ACORD LIFE & ANNUITY STANDARDS LIFE REPLACEMENT IMPLEMENTATION GUIDE V 3.1 JANUARY 2009
|
|
|
- Luke Glenn
- 10 years ago
- Views:
Transcription
1 ACORD LIFE & ANNUITY STANDARDS LIFE REPLACEMENT IMPLEMENTATION GUIDE V 3.1 JANUARY 2009 References: ACORD Life Specification, Version 2.12 IMPORTANT NOTE: This document contains or relates to ACORD Standards Life & Annuity. You are not authorized to use the ACORD Standard contained in this document unless you have accepted the terms and conditions of the Standards License accessible at To gain such authorization, please go to that site and, if you agree with the terms and conditions of the Standards License, enter whatever information is called for, if any, and click on "Accept". New York Two Blue Hill Plaza 3 rd Floor PO Box 1529 Pearl River, NY U.S.A. London London Underwriting Centre Suite 1 / 3 3 Minster Court Mincing Lane London EC3R 7DD United Kingdom
2 Table of Contents 1 BACKGROUND INTENDED AUDIENCE THE REPLACEMENTS IMPLEMENTATION GUIDE OBJECTIVES VISION INCREMENTAL ADOPTIONS BUSINESS CASE/VALUE PROPOSITION GUIDING PRINCIPLES FOR IMPLEMENTATION REPLACEMENT PROCESSING REQUEST/UPDATE HIERARCHY CATALOG OF REPLACEMENT MESSAGES REPLACEMENT OBJECT DIAGRAMS REPLACEMENT MESSAGES #1 TXLIFE CLASS DIAGRAM REPLACEMENT MESSAGES - #2 REPLACEMENT PROCESSING REQUEST: TXLIFE # REPLACEMENT MESSAGES - #3 REPLACEMENT PROCESSING UPDATE, PENDING: TXLIFE # REPLACEMENT MESSAGES - #4 REPLACEMENT PROCESSING UPDATE, FINAL: TXLIFE # DETAILED ELEMENT DESCRIPTION & TYPE CODE DEFINITION <ADDRESS> OBJECT <ANNUITY> OBJECT <ARRANGEMENT> OBJECT <ARRDESTINATION> OBJECT <ARRSOURCE> OBJECT <ATTACHMENT> OBJECT <BANKING> OBJECT <CARRIER> OBJECT <FINANICALACTIVITY> OBJECT <HOLDING> OBJECT <LIFE> OBJECT <LIFEUSA> OBJECT <ORGANIZATION> OBJECT <PARTY> OBJECT <PAYMENT> OBJECT <PERSON> OBJECT <PHONE> OBJECT <POLICY> OBJECT <RELATION> OBJECT <REQUIREMENTINFO> OBJECT <SETTLEMENTDETAILS> OBJECT <SETTLEMENTINFO> OBJECT <SIGNATUREINFO> OBJECT SENDING A REPLACEMENT TRANSMITTAL METHOD REQUEST / RESPONSE METHOD ACORD TXLIFE TRANSACTIONS TRANSPORT AND SECURITY TXLIFE TRANSACTION ELEMENT AND TYPE CODE DETAILS TXLIFE EXAMPLES STANDARD USAGES REPLACEMENT PROCESSING REQUEST FOR SURRENDER REPLACEMENT PROCESSING UPDATE/POLICY SURRENDERED REVISION HISTORY/CHANGE SUMMARY... 38
3 1 BACKGROUND 1.1 Intended Audience This Implementation Guide is intended for use by Business and Technology areas to include marketers, developers, business analysts and all other interested parties. This document will explain why a replacement business message/transaction was developed, when it should be used, and how to implement it. The earlier sections are intended to describe the business case whereas the later sections focus more on the technical implementation. 1.2 The Replacements Implementation Guide This Replacements Implementation Guide is intended to define and provide examples of Model replacement business messages, which can facilitate the Replacement Notification and Replacement Processing Requests of Life Insurance business (including traditional Life and Annuities). The first phase of implementation will exclude replacements/exchanges that invoke New York State regulations and will allow for the exclusion of transactions that involve other jurisdictions that raise objections to the use of this electronic process. ACORD Standards It is important to understand that this guide is based on the ACORD Standards - XMLife and TXLife to be specific. The official ACORD Life Standard is the current version of the published XML Schema, Life Data Model and associated supporting technical specifications. Any inconsistencies or discrepancies between this guide and these core standards specification documents must be resolved using the core standards. Every effort will be made to keep this guide current and compliant with the core/base standard. 1
4 2 OBJECTIVES In the Industry today the process for replacements is a very manual and time-consuming effort due to the lack of automation and non-standard processes for replacements. The creation of the Replacement Processing Request the Replacement Processing Update messaging allows the Industry a standard method for the electronic sending and receiving (notification) of a well formed XML replacement message which will enhance the good order processing of replacement business, and facilitate carrier compliance with regulatory requirements. 2.1 Vision The vision of the Replacement Working Group, who developed these messages and Guide, is to create a fully electronic replacement notification and exchange process between carriers using a series of specially formatted text messages in the XMLife format. The messages allow for the exchange of information necessary to facilitate the exchange of money between carriers. Forms necessary to comply with state regulatory requirements will be sent as Attachments within the TXLife Request. Future phases will attempt to eliminate all forms. Intent of new process and disclaimers The new process is designed to provide a more expedient exchange of information between carriers participating in a replacement or exchange transaction. The intent is not to dictate or in any way require modification of a carrier s internal processes, but to provide an option to the current manual, paper replacement/exchange process that will solicit the voluntary adoption of and adaptation to the electronic process. The participation of insurance carriers in the new process is strictly voluntary, and at no time will carriers that do not participate be restricted or in any way be hindered from communicating with carriers that do participate in this digitized process. For this reason, it will be necessary for participating carriers to maintain a process to handle the receipt of paper copies of the replacement notifications and exchange/transfer requests until such time as all carriers have adopted the electronic replacement notification and exchange process. 2.2 Incremental adoptions Due to disparities in replacement/exchange requirements between the 50 states, territories and the District of Columbia, and the wide range of technical issues involved with implementation, the piloting and implementation of the new process is designed to be both incremental and flexible. Adoption of this policy allows us to move forward with implementation while we continue to develop technical solutions and gain state-by-state approval for the use of this process. The first phase of implementation will exclude replacements/exchanges that invoke New York State regulations and will allow for the exclusion of transactions that involve other jurisdictions that raise objections to the use of this electronic process. 2
5 Also, during this initial phase, electronic attachments will be used in conjunction with the standard text messages, where necessary, so that images of documents with wet signatures, required comparative information, and carrier specific sales materials lists can be included in the transmission. At such time as methods are developed to standardize and electronically enable these attachments or the text contained in these attachments, the required elements will be added to the standard messages, eventually eliminating the need for the attachments. Because of the incremental nature of this project, please verify that you are in possession of the most current version of this implementation guide ( before any effort is expended on the design and adoption of this process. 2.3 Business Case/Value Proposition Prior to the development of these messages there were no electronic replacement business messages or transactions that carriers share point to point. That is to say carriers communicate with each other by telephone or mail. The Replacement Transaction(s) is/are the first messages to be created with the intent to communicate directly or indirectly with one another based upon the final solution. We intend to communicate with each other through the use of standardized messaging Replacement Processing Request (TXLife #127) and Replacement Processing Update (TXLife #1128) through an XML interface. XML is the leading edge in IT development and most electronic communication is based on some form of XML hence the ACORD standard. The Replacement processes as noted above are very manual, labor intensive and under increasing scrutiny and audit to ensure compliance with the State Regulators. To ensure consistency in messaging between carriers, the Replacement Transactions were created to streamline the process with a straightforward and relatively easy implementation benefiting the Business and Operations. The costs associated with handling the paper replacements would be offset by the implementation of an electronic solution. Using industry standards in the replacement process would reduce if not eliminate errors in procedures that have a negative impact operationally and cause downstream costs in phone calls, s, mail and delays. Given that State requirements are very time sensitive for notifying the existing carrier of a replacement, the electronic solution would facilitate timely, more consistent and less costly communication between carriers. The end customer or Producer would benefit as well due to the more accurate and timely exchange of information between carriers. Many times, replacements become an impediment to doing business with a certain carrier due to the lack of a standard format of communication that eventually leads to frustration by the Producer. Overall, the high level Value Proposition is intended to: This new process will allow us to better service our customers. Reduce cost. Current method of communication is mail and it s costly. Electronic communication would reduce mail handling and postage; reduce labor costs for scanning/indexing. Increase consistency of data. Allow for individual company conservation efforts. Gain efficiencies in meeting regulatory guidelines. Eliminate re-routing of paperwork within companies due to incorrect address(es) for Replacement Processing. Provide immediate electronic confirmation of delivery of replacement information. Support automating the exchange of funds, including tax qualified and non-qualified monies. 3
