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pdfJune 28, 2007
Exhibit 21
FCIC-Appendix III
(LOSS LINE – TYPE 21)
Format/Edits
Field
No.
Field Name
1
2
3
4
Record Type
Approved Insurance
Provider
Location State
Policy Issuing Company
5
6
Size
Picture
Field Edits
1
3
2
2
9(02)
X(02)
Required. Must be 21.
Required. Edit with AIP/Company table.
5
7
2
3
9(02)
9(03)
Policy Number
Crop Year
10
17
7
4
9(07)
9(04)
7
8
9
10
Crop Code
Insurance Plan Code
Location County
Unit Number
21
25
27
30
4
2
3
5
9(04)
9(02)
9(03)
9(05)
11
12
13
Type Code
Practice Code
Coverage Flag
35
38
41
3
3
1
9(03)
9(03)
X(01)
14
Claim Number
42
8
9(08)
15
Sub Type/Variety
50
3
9(03)
16
Grid ID
53
8
9(08)
17
Type 21 Key Reserve
61
15
X(15)
18
Record Number
76
3
9(03)
19
Type 11 Record Number
79
3
9(03)
20
Adjuster SSN
82
9
9(09)
Required. Edit with FIPS State table.
For Reinsured edit with company table. Must
be valid Pic code for reinsurance year.
Required. Must be > zeros.
Required. Must be the crop year of the crops
reported under the policy. This will equal the
Reinsurance Year or Reinsurance Year +/- 1
for applicable crop code.
Required; Edit with ADM2.
Required; Edit with ADM2.
Required; Edit with FIPS County Table.
Required; Must be > zeros. Unit Number
must end in “00” for Enterprise and Whole
Farm Units & Crop 0231 (i.e. 00100).
For PRF, crop 0088, plans 13 and 14, only
basic units by unique crop type/crop
practice/grid id # are allowed.
Required; Edit with ADM2.
Required; Edit with ADM2.
Required; Must be:
C = Catastrophic ‘Cat’ Coverage
A = Additional Coverage
For CRC, GRIP and Revenue Assurance
must
be “A”.
Plan Codes 13 and 14 must = A.
Must match Loss Total Claim Number on the
Type 20 record.
Sub Type/Variety Code if applicable.
The subtype/variety code from the ADM is
applicable for option lines only for Florida
Fruit Trees. If not applicable, zero fill.
Plan Codes 13 and 14 enter Grid ID from
Map. Right justify with leading zeros. If not
applicable, zero fill.
Space Reserved for Additional key data
required in the future or for other record
types.
Must be > zero and unique within a Crop
Policy Claim (Location State/Location
County/Crop).
Required, the record number of the Type 11
record that established the guarantee, liability
and premium for this Type 21 record.
Required. Must match a certified loss
adjuster SSN or an accepted Type 56 record.
If plan = 12, 13, 14 or 73; zero fill.
FCIC-APPENDIX III
Begin
Pos
21 - 1
RY 2008
June 28, 2007
Exhibit 21
FCIC-Appendix III
(LOSS LINE – TYPE 21)
Format/Edits
Field
No.
Field Name
21
Rate Class
22
Size
Picture
Field Edits
91
3
X(03)
Stage Code
94
2
X(02)
23
100% Replant Payment
Flag
96
1
X(01)
24
Stage Guarantee per Acre
97
10
9(08)V9(02)
25
Determined Acres/Tons
107
8
9(06)V9(02)
26
Gleaned Acreage Code
115
2
X(02)
27
28
Filler
Loss Guarantee
117
119
2
10
X(02)
9(08)V9(02)
See Exhibit 11-2 for ADM validation rules.
Otherwise; zero fill.
Required for certain crops. See Exhibit 21-5
for validation rules. Spaces if not applicable.
DC = Any claim inspected by the adjuster
and denied, resulting in no indemnity
payment. (See Note 4 at end of record)
If Crop = 0013 or 0039 and the Stage
Removal Option (NS) is selected, this field
must be an applicable stage code.
For Raisins: Fill with “RR” for
reconditioning payment and spaces for a
production loss.
Validate as follows:
Y = Policy holder entitled up to 100% of the
Replant Cost.
