - - - - - - - - - - - - 1.00 - - - 450,000,000.00 11,250,000.00 - 87,750,000.00 - - - - - - 99,000,000.00 351,000,000.00 1.00 450,000,000.00 99,000,000.00 351,000,000.00 450,000,000.00 99,000,000.00 351,000,000.00 Baru
10203032000007 10203032000007I 102030307200 marsupa Care Cabang Surabaya Marine Cargo 18-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 - - - 297,000,000.00 - - 59,400,000.00 - - - - - - 59,400,000.00 237,600,000.00 1.00 297,000,000.00 59,400,000.00 237,600,000.00 297,000,000.00 59,400,000.00 237,600,000.00 Baru
10203032000005 10203032000005I 102030307200 marsupa Care Cabang Surabaya Marine Cargo 18-Aug-20 CV BUANA RAYA DUTA 23-Jul-20 6-Aug-20 29-Jul-20 24-Jul-20 Kapal DJO 3 saatIDR - - - - - - - - - - - - 1.00 - - - 114,260,850.00 - - 22,852,170.00 - - - - - - 22,852,170.00 91,408,680.00 1.00 114,260,850.00 22,852,170.00 91,408,680.00 114,260,850.00 22,852,170.00 91,408,680.00 Baru
418 12202022000048 12202022000048I 122020206200 yonathan 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 12202022000053I 122020207200 yonathan 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 D IDR - - - - - - - - - - - - 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 32209032000001I 322090302200 lilis 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
57 30201091900001 30201091900001E 302010909180 adhi 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 17,646.00 1,111,698,000.00 629,696,871.67 482,001,128.33 24,822,000.00 14,059,875.75 10,762,124.25 Kurs
160 30903072000001 30903072000001I 309030706200 lilik Care Cabang Semarang Marine Cargo 11-Aug-20 PT MULTI MAJU SEJAHTERA 10-May-20 9-Jun-20 2-Jul-20 8-Jun-20 Barang berupa PrIDR 0.25 - - 0.05 - - - - - - 0.05 0.20 1.00 0.25 0.05 0.20 13,402,727.25 - - 2,680,545.45 - - - - - - 2,680,545.45 10,722,181.80 1.00 13,402,727.25 2,680,545.45 10,722,181.80 13,402,727.00 2,680,545.40 10,722,181.60 Kenaikan (Penurunan)
394 12202022000007 12202022000007I 122020212190 yonathan 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 IDR 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)
10202012000048 10202012000048I 102020112190 james Care Cabang Surabaya Motor Vehicle 14-Aug-20 Tn ANAK AGUNG PUTU WIRANEG 29-Dec-19 29-Dec-20 14-Aug-20 3-Aug-20 IDR - - - - - - - - - - - - 1.00 - - - 6,833,400.00 - - - - - - - - - - 6,833,400.00 1.00 6,833,400.00 - 6,833,400.00 6,833,400.00 - 6,833,400.00 Baru
32201102000009 32201102000009I 322011007200 Ishak 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 32201102000010I 322011007200 Ishak 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
12202022000057 12202022000057I 122020209190 yonathan Care Perwakilan Slipi Motor Vehicle 13-Aug-20 ERICK RINANDA TJANDIAWAN Q 6-Sep-19 6-Sep-20 13-Aug-20 9-Aug-20 IDR - - - - - - - - - - - - 1.00 - - - 4,729,800.00 - - - - - - - - - - 4,729,800.00 1.00 4,729,800.00 - 4,729,800.00 4,729,800.00 - 4,729,800.00 Baru
12202012000058 12202012000058I 122020112180 Rita 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 K 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
130 10502012000021 10502012000021I 105020107190 raja Care Cabang Pekanbaru Motor Vehicle 18-Aug-20 RITA 12-Jul-19 12-Jul-20 2-Jul-20 30-Jun-20 Saat hendak masu IDR 1.00 - - - - - - - - - - 1.00 1.00 1.00 - 1.00 4,308,400.00 - - - - - - - - - - 4,308,400.00 1.00 4,308,400.00 - 4,308,400.00 4,308,399.00 - 4,308,399.00 Kenaikan (Penurunan)
12202012000059 12202012000059I 122020109180 Rita 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
12302012000045 12302012000045I 123020101200 agus Care Perwakilan Malang Motor Vehicle 19-Aug-20 BADAN PENDAPATAN DAERAH 2-Jan-20 31-Dec-20 13-Aug-20 3-Jul-20 IDR - - - - - - - - - - - - 1.00 - - - 4,010,000.00 - - - - - - - - - - 4,010,000.00 1.00 4,010,000.00 - 4,010,000.00 4,010,000.00 - 4,010,000.00 Baru
10902012000004 10902012000004I 109020102200 dhanat Care Cabang Semarang Motor Vehicle 11-Aug-20 Kopel Dolog Jateng 1-Mar-20 1-Mar-21 11-Aug-20 6-Aug-20 Mobil mulai perjaIDR - - - - - - - - - - - - 1.00 - - - 3,945,000.00 - - - - - - - - - - 3,945,000.00 1.00 3,945,000.00 - 3,945,000.00 3,945,000.00 - 3,945,000.00 Baru
131 10502012000024 10502012000024I 105020109190 raja 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)
126 30501092000001 30501092000001I 305010901200 monalisa Care Cabang Pekanbaru Property 18-Aug-20 TN H MAKSUM M YASIN (TOKO TE 15-Jan-20 15-Jan-21 13-Apr-20 27-Jan-20 Barang daganganIDR 0.10 0.00 - 0.02 - - - - - - 0.02 0.08 1.00 0.10 0.02 0.08 4,760,727.50 119,018.19 - 928,341.86 - - - - - - 1,047,360.05 3,713,367.45 1.00 4,760,727.50 1,047,360.05 3,713,367.45 4,760,727.40 1,047,360.03 3,713,367.37 Kenaikan (Penurunan)
11002012000047 11002012000047I 110020104200 yudi Care Cabang Lampung Motor Vehicle 13-Aug-20 AKHMAD SAHIL 2-Apr-20 2-Apr-21 13-Aug-20 7-Aug-20 Pada saat ingin IDR - - - - - - - - - - - - 1.00 - - - 3,700,000.00 - - - - - - - - - - 3,700,000.00 1.00 3,700,000.00 - 3,700,000.00 3,700,000.00 - 3,700,000.00 Baru
11202022000015 11202022000015I 112020204200 desti Care Cabang Palembang Motor Vehicle 14-Aug-20 SEKRETARIAT DPRD PROVINSI 29-Apr-20 29-Apr-21 12-Aug-20 8-Aug-20 karena berhenti IDR - - - - - - - - - - - - 1.00 - - - 3,611,600.00 - - - - - - - - - - 3,611,600.00 1.00 3,611,600.00 - 3,611,600.00 3,611,600.00 - 3,611,600.00 Baru
10202012000049 10202012000049I 102020112190 farichin 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 pelanIDR - - - - - - - - - - - - 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
11002012000048 11002012000048I 110020111190 eric Care Cabang Lampung Motor Vehicle 12-Aug-20 Tn POLTAK SAUT ROBINSON HU 20-Nov-19 20-Nov-20 12-Aug-20 11-Aug-20 Mau keluar dari IDR - - - - - - - - - - - - 1.00 - - - 2,175,000.00 - - - - - - - - - - 2,175,000.00 1.00 2,175,000.00 - 2,175,000.00 2,175,000.00 - 2,175,000.00 Baru
