EDI 252 Insurance Producer Administration

Functional Group IE

X12N Insurance Subcommittee

This X12 Transaction Set contains the format and establishes the data contents of the Insurance Producer Administration Transaction Set (252) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set is used to transmit insurance producer information (licensing and appointment data, background information, etc.) among insurance companies and insurance distributors such as agents, brokers, and their organizations.

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 · DTP · Date or Time or Period · Max >1 · Optional

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

4. NM1 Loop Optional Repeat >1

   1. 0400 · NM1 · Individual or Organizational Name · Max 1 · Mandatory

      To supply the full name of an individual or organizational entity

   2. 0500 · N3 · Party Location · Max 2 · Optional

      To specify the location of the named party

   3. 0600 · N4 · Geographic Location · Max 1 · Optional

      To specify the geographic place of the named party

   4. 0700 · REF · Reference Information · Max 9 · Optional

      To specify identifying information

   5. 0800 · 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. 0010 · N1 · Party Identification · Max 1 · Mandatory

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

      The N1 loop repeats for each company or intermediate distributor.

   2. 0015 · N2 · Additional Name Information · Max 3 · Optional

      To specify additional names

   3. 0020 · N3 · Party Location · Max 3 · Optional

      To specify the location of the named party

   4. 0025 · N4 · Geographic Location · Max 1 · Optional

      To specify the geographic place of the named party

   5. 0030 · N9 · Extended Reference Information · Max >1 · Optional

      To transmit identifying information as specified by the Reference Identification Qualifier

   6. 0040 · DTM · Date/Time Reference · Max >1 · Optional

      To specify pertinent dates and times

   7. ENT Loop Mandatory Repeat >1

      1. 0100 · ENT · Entity · Max 1 · Mandatory

         To designate the entities which are parties to a transaction and specify a reference meaningful to those entities

         The ENT loop repeats for each individual producer.

      2. 0200 · ASI · Action or Status Indicator · Max 1 · Mandatory

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

      3. 0300 · DTP · Date or Time or Period · Max >1 · Optional

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

      4. 0400 · YNQ · Yes/No Question · Max >1 · Optional

         To identify and answer yes and no questions, including the date, time, and comments further qualifying the condition

         The YNQ segment indicates pending new business for the producer.

      5. 0500 · REF · Reference Information · Max >1 · Optional

         To specify identifying information

      6. 0600 · DMG · Demographic Information · Max 1 · Optional

         To supply demographic information

      7. 0700 · DMA · Additional Demographic Information · Max 1 · Optional

         To supply additional demographic identification

      8. 0800 · AM1 · Informational Values · Max >1 · Optional

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

      9. 0850 · AMT · Monetary Amount Information · Max 1 · Optional

         To indicate the total monetary amount

      10. 0900 · MSG · Message Text · Max >1 · Optional

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

      11. NM1 Loop Optional Repeat >1

          1. 1000 · NM1 · Individual or Organizational Name · Max 1 · Mandatory

             To supply the full name of an individual or organizational entity

             The NM1 loop reports all names and addresses for the producer.

          2. 1100 · N2 · Additional Name Information · Max 3 · Optional

             To specify additional names

          3. 1200 · EMS · Employment Position · Max 1 · Optional

             To describe employment position

          4. 1300 · DTP · Date or Time or Period · Max >1 · Optional

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

          5. N9 Loop Optional Repeat >1

             1. 1350 · N9 · Extended Reference Information · Max 1 · Mandatory

                To transmit identifying information as specified by the Reference Identification Qualifier

                The N9 loop is used to provide producer team information including team member reference identifiers and percentage due those team members when commissions are payable.

             2. 1360 · AM1 · Informational Values · Max 1 · Optional

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

          6. N3 Loop Optional Repeat >1

             1. 1400 · N3 · Party Location · Max 1 · Mandatory

                To specify the location of the named party

             2. 1500 · N4 · Geographic Location · Max 1 · Optional

                To specify the geographic place of the named party

             3. 1600 · COM · Communication Contact Information · Max 9 · Optional

                To specify a communication contact number

             4. 1700 · DTP · Date or Time or Period · Max >1 · Optional

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

      12. LX Loop Optional Repeat >1

          1. 1750 · LX · Transaction Set Line Number · Max 1 · Mandatory

             To reference a line number in a transaction set

             The LX loop is used to report transfers of business between producers.