Spaces = Normal Replant reimbursement
See Indemnity Calculations for validation
rules. Zero Fill, except for replants, for
Avocados (plan 46), Fl. Fruit Trees and
Hawaii Tropical Trees (plan 40), Income
Protection (plan 42) and Indexed Income
Protection (plan 45). Raisin Reconditioning
Payment = dollars and cents per ton for
reconditioning.
Required for all crops except Florida Fruit
Trees and Hawaii Tropical Trees. For
Raisins, enter the number of tons to the
nearest hundredth.
For Mint, if stage code is W1, acres must be
at least the lesser of 20 acres or 20% of the
acres in the unit.
HG for Harvested Gleaned or
UG for Unharvested Gleaned Acreage.
Otherwise, must be spaces.
Must be spaces.
Required; See Indemnity Calculations for
edits. Zero fill for Raisin Reconditioning
Payment.
FCIC-APPENDIX III
Begin
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21 - 2
RY 2008
June 28, 2007
Exhibit 21
FCIC-Appendix III
(LOSS LINE – TYPE 21)
Format/Edits
Field
No.
Field Name
29
Unit Liability
30
31
32
33
Size
Picture
Field Edits
129
10
9(10)
Loss Premium
Reserved
Reserved
Harvested Production
139
149
159
169
10
10
10
10
X(10)
X(10)
X(10)
9(08)V9(02)
34
35
Reserved
Production to Count
179
189
10
10
X(10)
9(08)V9(02)
36
Production to Count
Conversion for Revenue
Crops
(Bushels, Tons, etc...)
199
10
9(08)V9(02)
37
Farm Unit Deficiency
209
10
S9(08)V9(02)
Required: Value must be the same on all
lines for the Unit. Will match to the
corresponding Unit Liability on the T-11.
Zeros = Not Applicable.
Must be spaces – Not used as this time.
Must be spaces.
Must be spaces.
Must be ≤ Production to Count. Otherwise
zero fill.
Must be spaces.
Sum of Net Harvested and Net Appraised
Production. Used to calculate Farm Unit
Deficiency, may be zero. Adjusted for
moisture and quality.
Production to count in the basic unit of
measure for RA (plan 25), IP (plan 42), IIP
(plan 45) and CRC (plan 44) if field 35
(production to count) is greater than zero.
Otherwise, zero fill.
Not applicable for stages (field 22, pos. 94)
R, RR, RS, RT, P2, PF or PT. Additional
edits:
Ins plan 25 – If harvested price option = Y
(rec type 11, RA Fall Harvest Price Option,
field 54, pos 309) and county harvest price
(ADM 4 suffix 3) is greater than zero then
field 35 divided by county harvest price.
If county harvest price is zero then field 35
divided by projected price (ADM 4 suffix 3)
If harvest price option = N and county
harvest price is greater than zero then
field 35divided by county harvest price
(ADM 4 suffix 3) if greater than zero.
For RA Malting Barley, field 35 divided
by field 57 (price election).
Ins plan 44 – field 35 divided by harvest
market price (ADM 4, suffix 8).
Ins plan 42 and 45 – field 35 divided by
harvest price (ADM 4, suffix 7)
divided by insured share (field 38,pos. 219).
Additional coverage (rec type 21, Coverage
Flag, field 13, pos. 41) 100% harvest price
and CAT 55% harvest price.
Required; If ≤ zero, Indemnity must be ≤
zero. Must be a signed field. Zero fill for
Raisin Reconditioning Payment and IP.
If Plan = 12, 13, 14 or 73, zero fill.
FCIC-APPENDIX III
Begin
Pos
21 - 3
RY 2008
June 28, 2007
Exhibit 21
FCIC-Appendix III
(LOSS LINE – TYPE 21)
Format/Edits
Field
No.
Field Name
38
39
Insured Share
GRP/GRIP Payment
Calculation Factor
40
Size
Picture
Field Edits
219
223
4
4
9(01)V9(03)
9(01)V9(03)
Indemnity
227
10
S9(10)
41
Sugar Factor
237
3
V9(03)
42
Audit Correction
240
1
9(01)
43
Preliminary Indemnity
241
10
S9(10)
44
251
1
X(01)
45
Multi Cropping Exception
Flag
Simplified Claim Flag
252
1
X(01)
46
Farm Serial Number
253
7
X(07)
Required; Must be > zero and ≤ 1.000.
