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NEW JERSEY SCHEDULE "W" FOR CALENDAR YEAR

19231

SCHEDULE "W"-1924

CALENDAR YEAR 1923

PART I

COUNTRY-WIDE EXHIBIT

Exhibit of premiums, expenses and losses on account of all Workmen's Compensation policies, including Coal Mine and Prohibited Risk, for the year ending December 31, 1923

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$11,061,668. 2.668,020..

994,221....

9. Inspection and Accident Prevention, excluding amounts included in line 10 of this schedule $..

10. Maintenance of Inspection Rating Boards and Bureaus (").

11. Licenses, fees and taxes (3):

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1 The form presented in this appendix is that on which each carrier writing workmen's compensation insurance in New Jersey reports its experience. The amounts entered on pp. 394, 395, ,398 and 399 represent the combined country-wide experience of these carriers, both participating and non-participating. For the purpose of determining the proper expense loading for non-participating carriers the combined experience of such carriers alone is used.

394

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Alabama

F. NET PREMIUMS WRITTEN IN EACH STATE OR TERRITORY OF THE

UNITED STATES AND IN CANADA (18)

Total Forward

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Underwriting Expenses + Total Earned Premiums (Item 9, Page 8, of 1923 Annual Statement) -%

+

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being duly sworn, each for himself deposes and says that he is the above described officer of the said company, and that the schedule herein contained, is a correct exhibit of the underwriting experience of said company on account of Workmen's Compensation and Employers' Liability policies for the year ending December 31, 1923, both as to country-wide exhibit and the New Jersey exhibit. to the best of his knowledge and belief, respectively.

Subscribed and sworn to before me this....................day of.................. 1924.

President

Secretary

Calendar
Year
Ending

(1)

PART POLICY YEAR

Showing written and earned premiums and losses incurred under all Workmen's Compensation and

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