          2. 1800 · N9 · Extended Reference Information · Max 1 · Optional

             To transmit identifying information as specified by the Reference Identification Qualifier

          3. 1900 · N4 · Geographic Location · Max >1 · Optional

             To specify the geographic place of the named party

          4. 1950 · DTP · Date or Time or Period · Max >1 · Optional

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

          5. REF Loop Optional Repeat >1

             1. 2000 · REF · Reference Information · Max 1 · Mandatory

                To specify identifying information

             2. 2100 · NM1 · Individual or Organizational Name · Max 1 · Optional

                To supply the full name of an individual or organizational entity

                The NM1 segment identifies transferred policy owners.

      13. UC Loop Optional Repeat >1

          1. 2200 · UC · Underwriting Category · Max 1 · Mandatory

             To identify the category of underwriting data being transmitted

             The UC loop is used to report background information.

          2. 2300 · III · Information · Max >1 · Optional

             To report information

          3. 2400 · EMS · Employment Position · Max 1 · Optional

             To describe employment position

          4. 2500 · NM1 · Individual or Organizational Name · Max 1 · Optional

             To supply the full name of an individual or organizational entity

             The NM1 segment identifies parties related to the background events.

          5. 2600 · N3 · Party Location · Max 3 · Optional

             To specify the location of the named party

          6. 2700 · N4 · Geographic Location · Max 1 · Optional

             To specify the geographic place of the named party

          7. 2800 · PER · Administrative Communications Contact · Max 9 · Optional

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

          8. 2900 · DTP · Date or Time or Period · Max >1 · Optional

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

          9. 3000 · CDS · Case Description · Max 1 · Optional

             To identify and describe a specific court case

          10. 3100 · CED · Administration of Justice Event Description · Max >1 · Optional

              To describe specific administration of justice events and actions

          11. 3200 · TST · Test Score Record · Max 1 · Optional

              To provide information about national, regional, state, or local tests that a student has taken

          12. 3300 · SRE · Test Scores · Max 1 · Optional

              To provide scores on tests that a student has taken

          13. 3400 · MSG · Message Text · Max >1 · Optional

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

      14. LIC Loop Optional Repeat >1

          1. 3500 · LIC · License Information · Max 1 · Mandatory

             To provide license information

             The LIC loop is used to report state license information.

          2. 3600 · DTP · Date or Time or Period · Max >1 · Optional

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

          3. 3650 · AM1 · Informational Values · Max >1 · Optional

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

          4. LIN Loop Optional Repeat >1

             1. 3700 · LIN · Item Identification · Max 1 · Mandatory

                To specify basic item identification data

             2. 3800 · DTP · Date or Time or Period · Max >1 · Optional

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

      15. ACT Loop Optional Repeat >1

          1. 3900 · ACT · Account Identification · Max 1 · Mandatory

             To specify account information

             The ACT loop reports company appointments.

          2. SPA Loop Optional Repeat >1

             1. 4000 · SPA · Status of Product or Activity · Max 1 · Mandatory

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

             2. 4100 · N4 · Geographic Location · Max 1 · Optional

                To specify the geographic place of the named party

             3. 4200 · DTP · Date or Time or Period · Max >1 · Optional

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

             4. 4300 · YNQ · Yes/No Question · Max 1 · Optional

                To identify and answer yes and no questions, including the date, time, and comments further qualifying the condition

                The YNQ segment indicates corporate appointments.

             5. 4350 · AM1 · Informational Values · Max >1 · Optional

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

             6. 4400 · REF · Reference Information · Max 3 · Optional

                To specify identifying information

             7. 4500 · MSG · Message Text · Max >1 · Optional

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

             8. LIN Loop Optional Repeat >1

                1. 4600 · LIN · Item Identification · Max 1 · Mandatory

                   To specify basic item identification data

                2. 4700 · DTP · Date or Time or Period · Max >1 · Optional

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

      16. PWK Loop Optional Repeat >1

          1. 4800 · PWK · Paperwork · Max 1 · Mandatory

             To identify the type or transmission or both of paperwork or supporting information

             The PWK loop reports the status and locations of required documents.

          2. 4900 · NM1 · Individual or Organizational Name · Max 1 · Optional

             To supply the full name of an individual or organizational entity

          3. 5000 · N4 · Geographic Location · Max 1 · Optional

             To specify the geographic place of the named party

          4. 5100 · DTP · Date or Time or Period · Max >1 · Optional

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

          5. EFI Loop Optional Repeat >1

             1. 5200 · EFI · Electronic Format Identification · Max 1 · Mandatory

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

                The EFI loop is used to transmit images of required forms and signatures.

             2. 5300 · BIN · Binary Data Segment · Max 1 · Mandatory

                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

2. 5400 · 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)