6 3 GUIDING PRINCIPLES FOR IMPLEMENTATION The following section is intended to provide some general guidelines in implementing the model replacement messages. The list is not meant to be exhaustive. On the contrary, it is expected that the list will grow as the standard gets implemented between trading patterns over time. Suggestions and questions for this guide should be sent to the 1. Keep these replacement transactions as simple as possible. 2. Users should acquaint themselves with the general guidelines and policies of ACORD, and review the current Life Standards Specifications. This Implementation Guide is built upon the ACORD Standards, and presumes a basic understanding of them. 3. This guide makes no assumption as to the messaging method. As such, it is designed to support an on demand dynamic request as well as traditional batch. The first method is called a Request/Response transaction; the second is referred to as a Transmittal transaction. 4. This guide will provide a basic understanding of the standard messages to be passed between carriers to a Life Insurance replacement. 5. This guide does not direct the specific steps to be taken by a party to a replacement, if such actions could be considered unique to the internal workflow, and value proposition provided by the Carrier. This guide does identify the specific steps to be taken, including messages that should be passed, between parties to a replacement. 6. It is intended that the use of this guide will facilitate the flow of information between parties to the extent that the efficiency of service within the Life Insurance industry will be enhanced. 7. The purpose of this guide is to facilitate the development and implementation of the ACORD Standards. 8. To the extent that the ACORD Data Model shall be updated over time, so to will this guide be updated to reflect the most current utilization of the ACORD Standards. 4
7 4 REPLACEMENT PROCESSING REQUEST/UPDATE HIERARCHY The general structure and hierarchy of the object elements is as follows: <OLifE> <Holding> <Policy> <Life> <LifeUSA> <Annuity> <RequirementInfo> <Attachment> <SignatureInfo> <FinancialActivity> <Payment> <Arrangement> <ArrSource> <ArrDestination> <Banking> <Party> <Person> <Organization> <Address> <Phone> <Carrier> <Relation> <SettlementInfo> <SettlementDetails> 5
8 The Replacement Process Producer : Producer / Distributor New Buz Sub App + Replacement Form Carrier : New Carrier ACK Carrier : Old (current) Carrier Any Required Form ( 1 or more attach) Replacement Notif (TX 127) Replacement Form (+ 0 or more attach) Request for Status (Inquiry) Status Request can be made at any time in during the process Supply additional Info. One or more required forms. Respond To Status Inquiry Something is not in "good order (TX 1128) The current carrier may question the order of any form or image. Request For More Info. Replacement Request (TX 127) Letter of Authorization Surrender Form Any of the below may be attachments. * Replacement Form * Sales Materials * Illustration * Compliance or Policy Summary * Surrender Form * Exchange Agreement * Assignment * Letter of Authorization (annuity) * Transfere Form Transfer Form Funds being Transferred (TX 1128) 6
9 4.1 Catalog of Replacement Messages It is our intent that the recipients/users of this document/stream would program their system(s) to receive the replacement transactions and apply a mapping of the ACORD specification (as summarized in this document) to their own system(s). One of our guiding principles is to keep this transaction simple since it is the first of its kind with carrier-to-carrier communication. This is a listing of the various ACORD Life Standard Business Messages (Transactions) appropriate or applicable to Replacements. This is a general, definitional overview. Specific details are provided for each message in the sections that follow. Replacement Messages New Business Submission (w/replacement) TXLife #103 This is the standard New Business Submission (for Life, Annuity, DI or LTC) but includes Replacement information, including 1035 Exchange information, necessary to initiate the replacement process. Replacement Processing Request TXLife #127 This is the message that the New Carrier (Replacing Carrier) sends to Existing/Old Carrier (Replaced Carrier) notifying them that the insured is purchasing a new policy and intends to cancel/replace their existing coverage. It can trigger the conservation effort (and state mandate waiting periods). Sub Transactions under this message include: Replacement Notify; this is used during Replacement Processing when the Replacing Carrier is notifying the Delivering Carrier that they have received an application to replace the existing contract. It is not a request for the Delivering Carrier to surrender the existing contract and release the funds Replacement Request for Surrender; this is used during Replacement Processing when the Replacing Carrier is requesting the Delivering Carrier to surrender the existing contract and release the funds Replacement Cancellation; The Receiving Carrier is notifying the Delivering Carrier to cancel the replacement for which a TX#127 was previously sent Supplemental Information to Prior Request for Surrender; This TransSubType is used to send subsequent messages from the Receiving Carrier to the Delivering Carrier to provide any outstanding information. Replacement Processing Update TXLife #1128 This is the message that the Existing/Old Carrier (Replaced Carrier) sends to the New Carrier (Replacing Carrier) anytime the status of a processing request changes or to communicate missing requirements. For example, if additional Replacement Forms are required, the Delivering Carrier would create a new RequirementInfo Object with a Status of Outstanding. If the delivering carrier has surrendered the replaced contract, this message would be used to notify the Receiving Carrier and SettlementInfo may be provided if funds are being provided via a clearinghouse. Actors/ Parties Producer -> Carrier Distributor -> Carrier Carrier -> Carrier Carrier -> Carrier 7
10 5 REPLACEMENT OBJECT DIAGRAMS 5.1 Replacement Messages #1 TXLife Class Diagram Address 0..* Phone 0..* 0..* Party -PartyTypeCode : Integer -FullName : String -GovtID : String -GovtIDTC : Integer * OLifE Relation -OriginatingObjectType : Integer -RelatedObjectType : String -RelationRoleCode : Integer 1 0..* Banking -BankAcctType : Integer -AccountNumber : String -AcctHolderName : String -RoutingNumber : String 0..1 Holding -HoldingTypeCode : Integer -HoldingStatus : Integer -AssetValue : Decimal -LiabilityValue : Decimal Person -FirstName : String -MiddleName : String -LastName : String 0..1 Carrier -CarrierCode : String Organization -DTCCMemberCode : String 0..* Attachment -AttachementCategoryTC : Integer -AttachmentBasicType : Integer -AttachmentLocation : Integer -AttachementData : String -MimeTypeTC : Integer -TransferEncodingTypeTC : Integer 0..* SignatureInfo -SignatureRoleCode : Integer -SignatureDate : Date -SignaturePurpose : Integer -SignatureText : String RequirementInfo -ReqCode : Integer -ReqStatus : Integer -RequirementStatusReason : String -ReqSubStatus : Integer -RequirementInfoUniqueID : String FinancialActivity -FinActivityType : Integer -FinActivityNetAmt : Decimal -PreTEFRACostBasis : Decimal -PostTEFRACostBasis : Decimal -FinActivityStatus : Integer -FinActivityDate : Date -FinActivityPct : Double -FinActivityGrossAmt : Decimal -SettlementAmt : Decimal -ReferenceNo : String 0..* Payment -PaymentForm : Integer -@PayeeID : String -@BankHoldingID : String ArrDestination 0..* 0..* 0..* Policy -PolNumber : String -LineOfBusiness : Integer -CarrierCode : String -CusipNum : String 0..1 Annuity -QualPlanType : Integer Life QualPlanType : Integer 0..1 LifeUSA -MECInd : Boolean ArrSource -TransferAmt : Decimal -TransferPct : Double SettlementInfo -RelatedRefID : String -AccountNumberSubmitter : String -ReferenceNo : String 0..* 0..* Arrangement -ArrType : Integer -NumOfModalOccurances : Integer -StartDate : Date -PaymentForm : Integer 0..* 0..* SettlementDetails -SettlementAmt : Decimal -AccountCreditDebitType : Integer -AccountNumberReceiver : String 8
11 5.2 Replacement Messages - #2 Replacement Processing Request: TXLife #127 This message alerts the Old Carrier that the Owner has indicated Replacement. It contains the detail required by NAIC Model Replacement Regulations to provide notice of replacement. TX127 : OLifE ReplacedPolicy : Holding {HoldingStatus = OLI_HOLDSTAT_ACTIVE, HoldingTypeCode = OLI_HOLDTYPE_POLICY} : Relation {RelationRoleCode = OLI_REL_REPLACED} ProposedPolicy : Holding {HoldingStatus = OLI_HOLDSTAT_PROPOSED, HoldingTypeCode = OLI_HOLDTYPE_POLICY} : Relation {RelationRoleCode = OLI_REL_OWNER} : Relation {RelationRoleCode = OLI_REL_OWNER} : Relation {RelationRoleCode = OLI_REL_ANNUITANT} : Policy {CarrierCode = 12345, LineOfBusiness = OLI_LINEBUS_ANNUITY, PolNumber = B} Owner : Party {FullName = Fickle, Benedict A., GovtID = } : Person {FirstName = Benedict, LastName = Fickle, MiddleName = A.} : Relation {RelationRoleCode = OLI_REL_ANNUITANT} : Arrangement {ArrType = OLI_ARRTYPE_FULLSURR, NumOfModalOccurances = 1, PaymentForm = OLI_PAYFORM_CLEARHSE} DeliveringCarrier : Party {FullName = Sadder But Wiser Life Ins. Co., PartyTypeCode = OLI_PT_ORG} : Organization {DTCCMemberCode = 1234} : Carrier {NAICCode = 12345} : ArrDestination : ArrSource ReceivingCarrier : Party {FullName = Jolly Rodger Mutual, PartyTypeCode = OLI_PT_ORG} : Policy {CarrierCode = 98765, CusipNum = , LineOfBusiness = OLI_LINEBUS_ANNUITY} : Organization {DTCCMemberCode = 9876} : Phone {AddressTypeCode = OLI_PHONETYPE_AGENTCSA} : Attachment {AttachmentBasicType = OLI_BASICATTMENTTY_IMAGE, AttachmentCategoryTC = OLI_ATTACHCAT_REPFORM (new), AttachmentData = <EncodedBinaryData>, AttachmentLocation = OLI_INLINE, MimeTypeTC = OLI_MIMETYPE_TIFF, TranferEncodingTypeTC = OLI_ENCODE_BASE64} : Carrier {NAICCode = 98765} : RequirementInfo {ReqCode = OLI_REQCODE_REPLFULL (new), ReqStatus = OLI_REQSTAT_OUTSTANDING, RequirementInfoUniqueID = JRL A20F} : Annuity {QualPlanType = OLI_QUALPLAN_NONQUAL} : SignatureInfo {SignatureDate = , SignaturePurpose = OLI_SIGTYPE_LOSTPOLDEC, SignatureRoleCode = OLI_PARTICROLE_OWNER, SignatureText = Benadict A. Fickle} 9
