EDI 268 Annuity Activity

Functional Group PF

X12N Insurance Subcommittee

This X12 Transaction Set contains the format and establishes the data contents of the Annuity Activity Transaction Set (268) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set is used to convey annuity account activity from annuity providers to distributors (e.g., broker/dealers, financial planners, banks, savings and loans) for the purpose of communicating account positions and transaction activity.

Heading

1. 0100 · ST · Transaction Set Header · Max 1 · Mandatory

   To indicate the start of a transaction set and to assign a control number

2. 0200 · BGN · Beginning Segment · Max 1 · Mandatory

   To indicate the beginning of a transaction set

3. 0300 · C3 · Currency · Max 1 · Optional

   To specify the currency being used in the transaction set

4. 0400 · DTP · Date or Time or Period · Max 9 · Optional

   To specify any or all of a date, a time, or a time period

5. NM1 Loop Optional Repeat 2

   1. 0500 · NM1 · Individual or Organizational Name · Max 1 · Mandatory

      To supply the full name of an individual or organizational entity

   2. 0600 · N3 · Address Information · Max 3 · Optional

      To specify the location of the named party

   3. 0700 · N4 · Geographic Location · Max 1 · Optional

      To specify the geographic place of the named party

   4. 0800 · REF · Reference Identification · Max 9 · Optional

      To specify identifying information

   5. 0900 · PER · Administrative Communications Contact · Max 3 · Optional

      To identify a person or office to whom administrative communications should be directed

Detail

1. N1 Loop Mandatory Repeat >1

   1. 0100 · N1 · Name · Max 1 · Mandatory

      To identify a party by type of organization, name, and code

      The N1 loop repeats for each distributor.

   2. 0150 · N2 · Additional Name Information · Max 3 · Optional

      To specify additional names

   3. 0200 · N3 · Address Information · Max 3 · Optional

      To specify the location of the named party

   4. 0300 · N4 · Geographic Location · Max 1 · Optional

      To specify the geographic place of the named party

   5. 0400 · REF · Reference Identification · Max 9 · Optional

      To specify identifying information

   6. 0450 · DTP · Date or Time or Period · Max >1 · Optional

      To specify any or all of a date, a time, or a time period

   7. PID Loop Optional Repeat >1

      1. 0500 · PID · Product/Item Description · Max 1 · Mandatory

         To describe a product or process in coded or free-form format

         The PID loop contains product information.

      2. 0600 · SPA · Status of Product or Activity · Max 3 · Optional

         To indicate the details and status of a product or product activity

      3. 0700 · LIN · Item Identification · Max 9 · Optional

         To specify basic item identification data

      4. 0800 · III · Information · Max 9 · Optional

         To report information

   8. PO1 Loop Optional Repeat >1

      1. 0900 · PO1 · Baseline Item Data · Max 1 · Mandatory

         To specify basic and most frequently used line item data

         The PO1 loop contains fund information.

      2. 1000 · SPA · Status of Product or Activity · Max 3 · Optional

         To indicate the details and status of a product or product activity

      3. 1100 · AMT · Monetary Amount · Max 3 · Optional

         To indicate the total monetary amount

      4. 1200 · III · Information · Max 9 · Optional

         To report information

   9. ACT Loop Optional Repeat >1

      1. 1300 · ACT · Account Identification · Max 1 · Mandatory

         To specify account information

         The ACT loop contains information on groups of individuals sponsored by an organization or association and referenced in the transaction.

      2. 1400 · N3 · Address Information · Max 3 · Optional

         To specify the location of the named party

      3. 1500 · N4 · Geographic Location · Max 1 · Optional

         To specify the geographic place of the named party

      4. 1600 · SPA · Status of Product or Activity · Max 3 · Optional

         To indicate the details and status of a product or product activity

      5. 1700 · DTP · Date or Time or Period · Max 9 · Optional

         To specify any or all of a date, a time, or a time period

      6. 1800 · LIN · Item Identification · Max 9 · Optional

         To specify basic item identification data

      7. 1900 · PAM · Period Amount · Max 9 · Optional

         To indicate a quantity, and/or amount for an identified period

      8. 2000 · III · Information · Max 9 · Optional

         To report information

   10. CON Loop Optional Repeat >1

       1. 2100 · CON · Contract Number Detail · Max 1 · Mandatory

          To specify contract or reference number and status

          The CON loop repeats for each contract being reported.

       2. 2200 · REF · Reference Identification · Max 9 · Optional

          To specify identifying information

       3. 2300 · LIN · Item Identification · Max 9 · Optional

          To specify basic item identification data

       4. 2400 · DTP · Date or Time or Period · Max 9 · Optional

          To specify any or all of a date, a time, or a time period

       5. 2500 · SPA · Status of Product or Activity · Max 3 · Optional

          To indicate the details and status of a product or product activity

       6. 2550 · AMT · Monetary Amount · Max >1 · Optional

          To indicate the total monetary amount

       7. 2600 · PAM · Period Amount · Max 9 · Optional

          To indicate a quantity, and/or amount for an identified period

       8. NM1 Loop Optional Repeat >1

          1. 2700 · NM1 · Individual or Organizational Name · Max 1 · Mandatory

             To supply the full name of an individual or organizational entity

             The NM1 loop reports all entities related to the contract.