373 32201102000001 32201102000001U 322011002190 lilis Care Perwakilan Slipi Property 18-May-20 PT DONG JUNG INDONESIA 30-Jan-19 30-Jan-20 20-Jan-20 1-Jan-20 Flood USD 30,000.00 750.00 - 5,850.00 - - - 7,972.48 - - 14,572.48 15,427.52 14,653.00 439,590,000.00 213,530,552.42 226,059,447.58 30,000.00 750.00 - 5,850.00 - - - 7,972.48 - - 14,572.48 15,427.52 14,786.00 443,580,000.00 215,468,692.29 228,111,307.71 3,990,000.00 1,938,139.87 2,051,860.13 Kurs
117 10403072000001 10403072000001U 104030707200 rudy Care Cabang Medan Marine Cargo 18-Aug-20 PT MUJUR TIMBER 22-Jul-20 20-Sep-20 29-Jul-20 24-Jul-20 USD 1,612.84 - - 322.57 - - - - - - 322.57 1,290.27 14,653.00 23,632,877.12 4,726,575.42 18,906,301.69 1,770.90 - - 354.18 - - - - - - 354.18 1,416.72 14,786.00 26,184,527.40 5,236,905.48 20,947,621.92 2,551,650.28 510,330.06 2,041,320.23 Kenaikan (Penurunan)
12202022000055 12202022000055I 122020210190 yonathan Care Perwakilan Slipi Motor Vehicle 7-Aug-20 EKA BAASITH SYAMSURI QQ LAS 23-Oct-19 23-Oct-20 7-Aug-20 4-Aug-20 DITABRAK MOTIDR - - - - - - - - - - - - 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
244 11102022000050 11102022000050I 111020209190 KPA Care Cabang Jakarta Motor Vehicle 19-Aug-20 PT. SIM 31-Aug-19 31-Aug-20 15-Jun-20 12-Jun-20 IDR 10,051,930.00 - - - - - - - - - - 10,051,930.00 1.00 10,051,930.00 - 10,051,930.00 11,809,000.00 - - - - - - - - - - 11,809,000.00 1.00 11,809,000.00 - 11,809,000.00 1,757,070.00 - 1,757,070.00 Kenaikan (Penurunan)
12202012000053 12202012000053I 122020112180 Rita 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
10402012000005 10402012000005I 104020107200 rudy Care Cabang Medan Motor Vehicle 14-Aug-20 Tn VERNANDO SANJAYA QQ BEN 7-Jul-20 7-Jul-21 14-Aug-20 10-Aug-20 Saat melintas di IDR - - - - - - - - - - - - 1.00 - - - 1,624,300.00 - - - - - - - - - - 1,624,300.00 1.00 1,624,300.00 - 1,624,300.00 1,624,300.00 - 1,624,300.00 Baru
426 32209031900003 32209031900003U 322090309180 Darmawan Care Perwakilan Slipi Engineering 11-Jun-19 PT BIMA GOLDEN POWERINDO 16-Jun-18 5-Jun-19 11-Jun-19 23-Mar-19 Unit #12 Cummins USD 15,000.00 - - 3,000.00 - - - - - - 3,000.00 12,000.00 14,653.00 219,795,000.00 43,959,000.00 175,836,000.00 15,000.00 - - 3,000.00 - - - - - - 3,000.00 12,000.00 14,786.00 221,790,000.00 44,358,000.00 177,432,000.00 1,995,000.00 399,000.00 1,596,000.00 Kurs
11002012000046 11002012000046I 110020112190 eric 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
265 31104011800002 31104011800002U 311040104170 yulita Care Cabang Jakarta Marine Hull 2-May-19 PT PELAYARAN TAMARIN SAMUDRA20-Apr-17
as O 20-Apr-18 2-May-19 4-Oct-17 Kerusakan pada pUSD 215,695.27 - - 4,313.91 - - 201,315.58 - - - 205,629.49 10,065.78 14,653.00 3,160,582,732.70 3,013,088,871.84 147,493,860.86 215,695.27 - - 4,313.91 - - 201,315.58 - - - 205,629.49 10,065.78 14,786.00 3,189,270,203.08 3,040,437,593.60 148,832,609.48 28,687,470.38 27,348,721.76 1,338,748.62 Kurs
10102012000014 10102012000014I 101020112190 ahmad Care Cabang Bandung Motor Vehicle 10-Aug-20 FERRY SIMON 19-Dec-19 19-Dec-20 10-Aug-20 6-Aug-20 Sewaktu mau masu IDR - - - - - - - - - - - - 1.00 - - - 1,328,750.00 - - - - - - - - - - 1,328,750.00 1.00 1,328,750.00 - 1,328,750.00 1,328,750.00 - 1,328,750.00 Baru
11102022000069 11102022000069I 111020207200 KPA 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 10202012000047I 102020108190 farichin 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
10102012000015 10102012000015I 101020103200 ahmad Care Cabang Bandung Motor Vehicle 13-Aug-20 Tn CHANDRA HARTANTO LIBRA 7-Apr-20 7-Apr-21 13-Aug-20 10-Aug-20 Ketika arus lalu IDR - - - - - - - - - - - - 1.00 - - - 1,150,000.00 - - - - - - - - - - 1,150,000.00 1.00 1,150,000.00 - 1,150,000.00 1,150,000.00 - 1,150,000.00 Baru
12202022000056 12202022000056I 122020207200 yonathan Care Perwakilan Slipi Motor Vehicle 13-Aug-20 Tn HARIS SETIAWAN QQ ERLINA S 15-Jul-20 15-Jul-21 13-Aug-20 8-Aug-20 IDR - - - - - - - - - - - - 1.00 - - - 835,000.00 - - - - - - - - - - 835,000.00 1.00 835,000.00 - 835,000.00 835,000.00 - 835,000.00 Baru
237 31102031800001 31102031800001U 20.006.2010.0 KPA MDA Cabang Jakarta Motor Vehicle 31-Dec-18 PT. CIMB BANK NIAGA QQ PT SA 18-Oct-10 18-Oct-11 31-Dec-18 6-Jan-11 Falling Tree USD 9,000.00 - - - - - 4,500.00 - - - 4,500.00 4,500.00 14,653.00 131,877,000.00 65,938,500.00 65,938,500.00 9,000.00 - - - - - 4,500.00 - - - 4,500.00 4,500.00 14,786.00 133,074,000.00 66,537,000.00 66,537,000.00 1,197,000.00 598,500.00 598,500.00 Kurs
268 31104011900002 31104011900002U 311040105180 lilis Care Cabang Jakarta Marine Hull 16-May-19 PT SUMATRA WAHANA PERKASA as 28-Feb-18
Owner 19-Feb-19 16-May-19 25-Jul-18 Suddenly the porUSD 70,734.35 - - - - - 66,490.28 - - - 66,490.28 4,244.06 14,653
SUMMARY CLAIM PRODUCT
AUGUST 2020
NO CLAIMNO
1 11103101900001
2 10203031900012
3 10802022000005
4 12202012000052
5 31101091800082
6 31101091900005
7 31101091900003
8 10611091900003
9 10202012000020
10 11102022000062
11 30201012000001
12 10802012000010
13 12202022000047
14 30201092000007
15 10302012000004
16 12202022000050
17 12302012000030
18 30204012000001
19 10210152000001
20 12302012000028
21 11002012000032
22 11002012000030
23 11102022000056
24 10210152000003
25 31102022000001
26 11002012000042
27 12302012000047
28 11002012000039
29 11102022000054
30 11002012000044
31 11202022000011
32 10202011900081
33 10202012000010
34 10211122000062
35 12202012000049
36 10702012000007
37 12202012000055
38 10211092000003
39 10210152000002
40 31102022000002
41 10210152000005
