D04A


Message D04A/LRECLM

Life reinsurance claims message

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.

Message description

UNH

M(1) : Message header

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 04A 0051 UN

BGM

M(1) : Beginning of message

A segment specifying the type of message contained in the transmission.

DTM

M(1) : Date/time/period

A segment specifying the reporting period ending date.

CUX

C(1) : Currencies

A segment identifying the default currency and its scaling factor for monetary amounts in this message.

CTA

C(9) : Contact information

A segment identifying a person(s) or department(s), and their function(s), to whom communications should be directed.

FTX

C(1) : Free text

A segment with free text information, in coded or clear form, used when additional information is needed but cannot be accommodated within other segments.

SG1 M(999999) : IMD-ATT-DTM-LOC-PCD-RFF-CUX-FTX-SG2-SG3-SG5

A group of segments in which is detailed claim information.

IMD

M(1) : Item description

A segment defining the type of claim.

ATT

M(99) : Attribute

A segment providing attributes of the claim.

DTM

C(9) : Date/time/period

A segment specifying general dates or durations related to the claim.

LOC

C(1) : Place/location identification

A segment giving location information for the place of death or location where the onset of the disability occurred.

PCD

C(9) : Percentage details

A segment specifying the extent of loss and the interest rate to be used in calculating the claim payment.

RFF

C(9) : Reference

A segment specifying the claim numbers as assigned by the ceding company and the reinsurer.

CUX

C(1) : Currencies

A segment identifying the default currency and its scaling factor for monetary amounts for the claim.

FTX

C(1) : Free text

A segment with free text information, in coded or clear form, used when additional information is needed regarding the claim.

SG2 C(9) : MOA-ARD

A group of segments in which is detailed monetary amounts and their purpose for the claim.

MOA

M(1) : Monetary amount

A segment specifying a monetary amount.

ARD

M(1) : Monetary amount function

A segment specifying the purpose of the monetary amount.

SG3 M(1) : PNA-DTM-LOC-EMP-SG4

A group of segments in which is detailed information regarding the person for which this claim is being submitted.

PNA

M(1) : Party identification

A segment identifying the name of the person on claim.

DTM

M(9) : Date/time/period

A segment specifying general date and durations associated with the person on claim.

LOC

C(1) : Place/location identification

A segment giving location information for the place of residence of the person on claim at the time of loss.

EMP

C(1) : Employment details

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.

SG4 C(9) : MOA-ARD

A group of segments in which is detailed monetary amounts and their purpose for this person on claim.

MOA

M(1) : Monetary amount

A segment specifying a monetary amount.

ARD

M(1) : Monetary amount function

A segment specifying the purpose of the monetary amount.

SG5 M(99) : GEI-RFF-PNA-DTM-SG6-SG7

A group of segments in which is detailed information regarding the policy on claim and other policies related to the claim.

GEI

M(1) : Processing information

An indicator specifying whether this policy is the policy on claim or an associated policy.

RFF

M(9) : Reference

A segment specifying the policy number as assigned by the ceding company.

PNA

C(1) : Party identification

A segment identifying the original issuer of the policy, in coded or clear form.

DTM

C(99) : Date/time/period

A segment specifying general dates and durations associated with the policy on claim or related policy.

SG6 C(9) : MOA-ARD

A group of segments in which is detailed monetary amounts and their purpose for this policy.

MOA

M(1) : Monetary amount

A segment specifying a monetary amount.

ARD

M(1) : Monetary amount function

A segment specifying the purpose of the monetary amount.

SG7 C(99) : IDE-PNA-DTM-SG8

A group of segments in which is detailed information regarding the insureds on this policy.

IDE

M(1) : Identity

A segment identifying the party as the insured of record.

PNA

M(1) : Party identification

A segment identifying the insured's name and universal identifier.

DTM

M(1) : Date/time/period

A segment specifying the date of birth of the insured.

SG8 C(99) : ICD-DTM-RFF-ATT-PCD-AGR-SG9

A group of segments in which is detailed coverage information regarding the insured.

ICD

M(1) : Insurance cover description

A segment giving the insurance cover type associated with this coverage.

DTM

C(99) : Date/time/period

A segment specifying general dates or durations related to this coverage.

RFF

C(9) : Reference

A segment specifying general references for this coverage.

ATT

C(9) : Attribute

A segment providing attributes of the coverage.

PCD

C(1) : Percentage details

A segment specifying the percentages associated with the claim.

AGR

C(1) : Agreement identification

A segment identifying the treaty as assigned by the ceding company.

SG9 C(9) : MOA-ARD

A group of segments in which is detailed monetary amounts and their purpose for the coverage.

MOA

M(1) : Monetary amount

A segment specifying a monetary amount.

ARD

M(1) : Monetary amount function

A segment specifying the purpose of the monetary amount.

UNT

M(1) : Message trailer

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.

Message structure

UNH, Message header                           M        1
BGM, Beginning of message                     M        1
DTM, Date/time/period                         M        1
CUX, Currencies                               C        1
CTA, Contact information                      C        9
FTX, Free text                                C        1

--- Segment Group 1 ------------------------- M   999999 -------+
IMD, Item description                         M        1        |
ATT, Attribute                                M       99        |
DTM, Date/time/period                         C        9        |
LOC, Place/location identification            C        1        |
PCD, Percentage details                       C        9        |
RFF, Reference                                C        9        |
CUX, Currencies                               C        1        |
FTX, Free text                                C        1        |
                                                                |
--- Segment Group 2 ------------------------- C        9 ------+|
MOA, Monetary amount                          M        1       ||
ARD, Monetary amount function                 M        1       ||
---- ----------------------------------------------------------+|
                                                                |
--- Segment Group 3 ------------------------- M        1 ------+|
PNA, Party identification                     M        1       ||
DTM, Date/time/period                         M        9       ||
LOC, Place/location identification            C        1       ||
EMP, Employment details                       C        1       ||
                                                               ||
--- Segment Group 4 ------------------------- C        9 -----+||
MOA, Monetary amount                          M        1      |||
ARD, Monetary amount function                 M        1      |||
---- ---------------------------------------------------------++|
                                                                |
--- Segment Group 5 ------------------------- M       99 ------+|
GEI, Processing information                   M        1       ||
RFF, Reference                                M        9       ||
PNA, Party identification                     C        1       ||
DTM, Date/time/period                         C       99       ||
                                                               ||
--- Segment Group 6 ------------------------- C        9 -----+||
MOA, Monetary amount                          M        1      |||
ARD, Monetary amount function                 M        1      |||
---- ---------------------------------------------------------+||
                                                               ||
--- Segment Group 7 ------------------------- C       99 -----+||
IDE, Identity                                 M        1      |||
PNA, Party identification                     M        1      |||
DTM, Date/time/period                         M        1      |||
                                                              |||
--- Segment Group 8 ------------------------- C       99 ----+|||
ICD, Insurance cover description              M        1     ||||
DTM, Date/time/period                         C       99     ||||
RFF, Reference                                C        9     ||||
ATT, Attribute                                C        9     ||||
PCD, Percentage details                       C        1     ||||
AGR, Agreement identification                 C        1     ||||
                                                             ||||
--- Segment Group 9 ------------------------- C        9 ---+||||
MOA, Monetary amount                          M        1    |||||
ARD, Monetary amount function                 M        1    |||||
---- -------------------------------------------------------+++++
UNT, Message trailer                          M        1