12 5.3 Replacement Messages - #3 Replacement Processing Update, Pending: TXLife #1128 TX1128 : OLifE ReplacedPolicy : Holding {HoldingStatus = OLI_HOLDSTAT_ACTIVE, HoldingTypeCode = OLI_HOLDTYPE_POLICY} : Relation {RelationRoleCode = OLI_REL_REPLACED} ProposedPolicy : Holding {HoldingStatus = OLI_HOLDSTAT_PROPOSED, HoldingTypeCode = OLI_HOLDTYPE_POLICY} : Relation {RelationRoleCode = OLI_REL_OWNER} : Relation {RelationRoleCode = OLI_REL_OWNER} : Relation {RelationRoleCode = OLI_REL_ANNUITANT} Owner : Party {FullName = Fickle, Benedict A., GovtID = } : Relation {RelationRoleCode = OLI_REL_ANNUITANT} : Policy {CarrierCode = 12345, LineOfBusiness = OLI_LINEBUS_ANNUITY, PolNumber = B} DeliveringCarrier : Party {FullName = Sadder But Wiser Life Ins. Co., PartyTypeCode = OLI_PT_ORG} : Organization {DTCCMemberCode = 1234} : Carrier {CarrierCode = 12345} : Person {FirstName = Benedict, LastName = Fickle, MiddleName = A.} : RequirementInfo {ReqCode = OLI_REQCODE_REPLFUNDS (new), ReqStatus = OLI_REQSTAT_ERROR, ReqSubStatus = OLI_REQSUBSTAT_NEEDFORM (new), RequirementInfoUniqueID = JRL A20F} : RequirementInfo {ReqCode = OLI_REQCODE_REPFORM, ReqStatus = OLI_REQSTAT_OUTSTANDING, RequirementStatusReason = Submit signed ACORD Form #208-FL} : Policy {CarrierCode = 98765, CusipNum = , LineOfBusiness = OLI_LINEBUS_ANNUITY} ReceivingCarrier : Party {FullName = Jolly Rodger Mutual, PartyTypeCode = OLI_PT_ORG} : Organization {DTCCMemberCode = 9876} : Carrier {CarrierCode = 98765} : Address {AddressType = OLI_ADTYPE_CLIENTCSA} 10
13 5.4 Replacement Messages - #4 Replacement Processing Update, Final: TXLife #1128 TX1128 : OLifE : SettlementInfo ReplacedPolicy : Holding {AssetValue = , HoldingStatus = OLI_HOLDSTAT_INACTIVE, HoldingTypeCode = OLI_HOLDTYPE_POLICY, LiabilityValue = } : SettlementDetails {SettlementAmount = } : Relation {RelationRoleCode = OLI_REL_REPLACED} ProposedPolicy : Holding {HoldingStatus = OLI_HOLDSTAT_PROPOSED, HoldingTypeCode = OLI_HOLDTYPE_POLICY} : Relation {RelationRoleCode = OLI_REL_OWNER} : Relation {RelationRoleCode = OLI_REL_OWNER} : Policy {CarrierCode = 12345, LineOfBusiness = OLI_LINEBUS_ANNUITY, PolNumber = B, PolicyStatus = OLI_POLSTAT_SURR} DeliveringCarrier : Party {FullName = Sadder But Wiser Life Ins. Co., PartyTypeCode = OLI_PT_ORG} : Organization {DTCCMemberCode = 1234} : Carrier {CarrierCode = 12345} Owner : Party {FullName = Fickle, Benedict A., GovtID = } : Person {FirstName = Benedict, LastName = Fickle, MiddleName = A.} : FinancialActivity {FinActivityDate = , FinActivityGrossAmt = , FinActivityNetAmt = , FinActivityStatus = OLI_FINACT_COMPLETED, FinActivityType = OLI_FINACT_FULLSURR, PostTEFRACostBasis = , PreTEFRACostBasis = 0, ReferenceNo = NC, SettlementAmt = } : RequirementInfo {ReqCode = OLI_REQCODE_REPLFUNDS (new), ReqStatus = OLI_REQSTAT_COMPLETED} : RequirementInfo {ReqCode = OLI_REQCODE_REPFORM, ReqStatus = OLI_REQSTAT_COMPLETED} : Policy {CarrierCode = 98765, CusipNum = , LineOfBusiness = OLI_LINEBUS_ANNUITY} ReceivingCarrier : Party {FullName = Jolly Rodger Mutual, PartyTypeCode = OLI_PT_ORG} : Organization {DTCCMemberCode = 9876} Payee : Carrier {CarrierCode = 98765} : Payment {PaymentForm = OLI_PAYFORM_CLEARHSE} 11
14 6 DETAILED ELEMENT DESCRIPTION & TYPE CODE DEFINITION XML Element Name Type Description <Address> Object TXLife/TXLifeRequest/OlifE/Party/Address An address pertaining to a Party or Group. In the case of a Replacement Processing Request TXLife #127, the address would indicate where a physical check should be mailed. For a Replacement Processing Update TXLife #1128, the address would be used to communicate where outstanding requirements are expected to be sent through the mail (e.g. wet signature on a required form) Every object within the ACORD model, which can have more than one occurrence, has a unique id attribute. It uniquely identifies each occurrence/instance of the object for processing. It has no meaning or context outside the data file <Address id> <AddressTypeCode> LookUp Table String Address Type ID or stream. Type of address 17 = Mailing spec. Please see current spec. for additional codes. <AttentionLine> Used to contain an attention of additional address line. String Specific person or department to provide additional detail <Line1> String First line of the address <Line2> String Second line of the address <Line3> String Third line of the address <City> String City of the address <AddressState> String State of the address. <AddressStateTC> 2 letter State code in US, etc <Zip> String Zip code, postal code, etc. (country dependent) <AddressCountry> String Country of the address <AddressCountryTC> Use nation for valid Address Country type codes XML Element Name Type Description <Annuity> Object TXLife/TXLifeRequest/OlifE/Holding/Policy/Annuity If either the policy being replaced or the proposed policy is an annuity, this aggregate is passed under the appropriate Holding to indicate the Tax Qualification Type. <QualPlanType> LookUp Table String Qualified Plan Type Tax Status of the policy or plan. 1 = Non-Qualified 2 = 401k 3 = 403b 12
15 4 = 457 Deferred Compensation 5 = IRA 6 = Roth IRA 7 = Educational IRA 8 = SEP/IRA 13 = HR10/Keogh 33 = IRA Spousal 34 = Cash Balance Plan-Defined Contribution 35 = Cash Balance Plan-Defined Benefit 36 = Target Benefit Plan 37 = Foreign National 38 = Deferred Profit Sharing Plan 40 = 408k (SARSEP) 41 = Texas ORP 42 = 403a (Qualified Employee Annuity Plan) spec. Please see current spec. for additional codes. XML Element Name Type Description <Arrangement> Object TXLife/TXLifeRequest/OlifE/Holding/Arrangement On a TransSubType Replacement Request for Surrender, this aggregate is passed by the Receiving Carrier to indicate whether the request is for a partial or full surrender, or where a surrender on a specific date is being requested, or where specific payment instructions are being replaced. <ArrType> LookUp Table String = Arrangement Type Type of Arrangement 7 = Specified Amount Withdrawal (net) 14 = Percent of value withdrawal 31 = Full Surrender spec. Please see current spec. for additional codes. <StartDate> Date Used if a specific date (in the future) for the surrender is being requested. If this property is not passed, the requested process date should be interpreted to be ASAP. <NumOfModalOccurences> Integer TXLife Specification Guide lists this field as required! I don t remember why.discuss with Rob Marone to see if he remembers. <PaymentForm> LookUp Table String = Payment Form Physical Form of Payment 7 = EFT 13
16 10 = Corporate Check 11 = Clearinghouse 12 = Wire spec. Please see current spec. for additional codes. XML Element Name Type Description <ArrDestination> Object TXLife/TXLifeRequest/OlifE/Holding/Arrangement/ArrDestination Used to refer to the Receiving Carrier as the Payee on the Surrender <PaymentPartyID> IDREF Refers to the Party to be paid (Receiving Carrier) <BankingInfoID> IDREF Refers to the Banking Information when the requested PaymentForm is Wire or EFT XML Element Name Type Description <ArrSource> Object TXLife/TXLifeRequest/OlifE/Holding/Arrangement/ArrSource Used for a partial surrender to indicate amount or percent requested <TransferAmt> Currency Amount to be surrendered in the case of a partial surrender <TransferPct> Percent Percent to be surrendered in the case of a partial surrender XML Element Name Type Description <Attachment> Object TXLife/TXLifeRequest/OlifE/Holding/Policy/RequirementInfo/Attachment Can by used on TXLife Replacement Processing Request to pass images of Replacement Forms being transmitted with the message. On a TXLife 1128 Replacement Processing Update, images of Forms needed to satisfy outstanding requirements may be sent. <Attachement id> ID Every object within the ACORD model, which can have more than one occurrence, has a unique id attribute. It uniquely identifies each occurrence/instance of the object for processing. It has no meaning or context outside the data file or stream. <AttachmentBasicType> LookUp Table String = Attachment Basic Type This describes the basic type of attachment. If it is other than text, you must look at AttachmentType and MimeType to correctly use the data. 2 = Image 14
17 XML Element Name Type Description spec. Please see current spec. for additional codes. <AttachmentData> LookUpTable String = Variant Types Attachment Data As a child of Attachment, the value of AttachmentData depends upon the value of AttachmentLocation. If AttachmentLocation is 1 (Inline), then AttachmentData will be a binary representation of the data. If AttachmentLocation is 2 (URL Reference), then AttachmentData will be the string that equates to a valid URL Reference to the file. And finally, if AttachmentLocation is 3 (Multi-part Mime) then we assume that the entire message was sent as part of a multi-part mime message and AttachmentData will be set to a reference of the Mime segment that contains the attached file??? <AttachmentType> LookUp Table String = Attachment Type <MimeTypeTC> LookUp Table String = Mime Type <TransferEncodingTypeTC> LookUp Table String = EncodeType Type of Attachment 13 = Wet signature image 65 = ACORD Important Notice Regarding Replacement Form 73 = ACORD Exchange / Rollover / Transfer Form spec. Please see current spec. for additional codes Describes the format of the Imaged file despite the contents (forms, letters, notes, etc.) 3 = Image jpeg 4 = Image gif 11 = Image tiff spec. Please see current spec. for additional codes Transfer Encoding Type: 6 = Binary 15
18 XML Element Name Type Description spec. Please see current spec. for additional codes <AttachmentLocation> LookUp Table String = Attachement Location <AttachmentCategoryTypeCode> LookUp Table String = Attachment Category Type Indicates if the attachment is stored as inline or as a URL reference. 1 = Inline 2 = URL Reference 3 = Mulitpart Mime Form Instance Category 28 = Replacement Form spec. Please see current spec. for additional codes 16
19 XML Element Name Type Description <Banking> Object TXLife/TXLifeRequest/OlifE/Holding/Banking On TXLife 127 Replacement Processing Request this object is required when specific payment instructions are sent to the Delivering Carrier, and the requested PaymentForm is EFT or Wire. On TXLife 1128 Replacement Processing Update this object is required after the Replacement has been processed, but only when the payment ot the Receiving Carrier was made via EFT or Wire. <Banking id> ID Every object within the ACORD model, which can have more than one occurrence, has a unique "id" attribute. It uniquely identifies each occurrence/instance of the object for processing. It has no meaning or context outside the data file or stream. <BankAccountType> LookUp Table String= 'Bank Account Type' In the case that the PaymentMethod is 'electronic funds transfer,' this is the type of account associated with the bank account. 2 = Checking spec. Please see current spec. for additional codes. <AccountNumber> String The account number for the bank account. <RoutingNum> String The routing number for the bank account, in the case of PaymentMethod = 'Electronic Funds Transfer'. UML says RoutingNum <BankName> String Name of the Bank in which the funds are to be or have been depositied. 17
