| Version: | D |
|---|---|
| Release: | 03A |
| Contr. Agency: | UN |
| Revision: | 3 |
| Date: | 2003-06-10 |
| SOURCE: | TBG8 Insurance |
|
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 |
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This message also occurs in the following versions of this standard: D96A, D96B, D97A, D97B, D98A, D98B, D99A, D99B, D00A, D00B, D01A, D01B, D01C, D02A, D02B, D03A, D03B, D04A, D04B |
This specification provides the definition of the Reinsurance claims message (RECLAM) to be used in Electronic Data Interchange (EDI) between trading partners involved in administration, commerce and transport.
A reinsurance claims message is exchanged between insurers, professional intermediaries, reinsurers to send information concerning a loss and/or to request settlement (payment or refund) concerning the loss.
The 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 RECLAM message is a supporting message to the RETACC (Reinsurance technical account message), but can also stand on its own if for instance, only a loss reporting is done with no request for money, or if the result of the request for money equals zero. For each request for money, a RETACC message must be made to report the RECLAM result, be it a current billing or a refund.
The RECLAM message reports loss or event information, original insurance policy information and reinsurance contract information.
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 Reinsurance claims message is RECLAM.
Note: Reinsurance claims messages conforming to this document must contain the following data in segment UNH, composite S009:
| Data element | 0065 | RECLAM |
| 0052 | D | |
| 0054 | 03A | |
| 0051 | UN |
A group of segments to transmit general processing indicators and to specify loss or event details.
A segment to give a processing indicator relating to the whole message.
A segment to give free format text regarding type of participation, type of risk, cause of loss, consequence of loss.
A group of segments to specify relevant parties for the whole transaction.
A segment to specify the name and address and the related function of the party involved.
A segment to specify the producing or the placing intermediary's or broker's order percentage in the reinsurance, and to give the reinsurer's share in this intermediary's or broker's order.
A segment to identify a person or department to whom the communication should be directed.
A segment to identify a communication number of a department or a person to whom communication should be directed.
A segment to specify the references of the party identified in the leading NAD segment.
A segment to give a processing indicator relating to the consequence of loss.
A segment to provide the ceding company details, leading reinsurer's comments, claimant information.
A segment to give information dates regarding claimants in medical malpractice.
A segment placed at the start of the detail section to avoid segment collision.
A segment to specify pertinent dates and periods relating to the RECLAM.
A segment to provide free format information regarding the loss, the risk or the reinsurance contract.
Information to be provided in the Detail section:
0170 Segment group 3: RFF-DTM-COM-FTX A group of segments to provide information concerning the loss or event, and the reinsurance contract.
A segment to provide references concerning the loss or event, reinsurance contract detail references, and for attached documents.
A segment to specify the transaction date of the attached document or message.
A segment to identify the means by which the attached document or message was transmitted.
A segment to provide free text regarding the document or message that is being referenced.
A segment to identify the geographical scope to which the loss pertains.
A segment to specify the possible maximum loss amount.
A segment to specify the possible maximum loss as a percentage.
A group of segments to specify the class, line or sub-line of business.
A segment to give a processing indicator relating to the policy breakdown.
A segment to specify references of the original insurance policy contract.
A segment to identify the geographical scope to which the risk pertains.
A segment to give the original insurance policy effective period.
A segment used to provide additional free text information about the policy effective period, the whole policy contract and the class or line of business.
A segment used to give the percentage of the original insurance policy contract ceded to one or more reinsurance contract(s).
A group of segments to specify the amounts of the original insurance policy contract in three non-equivalent currencies.
A segment to specify the appropriate non-equivalent currency being used to report the amounts in the original insurance policy contract section.
A segment to indicate whether the following amounts are annuities.
A segment to provide additional free text information regarding the annuities.
A group of segments to provide all the information regarding amounts and converted amounts of the original insurance policy contract.
A segment to specify the amounts of the original insurance policy contract.
A segment to provide the entries expression flag.
A segment to specify the reference and target currencies and the rate of exchange, in case a currency conversion is required.
A segment to provide free text information regarding policy contract amounts.
A segment to specify the cedent's share percentage.
A group of segments to identify the parties involved in the original insurance policy section.
A segment to specify the name and address and the related function of the party involved.
A segment to give the percentage in the original insurance policy of the party identified in the leading NAD segment.
A segment used to prevent collision between the detail and the summary sections of the message.
Information to be provided in the Summary section:
0460 Segment group 8: CUX-SG9 A group of segments to specify the amounts of the reinsurance contract in three non-equivalent currencies.
A segment to specify the appropriate non-equivalent currency used to report the amounts in the reinsurance contract section.
