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Transaction Set
in
X12 Release 004010

100 Insurance Plan Description

Functional Group PG

This Draft Standard for Trial Use contains the format and establishes the data contents of the Insurance Plan Description Transaction Set (100) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set is used to transmit life insurance, annuity, and disability insurance product availability and features, historical performance, investment options, distributions channels, and offering company information.

Heading

Sequence
Segment
Name
Max use
010
Transaction Set HeaderMandatory
Max 1
To indicate the start of a transaction set and to assign a control number
020
Beginning SegmentMandatory
Max 1
To indicate the beginning of a transaction set
030
Currency
Max 1
To specify the currency being used in the transaction set
040
Date or Time or Period
Max >1
To specify any or all of a date, a time, or a time period
NM1 Loop
Repeat >1
050
Individual or Organizational NameMandatory
Max 1
To supply the full name of an individual or organizational entity
The NM1 loop provides information about the sending and receiving parties.
060
Address Information
Max 3
To specify the location of the named party
070
Geographic Location
Max 1
To specify the geographic place of the named party
080
Reference Identification
Max 9
To specify identifying information
090
Administrative Communications Contact
Max 3
To identify a person or office to whom administrative communications should be directed

Detail

Sequence
Segment
Name
Max use
N1 Loop
Repeat >1
010
NameMandatory
Max 1
To identify a party by type of organization, name, and code
The N1 loop repeats for each individual company.
020
Additional Name Information
Max >1
To specify additional names or those longer than 35 characters in length
030
Address Information
Max 3
To specify the location of the named party
040
Geographic Location
Max 1
To specify the geographic place of the named party
050
Communication Contact Information
Max 9
To specify a communication contact number
060
Information
Max 9
To report information
070
Message Text
Max >1
To provide a free-form format that allows the transmission of text information
PER Loop
Repeat >1
080
Administrative Communications Contact
Max 1
To identify a person or office to whom administrative communications should be directed
090
Address Information
Max 3
To specify the location of the named party
100
Geographic Location
Max 1
To specify the geographic place of the named party
PID Loop
Repeat >1
110
Product/Item Description
Max 1
To describe a product or process in coded or free-form format
The PID loop repeats for each plan.
120
Item Identification
Max 9
To specify basic item identification data
130
Date or Time or Period
Max >1
To specify any or all of a date, a time, or a time period
140
Individual or Organizational Name
Max >1
To supply the full name of an individual or organizational entity
BLI Loop
Repeat >1
150
Baseline Item Data
Max 1
To specify basic item data: item identification, quantity, and price
The BLI loop is used to report plan service features.
160
Date or Time or Period
Max >1
To specify any or all of a date, a time, or a time period
170
Information
Max >1
To report information
180
Monetary Amount
Max >1
To indicate the total monetary amount
190
Quantity
Max >1
To specify quantity information
SI Loop
Repeat >1
200
Service Characteristic Identification
Max 1
To specify service characteristic data
210
Monetary Amount
Max >1
To indicate the total monetary amount
220
Quantity
Max >1
To specify quantity information
AM1 Loop
Repeat >1
230
Informational Values
Max 1
To specify a code and the amount or quantity or percentage associated with it
The AM1 loop describes plan rules.
240
Message Text
Max >1
To provide a free-form format that allows the transmission of text information
PO1 Loop
Repeat >1
250
Baseline Item Data
Max 1
To specify basic and most frequently used line item data
The PO1 loop describes investment funds applicable to the plan.
260
Item Identification
Max 9
To specify basic item identification data
270
Status of Product or Activity
Max 3
To indicate the details and status of a product or product activity
280
Information
Max >1
To report information
N4 Loop
Repeat >1
290
Geographic Location
Max 1
To specify the geographic place of the named party
The N4 loop describes state availability and exceptions for each plan.
300
Status of Product or Activity
Max 3
To indicate the details and status of a product or product activity
AM1 Loop
Repeat >1
310
Informational Values
Max 1
To specify a code and the amount or quantity or percentage associated with it
The AM1 loop is used to report state rule exceptions.
320
Message Text
Max >1
To provide a free-form format that allows the transmission of text information
PO1 Loop
Repeat >1
330
Baseline Item Data
Max 1
To specify basic and most frequently used line item data
The PO1 loop reports investment fund state exceptions.
340
Status of Product or Activity
Max 3
To indicate the details and status of a product or product activity
350
Information
Max >1
To report information
360
Transaction Set TrailerMandatory
Max 1
To indicate the end of the transaction set and provide the count of the transmitted segments (including the beginning (ST) and ending (SE) segments)
Stedi is a registered trademark of Stedi, Inc. Stedi's EDI Reference and Mapping Guides are provided for marketing purposes and are free of charge. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.
Stedi is a registered trademark of Stedi, Inc. Stedi's EDI Reference and Mapping Guides are provided for marketing purposes and are free of charge. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.