0. INTRODUCTION
This specification provides the definition of the Life
reinsurance activity message (LREACT) to be used in Electronic
Data Interchange (EDI) between trading partners involved in
administration, commerce and transport.
1. SCOPE
1.1 Functional Definition
The LREACT message is used by companies to exchange insured and
policy coverage detail for reinsurance purposes. The message
will be used for both ceded and assumed reinsurance.
The trading partners utilizing the Life reinsurance activity
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 maintain the records on reinsured cessions. This
data supports the reinsurer's ability to appropriately account
for, manage, study, value (reserve) and complete their
financial reporting. It also facilitates the reconciliation of
the reinsurance records in order to maintain the integrity of
the data between the trading partners.
1.2 Field of Application
The Life reinsurance activity message may be used for both
national and international applications. It is based on
universal practice related to administration, commerce and
transport, and is not dependent on the type of business or
industry.
1.3 Principles
- The Life reinsurance activity message contains information
about reinsured individual life insurance policies, reinsured
disability insurance policies and reinsured annuity contracts
administered under the terms and conditions of a treaty.
- This message provides the reinsurance information about the
base policy, the insureds and the coverages of a single policy
or group of policies.
- This message is only used to communicate information of
policies from the time of reinsurance issue to the time of
reinsurance termination.
- The partners exchange data based on trading partner
agreements defining the use of the data segments contained
within the Life reinsurance activity message.
- The message can be sent for purposes of confirming the
details of a policy or group of policies and the associated
insureds and coverages under a specific agreement.
- The message can be used to communicate information regarding
the status of the policy, the changes to the policy and the
valuation of a policy or group of policies.
- The message structure is generalised by specifying several
conditional segments and segment groups. Only a subset of the
conditional segments may be needed to meet particular
requirements. Users intending to use the message for their
particular requirements should study the message structure to
identify the segments and segment groups required to meet their
needs.
- The intent of the structural design of this message is to
allow for optimal efficiency of transmission. The business
function has the complex "many to many" relationship of
insureds to coverages. This message allows the flexibility to
structure the data in order to optimize transmission costs or
optimize clarity.
- The message flows among partners; the partners may change
roles in the transmission. That is to say, that the cedent may
be the originator of the transmission, or may be the recipient
of the transmission (from the reinsurer).
- The message is not intended to bear any relation to any
particular paper report that trading partners may have used.
However, the proprietary nature of the data in the message is
the same as when it is sent on a paper report or magnetic
media.
- A "claim status" is included to allow for active policies
with disability claims. There is no intention to communicate
any other claims information using this message.
- The value contained in the GIS segment indicates whether the
parent segment group contains policy, insured, coverage or
relationship data. If the parent group contains policy data,
then it can also contain a policy segment group. If the parent
segment group contains insured data then it can also contain an
insured segment group. If the parent segment group contains
coverage data, then it can also contain a coverage segment
group. If the parent segment group contains relationship data,
then it can contain no other segment groups.
- Coverages can apply to one or more insureds. The relationship
between insureds and coverages can either be defined implicitly
or explicitly.
When no relationship groups are defined for a policy, the
relationship is implicit:
- coverage segment group(s) immediately following an insured
segment group and before the next policy or insured segment
group is related to that insured;
- insured segment group(s) immediately following a coverage
segment group and before the next policy or coverage segment
group is related to that coverage.
For joint life cases, this method can introduce considerable
redundancy in the message. To explicitly define the
relationship between the insureds and the coverages, the
relationship segment group is used. A policy would then be
structured as a policy segment group followed by one or more
insured segment groups, then one or more coverage segment
groups, then one or more relationship segment groups. Each
relationship segment group would contain the insured sequence
number and the related coverage sequence number.
2. REFERENCES
See UNTDID, Part 4, Chapter 2.6 UN/ECE UNSM - General Introduction,
Section 1.
3. TERMS AND DEFINITIONS
3.1 Standard terms and definitions
See UNTDID, Part 4, Chapter 2.6 UN/ECE UNSM - General Introduction,
Section 2.