42 11102022000060
43 30201012000002
44 12202022000054
45 10210152000004
46 10202012000040
47 10102052000003
48 12202012000048
49 31101091800055
50 10202012000044
51 10211092000001
52 10411092000007
53 10502011900016
54 10602011900003
55 10811092000010
56 10811092000013
57 11102011800001
58 11202102000001
SUMMARY CLAIM PRODUCTION
AUGUST 2020
INSURED_NAME BRANCH
PT UNITED EQUIPMENT INDONESIA Cabang Jakarta
Tn RADITYO RIZKI HUTOMO Cabang Surabaya
PT BUKOPIN FINANCE QQ PT PALUH INDAH (00904.139) Cabang Jambi
PT MANDIRI TUNAS FINANCE QQ DICKY HANDOKO Perwakilan Slipi
PT TELEKOMUNIKASI INDONESIA, TBK. (TELKOM) Cabang Jakarta
PT BALI BARAMUNDI QQ KRIS SANTOSO Perwakilan Denpasar
PT EXCELSO MULTIRASA Cabang Surabaya
Ny CRISLYANA QQ SYAMSUDIN Cabang Jakarta
PT LION KING PLASTIK QQ PT DONGXING PLASTIK INDONESIA Cabang Surabaya
PT BANK BUKOPIN TBK CABANG JAMBI QQ PT Kartika Tama Persada Cabang Jambi
TENNY HADIANTO QQ HELEN TENDEAN Perwakilan Slipi
PT VICTORY MEGA SUKSES Cabang Surabaya
Ny HELMIRA JUNIATI, S.Pdi Cabang Padang
IR ALEX ISKANDAR WIRAYADI Perwakilan Slipi
DINAS PENDIDIKAN PEMERINTAH KOTA MALANG Perwakilan Malang
PT BANK NEGARA INDONESIA (PERSERO) TBK SKM SIDOARJO QQ PT TIMUR M Cabang Surabaya
PT JEMBATAN NUSANTARA Cabang Surabaya
DINAS LINGKUNGAN HIDUP KOTA MALANG Perwakilan Malang
RIO ANDREAN Cabang Lampung
ELVA DESTIANA Cabang Lampung
Mr TSONG ANGRENY Cabang Jakarta
PT DJOJONEGORO C-1000 Cabang Jakarta
Ny FITARINA, SKM Cabang Lampung
INSPEKTORAT KOTA MALANG Perwakilan Malang
FERLITA RORA SUMENTA QQ SAPROMI Cabang Lampung
PT. SIM Cabang Jakarta
SUPRIYADI QQ Ny ENDRIYANI Cabang Lampung
SEKRETARIAT DPRD PROVINSI SUMATERA SELATAN Cabang Palembang
Tn MICHAEL HUTAMAJAYA IRAWAN QQ SHANIA Cabang Surabaya
Tn IR. SUSANTO BUDI QQ Ny. TRIS SUSILOWATI WIYONO Cabang Surabaya
SMK YPT KOTA TEGAL QQ EKO BAGUS SAPUTRO Cabang Surabaya
PT MANDIRI TUNAS FINANCE QQ PT DHARMA DWITUNGGAL UTAMA Perwakilan Slipi
PT MANDIRI TUNAS FINANCE QQ PANDI Cabang Makassar
PT MANDIRI TUNAS FINANCE QQ RIO BAYU YUDHISTIRA Perwakilan Slipi
PT. RAJAWALI BERLIAN QQ MICHAEL RESTU Cabang Surabaya
PT DJOJONEGORO C-1000 Cabang Jakarta
PT PRIMA VISTA Cabang Surabaya
LAURENTIUS GUNAWAN QQ ELLIANY RUSLI Cabang Jakarta
PT DONGXING PLASTIK INDONESIA Cabang Surabaya
GEREJA KATHOLIK SANTO AMBROSIUS Perwakilan Slipi
PT PRIMA VISTA Cabang Surabaya
Tn MICHAEL HUTAMAJAYA IRAWAN QQ SHANIA Cabang Surabaya
SUYITNO Cabang Bandung
PT MANDIRI TUNAS FINANCE QQ SITI ROHAYATI Perwakilan Slipi
PT SRI TRANG GROUP and/or all associated and/or subsidiary companies including those
Cabang Jakarta
MULTI NINGSI HOSEA Cabang Surabaya
PT BPR TERUSAN JAYA QQ SITI ULFAH Cabang Surabaya
PT. BPR NBP 10 QQ KENNOT JUSUF GOKLAS SIMANULLANG Cabang Medan
TONO ELLYSAN JAYA Cabang Pekanbaru
Tn WIRAWAN TJAHJADI Perwakilan Denpasar
BISARA PANGARIBUAN QQ BANK PEMBANGUNAN DAERAH JAMBI CABANG MU Cabang Jambi
PT BPR Prima Jambi Mandiri QQ M HAVIZ Cabang Jambi
PT BUKOPIN FINANCE QQ PT INTAN KARYA PUTRA DAERAH (00101.1597) Cabang Jakarta
PT United Equipment Indonesia QQ PT MAJU MIX BERSAMA ABADI Cabang Palembang
ON
COB CLAIM GROSS CLAIM NET PERSENTASE

Marine Cargo (213,781,700.00) (171,025,360.00) 80.00%
Marine Cargo (198,000,000.00) (158,400,000.00) 80.00%
Motor Vehicle (704,680,000.00) (150,000,000.00) 21.29%
Motor Vehicle (222,180,000.00) (150,000,000.00) 67.51%
Property (674,643,446.30) (67,464,344.63) 10.00%
Property (501,218,684.62) (50,121,868.46) 10.00%
Property (258,095,903.91) (25,809,590.39) 10.00%
Personal Accident (25,000,000.00) (25,000,000.00) 100.00%
Motor Vehicle (21,892,000.00) (21,892,000.00) 100.00%
Motor Vehicle (14,430,000.00) (14,430,000.00) 100.00%
Property (16,931,451.40) (13,206,532.09) 78.00%
Motor Vehicle (10,975,600.00) (10,975,600.00) 100.00%
Motor Vehicle (9,719,342.80) (9,719,342.80) 100.00%
Property (11,470,170.00) (8,946,732.60) 78.00%
Motor Vehicle (8,060,100.00) (8,060,100.00) 100.00%
Motor Vehicle (6,913,800.00) (6,913,800.00) 100.00%
Motor Vehicle (6,753,750.00) (6,753,750.00) 100.00%
Marine Hull (7,583,070.00) (6,066,456.00) 80.00%
Liability (5,000,000.00) (5,000,000.00) 100.00%
Motor Vehicle (4,668,500.00) (4,668,500.00) 100.00%
Motor Vehicle (4,284,000.00) (4,284,000.00) 100.00%
Motor Vehicle (3,789,415.00) (3,789,415.00) 100.00%
Motor Vehicle (3,681,750.00) (3,681,750.00) 100.00%
Liability (3,350,000.00) (3,350,000.00) 100.00%
Motor Vehicle (3,202,066.00) (3,202,066.00) 100.00%
Motor Vehicle (2,890,825.00) (2,890,825.00) 100.00%
Motor Vehicle (2,730,500.00) (2,730,500.00) 100.00%
Motor Vehicle (2,268,500.00) (2,268,500.00) 100.00%
Motor Vehicle (2,145,875.17) (2,145,875.17) 100.00%
Motor Vehicle (1,756,200.00) (1,756,200.00) 100.00%
Motor Vehicle (1,683,000.00) (1,683,000.00) 100.00%
Motor Vehicle (1,680,000.00) (1,680,000.00) 100.00%
Motor Vehicle (1,643,500.00) (1,643,500.00) 100.00%
Motor Vehicle (1,407,750.00) (1,407,750.00) 100.00%
Motor Vehicle (1,086,000.00) (1,086,000.00) 100.00%
Motor Vehicle (1,072,000.00) (1,072,000.00) 100.00%
Liability (1,040,000.00) (1,040,000.00) 100.00%
Motor Vehicle (1,036,468.50) (1,036,468.50) 100.00%
Liability (900,000.00) (900,000.00) 100.00%
Motor Vehicle (849,500.00) (849,500.00) 100.00%
Property (735,000.00) (573,300.00) 78.00%
Motor Vehicle (535,700.00) (535,700.00) 100.00%
Liability (500,000.00) (500,000.00) 100.00%
Motor Vehicle (360,000.00) (360,000.00) 100.00%
Motor Vehicle (350,000.00) (350,000.00) 100.00%
Motor Vehicle (310,000.00) (310,000.00) 100.00%
Property (531,248.16) (88,591.67) 16.68%
Motor Vehicle (60,000.00) (60,000.00) 100.00%
Personal Accident (5,194,444.00) - 0.00%
Motor Vehicle - - #DIV/0!
Motor Vehicle (26,543,750.00) - 0.00%
Motor Vehicle - - #DIV/0!
