D02A
Message D02A/RECLAM
Reinsurance claims message
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.
Message description
UNH
M(1) : Message headerA 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 02A 0051 UN
SG1 M(99) : GIS-FTX
A group of segments to transmit general processing indicators and to specify loss or event details.
GIS
M(1) : General indicatorA segment to give a processing indicator relating to the whole message.
FTX
C(1) : Free textA segment to give free format text regarding type of participation, type of risk, cause of loss, consequence of loss.
SG2 M(999) : NAD-PCD-CTA-COM-RFF-GIS-FTX-DTM
A group of segments to specify relevant parties for the whole transaction.
NAD
M(1) : Name and addressA segment to specify the name and address and the related function of the party involved.
PCD
C(1) : Percentage detailsA 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.
CTA
C(1) : Contact informationA segment to identify a person or department to whom the communication should be directed.
COM
C(5) : Communication contactA segment to identify a communication number of a department or a person to whom communication should be directed.
RFF
C(5) : ReferenceA segment to specify the references of the party identified in the leading NAD segment.
GIS
C(2) : General indicatorA segment to give a processing indicator relating to the consequence of loss.
FTX
C(2) : Free textA segment to provide the ceding company details, leading reinsurer's comments, claimant information.
DTM
C(9) : Date/time/periodA segment to give information dates regarding claimants in medical malpractice.
UNS
M(1) : Section controlA segment placed at the start of the detail section to avoid segment collision.
DTM
M(8) : Date/time/periodA segment to specify pertinent dates and periods relating to the RECLAM.
FTX
C(999) : Free textA segment to provide free format information regarding the loss, the risk or the reinsurance contract.
SG3 C(9) : RFF-DTM-COM-FTX
A group of segments to provide information concerning the loss or event, and the reinsurance contract.
RFF
M(1) : ReferenceA segment to provide references concerning the loss or event, reinsurance contract detail references, and for attached documents.
DTM
C(1) : Date/time/periodA segment to specify the transaction date of the attached document or message.
COM
C(1) : Communication contactA segment to identify the means by which the attached document or message was transmitted.
FTX
C(1) : Free textA segment to provide free text regarding the document or message that is being referenced.
LOC
C(1) : Place/location identificationA segment to identify the geographical scope to which the loss pertains.
MOA
C(1) : Monetary amountA segment to specify the possible maximum loss amount.
PCD
C(1) : Percentage detailsA segment to specify the possible maximum loss as a percentage.
SG4 C(99) : GIS-RFF-LOC-DTM-FTX-PCD-SG5-SG7
A group of segments to specify the class, line or sub-line of business.
GIS
M(1) : General indicatorA segment to give a processing indicator relating to the policy breakdown.
RFF
C(8) : ReferenceA segment to specify references of the original insurance policy contract.
LOC
C(9) : Place/location identificationA segment to identify the geographical scope to which the risk pertains.
DTM
C(1) : Date/time/periodA segment to give the original insurance policy effective period.
FTX
C(3) : Free textA segment used to provide additional free text information about the policy effective period, the whole policy contract and the class or line of business.
PCD
C(2) : Percentage detailsA segment used to give the percentage of the original insurance policy contract ceded to one or more reinsurance contract(s).
SG5 C(3) : CUX-GIS-FTX-SG6-PCD
A group of segments to specify the amounts of the original insurance policy contract in three non-equivalent currencies.
CUX
M(1) : CurrenciesA segment to specify the appropriate non-equivalent currency being used to report the amounts in the original insurance policy contract section.
GIS
C(1) : General indicatorA segment to indicate whether the following amounts are annuities.
FTX
C(1) : Free textA segment to provide additional free text information regarding the annuities.
SG6 M(99) : MOA-GIS-CUX-FTX
A group of segments to provide all the information regarding amounts and converted amounts of the original insurance policy contract.
MOA
M(1) : Monetary amountA segment to specify the amounts of the original insurance policy contract.
GIS
M(3) : General indicatorA segment to provide the entries expression flag.
CUX
C(1) : CurrenciesA segment to specify the reference and target currencies and the rate of exchange, in case a currency conversion is required.
FTX
C(2) : Free textA segment to provide free text information regarding policy contract amounts.
PCD
M(1) : Percentage detailsA segment to specify the cedent's share percentage.
SG7 C(99) : NAD-PCD
A group of segments to identify the parties involved in the original insurance policy section.
NAD
M(1) : Name and addressA segment to specify the name and address and the related function of the party involved.