20 XML Element Name Type Description <Carrier> Object TXLife/TXLifeRequest/OlifE/Party/Carrier Information pertaining to both the Receiving and Delivering Carrier is passed for both the TXLife 127 Replacment Processing Request and the TXLife 1128 Replacement Processing Update <Carrier id> ID Every object within the ACORD model, which can have more than one occurrence, has a unique "id" attribute. It uniquely identifies each occurrence/instance of the object for processing. It has no meaning or context outside the data file or stream. <CarrierCode> String This code uniquely represents the Insurance Carrier <NAICCode> String NAIC Code XML Element Name Type Description <FinanicalActivity> Object TXLife/TXLifeRequest/OlifE/Holding/Policy/FinancialActivity Passed on TXLife 1128 Replacment Processing Update when surrender occurs. <FinancialActivity id> ID Every object within the ACORD model, which can have more than one occurrence, has a unique "id" attribute. It uniquely identifies each occurrence/instance of the object for processing. It has no meaning or context outside the date file or stream. <FinActivityType> LookUp Table String= 'Financial Activity Type' The type of financial activity. 10 = Full Surrender 11= Partial Surrender spec. Please see current spec. for additional codes. <FinActivityGrossAmt> Currency The gross amount for this financial activity. 18
21 XML Element Name Type Description <FinActivityNetAmt> Currency The net amount for this financial activity. Gross Amount minus retained/netted commission. <FinActivityDate> Date Date financial activity was conducted <ReferenceNo> String Used as a tracking number when PaymentForm is Clearinghouse, EFT or Wire. <PreTefraCostBasis> Currency Premiums paid into an annuity contract prior to August 14, These premiums may be withdrawn under the FIFO order of withdrawal. <PostTefraCostBasis> Currency Premiums paid into an annuity contract on or after August 14, 1982 XML Element Name Type Description <Holding> Object TXLife/TXLifeRequest/OlifE/Holding A minimum of 2 Holding will be passed one for the active contract and another for the contract being proposed. If Banking information is passed an additional Holding will be passed. <Holding id> ID Every object within the ACORD model, which can have more than one occurrence, has a unique "id" attribute. It uniquely identifies each occurrence/instance of the object for processing. It has no meaning or context outside the date file or stream. <HoldingTypeCode> LookUp String = Holding Type <HoldingStatus> LookUp String = Holding Status Type code Type of Holding 2 = Policy 7 = Banking spec. Please see current spec. for additional codes. Status of the Holding 1 = Active 3 = Proposed-pending <AssetValue> Currency Passed on a Replacement Processing Update when Holding has been surrendered. This indicates the surrender value of the contract on the date the surrender occurred. <LiabilityValue> Currency Passed on a Replacement Processing Update when Holding has been surrendered. This indicates the total outstanding loan on the contract on the date the surrender occurred. 19
22 XML Element Name Type Description <Life> Object TXLife/TXLifeRequest/OlifE/Holding/Policy/Life If either the policy being replaced or the proposed policy is a life insurance contract, this aggregate is passed under the appropriate Holding to indicate the Tax Qualification Type. <QualPlanType> LookUp Table String Qualified Plan Type Tax Status of the policy or plan. 1 = Non-Qualified 2 = 401k 3 = 403b 4 = 457 Deferred Compensation 5 = IRA 6 = Roth IRA 7 = Educational IRA 8 = SEP/IRA 13 = HR10/Keogh 33 = IRA Spousal 34 = Cash Balance Plan-Defined Contribution 35 = Cash Balance Plan-Defined Benefit 36 = Target Benefit Plan 37 = Foreign National 38 = Deferred Profit Sharing Plan 40 = 408k (SARSEP) 41 = Texas ORP 42 = 403a (Qualified Employee Annuity Plan) spec. Please see current spec. for additional codes. XML Element Name Type Description <LifeUSA> Object TXLife/TXLifeRequest/OlifE/Holding/Policy/Life/LifeUSA If either the policy being replaced or the proposed policy is a life insurance contract, this aggregate is passed under the appropriate Holding to designate if the contract qualifies as a Modified Endowment Contract MEC. <MECInd> Booleen Indicates whether a Life Contract is a MEC at the time of the Replacement. 0 = False 1 = True 20
23 XML Element Name Type Description <Organization> Object TXLife/TXLifeRequest/OlifE/Party/Organization This is aggregate is required if Party Type is Organization <DTCCMemberCode> String DTCC Participant Code of the Carrier. Implementation specific. This property will only be used if messages transmitted via the DTCC. XML Element Name Type Description <Party> Object TXLife/TXLifeRequest/OlifE/Party A minimum of 3 Parties must be sent; Receiving Carrier, Delivering Carrier, Owner/Annuitant/Insured. IF the owner and annuitant/insured are different parties, then a minimum of 4 parties must be sent. Additional optional Parties may be sent to correspond with the optional Relations sent. <Party id> ID Every object within the ACORD model, which can have more than one occurrence, has a unique "id" attribute. It uniquely identifies each occurrence/instance of the object for processing. It has no meaning or context outside the date file or stream. <PartyTypeCode> LookUp Table String = PartyType Type of Party 1 = Person 2 =Organization <FullName> String Full Legal Name of the Party. <GovtID> Integer 9-digit Federal Tax ID of the Party. <GovtIDTC> LookUp Table String = Government ID Type code describing the contents of GovtID. 1 = Social Security Number 2 = Taxpayer Identification Number spec. Please see current spec. for additional codes. 21
24 XML Element Name Type Description <Payment> Object TXLife/TXLifeRequest/OlifE/Holding/Policy/FinancialActivity/Payment Used to communicate how funds are being delivered to the Receiving Carrier on TXLife 1128 Replacement Processing Update <Payment id> ID Every object within the ACORD model, which can have more than one occurrence, has a unique "id" attribute. It uniquely identifies each occurrence/instance of the object for processing. It has no meaning or context outside the date file or stream. <BankingInfoID> IDREF Refers to Banking Aggregate. Passed when PaymentForm is EFT or Wire. <PaymentForm> LookUp Table String = Payment Form Physical Form of Payment 7 = EFT 10 = Corporate Check 11 = Clearinghouse 12 = Wire spec. Please see current spec. for additional codes. XML Element Name Type Description <Person> Object TXLife/TXLifeRequest/OlifE/Party/Person The Person object is required whenever PartyType is equal to Person. Used to identify the contract Owner and the Insured/Annuitant <Person id> ID Every object within the ACORD model, which can have more than one occurrence, has a unique "id" attribute. It uniquely identifies each occurrence/instance of the object for processing. It has no meaning or context outside the date file or stream. <FirstName> String First name of the person <MiddleName> String Middle name of the person <LastName> String Last name of the person Gender of the person <Gender> LookUp Table String = Gender Type 1 = Male 2 = Female <BirthDate> Date Date of birth for the person 22
25 XML Element Name Type Description <Phone> Object TXLife/TXLifeRequest/OlifE/Party/Phone On TXLife #127 Replacement Processing Request the Phone Number for the Receiving Carrier Party is passed to provide the phone number of the service center to which follow-up questions can be directed. <Phone id> ID Every object within the ACORD model, which can have more than one occurrence, has a unique "id" attribute. It uniquely identifies each occurrence/instance of the object for processing. It has no meaning or context outside the date file or stream. <PhoneTypeCode> LookUp String = Phone Type Type of phone 2 = Business <AreaCode> String Area code <DialNumber> String Phone number Does not include country code or area code <Ext> String Extension of the phone number (if any) XML Element Name Type Description <Policy> Object TXLife/TXLifeRequest/OlifE/Holding/Policy The Policy object contains all the policy properties that are generic across insurance policy types. <PolNumber> String Policy number: Assigned by the Carrier <LineOfBusiness> LookUp String = Line of Business Line of business of the insurance. 1 = Life 2 = Annuity <CarrierCode> String Issuing carrier code. XML Element Name Type Description <Relation> Object TXLife/TXLifeRequest/OlifE/Relation The Relation object is a powerful, flexible mechanism for relating various objects in the ACORD model. This object is only obtained through a call to OLIRequestRelation() off the top-level object which you want to obtain a relationship for. Party, Activity, Group and Holding objects can be related to one another. 23
26 XML Element Name Type Description Once the requested relation object is returned the object operates like a top- level object and utilizes the same methods. A minimum of 6 Relations must be sent: Owner relationship to Active Holding Owner relationship to Proposed Holding Insured or Annuitant relationship to Active Holding Insured or Annuitant relationship to Proposed Holding Surrendering Carrier to Active Holding Carrier to Proposed Holding <Relation id> ID Every object within the ACORD model, which can have more than one occurrence, has a unique "id" attribute. It uniquely identifies each occurrence/instance of the object for processing. It has no meaning or context outside the date file or stream. <OriginatingObjectid> IDREF Unique identifier of originating top-level object. <RelatedObjectid> IDREF Unique identifier of related top-level object <OriginatingObjectType> LookUp String = Object Type Type of top-level object, within the ACORD model, of originator. 6 = Party spec. Please see current spec. for additional codes <RelatedObjectType> LookUp String = Object Type <RelationRoleCode> LookUp String = Relation Role Code Type of top-level object, within the ACORD model, of originator. 4 = Holding spec. Please see current spec. for additional codes Type of relationship between Originating and Related objects 8 = Owner 32 = Insured 35 = Annuitant 87 = Carrier 187 = Surrendering Carrier spec. Please see current spec. for additional codes 24
