| Version: | D |
|---|---|
| Release: | 02B |
| Contr. Agency: | UN |
| Revision: | 2 |
| Date: | 2003-02-13 |
| SOURCE: | D9 Insurance (SWG) |
|
For general information on UN standard message types see UN Trade Data Interchange Directory, UNTDID, Part 4, Section 2.3, UN/ECE UNSM General Introduction |
|
This message also occurs in the following versions of this standard: D98B, D99A, D99B, D00A, D00B, D01A, D01B, D01C, D02A, D02B, D03A, D03B, D04A, D04B |
This specification provides the definition of the Life reinsurance claims message (LRECLM) to be used in Electronic Data Interchange (EDI) between trading partners involved in administration, commerce and transport.
The LRECLM message is used by companies to exchange information regarding a claim or claims on a policy or policies which have been reinsured. The message will be used for both ceded and assumed reinsurance.
The trading partners utilizing the Life reinsurance claims message will be direct companies, reinsurance companies, reinsurance intermediaries and retrocessionaires. The message will be used to transmit data required by ceding and assuming companies to communicate information for the orderly settlement of claims. It also facilitates the reconciliation of the reinsurance records in order to maintain the integrity of the data between the trading partners.
The Life reinsurance claims message may be used for both national and international applications. It is based on universal practice related to administration, commerce and transport, and is not dependent on the type of business or industry.
The following guidelines apply to the whole message and are intended to facilitate the understanding and implementation of the message:
See UNTDID, Part 4, Chapter 2.3 UN/ECE UNSM - General Introduction, Section 1.
See UNTDID, Part 4, Chapter 2.3 UN/ECE UNSM - General Introduction, Section 2.
This section should be read in conjunction with the segment table which indicates mandatory, conditional and repeating requirements.
Information to be provided in the Header section:
A service segment starting and uniquely identifying a message. The message type code for the Life reinsurance claims message is LRECLM.
Note: Life reinsurance claims messages conforming to this document must contain the following data in segment UNH, composite S009:
| Data element | 0065 | LRECLM |
| 0052 | D | |
| 0054 | 02B | |
| 0051 | UN |
A segment specifying the type of message contained in the transmission.
A segment specifying the reporting period ending date.
A segment identifying the default currency and its scaling factor for monetary amounts in this message.
A segment identifying a person(s) or department(s), and their function(s), to whom communications should be directed.
A segment with free text information, in coded or clear form, used when additional information is needed but cannot be accommodated within other segments.
Information to be provided in the Detail section:
0070 Segment group 1: IMD-ATT-DTM-LOC-PCD-RFF-CUX-FTX-SG2-SG3-SG5 A group of segments in which is detailed claim information.
A segment defining the type of claim.
A segment providing attributes of the claim.
A segment specifying general dates or durations related to the claim.
A segment giving location information for the place of death or location where the onset of the disability occurred.
A segment specifying the extent of loss and the interest rate to be used in calculating the claim payment.
A segment specifying the claim numbers as assigned by the ceding company and the reinsurer.
A segment identifying the default currency and its scaling factor for monetary amounts for the claim.
A segment with free text information, in coded or clear form, used when additional information is needed regarding the claim.
A group of segments in which is detailed monetary amounts and their purpose for the claim.
A segment specifying a monetary amount.
A segment specifying the purpose of the monetary amount.
A group of segments in which is detailed information regarding the person for which this claim is being submitted.
A segment identifying the name of the person on claim.
A segment specifying general date and durations associated with the person on claim.
A segment giving location information for the place of residence of the person on claim at the time of loss.
A segment providing the occupation class of the person on claim at time of loss for purposes of this claim as defined by the issuing company.
A group of segments in which is detailed monetary amounts and their purpose for this person on claim.
A segment specifying a monetary amount.
A segment specifying the purpose of the monetary amount.
A group of segments in which is detailed information regarding the policy on claim and other policies related to the claim.
An indicator specifying whether this policy is the policy on claim or an associated policy.
A segment specifying the policy number as assigned by the ceding company.
A segment identifying the original issuer of the policy, in coded or clear form.
A segment specifying general dates and durations associated with the policy on claim or related policy.
A group of segments in which is detailed monetary amounts and their purpose for this policy.
A segment specifying a monetary amount.
A segment specifying the purpose of the monetary amount.
A group of segments in which is detailed information regarding the insureds on this policy.