Required for GRP/GRIP plan crops only, all
other Plans, zero fill. For GRP/GRIP
calculation see exhibit 21-10.
Required; See Exhibit 21-10 for calculation.
The total of all Type 21 Indemnity fields for a
given claim number must equal the sum of
the Total fields for the corresponding Type
20 record(s). The sum of all Type 21
Indemnity fields for a Unit cannot exceed the
sum of all Type 11 Liability fields for the
same unit by more than the lesser of 0.1% or
$10. Total indemnity for the units cannot be
negative. If the plan code = 25 and the basic
unit option code = WU, then the indemnity
can be negative by crop, but not by whole
farm.
If crop code is “0017” and stage code is
“UH” this field should reflect 30% indemnity
reduction. If crop code is “0017” and stage
code is “US” this field should reflect 15%
indemnity reduction. This must be a signed
field.
If the Multi Cropping Flag = ‘SW’ this field
must = zeros.
Must be > zero for Sugar Beets if Harvested
Production > zero. Otherwise; zero fill
Must be:
0 = Not Applicable
1 = Corrected
Required. This must be a signed field See
Exhibit 21-10 for calculation instructions.
Zero fill if the Stage Code = “R, RR, RS or
RT”.
Values are X or spaces. See Note 2 at end of
record.
Must be:
S = Simplified Claim
R = Self-Certified Replant Claim
Blank = Not Applicable
See Exhibit 21-6.
Required for Peanuts and Burley Tobacco,
Buy-up coverage (Coverage Flag = A)
policies only. For Burley Tobacco, each FSN
must have a unique unit number. For
Peanuts, each optional unit number must have
a unique FSN, but Basic units may include
more than one FSN. Optional for other
crops, otherwise spaces.
FCIC-APPENDIX III
Begin
Pos
21 - 4
RY 2008
June 28, 2007
Exhibit 21
FCIC-Appendix III
(LOSS LINE – TYPE 21)
Format/Edits
Field
No.
Field Name
47
Guarantee Reduction
Factor
48
49
Size
Picture
Field Edits
260
3
V9(03)
Dollar Amount of
Insurance
263
10
9(08)V9(02)
Liability Adjustment
Factor
273
7
9(01)V9(06)
Must match to the corresponding T-11
record.
Required if Guarantee Reduction Flag on the
11 record is not Blank. Enter applicable Late
or Prevented Planting Guarantee Reduction
Factor.
For Dollar Citrus (0215), Fixed Dollar
Strawberries (0110), Fixed Dollar and
Cherries (0057) enter applicable Guarantee
Reduction factor. Must match to the factor
on the corresponding T-11
For crop 0013 in State 36, Stage 1 factor = .5
For crop 0013 in State 36, Stage 2 factor = .8
For Mint types with winter coverage option,
enter applicable guarantee reduction factor.
Otherwise; zero fill. See Exhibit 11-1 or
Exhibit 11-5.
For GRP (12), GRIP (73), Revenue
Assurance (25), Pecans (41), IP (42 and 45),
Avocados (46) Pasture, Rangeland, and
Forage Rainfall Index (13), Pasture,
Rangeland, and Forage Vegetation Index
(14), and Dollar Crops (50), the selected
dollar amount of protection per acre goes in
this field and includes coverage level and/or
price election factor (see exhibit 11-4 for
details). For plan code (51), this field must
contain the exact $ amount from ADM-1-D .
For Dollar Citrus (0215) in California (06),
Cherries, and Strawberries must be Dollar
Amount from ADM-1-D or Dollar Amount
from ADM-1-D * Guarantee Reduction
Factor from field 36 (on the 11 record).
Otherwise; zero fill.
Must be ≤ 1.000000. If < 1.000000,
indicates that the liability submitted on the
Type 11 record was understated. Factor will
be the same value for all records of a unit by
payment type.
See Exhibit 18 in the LAM for calculation.
