PRPAID Insurance premium payment

TBG8 Insurance

The Insurance Premium Payment message is used by communicating parties to notify the recipient about premium or claim amounts to be collected, evaluated, paid, not paid or partly paid, either individually or in series via bordereau or statements.

The message may be exchanged between insurers or between insurers and insurance intermediaries.

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Position
Segment
Name
Max use

  1. A service segment starting and uniquely identifying a message. The message type code for the Insurance premium payment message is PRPAID. Note: Insurance premium payment messages conforming to this document must contain the following data in segment UNH, composite S009: Data element 0065 PRPAID 0052 D 0054 21A 0051 UN

    1. Data element S009/0057 is retained for upward compatibility. The use of
    S016 and/or S017 is encouraged in preference.
    2. The combination of the values carried in data elements 0062 and S009 shall
    be used to identify uniquely the message within its group (if used) or if
    not used, within its interchange, for the purpose of acknowledgement.

  2. A segment for specifying message name and function.

  3. A segment containing the indication of the type of the Insurance Premium Payment message.

  4. A segment containing identifying numbers of the Insurance Premium Payment message or of the statement or the bordereau.

  5. A segment specifying dates related to the Insurance Premium Payment message or to the statement or the bordereau.

  6. The main class of business for premiums or claims within the message.

  7. Segment group 1
    Repeat 9

    1. A segment for identifying either by names and addresses, or by codes, the parties and their function in the exchange of the Insurance Premium Payment message.

    2. A segment giving additional contact information of the party specified in the NAD segment.

    3. A segment specifying the communication channel and number for the contact specified in the CTA.

    4. A segment for additional identifying references of the party specified in the NAD.

  8. Segment group 2
    Repeat 9999

    1. A segment providing a unique identification of an Insurance Premium message or a statement line.

    2. Segment group 3
      Repeat 1

      1. A segment providing the paid/partly paid/not paid indicator.

      2. A segment providing the reason for partly or non payment.

    3. A segment specifying dates related to the insurance premium.

    4. A segment specifying the policy holder or the insured.

    5. Segment group 4
      Repeat 99

      1. A segment specifying premiums, taxes, fees, commissions and other amounts coming from the Insurance Premium message or from the statement line.

      2. A segment specifying dates related to the insurance premium.

      3. A segment specifying the commission rate for commission amounts.

    6. A segment specifying references to documents to which the insurance premium relates.

    7. Segment group 5
      Repeat 99

      1. A segment specifying the main class of business of the insurance premium.

      2. To specify the monetary amount associated with the cover such as claim amounts.

      3. A segment to specify references for the cover.

      4. To specify the percentage of co-insurance for the cover.

    8. Segment group 6
      Repeat 9

      1. A segment providing the type of insurance premium, the collection details and the co-insurance information.

      2. A segment specifying the percentage of the total premium of a co-insurance contract, covered by this insurance premium.

    9. A segment specifying currencies and relevant details for the rate of exchange.

  9. A mandatory service segment to be placed before the first user segment in the summary section to avoid segment collision.

  10. Segment group 7
    Repeat 99

    1. A segment specifying total amounts.

    2. A segment specifying the totalization criterion paid/partly paid/not paid.

    3. A segment specifying the totalization criterion expressed by a date.

    4. A segment specifying a policy number as totalisation criterion.

    5. A segment specifying the type of premium and/or collection specifications as totalization criterion.

    6. A segment specifying the type of insurance as totalization criterion.

    7. A segment specifying the currency as a totalization criterion.

  11. 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 the
    corresponding UNH segment.
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