Motor Vehicle 111,000,000.00 - 0.00%
(2,928,143,273.31) (962,290,418.31)
No CNO ANO POLICY_BRANCH HANDLING_BRANCSEGMENT
1 8308 1104187 02 02 DIRECT
2 8663 1071281 02 02 AGENT
3 9018 1008362 06 06 AGENT
4 9103 1184778 02 02 AGENT
5 9497 1224055 02 02 AGENT
6 9616 1025948 23 23 AGENT
7 9638 1195933 02 02 AGENT
8 9684 1136380 23 23 AGENT
9 9710 1208161 03 03 AGENT
10 9812 1116042 08 08 DIRECT
11 9943 1071281 02 02 AGENT
12 10064 1244267 12 12 DIRECT
13 10126 1228569 02 02 AGENT
14 10134 1209510 22 22 DIRECT
15 10188 1099771 02 02 AGENT
16 10212 1085680 07 07 DIRECT
17 10232 1213558 02 02 DIRECT
18 10234 1225560 02 02 DIRECT
19 10235 1236776 02 02 DIRECT
20 10236 1263115 08 08 DIRECT
21 10241 1239174 23 23 agent
22 10243 1052725 04 04 AGENT
23 10244 1210273 02 02 DIRECT
24 10245 1225518 02 02 DIRECT
25 10258 933668 11 11 AGENT
26 10264 1081764 02 02 AGENT
27 10274 947679 22 22 LEASING
28 10284 1253382 01 01 AGENT
29 10289 1178012 02 02 AGENT
30 10290 1188303 02 02 AGENT
31 10291 1188305 02 02 AGENT
32 10295 1184496 02 02 other
33 10297 1195933 02 02 AGENT
34 10300 960149 11 11 AGENT
35 10301 1003838 22 22 LEASING
36 10302 1118140 11 11 AGENT
37 10303 1249855 11 11 AGENT
38 10304 1260967 11 11 AGENT
39 10305 1120914 11 11 AGENT
40 10308 933668 11 11 AGENT
41 10309 984600 11 11 DIRECT
42 10310 1064321 11 11 DIRECT
43 10311 1189154 10 10 AGENT
44 10318 1247510 22 22 DIRECT
45 10320 1099985 22 22 LEASING
46 10324 1179162 10 10 AGENT
47 10325 1157765 10 10 AGENT
48 10329 786498 11 11 BROKER
49 10331 1062957 05 05 AGENT
50 10335 1224055 02 02 AGENT
51 10337 1153763 10 10 AGENT
52 10338 933668 11 11 AGENT
53 10339 1008362 06 06 AGENT
54 10340 1177793 10 10 AGENT
55 10341 1008362 06 06 AGENT
56 10342 1258650 12 12 DIRECT
57 10343 1258650 12 12 DIRECT
58 10350 824441 08 08 DIRECT
59 10351 1069581 08 08 AGENT
60 10353 1014815 22 22 LEASING
61 10360 1003481 06 06 AGENT
62 10362 595370 11 11 AGENT
63 10375 1205973 22 22 AGENT
SEGMENT_GROUP MO_CODE COB TOC TOC_DESCRIPTION
adhi 03 0303 Marine Cargo Inter
widodo 02 0201 PSKBI
dewa 02 0201 PSKBI
marsupa 11 1109 PA - PLUS ND
agus 02 0201 PSKBI
agus 02 0201 PSKBI
af 02 0201 PSKBI
sil 02 0201 PSKBI
desti 02 0202 Motor Vehicle (with
Rita 02 0201 PSKBI
farichin 02 0201 PSKBI
Rita 02 0201 PSKBI
adhi 10 1015 ATJP Kendaraan
sil 11 1109 PA - PLUS ND
agus 02 0201 PSKBI
sales-mdn 11 1109 PA - PLUS ND
KPA 01 0109 PAR
marsupa 11 1112 PA Kumpulan Khus
Rita 02 0201 PSKBI
ahmad 02 0205 Motor Cycle / Scoot
james 01 0109 PAR
james 01 0101 PSAKI
james 01 0101 PSAKI
adhi 04 0401 Marine Hull
lia 03 0310 Marine Cargo Open
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
KPA 01 0109 PAR
dewa 02 0201 PSKBI
eric 02 0201 PSKBI
dewa 02 0201 PSKBI
desti 02 0210 Contractor Plant a
desti 02 0210 Contractor Plant a
sil 11 1109 PA - PLUS ND
eka 02 0202 Motor Vehicle (with
Rita 02 0201 PSKBI
dewa 11 1109 PA - PLUS ND
KPA 02 0201 PSKBI
yonathan 02 0202 Motor Vehicle (with
TOC_GROUP POLICYNO POLICY_REFNO INSURED_ID INSURED_NAME INCEPTION
03 102030308190013 Q10203031901358 D02RR00005 Tn RADITYO RIZK 21-Aug-19
02 102020107190000 Q10202011900149 D02MH00007 Tn MICHAEL HUT 11-Jul-19
02 106020102190000 Q10602011900004 D02WT00001 Tn WIRAWAN TJA 4-Feb-19
02 102020111190001 Q10202011900255 D02IS00008 Tn IR. SUSANTO 25-Nov-19
11 1021109041900001102110904190000 D02PB00017 PT BPR TERUSAN 7-Jan-20
02 1230201031900056Q12302011900092 D23DL00001 DINAS LINGKUNG 29-Mar-19
02 102020112190002 Q10202011900290 D02EX00003 PT EXCELSO MUL 31-Dec-19
02 1230201101900003Q12302011900448 D23DP00006 DINAS PENDIDIK 25-Sep-19
02 103020101200000 REN. 10302010119D03HJ00005 Ny HELMIRA JUNIAT 21-Jan-20
02 1080201061900001Q10802011900028 M08KT00004 PT BANK BUKOPIN 20-Apr-19
02 102020107190000 Q10202011900149 D02MH00007 Tn MICHAEL HUT 11-Jul-19
02 1120202042000005Q11202022000018 D12SD00006 SEKRETARIAT DP 29-Apr-20
11 1021109032000002Q10211092000010 D02RA00026 PT. RAJAWALI BE 20-Feb-20
02 12202011218000119921901564 D22SR00010 PT MANDIRI TUNA 18-Jan-20
02 102020108190001 Q10202011900171 D02MU00032 MULTI NINGSI HO 14-Aug-19
02 12202011218000119221900600 D22PA00011 PT MANDIRI TUNA 3-Aug-19
10 PL02210212G.1728Q10210151900001 C02JE00001 PT JEMBATAN NU 1-Dec-19
10 PL02210212G.1728Q10210151900001 C02JE00001 PT JEMBATAN NU 1-Jan-20
10 PL02210212G.1728Q10210151900001 C02JE00001 PT JEMBATAN NU 1-Feb-20
11 108110906130000 PL08510212I.0016 D08BP00002 PT BPR Prima Jamb 7-Jun-13
02 1230201032000007Q12302012000105 D23IK00001 INSPEKTORAT KO 1-Apr-20
11 104110912180000131 D04BP00012 PT. BPR NBP 10 21-Mar-19
10 PL02210211K.2268Q10210151900002 C02PR00001 PT PRIMA VISTA 1-Nov-19
10 PL02210211K.2268Q10210151900002 C02PR00001 PT PRIMA VISTA 1-Jan-20
01 311010909180000 401.297.300.18.00 D11TI00012 PT TELEKOMUNIKA 1-Jul-18
11 1021112081900002Q10211121900033 D02SY00005 SMK YPT KOTA T 30-Jul-19
02 122020110180000 9161800969/MANDM22MT00003 3-Oct-18
02 1010205012000002Q10102052000002 T01SU00004 SUYITNO 20-Jan-20
01 302010911190001 12.03.01.19.11.0.0 D02VM00002 PT VICTORY MEG 9-Nov-19
01 302010112190000 12.03.01.19.12.0.0 D02DP00016 PT LION KING PL 1-Dec-19
01 302010112190000 12.03.01.19.12.0.0 D02DP00016 PT DONGXING PLA 1-Dec-19
04 302040111190000 205000401111800 D02TM00016 PT BANK NEGARA 19-Nov-19
02 102020112190002 Q10202011900290 D02EX00003 PT EXCELSO MUL 31-Dec-19
03 1110310041800001- D00UE00002 PT UNITED EQUI 12-Nov-18
02 122020111180003 9661801295/MANDM22PT00001 3-Dec-18
02 111020209190001 Q11102021900126 D11TS00022 Mr TSONG ANGRE 31-Aug-19
02 111020205200001 Q11102022000072 D00LA00016 LAURENTIUS GUN 16-May-20
02 111020206200002 Q11102022000103 D11CR00003 Ny CRISLYANA Q 27-Jun-20
02 1110202091900019Q11102021900113 D11SI00030 PT. SIM 31-Aug-19
02 311020212180000 JK-AMO-0032701-0D11DJ00008 PT DJOJONEGORO 16-Dec-18
02 311020206190000 JK-AMO-0039986-0D11DJ00008 PT DJOJONEGORO 4-Jun-19
