Example #1 Hypothetical Account

Claims Policy Yr Actual Primary

Under $2,000 01 5,660 5,660

Under $2,000 02 5,303 5,303

Under $2,000 03 3,018 3,018

#51261701 01 3,267 3,267 Lost Time Claim

BJM3976 03 72,848 5,000 Lost Time Claim

BJM9986 03 4,708 4,708 Lost Time Claim

94,804 26,956

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