27 XML Element Name Type Description <RequirementInfo> Object TXLife/TXLifeRequest/OlifE/Holding/Policy/RequirementInfo Provides requested, outstanding and completed requirements associated with the Replacement of a Policy. TXLife 127 Replacement Processing Request will send a minumum of 1 RequirementInfo; a child of the proposed policy with a requirement for the receipt of the replaced policy funds. TXLife 1128 Replacement Processing Request will use RequirementInfo if replacement processing is suspended due to missing information, forms or other NIGO problems. In that case, use one or more RequirementInfo aggregates to indicate the missing requirements and their status. <RequirementInfo id> ID Every object within the ACORD model, which can have more than one occurrence, has a unique "id" attribute. It uniquely identifies each occurrence/instance of the object for processing. It has no meaning or context outside the date file or stream. <RequirementInfoUniqueID> String Used as a tracking number for the requirement <ReqCode> LookUp String = Requirement Code Specifies the Requirement 124 = Original Policy 127 = Replacement Form 134 = 1035 Exchange Form 156 = Absolute Assignment of Policy Ownership 165 = Signed Application 655 = Replaced Policy Funds <OriginatingObjectType> LookUp String = Object Type <ReqStatus> LookUp String = Requirement Status spec. Please see current spec. for additional codes Type of top-level object, within the ACORD model, of originator. 6 = Party spec. Please see current spec. for additional codes The status of the Requirement 6 = Declined 11 = Completed 4 = Outstanding spec. Please see current spec. for additional codes 25
28 XML Element Name Type Description <RequirementStatusReasoon> LookUp String = Requirement Status <ReqSubStatus> LookUp String = Requirement Sub Status String Used to provide additional information regarding why the Requirement is in a specific status or could pass specific forms for missing requirements Provides a secondary level of detail on the Requirement Status giving the user the reason for the current primary status. 8 = Cancelled by Carrier 9 = Cancelled by Applicant 30 = Conservation Effort in Progress 31 = Missing Forms 33 = No Cash Value 37 = Contract not eligible for surrender 32 = Forms not in Good Order 36 = No Active Policy on Record spec. Please see current spec. for additional codes XML Element Name Type Description <SettlementDetails> Object TXLife/TXLifeRequest/OlifE/SettlementInfo/SettlementDetails Used on TXLifeRequest 1128 for Settlement of Replaced Policy Funds <SettlementAmt> Integer The dollar amount being settled <AccountCreditDebitType> LookUp String = Accounting Credit Debit Type Indicates whether the Settlement is a debit or a credit. 1 = Credit 2 = Debit <AccountNumberReceiver> String The account number of the Receiving Carrier XML Element Name Type Description <SettlementInfo> Object TXLife/TXLifeRequest/OlifE/SettlementInfo Used on TXLifeRequest 1128 for Settlement of Replaced Policy Funds <RelatedRefID> String Points to????? AccountNumberSubmitter String Settling/Bank Account Number of Delivering Carrier 26
29 XML Element Name Type Description <ReferenceNo> String Tracking Id XML Element Name Type Description <SignatureInfo> Object TXLife/TXLifeRequest/OlifE/Holding/Policy/RequirementInfo/Attachment/SignatureInfo Used to describe the parties (and their roles) who signed the form whose image is contained in this attachment Role code describing the signors relationship to the form <SignatureRoleCode> LookUp String = Participant Role 18 = Owner <SignatureDate> Date Date of the Signature spec. Please see current spec. for additional codes <SignaturePurpose> LookUp String = Signature Type Reason for Signature 1 = Lost Policy Declaration spec. Please see current spec. for additional codes <SignatureText> String Signature Text Value 27
30 6 SENDING A REPLACEMENT The ACORD XML for Life (XMLife) model provides two basic techniques for sending information between trading partners. The first technique is a Request/Response method whereby a requester sends a request transaction to a provider who receives, process and replies back with a response transaction typically containing the requested data or a result if an action was requested. The second is a Transmittal method, which is more typical of a batch send. The sender simply blasts the information to the receiving system, or perhaps creates a file for a recipient and places it in a common location (mailbox, file store, etc.). This is a simpler and more traditional method, so we ll describe it first. 6.1 Transmittal Method A Transmittal contains two basic parts: a content section and an envelope section. The content is what has been discussed thus far, all the details beginning at the <OLifE> level object element on down, including <ProductProfile>, <Party>, and so forth. First focus on the content, the details of your profile. Once you have that down, simply wrap those details with the information that follows. The basic construct of a full TXLife Transmittal is: <TXLife> <UserAuthRequest> <TXLifeRequest> <OLifE> [ all the message details, i.e. the body of your message] </OLifE> </TXLifeRequest> </UserAuthRequest> </TXLife> 28
31 6.2 Request / Response Method The second method for sending XML for Life transactions is based on the classic Request/Response method. The transaction is typically (though not always) reversed and the system desiring information (Receiving system) initiates the transaction by sending a Request. The sending system then Responds with the appropriate details, as specified in the initial request. The Request: <TXLife> <UserAuthRequest> <TXLifeRequest> <OLifE> [ all the message details, i.e. the body of your message] </OLifE> </TXLifeRequest> </UserAuthRequest> </TXLife> The Response: <TXLife> <UserAuthResponse> <TXLifeResponse> <OLifE> [ all the message details, i.e. the body of your message] </OLifE> </TXLifeResponse> </UserAuthResponse> </TXLife> 6.3 ACORD TXLife Transactions There are many different types of ACORD transactions. Transactions have been defined for New Business Submission, Product Inquiry, Address Change and a whole range of life insurance business process transactions (a.k.a. messages). For more details please refer to the ACORD TXLife Implementation Guide, which outlines all the transaction types available and their basic, minimum required construct. Industry Implementation Guides, like this one, add flesh-to-the-bones to the basic TXLife guide, describing what a more complete trading partner business message should look like in specific business context. 6.4 Transport and Security It is important to note that the ACORD XMLife and TXLife specifications do not define how you will physically transport the message, or issues of security. The ACORD standards are by design meant to be neutral on this point, allowing you to adopt whatever mechanisms are appropriate for your business needs. 29
32 Typical physical implementation methods have included: FTP Using the Internet File Transport Protocol to place an XMLife file on a FTP Server, allowing a client system to retrieve it (via FTP GET Method) at their leisure. This is generally only appropriate for a Transmittal method, since Request/Response implies a real-time communication between sender and receiver. SMTP Using Internet Mail protocol to send the file. This has been successfully used by trading partners for both Transmittals as well as Request/Response transactions. Messaging Middleware A robust solution, providing security as well as assurance that transactions are received (non-repudiation), error-recover, etc are provided in products like IBM MQSeries or Microsoft Message. Regardless of the physical transport, The ACORD XMLife/TXLife messages are the same. 6.5 TXLife Transaction Element and Details The TXLife wrapper provides information about the sender, the recipient, when the message was created and so forth. It does NOT include details about the product profile- that is in the content section beginning with the <OLifE> object. Following are all the expected fields that you should value and include in a well-formed and valid ACORD TXLife Transmittal. XML Element Name Type Description <UserAuthRequest> Object This object defines the transaction/message information about the user and the system that is sending the message. <UserLoginName> String User Login name into receiving system, if applicable <CryptType> String <Pswd> String User Password, if applicable <CryptPswd> String <UserSessionKey> String <VendorApp> Aggregate <VendorName> String Sender/creator of this file/stream <AppName> String Name of system creating product profile (source system) <AppVer> String Version of system creating product profile <ProxyVendor> String Name of third party, if there is one, sending or transmitting this message. <VendorName String Sender/creator of Product profile name (third party name) <AppName> String Name of system creating product profile (source system) <AppVer> String Version of system creating product profile <TXLifeRequest> Object This object defines the information about this particular message/transaction. <TransRefGUID> String Uniquely identifies this transaction. Use a 32-bit GUID (Globally Unique Identifier). <TransType tc= 1201 > Typecode Transaction type uniquely defines this transaction to the <TransSubType tc= ### Typecode receiving system. 30
33 XML Element Name Type Description <TransExeDate> Date Date and time when this file or feed was created. <TransExeTime> Time Time when this file or feed was created. <TransMode> TypeCode <NoResponseOk tc= 1 > Boolean Indicates if a response is desired or necessary. <TestIndicator> 1 = Yes Boolean 0 = No 1 = Yes For a transmittal set to 1 for Yes. Indicates whether this is a test or production file/stream. XML Element Name Type Description <UserAuthResponse> Object This object defines the transaction/message information about <UserLoginName> String User Login name into receiving system, if applicable <CryptType> String To be discussed <Pswd> String User Password, if applicable <CryptPswd> String <UserSessionKey> String <VendorApp> Aggregate <VendorName> String Sender/creator <AppName> String Name of system creating product profile (source system) <AppVer> String Version of system creating product profile <ProxyVendor> String Name of third party, if there is one, sending or transmitting this message. <VendorName String Sender/creator of Product profile name (third party name) <AppName> String Name of system creating product profile (source system) <AppVer> String Version of system creating product profile <TXLifeResponse> Object This object defines the information about this particular message/transaction. <TransRefGUID> String Uniquely identifies this transaction. Use a 32-bit GUID (Globally Unique Identifier). <TransType tc= > Typecode Transaction type <TransSubType tc= ### Typecode <TransExeDate> Date Date and time when this file or feed was created. <TransExeTime> Time Time when this file or feed was created. <TransMode> TypeCode To be discussed <NoResponseOk tc= 1 > Boolean Indicates if a response is desired or necessary. <TestIndicator> 1 = Yes Boolean 0 = No 1 = Yes For a transmittal set to 1 for Yes. Indicates whether this is a test or production file/stream. If Test then <TestIndicator>1</TestIndicator>. 6.6 TXLife Examples A basic example of a TXLife Transmittal wrapper would look like: <TXLife> <UserAuthRequest> 31