02 110020112190001 Q11002011900163 D10FI00003 Ny FITARINA, SKM 11-Dec-19
02 122020205200001 Q12202022000153 D22GK00001 GEREJA KATHOLI 9-May-20
02 122020208190003 Q12202021900382 D22IA00001 IR ALEX ISKANDA 9-Aug-19
02 110020111190000 Q11002011900135 D10RI00006 RIO ANDREAN 16-Nov-19
02 110020110190001 Q11002011900124 D10SA00010 FERLITA RORA S 21-Oct-19
01 311010902180001945013018001295 D11ST00020 PT SRI TRANG GROUP31-Dec-17
02 105020106190000 Q10502011900053 D05TE00001 TONO ELLYSAN J 19-Jun-19
11 1021109041900001102110904190000 D02PB00017 PT BPR TERUSAN 7-Jan-20
02 110020110190000 Q11002011900119 D10EL00002 ELVA DESTIANA 10-Oct-19
02 110020110190001 Q11002011900128 D10EN00004 SUPRIYADI QQ Ny 23-Oct-19
02 1120905022000002Q11202102000001 D12MA00016 PT United Equipm 27-Feb-20
02 1120905022000002Q11202102000001 D12MA00016 PT United Equipm 27-Feb-20
11 1081109031800003LD 1813598275 M08BP00006 BISARA PANGARI 15-May-18
02 108020207190002 Q10802021900685 D11BF00013 PT BUKOPIN FINA 2-Jul-19
02 122020112180003 9231801083/MANDM22MT00012 3-Jan-19
11 1061109021900002Q10611091900018 D06BB00002 PT BALI BARAMU 16-Jan-19
02 111020104170000 Q11102011700161 D11BU00009 PT BUKOPIN FINA 30-Mar-17
02 122020201200002 Q12202022000018 D22TE00005 TENNY HADIANTO 14-Jan-20
EXPIRY CLAIMNO CLAIM_REFNO CAUSE_OF_LOSS USER_INPUT DATE_INPUT
4-Sep-19 10203031900012 10203031900012 A01 WINARYO 11-Oct-19
11-Jul-20 10202011900081 10202011900081 A01 WINARYO 29-Jun-20
4-Feb-20 10602011900003 10602011900003 A01 ADE 10-Jan-20
25-Nov-20 10202012000010 10202012000010 A01 WINARYO 27-Jul-20
7-Jul-21 10211092000001 10211092000001 I03 WINARYO 17-Jun-20
29-Mar-20 12302012000028 12302012000028 A01 WINARYO 14-Apr-20
31-Dec-20 10202012000020 10202012000020 A01 WINARYO 7-Apr-20
25-Sep-20 12302012000030 12302012000030 A01 WINARYO 16-Apr-20
21-Jan-21 10302012000004 10302012000004 A01 YULHAM 30-Jul-20
20-Apr-20 10802012000010 10802012000010 A01 HNDJBI 25-Jun-20
11-Jul-20 10202012000040 10202012000040 A01 WINARYO 29-Jun-20
29-Apr-21 11202022000011 11202022000011 a01 SATA 1-Jul-20
20-Feb-21 10211092000003 10211092000003 A01 PERMANA 27-Jul-20
18-Jan-25 12202012000048 12202012000048 A01 ADE 6-Jul-20
14-Aug-20 10202012000044 10202012000044 A01 WINARYO 24-Jul-20
3-Aug-22 10702012000007 10702012000007 A01 JUPRI 30-Jul-20
31-Dec-19 10210152000001 10210152000001 A01 WINARYO 23-Jul-20
31-Jan-20 10210152000002 10210152000002 A01 WINARYO 23-Jul-20
29-Feb-20 10210152000003 10210152000003 A01 WINARYO 23-Jul-20
7-Jun-21 10811092000013 10811092000013 D02 HNDJBI 23-Jul-20
1-Apr-21 12302012000047 12302012000047 A01 WINARYO 30-Jul-20
21-Mar-22 10411092000007 10411092000007 D02 JARLI 23-Jul-20
30-Nov-19 10210152000004 10210152000004 A01 WINARYO 23-Jul-20
31-Jan-20 10210152000005 10210152000005 A01 WINARYO 23-Jul-20
30-Jun-19 31101091900005 31101091900005 D07 MUNA 27-Jul-20
30-Jul-20 10211122000062 10211122000062 A01 PERMANA 30-Jul-20
3-Oct-20 12202012000052 12202012000052 A01 ADE 28-Jul-20
20-Jan-21 10102052000003 10102052000003 T03 ASP 29-Jul-20
11-May-20 30201092000007 30201092000007 F03 WINARYO 29-Jul-20
1-Dec-20 30201012000001 30201012000001 T06 WINARYO 29-Jul-20
1-Dec-20 30201012000002 30201012000002 D07 WINARYO 29-Jul-20
19-Nov-20 30204012000001 30204012000001 A01 WINARYO 3-Aug-20
31-Dec-20 10202012000020 10202012000020 A01 WINARYO 3-Aug-20
12-Dec-18 11103101900001 11103101900001 A01 MUNA 3-Aug-20
3-Dec-21 12202012000049 12202012000049 A01 ADE 3-Aug-20
31-Aug-20 11102022000056 11102022000056 A01 ADE 3-Aug-20
16-May-21 11102022000060 11102022000060 A01 ADE 3-Aug-20
27-Jun-21 11102022000062 11102022000062 A01 ADE 3-Aug-20
31-Aug-20 11102022000054 11102022000054 A01 ADE 3-Aug-20
30-Jun-19 31101091900003 31101091900003 D07 MUNA 3-Aug-20
16-Dec-19 31102022000001 31102022000001 A01 MUNA 4-Aug-20
4-Jun-20 31102022000002 31102022000002 A01 MUNA 4-Aug-20
11-Dec-20 11002012000042 11002012000042 A01 HADI 4-Aug-20
9-May-21 12202022000054 12202022000054 A01 ACHMAD 5-Aug-20
9-Aug-20 12202022000050 12202022000050 A01 ADE 5-Aug-20
16-Nov-20 11002012000032 11002012000032 A01 HADI 5-Aug-20
21-Oct-20 11002012000039 11002012000039 A01 HADI 5-Aug-20
31-Dec-18 31101091800055 31101091800055 D07 MUNA 6-Aug-20
19-Jun-20 10502011900016 10502011900016 A01 ADE 6-Aug-20
7-Jul-21 10211092000001 10211092000001 D02 FITA 6-Aug-20
10-Oct-20 11002012000030 11002012000030 A01 HADI 6-Aug-20
30-Jun-19 31101091800082 31101091800082 D07 MUNA 6-Aug-20
4-Feb-20 10602011900003 10602011900003 A01 WINARYO 6-Aug-20
23-Oct-20 11002012000044 11002012000044 A01 HADI 6-Aug-20
4-Feb-20 10602011900003 10602011900003 A01 WINARYO 6-Aug-20
27-May-20 11202102000001 11202102000001 M06 SATA 6-Aug-20
27-May-20 11202102000001 11202102000001 M06 SATA 7-Aug-20
15-May-21 10811092000010 10811092000010 D02 HNDJBI 7-Aug-20
2-Jul-23 10802022000005 10802022000005 A01 HNDJBI 10-Aug-20
3-Jan-22 12202012000055 12202012000055 A01 ADE 10-Aug-20
16-Jan-20 10611091900003 10611091900003 A01 WINARYO 11-Aug-20
30-Mar-20 11102011800001 11102011800001 A01 DODY 11-Aug-20
14-Jan-21 12202022000047 12202022000047 A01 ADE 13-Aug-20
DOL REGDATE REPORT_DATE LAPSE_IN_DAYS PAYMENT_TO BOOKING_DATE
22-Aug-19 30-Oct-19 22-Aug-19 50 D02RR00005 13-Aug-20
4-Nov-19 29-Jun-20 6-Nov-19 236 T02HU00001 12-Aug-20
31-Mar-19 5-Feb-20 1-Apr-19 284 D02WT00001 6-Aug-20
17-Jan-20 27-Jul-20 18-Jan-20 191 D02IS00008 4-Aug-20
24-Feb-20 17-Jun-20 6-Mar-20 103 D02PB00017 5-Aug-20
18-Mar-20 22-Apr-20 26-Mar-20 19 T02BE00003 19-Aug-20
13-Feb-20 7-Apr-20 19-Feb-20 48 D02EX00003 3-Aug-20
9-Apr-20 16-Apr-20 13-Apr-20 3 T02BE00003 19-Aug-20
16-Apr-20 30-Jul-20 17-Apr-20 104 D03BS00012 5-Aug-20
5-Apr-20 12-May-20 7-Apr-20 79 M08KT00004 10-Aug-20
8-Jun-20 29-Jun-20 10-Jun-20 19 T02HU00001 12-Aug-20
24-Jun-20 1-Jul-20 24-Jun-20 7 D10BE00002 5-Aug-20
5-Jul-20 30-Jul-20 6-Jul-20 21 D02RA00026 5-Aug-20