PCD
C(1) : Percentage detailsA segment to give the percentage in the original insurance policy of the party identified in the leading NAD segment.
UNS
M(1) : Section controlA segment used to prevent collision between the detail and the summary sections of the message.
SG8 C(3) : CUX-SG9
A group of segments to specify the amounts of the reinsurance contract in three non-equivalent currencies.
CUX
M(1) : CurrenciesA segment to specify the appropriate non-equivalent currency used to report the amounts in the reinsurance contract section.
SG9 M(999) : MOA-PCD-CUX-FTX-SG10-GIS
A group of segments to provide all the information related to the amounts and their currency conversion for the reinsurance contract.
MOA
M(1) : Monetary amountA segment to specify the amounts of the reinsurance contract.
PCD
C(2) : Percentage detailsA segment to specify the reinsurer's share percentage or the applicable reinsurance contract retention.
CUX
C(1) : CurrenciesA segment to specify the reference and target currencies and the rate of exchange, in case a currency conversion is required.
FTX
C(10) : Free textA segment to provide free text information regarding the reinsurance contract amounts.
SG10 C(99) : RFF-DTM-COM-FTX
A group of segments to make reference to previous loss notifications in case an aggregate deductible is applicable.
RFF
M(1) : ReferenceA segment to specify the reference number of the previous loss notification.
DTM
C(1) : Date/time/periodA segment to specify the date of transaction of the supporting document or message.
COM
C(1) : Communication contactA segment to identify the means by which the referenced document or message was transmitted.
FTX
C(1) : Free textA segment to provide free text regarding the referenced document or message.
GIS
M(99) : General indicatorA segment to provide the entries expression flag at reinsurance contract level.
UNT
M(1) : Message trailerA 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
--- Segment Group 1 ------------------------- M 99 -------+
GIS, General indicator M 1 |
FTX, Free text C 1 |
---- -----------------------------------------------------------+
--- Segment Group 2 ------------------------- M 999 -------+
NAD, Name and address M 1 |
PCD, Percentage details C 1 |
CTA, Contact information C 1 |
COM, Communication contact C 5 |
RFF, Reference C 5 |
GIS, General indicator C 2 |
FTX, Free text C 2 |
DTM, Date/time/period C 9 |
---- -----------------------------------------------------------+
UNS, Section control M 1
DTM, Date/time/period M 8
FTX, Free text C 999
--- Segment Group 3 ------------------------- C 9 -------+
RFF, Reference M 1 |
DTM, Date/time/period C 1 |
COM, Communication contact C 1 |
FTX, Free text C 1 |
---- -----------------------------------------------------------+
LOC, Place/location identification C 1
MOA, Monetary amount C 1
PCD, Percentage details C 1
--- Segment Group 4 ------------------------- C 99 -------+
GIS, General indicator M 1 |
RFF, Reference C 8 |
LOC, Place/location identification C 9 |
DTM, Date/time/period C 1 |
FTX, Free text C 3 |
PCD, Percentage details C 2 |
|
--- Segment Group 5 ------------------------- C 3 ------+|
CUX, Currencies M 1 ||
GIS, General indicator C 1 ||
FTX, Free text C 1 ||
||
--- Segment Group 6 ------------------------- M 99 -----+||
MOA, Monetary amount M 1 |||
GIS, General indicator M 3 |||
CUX, Currencies C 1 |||
FTX, Free text C 2 |||
---- ---------------------------------------------------------+||
PCD, Percentage details M 1 ||
---- ----------------------------------------------------------+|
|
--- Segment Group 7 ------------------------- C 99 ------+|
NAD, Name and address M 1 ||
PCD, Percentage details C 1 ||
---- ----------------------------------------------------------++
UNS, Section control M 1
--- Segment Group 8 ------------------------- C 3 -------+
CUX, Currencies M 1 |
|
--- Segment Group 9 ------------------------- M 999 ------+|
MOA, Monetary amount M 1 ||
PCD, Percentage details C 2 ||
CUX, Currencies C 1 ||
FTX, Free text C 10 ||
||
--- Segment Group 10 ------------------------ C 99 -----+||
RFF, Reference M 1 |||
DTM, Date/time/period C 1 |||
COM, Communication contact C 1 |||
FTX, Free text C 1 |||
---- ---------------------------------------------------------+||
GIS, General indicator M 99 ||
---- ----------------------------------------------------------++
UNT, Message trailer M 1