A group of segments to provide all the information related to the amounts and their currency conversion for the reinsurance contract.
A segment to specify the amounts of the reinsurance contract.
A segment to specify the reinsurer's share percentage or the applicable reinsurance contract retention.
A segment to specify the reference and target currencies and the rate of exchange, in case a currency conversion is required.
A segment to provide free text information regarding the reinsurance contract amounts.
A group of segments to make reference to previous loss notifications in case an aggregate deductible is applicable.
A segment to specify the reference number of the previous loss notification.
A segment to specify the date of transaction of the supporting document or message.
A segment to identify the means by which the referenced document or message was transmitted.
A segment to provide free text regarding the referenced document or message.
A segment to provide the entries expression flag at reinsurance contract level.
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.
| COM | Communication contact | |
| CTA | Contact information | |
| CUX | Currencies | |
| DTM | Date/time/period | |
| FTX | Free text | |
| GEI | Processing information | |
| LOC | Place/location identification | |
| MOA | Monetary amount | |
| NAD | Name and address | |
| PCD | Percentage details | |
| RFF | Reference | |
| UNH | Message header | |
| UNS | Section control | |
| UNT | Message trailer |
| ├─UNH Message header | ×1 | (M) |
| ├─Segment Group 1 | ×99 | (M) |
| │─├─GEI Processing information | ×1 | (M) |
| │─└─FTX Free text | ×1 | (C) |
| ├─Segment Group 2 | ×999 | (M) |
| │─├─NAD Name and address | ×1 | (M) |
| │─├─PCD Percentage details | ×1 | (C) |
| │─├─CTA Contact information | ×1 | (C) |
| │─├─COM Communication contact | ×5 | (C) |
| │─├─RFF Reference | ×5 | (C) |
| │─├─GEI Processing information | ×2 | (C) |
| │─├─FTX Free text | ×2 | (C) |
| │─└─DTM Date/time/period | ×9 | (C) |
| ├─UNS Section control | ×1 | (M) |
| ├─DTM Date/time/period | ×8 | (M) |
| ├─FTX Free text | ×999 | (C) |
| ├─Segment Group 3 | ×9 | (C) |
| │─├─RFF Reference | ×1 | (M) |
| │─├─DTM Date/time/period | ×1 | (C) |
| │─├─COM Communication contact | ×1 | (C) |
| │─└─FTX Free text | ×1 | (C) |
| ├─LOC Place/location identification | ×1 | (C) |
| ├─MOA Monetary amount | ×1 | (C) |
| ├─PCD Percentage details | ×1 | (C) |
| ├─Segment Group 4 | ×99 | (C) |
| │─├─GEI Processing information | ×1 | (M) |
| │─├─RFF Reference | ×8 | (C) |
| │─├─LOC Place/location identification | ×9 | (C) |
| │─├─DTM Date/time/period | ×1 | (C) |
| │─├─FTX Free text | ×3 | (C) |
| │─├─PCD Percentage details | ×2 | (C) |
| │─├─Segment Group 5 | ×3 | (C) |
| │─│─├─CUX Currencies | ×1 | (M) |
| │─│─├─GEI Processing information | ×1 | (C) |
| │─│─├─FTX Free text | ×1 | (C) |
| │─│─├─Segment Group 6 | ×99 | (M) |
| │─│─│─├─MOA Monetary amount | ×1 | (M) |
| │─│─│─├─GEI Processing information | ×3 | (M) |
| │─│─│─├─CUX Currencies | ×1 | (C) |
| │─│─│─└─FTX Free text | ×2 | (C) |
| │─│─└─PCD Percentage details | ×1 | (M) |
| │─└─Segment Group 7 | ×99 | (C) |
| │───├─NAD Name and address | ×1 | (M) |
| │───└─PCD Percentage details | ×1 | (C) |
| ├─UNS Section control | ×1 | (M) |
| ├─Segment Group 8 | ×3 | (C) |
| │─├─CUX Currencies | ×1 | (M) |
| │─└─Segment Group 9 | ×999 | (M) |
| │───├─MOA Monetary amount | ×1 | (M) |
| │───├─PCD Percentage details | ×2 | (C) |
| │───├─CUX Currencies | ×1 | (C) |
| │───├─FTX Free text | ×10 | (C) |
| │───├─Segment Group 10 | ×99 | (C) |
| │───│─├─RFF Reference | ×1 | (M) |
| │───│─├─DTM Date/time/period | ×1 | (C) |
| │───│─├─COM Communication contact | ×1 | (C) |
| │───│─└─FTX Free text | ×1 | (C) |
| │───└─GEI Processing information | ×99 | (M) |
| └─UNT Message trailer | ×1 | (M) |