15-Jun-20 3-Aug-20 17-Jun-20 19 D22SR00010 4-Aug-20
13-Jul-20 24-Jul-20 14-Jul-20 10 T02DI00001 4-Aug-20
16-Jul-20 12-Aug-20 17-Jul-20 13 D22PA00011 12-Aug-20
15-Dec-19 23-Jul-20 24-Jan-20 181 C02JE00001 4-Aug-20
23-Jan-20 23-Jul-20 11-Mar-20 134 C02JE00001 4-Aug-20
5-Feb-20 23-Jul-20 11-Mar-20 134 C02JE00001 4-Aug-20
28-Jun-20 23-Jul-20 14-Jul-20 9 D08BP00002 11-Aug-20
20-Jul-20 30-Jul-20 23-Jul-20 7 T02BE00003 11-Aug-20
9-Jun-20 23-Jul-20 17-Jun-20 36 D04BP00012 10-Aug-20
20-Nov-19 23-Jul-20 20-Mar-20 125 C02PR00001 4-Aug-20
23-Jan-20 23-Jul-20 20-Mar-20 125 C02PR00001 4-Aug-20
9-Jan-19 27-Jul-20 17-Jan-19 557 D11AJ00023 5-Aug-20
12-Feb-20 30-Jul-20 27-Jul-20 3 D02SY00005 11-Aug-20
13-Jul-20 28-Jul-20 13-Jul-20 15 M22MT00003 5-Aug-20
5-Jun-20 29-Jul-20 5-Jun-20 54 T01SU00004 7-Aug-20
23-Feb-20 29-Jul-20 24-Feb-20 156 D02VM00002 4-Aug-20
16-Jan-20 29-Jul-20 16-Jan-20 195 D02MA00017 10-Aug-20
16-Jan-20 29-Jul-20 16-Jan-20 195 D02MA00017 4-Aug-20
9-Mar-20 3-Aug-20 24-Mar-20 132 C02JR00001 12-Aug-20
13-Feb-20 3-Aug-20 19-Feb-20 166 D02EX00003 5-Aug-20
21-Nov-18 6-Aug-20 29-Nov-18 613 D00UE00002 10-Aug-20
4-Jul-20 3-Aug-20 6-Jul-20 28 M22PT00001 4-Aug-20
29-Jun-20 3-Aug-20 3-Jul-20 31 D11TS00022 4-Aug-20
15-Jul-20 3-Aug-20 16-Jul-20 18 D00LA00016 4-Aug-20
23-Jul-20 3-Aug-20 23-Jul-20 11 D11CR00003 4-Aug-20
29-Jun-20 3-Aug-20 30-Jun-20 34 D11SI00030 4-Aug-20
30-Dec-18 3-Aug-20 4-Jan-19 577 D11AJ00023 5-Aug-20
19-May-19 4-Aug-20 3-Aug-20 1 D00SJ00020 5-Aug-20
16-Jan-20 4-Aug-20 3-Aug-20 1 D00SJ00020 5-Aug-20
8-Jul-20 4-Aug-20 8-Jul-20 27 T10AA00002 5-Aug-20
15-Jul-20 5-Aug-20 16-Jul-20 20 D22GK00001 5-Aug-20
15-Jul-20 5-Aug-20 22-Jul-20 14 D22IA00001 5-Aug-20
1-Jun-20 5-Aug-20 5-Jun-20 61 D10BE00002 7-Aug-20
27-Jun-20 5-Aug-20 29-Jun-20 37 D10BE00002 7-Aug-20
21-Sep-18 6-Aug-20 24-Sep-18 682 D11AM00019 6-Aug-20
29-Jun-19 6-Aug-20 1-Jul-19 402 D05TE00001 6-Aug-20
24-Feb-20 6-Aug-20 6-Mar-20 153 D02PB00017 6-Aug-20
30-May-20 6-Aug-20 2-Jun-20 65 M10PB00006 7-Aug-20
28-Sep-18 6-Aug-20 22-Nov-18 623 D11AJ00023 12-Aug-20
31-Mar-19 6-Aug-20 1-Apr-19 493 D02WT00001 6-Aug-20
20-Jul-20 6-Aug-20 23-Jul-20 14 T10AA00002 18-Aug-20
31-Mar-19 6-Aug-20 1-Apr-19 493 D02WT00001 13-Aug-20
12-Apr-20 6-Aug-20 12-Apr-20 116 D12MA00016 6-Aug-20
12-Apr-20 7-Aug-20 12-Apr-20 117 D12MA00016 7-Aug-20
21-May-20 7-Aug-20 11-Jun-20 57 M08BP00006 11-Aug-20
21-Feb-20 10-Aug-20 27-Feb-20 165 D11BF00013 13-Aug-20
23-Jul-20 10-Aug-20 27-Jul-20 14 M22MT00012 10-Aug-20
20-Jul-19 11-Aug-20 5-Aug-19 372 D06BB00002 11-Aug-20
11-Dec-17 11-Aug-20 11-Dec-17 974 D11BU00009 11-Aug-20
17-Jul-20 13-Aug-20 17-Jul-20 27 D22TE00005 13-Aug-20
USER_APPROVE USER_APPROVE_DATE CLAIM_STATUS EVENT_NAME REMARKS
WINARYO 13-Aug-20 FULLY SETTLED Accident Process revisi
WINARYO 12-Aug-20 FULLY SETTLED Accident Process
WINARYO 6-Aug-20 PARTIALLY SETT Accident
WINARYO 5-Aug-20 FULLY SETTLED Mininggal Dunia
WINARYO 3-Aug-20 FULLY SETTLED Accident
DANIL 5-Aug-20 FULLY SETTLED ok
SIL 10-Aug-20 FULLY SETTLED - pengajuan CCS ke KP.
SATA 5-Aug-20 FULLY SETTLED Laporan Awal Klaim
WINARYO 5-Aug-20 FULLY SETTLED Accident proses
DODY 4-Aug-20 FULLY SETTLED Proses settled 3/8/2020
WINARYO 4-Aug-20 PARTIALLY SETT Accident Process
DODY 12-Aug-20 FULLY SETTLED Proses Settled 12/
WINARYO 4-Aug-20 FULLY SETTLED KLAIM LIABILLITY Process
SIL 11-Aug-20 FULLY SETTLED - proses klaim awal
RUDY 10-Aug-20 FULLY SETTLED Proses klaim dan p
FITA 5-Aug-20 FULLY SETTLED Claim (Full & Final
WINARYO 11-Aug-20 FULLY SETTLED Accident proses
DODY 5-Aug-20 FULLY SETTLED Proses CCS Settled 28/7/2020
AHMAD 7-Aug-20 FULLY SETTLED Proses
WINARYO 4-Aug-20 FULLY SETTLED Banjir Process Adjuster F
WINARYO 10-Aug-20 FULLY SETTLED Accident
WINARYO 4-Aug-20 FULLY SETTLED Angin Kencang Process Adjuster f
WINARYO 12-Aug-20 FULLY SETTLED Accident Process Adjuster F
WINARYO 5-Aug-20 FULLY SETTLED Accident Process Casco yan
GHANY 10-Aug-20 FULLY SETTLED Input pembayaran klaim 8/6/2020
FITA 5-Aug-20 FULLY SETTLED Claim Process (Full
FITA 5-Aug-20 FULLY SETTLED Terima DLA 8/3/2020
FITA 5-Aug-20 FULLY SETTLED Terima DLA 8/4/2020
HADI 5-Aug-20 FULLY SETTLED Process 04/08/202
DODY 5-Aug-20 FULLY SETTLED proses settled 5/8/2020
HADI 7-Aug-20 FULLY SETTLED Process Claim 05/
HADI 7-Aug-20 FULLY SETTLED process Claim 05/0
FITA 6-Aug-20 FULLY SETTLED 8/6/2020 Process Adjuster
DODY 6-Aug-20 FULLY SETTLED Proses klaim ini
FITA 6-Aug-20 FULLY SETTLED Mininggal Dunia Process
HADI 7-Aug-20 FULLY SETTLED Process Claim 06/
FITA 12-Aug-20 FULLY SETTLED Terima LOD 7/20/2020
WINARYO 6-Aug-20 PARTIALLY SETT Accident
FITA 18-Aug-20 FULLY SETTLED Process Klaim 06/0
WINARYO 13-Aug-20 PARTIALLY SETT Accident Process koreksi spa
SATA 6-Aug-20 FULLY SETTLED
SATA 7-Aug-20 FULLY SETTLED Menunggu DFR 6/26/2020
SIL 11-Aug-20 FULLY SETTLED - proses revisi nilai klaim 07.08.2020
SIL 13-Aug-20 FULLY SETTLED - proses klaim ctl 10.08.2020
WINARYO 11-Aug-20 FULLY SETTLED Accident Process Koreksi da
DODY 11-Aug-20 FULLY SETTLED Claim Close (Klaim ditolak)
PLACE_OF_LOSS DESCRIPTION_OF_LOSS CURRENCY TSI
KM. Santika Nusan Kebakaran Kapal IDR 200,000,000.00
Surabaya Pada saat putar balik ja IDR 115,000,000.00
Pintu keluar Banda Saat itu mobil saya BMWIDR 850,000,000.00
RS Kaliwates, Jem Ditabrak motor saat ber IDR 230,000,000.00
Mojokerto Pada tanggal 15-2-2020 IDR 5,500,000.00
Malang -Ada mobil dari arah berlawan
IDR arah menyerempet spion hingga melingkup, lalu me
195,000,000.00
Pandaan - malang Pada hari kamis tanggal IDR 85,000,000.00
Malang -Saat dijalan menghindariIDR motor yang keluar gang, namun
207,500,000.00
mengen
Pakiran kantor PT, Kendaraan Honda Jazz BA IDR1143 ON digunakan tertanggung untuk dinas kekantor, sampai dikantor akan m
257,000,000.00
bagan pete, jambi menabrak IDR 250,000,000.00
Surabaya Saat sedang melaju dija IDR 115,000,000.00
Kantor DPRD BandMenabrak Mobil Innova IDR 613,000,000.00