4. MESSAGE DEFINITION
4.1 Data Segment Clarification
This section should be read in conjunction with the Segment
Table which indicate mandatory, conditional and repeating
requirements.
The following guidelines and principles apply to the whole
message and are intended to facilitate the understanding and
implementation of the message:
- All specified dates should include the century unless all
parties involved in the transaction agree that there is a
functional requirement for an alternative format.
- Where a choice of code or text is given only the code element
should be used wherever possible.
4.1.1 Header section
Information to be provided in the Header section:
0010 UNH, Message header
A service segment starting and uniquely identifying a message.
The message type code for the Life reinsurance activity message
is LREACT.
Note: Life reinsurance activity messages conforming to this
document must contain the following data in segment UNH,
composite S009:
Data element 0065 LREACT
0052 D
0054 97B
0051 UN
0020 BGM, Beginning of message
This segment specifies a message code which indicates whether
this message contains policy status information, policy
activity information or both.
0030 DTM, Date/time/period
A segment specifying the reporting period ending date.
0040 CUX, Currencies
A segment identifying the default currency and its scaling
factor for monetary amounts in this message.
0050 CTA, Contact information
A segment identifying a person(s) or department(s), and their
function(s), to whom communications should be directed.
0060 FTX, Free text
A segment with free text information, in coded or clear form,
used when additional information is needed but cannot be
accommodated within other segments. In computer to computer
exchanges such text will normally require the receiver to
process this segment manually.
4.1.2 Detail section
Information to be provided in the Detail section:
0070 Segment group 1: GIS-RFF-ATT-DTM-FTX-SG2-SG3-SG4
A group of segments containing policy , insured, coverage or
relationship data. Depending on the contents of this parent
segment group, the segment group can also contain a policy
segment group, insured segment group or coverage segment group.
0080 GIS, General indicator
This indicator specifies a code which indicates whether this
group is a policy, insured, coverage or relationship group.
0090 RFF, Reference
A segment identifying references conditional upon the
general indicator above:
- for a policy group: the policy number and case identifier.
- for an insured group: a unique number identifying each of
the insureds and optionally an original policy number from
which a continuation resulted.
- for a coverage group: a unique number identifying each of
the coverages on a policy, the policy form number, the plan
code and the rate band indicator.
- for a relationship group: the unique number identifying
the insured and the unique number identifying the coverage
applied to that insured. This allows insured groups and
coverage groups to be related to each other.
0100 ATT, Attribute
A segment providing attributes conditional upon the general
indicator above:
- for a policy group: the policy activity currently being
reported
- for an insured group: the insured's gender
- for a coverage group: the attributes of the coverage are
described.
0110 DTM, Date/time/period
A segment specifying general dates or durations related to
the policy, the insured or the coverage.
- for a policy group: the transaction effective date
- for an insured group: the insured's birth date and the
mortality rating expiry date
- for a coverage group: dates associated with the coverage
are defined.
0120 FTX, Free text
A segment with free text information, in coded or clear
form, used when additional information is needed but cannot
be accommodated within other segments. In computer to
computer exchanges such text will normally require the
receiver to process this segment manually.
0130 Segment group 2: IMD-LOC-SEQ-CUX-PNA
A group of segments in which is detailed policy information.
0140 IMD, Item description
A segment indicating if the policy is single life or
joint life.
0150 LOC, Place/location identification
A segment giving location information for the place of
issue and the owner place of residence.
0160 SEQ, Sequence details
A segment providing the transaction sequence number. This
segment is required when the BGM indicates that the
message contains transaction activity.
0170 CUX, Currencies
A segment identifying the default currency and its
multiplying factor for all monetary amounts in this
policy.
0180 PNA, Party identification
A segment identifying the names of the parties, in coded
or clear form, and their functions relevant to the
message. Identification of the direct writing company of
this policy and any intermediary, third party
administrator, of this policy. It is recommended that
where possible only the coded form of the party
identification should be specified; e.g. if the direct
writer and intermediary names are known to the sender and
receiver, then only the coded identification is required.