FCIC-APPENDIX III
Begin
Pos
21 - 5
RY 2008
June 28, 2007
Exhibit 21
FCIC-Appendix III
(LOSS LINE – TYPE 21)
Format/Edits
Field
No.
Field Name
50
Contract Price
51
Guarantee Reduction Flag
Begin
Pos
Size
Picture
Field Edits
280
8
9(04)V9(04)
288
1
X(01)
For Contract Price crops enter 100% of the
contract price. Crops are:
Crop
State Cty Type
Alfalfa Seed
All
All
All
Silage Sorghum
All
All
All
For Alfalfa and Silage Sorghum only: use if
contract price applies. If no contract use
established price and zero fill this field).
Processing Beans Idaho
041 301
Processing Beans Idaho
027 303
Processing Beans Oregon 045 303
Dry Beans
All
All
062
Green Peas
All
All
All
Dry Peas
All
All 098
Mustard
All
All All
Zero fill if not applicable.
Must match the corresponding T-11 record.
L = Late Planting
Required for Onions (0013) in State 36 (NY)
if there is a late planting reduction and a
stage percent reduction.
M = Maximum Late Planted Reduction
P = Prevented Planting
E = Company verified eligible PP acres
from another unit and/or crop or
qualifying crop payment acres do not
constitute 20 acres or 20 percent of the
unit (as allowed by section 17 (h) of
the Common Crop Insurance Policy
Basic Provisions).
F = First Year thinning for Pecans
C = Percent Stand Limitation for Cherries
(See Exhibit 11-5)
D = Amount of Insurance reduction for
Fixed Dollar Citrus (0215) in
California and Fixed Dollar
Strawberries (0110) in State 06, 12
or 22.
Also for Cherries (0057) for reduction
other than percent stand limitation.
Space = No Reduction
FCIC-APPENDIX III
21 - 6
RY 2008
June 28, 2007
Exhibit 21
FCIC-Appendix III
(LOSS LINE – TYPE 21)
Format/Edits
Field
No.
Field Name
52
Multiple Cropping Flag
Begin
Pos
289
Size
Picture
Field Edits
2
X(02)
USE ONLY ON FIRST CROP LOSS LINES
(See Ex. 11-1 for flow chart)
Required for all crops.
(See Ex. 21-10 Loss Calc Pages)
Values are:
DC = 100% indemnity or PP Payment with
Double Cropping history
FC = 100% Indemnity (second crop planted
and no other code applies)
IR = 65% Reduction in Indemnity
Payment on first crop
NS = 100% indemnity (no second crop for
PP or no insured second crop for
planted acreage)
USE FOR PERENNIALS, unless
perennials destroyed and 2nd crop
planted
RI = Restore Indemnity or PP Payment
(no loss on second crop or no second
planted crop for PP)
RP = 65% Reduction to Prevented Planting
Payment on first crop.
WI = Waives insurance on second crop
USE ONLY ON SECOND CROP LOSS LINES
SC = 100% Indemnity on second crop
acres
SW = Waived indemnity on second crop
acreage
SPACES ARE NOT ALLOWED IN THIS
FIELD UNLESS THE STAGE CODE = ‘R’,
‘RS’, ‘RT’ (REPLANT) OR ‘RR’ (RAISIN
RECONDITIONING)
53
Skip Row Code
FCIC-APPENDIX III
291
5
9(05)
21 - 7
REFER TO THE LAM FOR MORE
DETAILED EXPLANATION OF CODES.
Cotton: Enter the appropriate skip-row code
for the planting pattern and row width from
the table for skip-row cotton, if applicable.
See note on last page on the Type 15 record.
Otherwise; zero fill.
RY 2008
June 28, 2007
Exhibit 21
FCIC-Appendix III
(LOSS LINE – TYPE 21)
Format/Edits
Field
No.
Field Name
54
Yield
55
56
Size
Picture
Field Edits
296
10
9(08)V9(02)
Number of Trees
306
10
9(10)
Coverage Level
316
5
9(01)V9(04)
Insurance Plans 12, 13, 14, 40, 50, 51, and
73: zero fill.