A segment identifying the party as the insured of record.
A segment identifying the insured's name and universal identifier.
A segment specifying the date of birth of the insured.
A group of segments in which is detailed coverage information regarding the insured.
A segment giving the insurance cover type associated with this coverage.
A segment specifying general dates or durations related to this coverage.
A segment specifying general references for this coverage.
A segment providing attributes of the coverage.
A segment specifying the percentages associated with the claim.
A segment identifying the treaty as assigned by the ceding company.
A group of segments in which is detailed monetary amounts and their purpose for the coverage.
A segment specifying a monetary amount.
A segment specifying the purpose of the monetary amount.
A service segment ending a message, giving the total number of segments in the message (including the UNH & UNT) and the control reference number of the message.
| AGR | Agreement identification | |
| ARD | Monetary amount function | |
| ATT | Attribute | |
| BGM | Beginning of message | |
| CTA | Contact information | |
| CUX | Currencies | |
| DTM | Date/time/period | |
| EMP | Employment details | |
| FTX | Free text | |
|
GEI | Processing information |
| ICD | Insurance cover description | |
| IDE | Identity | |
| IMD | Item description | |
| LOC | Place/location identification | |
| MOA | Monetary amount | |
| PCD | Percentage details | |
| PNA | Party identification | |
| RFF | Reference | |
| UNH | Message header | |
| UNT | Message trailer |
| ├─UNH Message header | ×1 | (M) |
| ├─BGM Beginning of message | ×1 | (M) |
| ├─DTM Date/time/period | ×1 | (M) |
| ├─CUX Currencies | ×1 | (C) |
| ├─CTA Contact information | ×9 | (C) |
| ├─FTX Free text | ×1 | (C) |
| ├─Segment Group 1 | ×99999 | (M) |
| │─├─IMD Item description | ×1 | (M) |
| │─├─ATT Attribute | ×99 | (M) |
| │─├─DTM Date/time/period | ×9 | (C) |
| │─├─LOC Place/location identification | ×1 | (C) |
| │─├─PCD Percentage details | ×9 | (C) |
| │─├─RFF Reference | ×9 | (C) |
| │─├─CUX Currencies | ×1 | (C) |
| │─├─FTX Free text | ×1 | (C) |
| │─├─Segment Group 2 | ×9 | (C) |
| │─│─├─MOA Monetary amount | ×1 | (M) |
| │─│─└─ARD Monetary amount function | ×1 | (M) |
| │─├─Segment Group 3 | ×1 | (M) |
| │─│─├─PNA Party identification | ×1 | (M) |
| │─│─├─DTM Date/time/period | ×9 | (M) |
| │─│─├─LOC Place/location identification | ×1 | (C) |
| │─│─├─EMP Employment details | ×1 | (C) |
| │─│─└─Segment Group 4 | ×9 | (C) |
| │─│───├─MOA Monetary amount | ×1 | (M) |
| │─│───└─ARD Monetary amount function | ×1 | (M) |
| │─└─Segment Group 5 | ×99 | (M) |
| │───├─GEI Processing information | ×1 | (M) |
| │───├─RFF Reference | ×9 | (M) |
| │───├─PNA Party identification | ×1 | (C) |
| │───├─DTM Date/time/period | ×99 | (C) |
| │───├─Segment Group 6 | ×9 | (C) |
| │───│─├─MOA Monetary amount | ×1 | (M) |
| │───│─└─ARD Monetary amount function | ×1 | (M) |
| │───└─Segment Group 7 | ×99 | (C) |
| │─────├─IDE Identity | ×1 | (M) |
| │─────├─PNA Party identification | ×1 | (M) |
| │─────├─DTM Date/time/period | ×1 | (M) |
| │─────└─Segment Group 8 | ×99 | (C) |
| │───────├─ICD Insurance cover description | ×1 | (M) |
| │───────├─DTM Date/time/period | ×99 | (C) |
| │───────├─RFF Reference | ×9 | (C) |
| │───────├─ATT Attribute | ×9 | (C) |
| │───────├─PCD Percentage details | ×1 | (C) |
| │───────├─AGR Agreement identification | ×1 | (C) |
| │───────└─Segment Group 9 | ×9 | (C) |
| │─────────├─MOA Monetary amount | ×1 | (M) |
| │─────────└─ARD Monetary amount function | ×1 | (M) |
| └─UNT Message trailer | ×1 | (M) |