34 <UserLoginName/> <Pswd/> <VendorApp> <VendorName VendorCode="##">Lincoln National Life</VendorName> <AppName>Annuity Profile App Generator</AppName> <AppVer>1.24c</AppVer> </VendorApp> </UserAuthRequest> <TXLifeRequest> <TransRefGUID> ea765c </TransRefGUID> <TransType tc="1201">product Inquiry Transmittal</TransType> <TransExeDate> T13:47:53-05:00</TransExeDate> <TransExeTime>13:20:10</TransExeTime> <! close tags --> <TransMode> <NoResponseOK tc="1">true</noresponseok> <OLifE> <! BEGIN XMLife DATA --> </OLifE> A basic Request/Response Transactions might look like this: <TXLife> <UserAuthRequest> <UserLoginName/> <Pswd/> <VendorApp> <VendorName VendorCode="##">Lincoln National Life</VendorName> <AppName>Annuity Profile App Generator</AppName> <AppVer>1.24c</AppVer> </VendorApp> </UserAuthRequest> <TXLifeRequest> <TransRefGUID>44wa305sf ho643-</TransRefGUID> <TransType tc="120">product Inquiry</TransType> <TransExeDate> T13:47:53-05:00</TransExeDate> <TransExeTime>13:20:10</TransExeTime> <OLifE> <! BEGIN XMLife DATA --> </OLifE> <! close tags --> <TXLife> <TXLifeResponse> <TransRefGUID>44wa305sf ho643-</TransRefGUID> Note the return GUID is same as Request <TransType tc="120">product Inquiry</TransType> <TransExeDate> T13:47:53-05:00</TransExeDate> <TransExeTime>13:20:11</TransExeTime> <OLifE> <! BEGIN XMLife DATA --> </OLifE> <! close tags --> 32
35 7 STANDARD USAGES Basic Scenarios This section provides several basic scenarios of usage of the Replacement. Users are encouraged to enhance this section, by offering examples to this section in efforts to represent best practices from industry participants. 33
36 7.1 Replacement Processing Request for Surrender <?xml version="1.0" encoding="utf-8"?> <!-- edited with XMLSPY v2004 rel. 4 U ( by Valerie Moeller (Life Investors) --> <TXLife xmlns= xmlns:xsi=" xsi:schemalocation=" TXLife xsd"> <UserAuthRequest/> <TXLifeRequest PrimaryObjectID="Holding_1"> <TransRefGUID/> <TransType tc="127">replacement Processing Request</TransType> <TransSubType tc="12702">replacement Request for Surrender</TransSubType> <OLifE> <!--Holding Being "Replaced"--> <Holding id="holding_1"> <HoldingTypeCode tc="2">policy</holdingtypecode> <HoldingStatus tc="1">active</holdingstatus> <Policy> <PolNumber>893ABC</PolNumber> <LineOfBusiness tc="2">annuity</lineofbusiness> <CarrierCode>12388</CarrierCode> <Annuity> <QualPlanType tc="1">non-qualified</qualplantype> </Annuity> </Policy> <Arrangement> <ArrType tc="31">full Surrender</ArrType> <NumOfModalOccurrences>01</NumOfModalOccurrences> <PaymentForm tc="11">clearinghouse</paymentform> <ArrDestination PaymentPartyID="Party_3"/> </Arrangement> </Holding> <!--Holding Being "Proposed"--> <Holding id="holding_2"> <HoldingTypeCode tc="2">policy</holdingtypecode> <HoldingStatus tc="3">proposed</holdingstatus> <Policy> <PolNumber>499CDF</PolNumber> <LineOfBusiness tc="2">annuity</lineofbusiness> <CarrierCode>15987</CarrierCode> <Annuity> <QualPlanType tc="1">non-qualified</qualplantype> </Annuity> <RequirementInfo> <ReqCode tc="655">replaced Policy Funds</ReqCode> <RequirementInfoUniqueID>TrackingReq001</RequirementInfoUniqueID> <ReqStatus tc="4">outstanding</reqstatus> <Attachment> <AttachmentCategoryTC tc="28">replacement Form</AttachmentCategoryTC> </Attachment> </RequirementInfo> </Policy> </Holding> <Party id="party_1"> <PartyTypeCode tc="1">person</partytypecode> <FullName>Roger Rabbit</FullName> <GovtID> </GovtID> <GovtIDTC tc="1">ssn</govtidtc> <Person> <FirstName>Roger</FirstName> <MiddleName/> <LastName>Rabbit</LastName> </Person> </Party> <Party id="party_2"> <PartyTypeCode tc="2">organization</partytypecode> 34
37 <FullName>Life Insurance Carrier A</FullName> <Organization> <DTCCMemberCode>4566</DTCCMemberCode> </Organization> <Carrier> <CarrierCode>12388</CarrierCode> </Carrier> </Party> <Party id="party_3"> <PartyTypeCode tc="2">organization</partytypecode> <FullName>Life Insurance Carrier B</FullName> <Organization> <DTCCMemberCode>4561</DTCCMemberCode> </Organization> <Carrier> <CarrierCode>15987</CarrierCode> </Carrier> </Party> <Relation id="relation_1" OriginatingObjectID="Party_1" RelatedObjectID="Holding_2"> <OriginatingObjectType tc="6">party</originatingobjecttype> <RelatedObjectType tc="4">holding</relatedobjecttype> <RelationRoleCode tc="8">owner</relationrolecode> </Relation> <Relation id="relation_2" OriginatingObjectID="Party_1" RelatedObjectID="Holding_1"> <OriginatingObjectType tc="6">party</originatingobjecttype> <RelatedObjectType tc="4">holding</relatedobjecttype> <RelationRoleCode tc="35">annuitant</relationrolecode> </Relation> <Relation id="relation_3" OriginatingObjectID="Party_2" RelatedObjectID="Holding_1"> <OriginatingObjectType tc="6">party</originatingobjecttype> <RelatedObjectType tc="4">holding</relatedobjecttype> <RelationRoleCode tc="187">surrendering Carrier</RelationRoleCode> </Relation> <Relation id="relation_4" OriginatingObjectID="Party_3" RelatedObjectID="Holding_2"> <OriginatingObjectType tc="6">party</originatingobjecttype> <RelatedObjectType tc="4">holding</relatedobjecttype> <RelationRoleCode tc="87">carrier</relationrolecode> </Relation> </OLifE> </TXLifeRequest> </TXLife> 7.2 Replacement Processing Update/Policy Surrendered <?xml version="1.0" encoding="utf-8"?> <!-- edited with XMLSPY v2004 rel. 4 U ( by Valerie Moeller (Life Investors) --> <TXLife xmlns=" xmlns:xsi=" xsi:schemalocation=" T:\FMDALL~1\ACORDS~1.90\TXLife xsd"> <UserAuthRequest/> <TXLifeRequest PrimaryObjectID="Holding_1"> <TransRefGUID/> <TransType tc="1128">replacement Processing Update</TransType> <OLifE> <!--Holding Being "Replaced"--> <Holding id="holding_1"> <HoldingTypeCode tc="2">policy</holdingtypecode> <HoldingStatus tc="2">terminated</holdingstatus> <AssetValue> </AssetValue> <Policy> <PolNumber>893ABC</PolNumber> <LineOfBusiness tc="2">annuity</lineofbusiness> <CarrierCode>12388</CarrierCode> <Annuity> 35
38 <QualPlanType tc="1">non-qualified</qualplantype> </Annuity> <FinancialActivity> <FinActivityType tc="10">full Surrender</FinActivityType> <FinActivityGrossAmt> </FinActivityGrossAmt> <FinActivityNetAmt> </FinActivityNetAmt> <FinActivityDate> </FinActivityDate> <ReferenceNo>ABC444</ReferenceNo> <PostTEFRACostBasisAmt> </PostTEFRACostBasisAmt> <Payment> <PaymentForm tc="11">clearinghouse</paymentform> </Payment> </FinancialActivity> </Policy> </Holding> <!--Holding Being "Proposed"--> <Holding id="holding_2"> <HoldingTypeCode tc="2">policy</holdingtypecode> <HoldingStatus tc="3">proposed</holdingstatus> <Policy> <PolNumber>499CDF</PolNumber> <LineOfBusiness tc="2">annuity</lineofbusiness> <CarrierCode>15987</CarrierCode> <Annuity> <QualPlanType tc="1">non-qualified</qualplantype> </Annuity> <RequirementInfo> <ReqCode tc="99">replaced Policy Funds</ReqCode> <RequirementInfoUniqueID>TrackingReq001</RequirementInfoUniqueID> <ReqStatus tc="11">completed</reqstatus> </RequirementInfo> </Policy> </Holding> <Party id="party_1"> <PartyTypeCode tc="1">person</partytypecode> <GovtID> </GovtID> <GovtIDTC tc="1">ssn</govtidtc> <Person> <FirstName>Roger</FirstName> <MiddleName/> <LastName>Rabbit</LastName> </Person> </Party> <Party id="party_2"> <PartyTypeCode tc="2">organization</partytypecode> <FullName>Life Insurance Carrier A</FullName> <Organization> <DTCCMemberCode>4566</DTCCMemberCode> </Organization> <Carrier> <CarrierCode>12388</CarrierCode> </Carrier> </Party> <Party id="party_3"> <PartyTypeCode tc="2">organization</partytypecode> <FullName>Life Insurance Carrier B</FullName> <Organization> <DTCCMemberCode>4561</DTCCMemberCode> </Organization> <Carrier> <CarrierCode>15987</CarrierCode> </Carrier> </Party> <Relation id="relation_1" OriginatingObjectID="Party_1" RelatedObjectID="Holding_2"> <OriginatingObjectType tc="6">party</originatingobjecttype> <RelatedObjectType tc="4">holding</relatedobjecttype> <RelationRoleCode tc="8">owner</relationrolecode> 36
39 </Relation> <Relation id="relation_2" OriginatingObjectID="Party_1" RelatedObjectID="Holding_1"> <OriginatingObjectType tc="6">party</originatingobjecttype> <RelatedObjectType tc="4">holding</relatedobjecttype> <RelationRoleCode tc="35">annuitant</relationrolecode> </Relation> <Relation id="relation_3" OriginatingObjectID="Party_2" RelatedObjectID="Holding_1"> <OriginatingObjectType tc="6">party</originatingobjecttype> <RelatedObjectType tc="4">holding</relatedobjecttype> <RelationRoleCode tc="187">surrendering Carrier</RelationRoleCode> </Relation> <Relation id="relation_4" OriginatingObjectID="Party_3" RelatedObjectID="Holding_2"> <OriginatingObjectType tc="6">party</originatingobjecttype> <RelatedObjectType tc="4">holding</relatedobjecttype> <RelationRoleCode tc="87">carrier</relationrolecode> </Relation> <SettlementInfo> <SettlementDetail> <SettlementAmt> </SettlementAmt> <AccountDebitCreditType tc="1">credit</accountdebitcredittype> </SettlementDetail> </SettlementInfo> </OLifE> </TXLifeRequest> </TXLife> 37
40 8 REVISION HISTORY/CHANGE SUMMARY Version Date Description of Change 3.1 Jan ACORD's Standards License (formerly our Terms and Conditions of Use) has been updated. This is a documentation change only. No content changes have been made. 3.0 Draft March 2005 Documentation updates to reflect TXLife Proposed Final August 2003 Proposed Final release for review / approval. Reformatting and overall documentation updates. 38
Insurance - Replacements Processing (Replacements Advisory Group) White Paper
Insurance - Replacements Processing (Replacements Advisory Group) White Paper This document is subject to Regulatory approval. October 2004 Depository Trust & Clearing Corporation 1 This White Paper was
ACORD LIFE, ANNUITY & HEALTH STANDARDS NEW BUSINESS SUBMISSION FOR LIFE (NBfL) IMPLEMENTATION GUIDE VERSION 2.0 JANUARY 2010
ACORD LIFE, ANNUITY & HEALTH STANDARDS NEW BUSINESS SUBMISSION FOR LIFE (NBfL) IMPLEMENTATION GUIDE VERSION 2.0 JANUARY 2010 References: ACORD Life Specification, Version 2.21 IMPORTANT NOTE: This document
Replacements TECHNICAL REFERENCE. DTCCSOLUTIONS Dec 2009. Copyright 2009 Depository Trust Clearing Corporation. All Rights Reserved.
