LRECLM Life reinsurance claims
TBG8 Insurance
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.
Header
- 00010Message headerMandatoryMax 1
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 13B 0051 UN
1. Data element S009/0057 is retained for upward compatibility. The use ofS016 and/or S017 is encouraged in preference.2. The combination of the values carried in data elements 0062 and S009 shallbe used to identify uniquely the message within its group (if used) or ifnot used, within its interchange, for the purpose of acknowledgement. - 00020Beginning of messageMandatoryMax 1
A segment specifying the type of message contained in the transmission.
- 00030Date/time/periodMandatoryMax 1
A segment specifying the reporting period ending date.
- 00040CurrenciesConditionalMax 1
A segment identifying the default currency and its scaling factor for monetary amounts in this message.
- 00050Contact informationConditionalMax 9
A segment identifying a person(s) or department(s), and their function(s), to whom communications should be directed.
- 00060Free textConditionalMax 1
A segment with free text information, in coded or clear form, used when additional information is needed but cannot be accommodated within other segments.
Detail
- Segment group 1Repeat 999999
- 00080Item descriptionMandatoryMax 1
A segment defining the type of claim.
- 00090AttributeMandatoryMax 99
A segment providing attributes of the claim.
- 00100Date/time/periodConditionalMax 9
A segment specifying general dates or durations related to the claim.
- 00110Place/location identificationConditionalMax 1
A segment giving location information for the place of death or location where the onset of the disability occurred.
- 00120Percentage detailsConditionalMax 9
A segment specifying the extent of loss and the interest rate to be used in calculating the claim payment.
- 00130ReferenceConditionalMax 9
A segment specifying the claim numbers as assigned by the ceding company and the reinsurer.
- 00140CurrenciesConditionalMax 1
A segment identifying the default currency and its scaling factor for monetary amounts for the claim.
- 00150Free textConditionalMax 1
A segment with free text information, in coded or clear form, used when additional information is needed regarding the claim.
- Segment group 2Repeat 9
- 00170Monetary amountMandatoryMax 1
A segment specifying a monetary amount.
- 00180Monetary amount functionMandatoryMax 1
A segment specifying the purpose of the monetary amount.
- 00170Monetary amountMandatoryMax 1
- Segment group 3Repeat 1
- 00200Party identificationMandatoryMax 1
A segment identifying the name of the person on claim.
- 00210Date/time/periodMandatoryMax 9
A segment specifying general date and durations associated with the person on claim.
- 00220Place/location identificationConditionalMax 1
A segment giving location information for the place of residence of the person on claim at the time of loss.
- 00230Employment detailsConditionalMax 1
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.
- Segment group 4Repeat 9
- 00250Monetary amountMandatoryMax 1
A segment specifying a monetary amount.
- 00260Monetary amount functionMandatoryMax 1
A segment specifying the purpose of the monetary amount.
- 00250Monetary amountMandatoryMax 1
- 00200Party identificationMandatoryMax 1
- Segment group 5Repeat 99
- 00280Processing informationMandatoryMax 1
An indicator specifying whether this policy is the policy on claim or an associated policy.
- 00290ReferenceMandatoryMax 9
A segment specifying the policy number as assigned by the ceding company.
- 00300Party identificationConditionalMax 1
A segment identifying the original issuer of the policy, in coded or clear form.
- 00310Date/time/periodConditionalMax 99
A segment specifying general dates and durations associated with the policy on claim or related policy.
- Segment group 6Repeat 9
- 00330Monetary amountMandatoryMax 1
A segment specifying a monetary amount.
- 00340Monetary amount functionMandatoryMax 1
A segment specifying the purpose of the monetary amount.
- 00330Monetary amountMandatoryMax 1
- Segment group 7Repeat 99
- 00360IdentityMandatoryMax 1
A segment identifying the party as the insured of record.
- 00370Party identificationMandatoryMax 1
A segment identifying the insured's name and universal identifier.
- 00380Date/time/periodMandatoryMax 1
A segment specifying the date of birth of the insured.
- Segment group 8Repeat 99
- 00400Insurance cover descriptionMandatoryMax 1
A segment giving the insurance cover type associated with this coverage.
- 00410Date/time/periodConditionalMax 99
A segment specifying general dates or durations related to this coverage.
- 00420ReferenceConditionalMax 9
A segment specifying general references for this coverage.
- 00430AttributeConditionalMax 9
A segment providing attributes of the coverage.
- 00440Percentage detailsConditionalMax 1
A segment specifying the percentages associated with the claim.
- 00450Agreement identificationConditionalMax 1
A segment identifying the treaty as assigned by the ceding company.
- Segment group 9Repeat 9
- 00470Monetary amountMandatoryMax 1
A segment specifying a monetary amount.
- 00480Monetary amount functionMandatoryMax 1
A segment specifying the purpose of the monetary amount.
- 00470Monetary amountMandatoryMax 1
- 00400Insurance cover descriptionMandatoryMax 1
- 00360IdentityMandatoryMax 1
- 00280Processing informationMandatoryMax 1
- 00080Item descriptionMandatoryMax 1
- 00490Message 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.
1. 0062, the value shall be identical to the value in 0062 in thecorresponding UNH segment.