Insurance plans 41 and 46: yield must be
in whole dollars and match Type 11 record
for approved yield.
Insurance Plan 30: yield must be greater than
zero and match FCI-35 for rate class or FCI-2
agreement.
Insurance plan 55: (Yield from FCI-35 *
Coverage Level Factor) - minimum payment:
yield must be > 0 and ≤ ADM yield *
coverage level factor.
Insurance plans 25, 42, 44, 45, 84, and 90:
Yield must match Type 11 record for
approved.
See Exhibit 11-12 for yield requirements.
This field is required for the determined
number of Florida Fruit Trees by crop code
and the number of insurable Pecan trees.
The number of insured Hawaii Tropical Fruit
Trees (plan 90) and Hawaii Tropical Trees
(plan 40) by crop code and age. Otherwise,
zero fill.
Must match coverage level on the 11 record.
For Cat Policies, the coverage level must be
0.5000 for all crops except GRP Crops, in
which case it must be 0.6500.
Florida Citrus - Valid Coverage Levels are
{0.5000, 0.5500, 0.6000, 0.6500, 0.7000,
0.7500, 0.8000, 0.8500}
Avocados (Ins Plan 46) - Valid Coverage
Levels are {0.5000, 0.5500, 0.6000, 0.6500,
0.7000, 0.7500}
Ins Plan 12, 13, 14 & 73 - Valid Coverage
Levels are {0.7000, 0.7500, 0.8000, 0.8500,
0.9000}
IP (Ins. Plan 45) & IAPH (Ins Plan 96) Valid Coverage Levels are {0.5000, 0.5500,
0.6000, 0.6500, 0.7000, 0.7500}
For Revenue Assurance - All T21 records for
RA must have the same coverage level within
the unit organization selected.
IP (42), CRC (44) and All Other Crops Valid Coverage Levels are {0.5000, 0.5500,
0.6000, 0.6500, 0.7000, 0.7500, 0.8000,
0.8500}
There is no valid Coverage Level below
0.5000.
For Crop 0085 (Sweet Potatoes) the only
valid coverage levels are CAT, 50%, 55%,
FCIC-APPENDIX III
Begin
Pos
21 - 8
RY 2008
June 28, 2007
Exhibit 21
FCIC-Appendix III
(LOSS LINE – TYPE 21)
Format/Edits
Field
No.
57
Field Name
Price Election Amount
Begin
Pos
321
Size
8
Picture
9(04)V9(04)
Field Edits
60%, 65%, 70% and 75%.
Required; Must be 1.0000 for Plan codes 12,
13, 14, 41, 46, 50, 51 and 73.
Certified Seed Potatoes Option CL = 1.00
Option CH = 3.00
Ins. Plan 25 –
Malt Barley Option A ≤ the Price from
ADM-P
Malt Barley Option B ≤ 2.00.
Ins. Plan 90 Malt Barley Option A ≤ the
Price from ADM-P
Malt Barley Option B ≤ 2.00.
Ins. Plan 42 Pre Sales Price used to calculate the Loss
Guarantee
Malt Barley Option A < the
Price from ADM-P
Malt Barley Option B ≤ 2.00.
All other Plans/Crops edit using ADM4.
(ADM Price or Contract Price) * Price
Election Factor = Price Election Amount.
The “CAT” price election is 55%.
Alfalfa Seed (0107) - If Contract Price (field
50) = zeros, then use ADM Price.
Suffix:
1 = Catastrophic & Established High Price
are applicable (MPCI)
2 = Catastrophic, Established High &
Market Price are applicable (MPCI)
3 = Projected Harvest and County Harvest
Price (RA) are applicable
4 = N/A
5 = N/A
6 = N/A
7 = IP, Pre Sales Price or Harvest
8 = CRC Base Price is applicable.
9 = Contract Price is applicable (MPCI)
A = N/A
If CE Option is selected, price must be 100%
of the price for the MPCI crop policy.
FCIC-APPENDIX III
21 - 9
RY 2008
June 28, 2007
Exhibit 21
FCIC-Appendix III
(LOSS LINE – TYPE 21)
Format/Edits
Field
No.