0190 Segment group 3: PCD-PNA-LOC
A group of segments in which is detailed insured
information.
0200 PCD, Percentage details
A segment specifying the mortality or morbidity rating of
the insured. The underwriting table rating assigned to
the insured is generally expressed as a percentage where
100% is standard. Any rating scheme, however, can be used
with agreement between the sending and receiving
companies.
0210 PNA, Party identification
A segment identifying the name and universal identifier
of the insured.
0220 LOC, Place/location identification
A segment giving the location of the insured's place of
residence.
0230 Segment group 4: ICD-PCD-EMP-AGR-LOC-SG5-SG6-SG8
A group of segments in which is detailed coverage
information.
0240 ICD, Insurance cover description
A segment giving insurance cover risk type.
0250 PCD, Percentage details
A segment specifying the mortality or morbidity rating,
the Cost of Living Adjustment benefit for disability
income riders and mortgage interest rate associated with
mortgage plans.
0260 EMP, Employment details
A segment providing the occupation class of the insured
for purposes of this coverage as defined by the issuing
company (required for disability income coverages).
0270 AGR, Agreement identification
This segment will be used to provide both the reinsurer's
and the cedent's treaty identification for this coverage.
0280 LOC, Place/location identification
This segment identifies the insured's place of residence
for this coverage.
0290 Segment group 5: MOA-ARD
A group of segments in which is detailed monetary amounts
and their purpose for the coverage.
0300 MOA, Monetary amount
A segment specifying a monetary amount.
0310 ARD, Amounts relationship details
A segment specifying the purpose of the monetary
amount.
0320 Segment group 6: RTE-ATT-DTM-SG7
A group of segments which details flat extra premiums
associated with this coverage.
0330 RTE, Rate details
A segment specifying the rate at which the flat extra
premium is calculated per unit.
0340 ATT, Attribute
A segment specifying the basis for calculating the
flat extra premium e.g. face or net amount at risk.
0350 DTM, Date/time/period
A segment specifying the duration for charging the
additional flat extra premium.
0360 Segment group 7: MOA-ARD
A group of segments in which is detailed monetary
amounts and their purpose for the flat extra premium.
0370 MOA, Monetary amount
A segment specifying a monetary amount.
0380 ARD, Amounts relationship details
A segment specifying the purpose of the monetary
amount.
0390 Segment group 8: PRC-ATT-PCD-SG9
A group of segments which details the valuations
associated with this coverage.
0400 PRC, Process identification
A segment providing the purpose of the valuation e.g.
United States Tax, Generally Accepted Accounting
Principles, etc.
0410 ATT, Attribute
A segment identifying the standard mortality or
morbidity table, the standard function, the standard
method and substandard method used in calculating this
reserve.
0420 PCD, Percentage details
A segment specifying the standard interest rate used
in calculating reserves for this coverage.
0430 Segment group 9: MOA-ARD
A group of segments in which is detailed monetary
amounts and their purpose for the valuations.
0440 MOA, Monetary amount
A segment specifying a monetary amount.
0450 ARD, Amounts relationship details
A segment specifying the purpose of the monetary
amount.
0460 UNT, Message trailer
A service segment ending a message, giving the total number of
segments in the message and the control reference number of the
message.
4.2 Data segment index (Alphabetical sequence by tag)
AGR Agreement identification
ARD Amounts relationship details
ATT Attribute
BGM Beginning of message
CTA Contact information
CUX Currencies
DTM Date/time/period
EMP Employment details
FTX Free text
GIS General indicator
ICD Insurance cover description
IMD Item description
LOC Place/location identification
MOA Monetary amount
PCD Percentage details
PNA Party identification
PRC Process identification
RFF Reference
RTE Rate details
SEQ Sequence details
UNH Message header
UNT Message trailer
Contents of LREACT