RECLAM Reinsurance claims
TBG8 Insurance
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.
Header
- 00010Message headerMandatoryMax 1
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 11B 0051 UN
- Segment group 1Repeat 99
- 00030Processing informationMandatoryMax 1
A segment to give a processing indicator relating to the whole message.
- 00040Free textConditionalMax 1
A segment to give free format text regarding type of participation, type of risk, cause of loss, consequence of loss.
- 00030Processing informationMandatoryMax 1
- Segment group 2Repeat 999
- 00060Name and addressMandatoryMax 1
A segment to specify the name and address and the related function of the party involved.
- 00070Percentage detailsConditionalMax 1
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.
- 00080Contact informationConditionalMax 1
A segment to identify a person or department to whom the communication should be directed.
- 00090Communication contactConditionalMax 5
A segment to identify a communication number of a department or a person to whom communication should be directed.
- 00100ReferenceConditionalMax 5
A segment to specify the references of the party identified in the leading NAD segment.
- 00110Processing informationConditionalMax 2
A segment to give a processing indicator relating to the consequence of loss.
- 00120Free textConditionalMax 2
A segment to provide the ceding company details, leading reinsurer's comments, claimant information.
- 00130Date/time/periodConditionalMax 9
A segment to give information dates regarding claimants in medical malpractice.
- 00060Name and addressMandatoryMax 1
- 00140Section controlMandatoryMax 1
A segment placed at the start of the detail section to avoid segment collision.
- 00150Date/time/periodMandatoryMax 8
A segment to specify pertinent dates and periods relating to the RECLAM.
- 00160Free textConditionalMax 999
A segment to provide free format information regarding the loss, the risk or the reinsurance contract.
Detail
- Segment group 3Repeat 9
- 00180ReferenceMandatoryMax 1
A segment to provide references concerning the loss or event, reinsurance contract detail references, and for attached documents.
- 00190Date/time/periodConditionalMax 1
A segment to specify the transaction date of the attached document or message.
- 00200Communication contactConditionalMax 1
A segment to identify the means by which the attached document or message was transmitted.
- 00210Free textConditionalMax 1
A segment to provide free text regarding the document or message that is being referenced.
- 00180ReferenceMandatoryMax 1
- 00220Place/location identificationConditionalMax 1
A segment to identify the geographical scope to which the loss pertains.
- 00230Monetary amountConditionalMax 1
A segment to specify the possible maximum loss amount.
- 00240Percentage detailsConditionalMax 1
A segment to specify the possible maximum loss as a percentage.
- Segment group 4Repeat 99
- 00260Processing informationMandatoryMax 1
A segment to give a processing indicator relating to the policy breakdown.
- 00270ReferenceConditionalMax 8
A segment to specify references of the original insurance policy contract.
- 00280Place/location identificationConditionalMax 9
A segment to identify the geographical scope to which the risk pertains.
- 00290Date/time/periodConditionalMax 1
A segment to give the original insurance policy effective period.
- 00300Free textConditionalMax 3
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.
- 00310Percentage detailsConditionalMax 2
A segment used to give the percentage of the original insurance policy contract ceded to one or more reinsurance contract(s).
- Segment group 5Repeat 3
- 00330CurrenciesMandatoryMax 1
A segment to specify the appropriate non-equivalent currency being used to report the amounts in the original insurance policy contract section.
- 00340Processing informationConditionalMax 1
A segment to indicate whether the following amounts are annuities.
- 00350Free textConditionalMax 1
A segment to provide additional free text information regarding the annuities.
- Segment group 6Repeat 99
- 00370Monetary amountMandatoryMax 1
A segment to specify the amounts of the original insurance policy contract.
- 00380Processing informationMandatoryMax 3
A segment to provide the entries expression flag.
- 00390CurrenciesConditionalMax 1
A segment to specify the reference and target currencies and the rate of exchange, in case a currency conversion is required.
- 00400Free textConditionalMax 2
A segment to provide free text information regarding policy contract amounts.
- 00370Monetary amountMandatoryMax 1
- 00410Percentage detailsMandatoryMax 1
A segment to specify the cedent's share percentage.
- 00330CurrenciesMandatoryMax 1
- Segment group 7Repeat 99
- 00430Name and addressMandatoryMax 1
A segment to specify the name and address and the related function of the party involved.
- 00440Percentage detailsConditionalMax 1
A segment to give the percentage in the original insurance policy of the party identified in the leading NAD segment.
- 00430Name and addressMandatoryMax 1
- 00260Processing informationMandatoryMax 1
- 00450Section controlMandatoryMax 1
A segment used to prevent collision between the detail and the summary sections of the message.
Summary
- Segment group 8Repeat 3
- 00470CurrenciesMandatoryMax 1
A segment to specify the appropriate non-equivalent currency used to report the amounts in the reinsurance contract section.
- Segment group 9Repeat 999
- 00490Monetary amountMandatoryMax 1
A segment to specify the amounts of the reinsurance contract.
- 00500Percentage detailsConditionalMax 2
A segment to specify the reinsurer's share percentage or the applicable reinsurance contract retention.
- 00510CurrenciesConditionalMax 1
A segment to specify the reference and target currencies and the rate of exchange, in case a currency conversion is required.
- 00520Free textConditionalMax 10
A segment to provide free text information regarding the reinsurance contract amounts.
- Segment group 10Repeat 99
- 00540ReferenceMandatoryMax 1
A segment to specify the reference number of the previous loss notification.
- 00550Date/time/periodConditionalMax 1
A segment to specify the date of transaction of the supporting document or message.
- 00560Communication contactConditionalMax 1
A segment to identify the means by which the referenced document or message was transmitted.
- 00570Free textConditionalMax 1
A segment to provide free text regarding the referenced document or message.
- 00540ReferenceMandatoryMax 1
- 00580Processing informationMandatoryMax 99
A segment to provide the entries expression flag at reinsurance contract level.
- 00490Monetary amountMandatoryMax 1
- 00470CurrenciesMandatoryMax 1
- 00590Message trailerMandatoryMax 1
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.