Pelabuhan KalimasSaat sedang sandar, kapa IDR 50,000,000.00
Jakarta Pada tanggal 15 juni ja IDR 199,500,000.00
Surabaya IDR karena kaget sehingga
-lalu membanting stir ke kanan 130,000,000.00
mengenai batu
Mobil parker di rum - Fender Depan RH IDR 216,500,000.00
KM. SWARNA BAHPada saat kapal sudah t IDR 45,597,500,000.00
KM. MADANI NUS Dikarenakan kapal berg IDR 31,307,500,000.00
KM. SWARNA BAHPada saat pemuatan berlIDR 40,967,500,000.00
desa penyengat olameninggal dunia karena IDR 30,000,000.00
Malang -Waktu dinas tiba-tiba mobilIDRdepan ngerem mendadak kemudian saya kaget dan banting setir ke kiri
140,000,000.00
- Diabetes
Jl. dr. Ferdinand Lumaban Tobing No.1 IDR 30,000,000.00
KM. MADANI NUS Dikarenakan Kapal GoyaIDR 12,842,500,000.00
KK. MADANI NUS Akibat ombak Kapal ber IDR 20,445,000,000.00
KM 72.006 Dari BMKabel Putus IDR 1,327,404,632,126.73
Tegal Dibonceng kakak untuk me IDR 6,000,000.00
gading serpong Sekitar jam 2 pagi hari IDR 247,200,000.00
Komp. Permata KopOrang yang tidak diken IDR 14,000,000.00
Pasar kemis KM9 NBanjir IDR 1,800,000,000.00
Jl. Panjunan Km. 3 Windstorm IDR 300,000,000.00
Jl. Panjunan Km. 3 Angin kencang disertai IDR 250,000,000.00
Banjarmasin Km. Mila Utama menabrak IDR 9,000,000,000.00
Pandaan - malang Pada hari kamis tanggal IDR 85,000,000.00
JKT - MKS Barang slip diperjalanan,IDR 2,000,000,000.00
KEDOYA MOBIL DITABRAK DAR IDR 554,800,000.00
Kapuk Raya IDR dari kiri
saat di jalan diserempet motor 280,000,000.00
JAKARTA SAAT PARKIR MOBIL IDR 126,000,000.00
MANGGA DUA MOBIL DITABRAK DARIIDR 202,000,000.00
RADEN INTEN JA SAAT AKAN PUTER BAIDR 145,000,000.00
SKKL ASBL Link BaPutus IDR 1,327,404,632,126.73
Jakarta Selatan Bagian kiri ditabrak ole IDR 135,000,000.00
DKI Jakarta - di tabrak oleh mobil lainIDR
dari belakang kiri 40,500,000.00
08 Juli 2020 Pukul Pada pukul 08.00 mobil IDR 160,000,000.00
tanggerang mobil menyerempet di b IDR 150,000,000.00
kebun jeruk saat parkir kena besi corIDR 860,000,000.00
1 Juni 2020 Pukul 2. Bagian depan menabrak IDRpagar 150,000,000.00
27 Juni 2020 Pukul ketika parker masuk k IDR 140,000,000.00
Palembang, Sumatera TBASelatan 30259 IDR 27,284,498,005.08
Di Belilas Tabrakan IDR 175,000,000.00
Mojokerto Pada tanggal 15-2-2020 IDR 5,500,000.00
30 Mei 2020 Pukul Pada saat mengeluarkanIDR 65,000,000.00
Balikpapan - Tarak Gempa Bumi dan TsunaIDR 1,327,404,632,126.73
20 Juli 2020 Pukul Pada saat jalan di ZA. IDR 150,000,000.00
Lembah, Muara Du Tertimpa Pohon IDR 2,200,000,000.00
Lembah, Muara Du Tertimpa Pohon IDR 2,200,000,000.00
- dusun 1 rt.001 de - meninggal dunia karenaIDR 35,000,000.00
- pekan baru - tabrakan IDR 772,800,000.00
samarinda body kanan terkene motoIDR 188,000,000.00
Dilaut ABK tersebut diketahui IDR 25,000,000.00
Cikarang Kecelakaan IDR 570,000,000.00
JELAMBAR 2. DISEREMPET MOTOR IDR
SEBELAH KANAN 105,000,000.00
S_TSI INDEMNITY DEDUCTIBLE EXPENSE SALVAGE
200,000,000.00 (200,000,000.00) 2,000,000.00 - -
115,000,000.00 (1,980,000.00) 300,000.00 - -
850,000,000.00 (57,552,060.00) 300,000.00 - -
230,000,000.00 (1,943,500.00) 300,000.00 - -
5,500,000.00 (5,194,444.00) - - -
195,000,000.00 (4,968,500.00) 300,000.00 - -
85,000,000.00 (25,080,000.00) 300,000.00 - -
207,500,000.00 (7,053,750.00) 300,000.00 - -
257,000,000.00 (8,360,100.00) 300,000.00 - -
250,000,000.00 (14,975,600.00) 4,000,000.00 - -
115,000,000.00 (660,000.00) 300,000.00 - -
613,000,000.00 (1,683,000.00) - - -
50,000,000.00 (1,061,500.00) - - -
199,500,000.00 (1,210,000.00) 900,000.00 - -
130,000,000.00 (660,000.00) 600,000.00 - -
216,500,000.00 (1,386,000.00) 300,000.00 - -
80,000,000.00 (5,000,000.00) - - -
80,000,000.00 (1,040,000.00) - - -
80,000,000.00 (3,350,000.00) - - -
30,000,000.00 (7,304,862.00) - - -
140,000,000.00 (3,030,500.00) 300,000.00 - -
30,000,000.00 (17,489,000.00) - - -
80,000,000.00 (500,000.00) - - -
80,000,000.00 (900,000.00) - - -
1,327,404,632,126.73 (606,168,566.93) 121,233,713.39 (16,283,831.08) -
6,000,000.00 (1,500,000.00) - - -
247,200,000.00 (222,480,000.00) 300,000.00 - -
14,000,000.00 - - (350,000.00) -
1,800,000,000.00 - - (11,470,170.00) -
300,000,000.00 (18,812,723.80) 1,881,272.40 - -
250,000,000.00 - - (735,000.00) -
9,000,000,000.00 - - (7,583,070.00) -
85,000,000.00 2,888,000.00 - - -
2,000,000,000.00 (218,781,700.00) 5,000,000.00 - -
554,800,000.00 (1,707,750.00) 300,000.00 - -
280,000,000.00 (4,281,750.00) 600,000.00 - -
126,000,000.00 (1,149,500.00) 300,000.00 - -
202,000,000.00 (14,730,000.00) 300,000.00 - -
145,000,000.00 (2,745,875.17) 600,000.00 - -
1,327,404,632,126.73 (313,456,475.58) 62,691,295.12 (7,330,723.45) -
135,000,000.00 (3,232,390.00) - - 30,324.00
40,500,000.00 (1,040,625.00) - - 4,156.50
160,000,000.00 (3,190,825.00) 300,000.00 - -
150,000,000.00 (835,700.00) 300,000.00 - -
860,000,000.00 (7,213,800.00) 300,000.00 - -
150,000,000.00 (4,884,000.00) 600,000.00 - -
140,000,000.00 (2,568,500.00) 300,000.00 - -
27,284,498,005.08 - - (531,248.16) -
175,000,000.00 - - - -
5,500,000.00 - - - -
65,000,000.00 (4,089,415.00) 300,000.00 - -
1,327,404,632,126.73 (818,878,995.38) 163,775,799.08 (19,540,250.00) -
850,000,000.00 57,552,060.00 (300,000.00) - -
150,000,000.00 (2,356,200.00) 600,000.00 - -
850,000,000.00 (26,543,750.00) - - -
2,200,000,000.00 - - - -
2,200,000,000.00 - - - 111,000,000.00
35,000,000.00 (12,172,900.46) - - -
772,800,000.00 (705,180,000.00) 500,000.00 - -
188,000,000.00 (1,672,000.00) 600,000.00 - -
25,000,000.00 (25,000,000.00) - - -
570,000,000.00 - - - -
105,000,000.00 (10,619,342.80) 900,000.00 - -
SUBROGATION CLAIM_AMOUNT ADJUSTMENT CLAIM_DIRECT_INSURED
- (198,000,000.00) - (198,000,000.00)
- (1,680,000.00) - (1,680,000.00)
- (57,252,060.00) - (57,252,060.00)
- (1,643,500.00) - (1,643,500.00)
- (5,194,444.00) - (5,194,444.00)
- (4,668,500.00) - (4,668,500.00)
- (24,780,000.00) - (24,780,000.00)