          2. 2750 · N2 · Additional Name Information · Max 3 · Optional

             To specify additional names

          3. 2800 · N3 · Address Information · Max 3 · Optional

             To specify the location of the named party

          4. 2900 · N4 · Geographic Location · Max 1 · Optional

             To specify the geographic place of the named party

          5. 3000 · REF · Reference Identification · Max 9 · Optional

             To specify identifying information

          6. 3100 · DMG · Demographic Information · Max 1 · Optional

             To supply demographic information

          7. 3200 · BEN · Beneficiary or Owner Information · Max 9 · Optional

             To supply beneficiary, co-participant, and owner information

          8. 3300 · DTP · Date or Time or Period · Max 9 · Optional

             To specify any or all of a date, a time, or a time period

          9. 3400 · ASI · Action or Status Indicator · Max 1 · Optional

             To indicate the action to be taken with the information provided or the status of the entity described

       9. BLI Loop Optional Repeat >1

          1. 3500 · BLI · Baseline Item Data · Max 1 · Mandatory

             To specify basic item data: item identification, quantity, and price

          2. 3550 · LIN · Item Identification · Max 3 · Optional

             To specify basic item identification data

          3. 3600 · SPA · Status of Product or Activity · Max 3 · Optional

             To indicate the details and status of a product or product activity

          4. 3700 · DTP · Date or Time or Period · Max 9 · Optional

             To specify any or all of a date, a time, or a time period

          5. 3800 · AM1 · Informational Values · Max 9 · Optional

             To specify a code and the amount or quantity or percentage associated with it

       10. IT1 Loop Optional Repeat >1

           1. 3900 · IT1 · Baseline Item Data (Invoice) · Max 1 · Mandatory

              To specify the basic and most frequently used line item data for the invoice and related transactions

              The IT1 reports transactions activity.

           2. 4000 · REF · Reference Identification · Max 1 · Optional

              To specify identifying information

           3. 4100 · DTP · Date or Time or Period · Max 9 · Optional

              To specify any or all of a date, a time, or a time period

           4. 4200 · AM1 · Informational Values · Max 99 · Optional

              To specify a code and the amount or quantity or percentage associated with it

           5. 4300 · SPA · Status of Product or Activity · Max 3 · Optional

              To indicate the details and status of a product or product activity

           6. 4400 · MSG · Message Text · Max 9 · Optional

              To provide a free-form format that allows the transmission of text information

           7. ACT Loop Optional Repeat >1

              1. 4500 · ACT · Account Identification · Max 1 · Mandatory

                 To specify account information

              2. 4600 · LIN · Item Identification · Max 9 · Optional

                 To specify basic item identification data

              3. 4700 · SPA · Status of Product or Activity · Max 3 · Optional

                 To indicate the details and status of a product or product activity

              4. 4800 · AM1 · Informational Values · Max >1 · Optional

                 To specify a code and the amount or quantity or percentage associated with it

              5. 4900 · DTP · Date or Time or Period · Max 9 · Optional

                 To specify any or all of a date, a time, or a time period

              6. 5000 · MSG · Message Text · Max 9 · Optional

                 To provide a free-form format that allows the transmission of text information

           8. NM1 Loop Optional Repeat >1

              1. 5100 · NM1 · Individual or Organizational Name · Max 1 · Mandatory

                 To supply the full name of an individual or organizational entity

              2. 5110 · N2 · Additional Name Information · Max 3 · Optional

                 To specify additional names

              3. 5120 · N3 · Address Information · Max 3 · Optional

                 To specify the location of the named party

              4. 5130 · N4 · Geographic Location · Max 1 · Optional

                 To specify the geographic place of the named party

              5. 5200 · SPA · Status of Product or Activity · Max 3 · Optional

                 To indicate the details and status of a product or product activity

              6. 5250 · PDL · Payment Details · Max 1 · Optional

                 To transmit information required to establish payment or remittance activity

              7. 5260 · AMT · Monetary Amount · Max >1 · Optional

                 To indicate the total monetary amount

              8. 5280 · DTM · Date/Time Reference · Max >1 · Optional

                 To specify pertinent dates and times

              9. 5300 · G86 · Signature · Max 1 · Optional

                 To transmit an electronic identity

              10. EFI Loop Mandatory Repeat >1

                  1. 5400 · EFI · Electronic Format Identification · Max 1 · Mandatory

                     To provide basic information about the electronic format of the interchange data

                  2. 5500 · BIN · Binary Data · Max 1 · Optional

                     To transfer binary data in a single data segment and allow identification of the end of the data segment through a count; there is no identification of the internal structure of the binary data in this segment

       11. LX Loop Optional Repeat >1

           1. 5600 · LX · Assigned Number · Max 1 · Mandatory

              To reference a line number in a transaction set

              The LX loop reports contract valuations.

           2. 5700 · AM1 · Informational Values · Max 1 · Mandatory

              To specify a code and the amount or quantity or percentage associated with it

           3. 5800 · DTP · Date or Time or Period · Max 9 · Optional

              To specify any or all of a date, a time, or a time period

           4. RPA Loop Optional Repeat >1

              1. 5900 · RPA · Rate Amounts or Percents · Max 1 · Mandatory

                 To identify rate amounts or percents for a specific cost or other line item

              2. 5950 · DTP · Date or Time or Period · Max 3 · Optional

                 To specify any or all of a date, a time, or a time period

              3. AMT Loop Optional Repeat >1

                 1. 6000 · AMT · Monetary Amount · Max 1 · Mandatory

                    To indicate the total monetary amount

                 2. 6100 · REF · Reference Identification · Max 9 · Optional

                    To specify identifying information

2. 6200 · SE · Transaction Set Trailer · Max 1 · Mandatory

   To indicate the end of the transaction set and provide the count of the transmitted segments (including the beginning (ST) and ending (SE) segments)