TECHNICAL REFERENCE Replacements Page 1 Table of Contents Table of Contents 1 Overview... 3 1.1 Replacements Features... 3 2 Roles and Responsibilities... 4 2.1 Sender (Receiving Carrier)... 4 2.2 Recipient
Items to Note before Selling an Annuity (Fixed Indexed, Fixed and Variable)
Items to Note before Selling an Annuity (Fixed Indexed, Fixed and Variable) In Good Order Requirements To ensure your new business application will be complete and in good order, please provide Security
Version 1.2 05202013 PLAN SPONSOR ADMINISTRATIVE MANUAL
Version 1.2 05202013 PLAN SPONSOR ADMINISTRATIVE MANUAL TABLE OF CONTENTS WELCOME OVERVIEW 4 HOW TO USE THIS MANUAL 4 UPDATING THIS MANUAL 4 ENROLLMENT OVERVIEW 6 PAPER ENROLLMENT DESCRIPTION 7 PAPER ENROLLMENT
Items to Note before Selling an Annuity (Fixed Indexed, Fixed and Variable)
Items to Note before Selling an Annuity (Fixed Indexed, Fixed and Variable) In Good Order Requirements To ensure your new business application will be complete and in good order, please provide Security
Testing and Certification implementation cycle
Testing and Certification implementation cycle Lloyd Chumbley ACORD Phil Brown - ACORD ACORD 2009 Phil Brown Project Manager, ACORD Email: [email protected] Phone: 044-20-76176402 Why the Testing & Certification
Annuity Withdrawal Request - 457 Deferred Compensation Plan Annuities
Mailing Instructions: A. Plan/Trust Information Plan/Trust Name: LSW Annuities - Life Insurance Company of the Southwest NL Annuities - National Life Insurance Company PO Box 569080, Dallas, TX 75356 Service:
Items to Note before Selling an Annuity (Fixed Indexed, Fixed and Variable)
Items to Note before Selling an Annuity (Fixed Indexed, Fixed and Variable) In Good Order Requirements To ensure your new business application will be complete and in good order, please provide Security
Annuitant Mailing Address Street Address City State ZIP Code. Annuitant Social Security Number/Tax I.D. Number Annuitant Date of Birth (mm/dd/yyyy)
Annuitization Questions? Call our National Service Center at 1-800-888-2461. Instructions Please type or print. Use this form to begin annuity payments. Complete each section of the form. If you select
Settlement Processing for Withdrawals/Premiums (Implementation Guide)
Processing for Withdrawals/Premiums (Implementation Guide) Version 2.0 - Last Updated November 2011 DRAFT Table of Contents 1.1 Product Description... 3 1.2 Types... 4 1.3 Process Flow Diagrams... 5 1.3.1
New ACORD Form Available for 1035 Exchanges, Rollovers and Direct Transfers
LINCOLN BENEFIT LIFE New ACORD Form Available for 1035 Exchanges, Rollovers and Direct Transfers APRIL 22, 2005 Volume 05-045 IN THIS BULLETIN: Updated ACORD form Lincoln Benefit Life is pleased to announce
Variable Universal Life Insurance Policy
May 1, 2015 State Farm Life Insurance Company P R O S P E C T U S Variable Universal Life Insurance Policy prospectus PROSPECTUS DATED MAY 1, 2015 INDIVIDUAL FLEXIBLE PREMIUM VARIABLE UNIVERSAL LIFE INSURANCE
1035 EXCHANGE / ROLLOVER / TRANSFER FORM
1035 EXCHANGE / ROLLOVER / TRANSFER FORM Receiving Company This form can be used to accomplish a FULL or a PARTIAL Exchange of policies pursuant to Internal Revenue Code (IRC) Section 1035. This form can
United American s Administrative Guidelines For Flexible Premium Annuity
United American s Administrative Guidelines For Flexible Premium Annuity For Internal Use Only UAFPA802-AG UAI1758 1010 Table of Contents Mailing Funds and Applications 1 Policy Issue 1 Types of Funds
Items to Note before Selling an Annuity (Fixed Indexed, Fixed and Variable)
Items to Note before Selling an Annuity (Fixed Indexed, Fixed and Variable) In Good Order Requirements To ensure your new business application will be complete and in good order, please provide Security
Security Benefit Advanced Choice Annuity Application Individual Single Purchase Payment Deferred Annuity
Security Benefit Advanced Choice Annuity Application Individual Single Purchase Payment Deferred Annuity Issued by Security Benefit Life Insurance Company. Questions? Call our National Service Center at
Overview of the LOYAL3 Platform: How It Works + Specific Risks
Dated September 2015 Subject to Change for Future Offerings Overview of the LOYAL3 Platform: How It Works + Specific Risks NOTE: THIS IS NOT THE PROSPECTUS. The Information Below is Specific to the LOYAL3
Hy7hn MONUMENT ADVISOR JEFFERSON NATIONAL LIFE ANNUITY ACCOUNT G. May 1, 2015 PROSPECTUS
Hy7hn MONUMENT ADVISOR JEFFERSON NATIONAL LIFE ANNUITY ACCOUNT G May 1, 2015 PROSPECTUS Monument Advisor Individual Variable Annuity Issued by: JEFFERSON NATIONAL LIFE ANNUITY ACCOUNT G AND JEFFERSON NATIONAL
ROTH IRA REQUIREMENTS
Regarding Roth Individual Retirement Annuity (IRA) Plans Described in Section 408A of the Internal Revenue Code This Disclosure Statement ( Disclosure ) presents a general overview of the federal laws
Distribution Request for Payment of Qualified Health and Long-Term Care Insurance Premiums THE CITY OF SEATTLE VOLUNTARY DEFERRED COMPENSATION PLAN
Instructions Distribution Request for Payment of Qualified Health and Long-Term Care Insurance Premiums THE CITY OF SEATTLE VOLUNTARY DEFERRED COMPENSATION PLAN Retired Public Safety Officers can use this
2. What kinds of insurance policies are covered by the Texas Guaranty Association?
The following information is intended to answer common questions about the Texas Life & Health Insurance Guaranty Association (the Texas Guaranty Association ) and the coverage it provides to policyholders
REQUEST FOR DISBURSEMENT Form - Tax-Sheltered Annuities 403(b)
Policy Number Owner / Annuitant Phone Number Owner s Legal Address--Street City State Zip CONDITIONS FOR WITHDRAWAL One of the conditions below must be met for a withdrawal to be processed. Please review
Money One Federal Credit Union Pocket 2 Pocket Service E-SIGNATURE AND ELECTRONIC DISCLOSURES AGREEMENT
Money One Federal Credit Union Pocket 2 Pocket Service E-SIGNATURE AND ELECTRONIC DISCLOSURES AGREEMENT You are signing up to use the Pocket 2 Pocket service powered by Acculynk that allows you to send
PROCEDURE. Part 5.9: Settlement Payment Methods and Schedule PUBLIC. Market Manual 5: Settlements. Issue 17.0 MDP_PRO_0036
PUBLIC MDP_PRO_0036 PROCEDURE Market Manual 5: Settlements Part 5.9: Settlement Payment Methods and Schedule Issue 17.0 This procedure describes the activities and schedule required by the IESO and Market
Consumer ebanking for Business Set-Up Form
Consumer ebanking for Business Set-Up Form PRINT, SIGN and MAIL to American Savings Bank, Customer Service Center, P.O. Box 2300, Honolulu, HI 96804-2300 or DROP OFF this set-up form at your nearest American
Account Link Funds Transfer Service. Account-to-Account Transfers between Texans Credit Union and other Financial Institutions
Account Link Funds Transfer Service Account-to-Account Transfers between Texans Credit Union and other Financial Institutions Frequently Asked Questions Getting Started How do I sign up for this service?
SHENANDOAH LIFE INSURANCE COMPANY QUESTIONS AND ANSWERS Revised March 12, 2009
SHENANDOAH LIFE INSURANCE COMPANY QUESTIONS AND ANSWERS Revised March 12, 2009 The following is an updated set of questions and answers regarding Shenandoah Life Insurance Company. You may wish to use
Variable Deferred Annuity
May 1, 2015 State Farm Life Insurance Company P R O S P E C T U S Variable Deferred Annuity profile Profile Dated May 1, 2015 STATE FARM VARIABLE DEFERRED ANNUITY POLICY STATE FARM LIFE INSURANCE COMPANY
Vectra Bank Colorado Personal Electronic External Transfer Enrollment Form
Vectra Bank Colorado Personal Electronic External Transfer Enrollment Form By completing this form, you will be able to electronically transfer funds from your personal checking or savings account at Vectra
Annuity Contract Proof of Death
Annuity Contract Proof of Death Questions? Call our National Service Center at 1-800-888-2461. Instructions This form is to be completed in order to claim proceeds payable upon death. A separate Proof
EASY INSTRUCTIONS FOR THE ROLLOVER REQUEST FORM
EASY INSTRUCTIONS FOR THE ROLLOVER REQUEST FORM 1. Print and complete the Rollover Request form. You will need to include your payment from your IRA within 60 days of your receiving it. 2. Mail the completed
General Agent Supplemental Compensation Plan. Group Voluntary & Worksite Benefits. 2014 Program
General Agent Supplemental Compensation Plan Group Voluntary & Worksite Benefits 2014 Program Introduction With our unmatched expertise across a wide range of employee benefits, MetLife can help you tailor
EASY SYSTEMATIC PAYMENT (ESP) PROGRAM ELECTION AGREEMENT FOR CUSTOMIZED PAYMENT OPTIONS
Member Companies: Great American Life Insurance Company Administrator for Loyal American Life Insurance Company Annuity Investors Life Insurance Company Fixed Annuities: PO Box 5420, Cincinnati OH 45201
COBRA & Billing Administration Administration Services Guide. Welcome!
Welcome! V4.4/2009 Table of Contents: Welcome Message COBRA & Billing Administrator Contact Information COBRA & Billing Administration Overview COBRA Administration Functions Procedures for Full COBRA
Oxford Life. Selling Agreement. 4. Include copy of Errors & Omissions Coverage. 6. Include NAIC 4 Hour Training (if applicable)
Oxford Life Selling Agreement 1. Complete all pages in this package 2. Sign spaces marked with X 3. Include copy of Fixed Annuity License 4. Include copy of Errors & Omissions Coverage 5. Include proof
General Terms Applicable to Bill Payment and Transfer Services
Please read this document carefully and print a copy for your reference. You may refer back to it at any time on this website. General Terms Applicable to Bill Payment and Transfer Services Your use of
Thank you for considering American Church Trust Company to assist with your selfdirected IRA. We look forward to serving you for many years.
To: IRA Investors Re: Investment in Swiss annuity through self-directed IRA American Church Trust Company welcomes your investment in Swiss annuity contracts through a self-directed IRA. Information, forms,
New Hanover Regional Medical Center 403(b) and 457(b) Retirement Savings Plans
New Hanover Regional Medical Center 403(b) and 457(b) Retirement Savings Plans Mutual Fund Safe Harbor Request For Hardship Withdrawal Group ID# 45944003 Group ID# 45944002 1. CLIENT INFORMATION Name:
The United States Life Insurance Company in the City of New York
Are you a: Member Spouse of a Member Member/Applicant information Please print or type Name (First, Middle, Last) Address The United States Life Insurance Company in the City of New York Application For
Contact information for account assistance is listed on the last page of this brochure. Please read the following terms and conditions carefully.
2014 ELECTRONIC FUND TRANSFER DISCLOSURES AND AGREEMENT The following disclosures and agreement ( Disclosures and Agreement ) describe your rights, protection, and liabilities as a consumer, pursuant to
City State ZIP Evening telephone. Note: Checks will only be made payable to the annuitant and mailed to his/her address of record.
Horace Mann Life Insurance Company 1 Horace Mann Plaza P.O. Box 4657 Springfield, IL 62708-4657 Fax 877-832-3785 LOA/ACV 403(b)/457(b) Annuity loan request and agreement Section I Contract identification
Annuity Full Surrender Request
Annuity Full Surrender Request Annuities are issued by Pruco Life Insurance Company, in New York, by Pruco Life Insurance Company of New Jersey and The Prudential Insurance Company of America (PICA) (these
BUSINESS ONLINE BANKING AGREEMENT
Business Online Enrollment Fax, mail, or email completed form to: 910-576-5023 First Bank Business Support PO Box 600 Wilmington, NC 28401 [email protected] For questions: 866-435-7208
AFPlanServ 403(b) Hardship Distribution Authorization Form
AFPlanServ 403(b) Hardship Distribution Authorization Form Participant Instructions If your Plan allows loans, you must apply for a loan first. If you are not eligible for a loan from your provider, your
Single Purchase Payment
CONTRACT SUMMARY Pacific Life Insurance Company P.O. Box 2378 Omaha, NE 68103-2378 (800) 722-4448 Contract Owners (800) 722-2333 Registered Representatives www.pacificlife.com Pacific Income Provider Individual
FICA Alternative Plan Direct Rollover Request
www.bencorplans.com Instructions To request a direct rollover to an eligible retirement plan (including an IRA), complete all applicable sections of this form, obtain any required signatures, and return
The State Life Insurance Company P. O. Box 6062 Indianapolis, IN 46206-6062
P. O. Box 6062 Indianapolis, IN 46206-6062 Life Insurance Illustration Single Premium Deferred Individual Retirement Annuity and Current Interest Whole Life Insurance with Long-Term Care Benefits for Either
Before submitting claims online you must complete the following form(s): Online Provider Services Account Request Form (www.valueoptions.
