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Transaction Set
in
X12 Release 008020

100 Insurance Plan Description

Functional Group PG

X12N Insurance Subcommittee

This X12 Transaction Set 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
0100
Transaction Set HeaderMandatory
Max 1
To indicate the start of a transaction set and to assign a control number
0200
Beginning SegmentMandatory
Max 1
To indicate the beginning of a transaction set
0300
Currency Identifier
Max 1
To specify the currency being used in the transaction set
0400
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
0500
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.
0600
Party Location
Max 3
To specify the location of the named party
0700
Geographic Location
Max 1
To specify the geographic place of the named party
0800
Reference Information
Max 9
To specify identifying information
0900
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
0100
Party IdentificationMandatory
Max 1
To identify a party by type of organization, name, and code
The N1 loop repeats for each individual company.
0200
Additional Name Information
Max >1
To specify additional names
0300
Party Location
Max 3
To specify the location of the named party
0400
Geographic Location
Max 1
To specify the geographic place of the named party
0500
Communication Contact Information
Max 9
To specify a communication contact number
0600
Information
Max 9
To report information
0700
Message Text
Max >1
To provide a free-form format that allows the transmission of text information
PER Loop
Repeat >1
0800
Administrative Communications Contact
Max 1
To identify a person or office to whom administrative communications should be directed
0900
Party Location
Max 3
To specify the location of the named party
1000
Geographic Location
Max 1
To specify the geographic place of the named party
PID Loop
Repeat >1
1100
Product/Item Description
Max 1
To describe a product or process in coded or free-form format
The PID loop repeats for each plan.
1200
Item Identification
Max 9
To specify basic item identification data
1300
Date or Time or Period
Max >1
To specify any or all of a date, a time, or a time period
1400
Individual or Organizational Name
Max >1
To supply the full name of an individual or organizational entity
BLI Loop
Repeat >1
1500
Basic 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.
1600
Date or Time or Period
Max >1
To specify any or all of a date, a time, or a time period
1700
Information
Max >1
To report information
1800
Monetary Amount Information
Max >1
To indicate the total monetary amount
1900
Quantity Information
Max >1
To specify quantity information
SI Loop
Repeat >1
2000
Service Characteristic Identification
Max 1
To specify service characteristic data
2100
Monetary Amount Information
Max >1
To indicate the total monetary amount
2200
Quantity Information
Max >1
To specify quantity information
AM1 Loop
Repeat >1
2300
Informational Values
Max 1
To specify a code and the amount or quantity or percentage associated with it
The AM1 loop describes plan rules.
2400
Message Text
Max >1
To provide a free-form format that allows the transmission of text information
PO1 Loop
Repeat >1
2500
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.
2600
Item Identification
Max 9
To specify basic item identification data
2700
Status of Product or Activity
Max 3
To indicate the details and status of a product or product activity
2800
Information
Max >1
To report information
N4 Loop
Repeat >1
2900
Geographic Location
Max 1
To specify the geographic place of the named party
The N4 loop describes state availability and exceptions for each plan.
3000
Status of Product or Activity
Max 3
To indicate the details and status of a product or product activity
AM1 Loop
Repeat >1
3100
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.
3200
Message Text
Max >1
To provide a free-form format that allows the transmission of text information
PO1 Loop
Repeat >1
3300
Baseline Item Data
Max 1
To specify basic and most frequently used line item data
The PO1 loop reports investment fund state exceptions.
3400
Status of Product or Activity
Max 3
To indicate the details and status of a product or product activity
3500
Information
Max >1
To report information
3600
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.