- (6,753,750.00) - (6,753,750.00)
- (8,060,100.00) - (8,060,100.00)
- (10,975,600.00) - (10,975,600.00)
- (360,000.00) - (360,000.00)
- (1,683,000.00) - (1,683,000.00)
- (1,061,500.00) - (1,061,500.00)
- (310,000.00) - (310,000.00)
- (60,000.00) - (60,000.00)
- (1,086,000.00) - (1,086,000.00)
- (5,000,000.00) - (5,000,000.00)
- (1,040,000.00) - (1,040,000.00)
- (3,350,000.00) - (3,350,000.00)
- (7,304,862.00) - (7,304,862.00)
- (2,730,500.00) - (2,730,500.00)
- (17,489,000.00) - (17,489,000.00)
- (500,000.00) - (500,000.00)
- (900,000.00) - (900,000.00)
- (501,218,684.62) - -
- (1,500,000.00) - (1,500,000.00)
- (222,180,000.00) - (222,180,000.00)
- (350,000.00) - -
- (11,470,170.00) - -
- (16,931,451.40) - -
- (735,000.00) - -
- (7,583,070.00) - -
- 2,888,000.00 - 2,888,000.00
- (213,781,700.00) - (213,781,700.00)
- (1,407,750.00) - (1,407,750.00)
- (3,681,750.00) - (3,681,750.00)
- (849,500.00) - (849,500.00)
- (14,430,000.00) - (14,430,000.00)
- (2,145,875.17) - (2,145,875.17)
- (258,095,903.91) - -
- (3,202,066.00) - -
- (1,036,468.50) - -
- (2,890,825.00) - (2,890,825.00)
- (535,700.00) - (535,700.00)
- (6,913,800.00) - (6,913,800.00)
- (4,284,000.00) - (4,284,000.00)
- (2,268,500.00) - (2,268,500.00)
- (531,248.16) - -
- - - -
- - - -
- (3,789,415.00) - (3,789,415.00)
- (674,643,446.30) - -
- 57,252,060.00 - 57,252,060.00
- (1,756,200.00) - (1,756,200.00)
- (26,543,750.00) - (26,543,750.00)
- - - -
- 111,000,000.00 - -
- (12,172,900.46) - (12,172,900.46)
- (704,680,000.00) - (704,680,000.00)
- (1,072,000.00) - (1,072,000.00)
- (25,000,000.00) - (25,000,000.00)
- - - -
- (9,719,342.80) - (9,719,342.80)
CLAIM_INWARD_COINSURANCE CLAIM_INWARD_REINSURANCE CLAIM_INWARD_TREATY
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
(501,218,684.62) - -
- - -
- - -
- - -
(0.00) - -
(16,931,451.40) - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
(258,095,903.91) - -
(3,202,066.00) - -
(1,036,468.50) - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
(674,643,446.30) - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
CLAIM_COINSURANCE_OUT CLAIM_JOINT_PLACEMENT CLAIM_OTHER_PARTIES
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - (350,000.00)
- - (11,470,170.00)
- - -
- - (735,000.00)
- - (7,583,070.00)
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - (531,248.16)
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - 111,000,000.00
- - -
- - -
- - -
- - -
- - -
- - -
CLAIM_GROSS BPPDAN DECREE MAIPARK QUOTA_SHARE SURPLUS
(198,000,000.00) - - - 39,600,000.00 -
(1,680,000.00) - - - - -
(57,252,060.00) - - - - -
(1,643,500.00) - - - - -
(5,194,444.00) - - - - -
(4,668,500.00) - - - - -
(24,780,000.00) - - - - -
(6,753,750.00) - - - - -
(8,060,100.00) - - - - -
(10,975,600.00) - - - - -
(360,000.00) - - - - -
(1,683,000.00) - - - - -
(1,061,500.00) - - - - -
(310,000.00) - - - - -
(60,000.00) - - - - -
(1,086,000.00) - - - - -
(5,000,000.00) - - - - -
(1,040,000.00) - - - - -
(3,350,000.00) - - - - -
(7,304,862.00) - - - - -
(2,730,500.00) - - - - -
(17,489,000.00) - - - - -
(500,000.00) - - - - -
(900,000.00) - - - - -
(501,218,684.62) - - - - -
(1,500,000.00) - - - - -
(222,180,000.00) - - - - -
(350,000.00) - - - - -
(11,470,170.00) 286,754.25 - - 2,236,683.15 -
(16,931,451.40) 423,286.29 - - 3,301,633.02 -
(735,000.00) 18,375.00 - - 143,325.00 -
(7,583,070.00) - - - 1,516,614.00 -
2,888,000.00 - - - - -
(213,781,700.00) - - - 42,756,340.00 -
(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) 151.87 - - 37,967.86 404,536.77
- - - - - -
- - - - - -
(3,789,415.00) - - - - -
(674,643,446.30) - - - - -
57,252,060.00 - - - - -
(1,756,200.00) - - - - -
(26,543,750.00) - - - - -
- - - - - -
111,000,000.00 - - - - -
(12,172,900.46) - - - - -
(704,680,000.00) - - - - -
(1,072,000.00) - - - - -
(25,000,000.00) - - - - -
- - - - - -
(9,719,342.80) - - - - -
(2,928,143,273.31) 728,567.41 - - 89,592,563.03 404,536.77

AUTO_FACULTATIVE FACULTATIVE_OUT XOL ANR CLAIM_FEE
- - - (158,400,000.00) -
- - - (1,680,000.00) -
- - 57,252,060.00 - -
- - - (1,643,500.00) -
- - - (5,194,444.00) -
- - - (4,668,500.00) -
- - - (24,780,000.00) -
- - - (6,753,750.00) -
- - - (8,060,100.00) -
- - - (10,975,600.00) -
- - - (360,000.00) -
- - - (1,683,000.00) -
- - - (1,061,500.00) -
- - - (310,000.00) -
- - - (60,000.00) -
- - - (1,086,000.00) -
- - - (5,000,000.00) -
- - - (1,040,000.00) -
- - - (3,350,000.00) -
- 7,304,862.00 - - -
- - - (2,730,500.00) -
- 17,489,000.00 - - -
- - - (500,000.00) -
- - - (900,000.00) -
- 451,096,816.15 - (50,121,868.46) -
- - - (1,500,000.00) -
- - 72,180,000.00 (150,000,000.00) -
- - - (350,000.00) -
- - - (8,946,732.60) -
- - - (13,206,532.09) -
- - - (573,300.00) -
- - - (6,066,456.00) -
- - - 2,888,000.00 -
- - - (171,025,360.00) -
- - - (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) -
- - - (88,591.67) -
- - - - -
- 5,194,444.00 - 5,194,444.00 -
- - - (3,789,415.00) -
- 607,179,101.67 - (67,464,344.63) -
- - (57,252,060.00) - -
- - - (1,756,200.00) -
- - 26,543,750.00 - -
- - - - -
- - (111,000,000.00) - -
- 12,172,900.46 - - -
- - 554,680,000.00 (150,000,000.00) -
- - - (1,072,000.00) -
- - - (25,000,000.00) -
- - - - -
- - - (9,719,342.80) -
- 1,332,723,437.80 542,403,750.00 (962,290,418.31) -

CLAIM_DUTY BACKDATED_FLAG
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I-Claim Expense August 2020 W3

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I-Claim Expense August 2020 W3

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SUMMARY CLAIM EXPENSES

Period : 1 August - 23 August 2020

c. Kenaikan (Penurunan) Cadangan Klaim Retensi Sendiri

JUMLAH BEBAN KLAIM

COB CLAIM GROSS CLAIM NET PERSENTASE

(2,928,143,273.31) 728,567.41 - - 89,592,563.03 404,536.77

- 1,332,723,437.80 542,403,750.00 (962,290,418.31) -

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