EDI RESOURCE DOCUMENT/ E-SUPPORT SERVICES PROVIDERCONNECT AND ELECTRONIC CLAIMS ValueOptions is committed to helping our providers manage administrative functions more efficiently and conveniently, and
Global (Re)insurance Best Practices Accounting, Settlement and Claims
Global (Re)insurance Best Practices Accounting, Settlement and Claims A Consistent Community Approach to Implementing the ACORD Global Reinsurance and Large Commercial Message Standards V1 July 2012 Legal
TMRS ELECTRONIC PAYROLL GUIDE
TMRS ELECTRONIC PAYROLL GUIDE September 2013 Monthly payroll filing consists of two components: Reporting Payroll Submitting Funds The monthly payroll package must include the TMRS-2* (or XL/data document),
Click Here to view the flier or order it from the Lincoln Fulfillment Center. Order code: FA-NDBK-FLI001
Vol. 9, Issue 4, April 20, 2015 Fixed Annuity Revisit Lincoln New Directions Fixed Indexed Annuity for Wealth Preservation and Growth Protection Lincoln New Directions fixed indexed annuity offers a stable
Guide to processing new individual insurance business
Process guide Guide to processing new individual insurance business Life insurance Critical illness insurance Disability insurance From submitting the application to delivering the policy Your guide to
Dilley State Bank RETAIL (Personal) ONLINE BANKING AGREEMENT - GENERAL TERMS AND CONDITIONS
1) Applicability This Agreement and Initial Disclosures (the "Agreement") governs your use of online banking. By subscribing to online banking or using online banking, you agree to the terms of this Agreement.
ACCOUNT TRANSFER FORM INSTRUCTIONS
INSTRUCTIONS Complete all sections according to the instructions below. Please print or type all information. Return the completed form to Pershing Advisor Solutions LLC, One Pershing Plaza, 10th floor,
Retirement Plan DISTRIBUTION FORM
Retirement Plan Services P.O. Box 2978 5910 Mineral Point Road Madison, WI 53701-2978 Phone: 800.999.8786 Fax: 608.236.8017 www.benefitsforyou.com Retirement Plan DISTRIBUTION FORM DEFINED CONTRIBUTION
AFPlanServ 403(b) Plan Exchange Authorization Form
AFPlanServ 403(b) Plan Exchange Authorization Form Participant Instructions The AFPlanServ 403(b) Plan Exchange Authorization Form must be submitted to AFPlanServ to approve an exchange of assets within
Sanford Health Plan. Electronic Remittance Advice 835 Transaction Companion Guide Trading Partner Information
Sanford Health Plan Electronic Remittance Advice 835 Transaction Companion Guide Trading Partner Information Instructions related to Transactions based on ASC X12 Implementation Guides, version 005010
The United States Life Insurance Company in the City of New York
Member information (Please print or type) The United States Life Insurance Company in the City of New York APPLICATION FOR GROUP TERM LIFE INSURANCE Home Office: One World Financial Center, 200 Liberty
Distribution Request Form
The 3121 Premier Plan Eligible Full-Time, Part-Time, Seasonal, and Temporary Employees Social Security Alternative Retirement Plan Employer (please print or type): Distribution Request Form Name of Participant:
Actorcard Prepaid Visa Card Terms & Conditions
Actorcard Prepaid Visa Card Terms & Conditions These Terms & Conditions apply to your Actorcard prepaid Visa debit card. Please read them carefully. In these Terms & Conditions: "Account" means the prepaid
Debit MasterCard BusinessCard Application
Debit MasterCard BusinessCard Application Company Name: COMPANY INFORMATION: (Please Print) Date: Street Address: City: State: Zip: Mailing Address: City: State: Zip: Contact Person: Phone Number: Tax
Service Agreement. UltraBranch Business Edition. alaskausa.org AKUSA 02952 R 05/15
Service Agreement UltraBranch Business Edition Your savings federally insured to at least $250,000 and backed by the full faith and credit of the United States Government. National Credit Union Administration,
Emails sent to the FaxFinder fax server must meet the following criteria to be processed for sending as a fax:
FaxFinder FFx30 T.37 Store & Forward Fax (T.37) Introduction The FaxFinder implements T.37 Store and Forward Fax (RFC2304) to convert emails into facsimile transmissions. The FaxFinder fax server accepts
ELECTRONIC SERVICES AGREEMENT
ELECTRONIC SERVICES AGREEMENT Electronic Disclosure and Consent To the extent that you have given your e-sign consent, if such consent is required, you agree to receive this covering consumer online banking
Online Banking Service Agreement
Online Banking Service Agreement AGREEMENT AND DISCLOSURES Before using Zions Bank's online banking services, you must consent to receive disclosures electronically, either online or via E Mail, and read
Claim Form for Structured Settlements
Claim Form for Structured Settlements New York Life Insurance Company New York Life Insurance and Annuity Corp. A Delaware Corp. The Company You Keep Important Information for Completing Your Claim Form
Internet Banking Disclosure 03/29/12
Internet Banking Disclosure 03/29/12 Business Online Banker (Internet) Agreement 1. The Service. This agreement, along with the Authorization Worksheets, is a contract which establishes the rules which
Fill in the necessary information corresponding to the account s owner.
IRA APPLICATION It s easy to establish your account. Simply fill out this application, completing all relevant sections, sign in ink and return to: Regular Mail FundX Upgrader Funds c/o US Bancorp Fund
REQUEST FOR DISBURSEMENT FORM For all EQUI-VEST and EQUI-VEST Express SM Contracts
REQUEST FOR DISBURSEMENT FORM For all EQUI-VEST and EQUI-VEST Express SM Contracts Client: Use this form to request a partial withdrawal or surrender of your contract for all EQUI-VEST and EQUI-VEST Express
Electronic Funds Transfer Disclosure Agreement
Electronic Funds Transfer Disclosure Agreement Your use of any EFT service offered by the Bank will be governed by this Disclosure and by any separate agreement or disclosure that also applies to the EFT
Minimum Premium: Qualified [$5,000] Non-Qualified [$10,000] Maximum Premium: [$250,000]
2721 North Central Avenue, Phoenix, Arizona 85004-1172 (866) 641-9999 Oxford Life Insurance Company Single Premium Multi-Year Guarantee Annuity With Market Value Adjustment Feature Benefit Summary and
WITHDRAWAL/SURRENDER REQUEST FORM
Member Companies: Great American Life Insurance Company Annuity Investors Life Insurance Company Administrator for Life Insurance and Annuities: Loyal American Life Insurance Company United Teacher Associates
SANGER BANK ONLINE BANKING AGREEMENT AND DISCLOSURE
SANGER BANK ONLINE BANKING AGREEMENT AND DISCLOSURE This Online Banking Agreement and Disclosure ("Agreement") describes your rights and obligations as a user of the Online Banking service or the Bill
Electronic Payment (EP) Account Agreement
Electronic Payment (EP) Account Agreement Instructions: Use this form to establish or change an electronic payment account as a payment method for policies and contracts issued by the companies listed
FIRST MIDDLE LAST PLEASE INCLUDE AN ORIGINAL CERTIFIED DEATH CERTIFICATE WITH THIS CLAIM FORM. Individual Beneficiary Name: FIRST MIDDLE LAST
ANNUITY DEATH CLAIM We want to ensure you receive your benefit payment promptly, so please complete the applicable sections and be sure to enclose the documentation requested. Each named beneficiary will
Liability Insurance Validation Electronically (Nevada LIVE) Manual Specifications for the Rules of Practice
Liability Insurance Validation Electronically (Nevada LIVE) Manual Specifications for the Rules of Practice Version 2 This version voids previous versions November 2012 TABLE OF CONTENTS 1. DEFINITIONS...
Secondary Market Structured Settlements Buyer s Guide
Secondary Market Structured Settlements Buyer s Guide What is a Secondary Market Structured Settlement? A Secondary Market Structured Settlement is a transferred structured settlement in which you, the
The Lincoln National Life Insurance Company (the "Company") A Stock Company
Lincoln MoneyGuard II Sample Interstate Compact policy Issue State Alabama The Lincoln National Life Insurance Company (the "Company") A Stock Company Home Office: Service Office: State of Issue Department
Check Life Insurance plan(s) desired Life Insurance for Member: $25,000 $50,000 $75,000 $100,000 $125,000 $150,000 $175,000 $200,000
The United States Life Insurance Company in the City of New York APPLICATION FOR GROUP TERM LIFE INSURANCE Home Office: One World Financial Center, 200 Liberty Street, New York, NY 10281 (Herein called
BNZ Advantage Credit Card Terms and Conditions.
BNZ Advantage Credit Card Terms and Conditions. 1 May 2015 This document contains the terms and conditions that apply to BNZ Advantage credit card accounts operated by you, including the terms and conditions
Online Payment FAQ s
General Online Payment FAQ s What are the benefits of paying a bill online? Paying online with a credit card or electronic check saves time, gives you the flexibility to pay how and when desired, and saves
SEP IRA. For the self-employed and businesses with few employees
SEP IRA P L A N E S T A B L I S H M E N T G U I D E For the self-employed and businesses with few employees Features many of the same tax advantages as other plans Funded solely by Employer contributions
Withdrawal Request - In Service 401 Corporate ERISA
Withdrawal Request - In Service 401 Corporate ERISA ING Life Insurance and Annuity Company 151 Farmington Avenue Hartford, CT 06156-1268 Telephone: 1-800-262-3862 ING Life Insurance and Annuity Company
GROUP TERM LIFE INSURANCE EZ OFFER
7583/7584/1002/43520-S 1. MEMBER INFORMATION: G-11082-0 TO APPLY: Send this completed form with your premium check payable to: ADMINISTRATOR, AIChE GROUP INSURANCE PROGRAM P.O. Box 10374 Des Moines, IA
No-Load Variable Annuity
May 1, 2008 P ROSPECTUS T. ROWE PRICE No-Load Variable Annuity ISSUED BY SECURITY BENEFIT LIFE INSURANCE COMPANY VARIABLE ANNUITY PROSPECTUS T. Rowe Price No-Load Variable Annuity An Individual Flexible
IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs
IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Aegis Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: Aegis Funds c/o U.S.
