EDI 267 Individual Life%2c Annuity And Disability Application
This X12 Transaction Set contains the format and establishes the data contents of the Individual Life, Annuity and Disability Application Transaction Set (267) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set is used to transmit new business application information among distributors (agents, broker/dealers, etc.), insurance companies and reinsurance companies for the purpose of underwriting an individual life, annuity or disability contract.
Segments
Position
Segment
Name
Max use
Mandatory
AtMax 1
To indicate the start of a transaction set and to assign a control number
Mandatory
AtMax 1
To indicate the beginning of a transaction set
Opt
GT 1
To specify any or all of a date, a time, or a time period
NM1
LOOP
Opt
GT 1
N1
LOOP
Mandatory
GT 1
PID
LOOP
Opt
GT 1
BEN
LOOP
Opt
GT 1
ENT
LOOP
Opt
GT 1
LQ
LOOP
Opt
GT 1
BEN
LOOP
Opt
GT 1
PID
LOOP
Opt
GT 1
BEN
LOOP
Opt
GT 1
UC
LOOP
Opt
GT 1
PWK
LOOP
Opt
GT 1
LX
LOOP
Opt
GT 1
Opt
AtMax 1
To indicate that the loop immediately preceding this segment is complete
K2
LOOP
Opt
GT 1
Mandatory
AtMax 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)