Maine Revised Statutes Title 24. Insurance § 2601. Report of claim

1. Date and place. The date and place of the occurrence for which each claim was made;

2. Name of insured; classification of risk. The name of the insured or insureds and the classification of risk;

3. Incident or occurrence for claim. The incident or occurrence for which each claim was made;

4. Amount. The amount claimed;

5. Repealed. Laws 1997, c. 592, § 8.

6. Repealed. Laws 1997, c. 592, § 8.

7. Other information. Such other information as may be required pursuant to section 2603.

The failure of any insurer providing professional liability insurance in this State to a person licensed by the Board of Licensure in Medicine or the Board of Osteopathic Licensure or any health care provider to report as required is a civil violation for which a fine of not more than $1,000 may be adjudged.