Field Name
58
Written Agreement
Number
59
Size
Picture
Field Edits
329
8
X(08)
Written Agreement Type
337
2
X(02)
60
Written Agreement
Processing Flag
339
2
X(02)
61
Valid for Escrow Flag
341
1
X(01)
If Plan = 25, this field must equal spaces.
For RMA issued Written Agreements enter
the identification number for the approved
written agreement for the AIP, state, county
and crop.
The first 3 digits identify the issuing RO and
must be valid for the location state.
Enter spaces if No Written Agreement exists.
Valid Written Agreement types are: GP, HR,
NB, OC, OP, PE, RE, SC, SG, SM, SP, TC,
TD, TL, TP, UA, UC, XC and 33.
Enter spaces if NO Written Agreement is in
effect. Enter ‘33’ if the insurance rate is
provided on a FCI-33 (rules page, map or
supplement).
If Plan = 25, this field must equal spaces.
All entries, except a “33” require a valid
Written Agreement Number in field 58.
If Plan = 25, this field must equal spaces.
All single values must be left justified.
Must be:
H = Use only for High Risk land with a
Written Agreement that changes the
High
Risk rate, factor or yield. Use the
Written Agreement type of “HR”.
P = FCI-2 Dollar Amount of Insurance
exception for Macadamia Trees.
R = FCI-2 Agreement with a Reference
County.
W = FCI-2 Agreement with no Reference
County
3 = FCI-33 (rules page, map or supplemental)
Rates
RC = Certified organic acreage with a
location or reference county
RT = Transitional acreage with a location
or reference county
NC = Certified organic acreage with no
reference county
NT = Transitional acreage with no reference
county
Otherwise, spaces.
See Exhibit 11-8 for edit details.
Internal Use. Will be “Y” if the record
passes edits necessary for escrow processing
(numeric checks). Will be “N” if the record
is not acceptable for escrow.
FCIC-APPENDIX III
Begin
Pos
21 - 10
RY 2008
June 28, 2007
Exhibit 21
FCIC-Appendix III
(LOSS LINE – TYPE 21)
Format/Edits
Field
No.
Field Name
62
Price Election Factor
Begin
Pos
342
Size
Picture
Field Edits
5
9(01)V9(04)
Must match price election factor on the 11
record (field 43). Required for all crops.
Plan code 25, 41, 44, 46 and 51 must =
1.0000.
If insurance plan = 12 or 73 and coverage
flag (field 13) equals ‘A’, then this field must
equal 0.6000 thru 1.0000.
If insurance plan = 12 and if coverage flag
(field 13) equals C, this field must = 0.4500.
If coverage flag (field 13) equals ‘C’, this
field must = 0.5500.
If insurance plan = 13 or 14, this is the
productivity factor selected by the insured
and coverage flag (field 13) must equal A,
and this field must equal 0.6000 thru 1.5000.
If coverage flag (field 13) equals ‘A’ and
coverage level (field 56) equals:
63
64
Filler
CEO Coverage Level
347
349
2
5
X(02)
9(01)V9(04)
65
CEO Indemnity Factor
354
6
9(01)V9(05)
FCIC-APPENDIX III
21 - 11
1.) 0.5000 this field must = 1.0000
2.) 0.5500 this field must be ≥ 0.9100
3.) 0.6000 this field must be.≥ 0.8400
4.) 0.6500 this field must be ≥ 0.7700
5.) 0.7000 this field must be ≥ 0.7200
6.) 0.7500 this field must be ≥ 0.6700
7.) 0.8000 this field must be ≥ 0.6300
8.) 0.8500 this field must be ≥ 0.5900
Must be spaces.
Enter CEO coverage level; must be greater
than Coverage Level (field 56). Used to
determine premium. Otherwise; zero fill.
(CEO Coverage Level/MPCI Coverage
Level)
(field 64/field 56) used in indemnity
calculation.
Otherwise, zero fill.
RY 2008
June 28, 2007
Exhibit 21
FCIC-Appendix III
(LOSS LINE – TYPE 21)
Format/Edits
Field
No.
Field Name
66
Price Indicator
67
Size
Picture
Field Edits
360
1
X(01)
Loss Adjuster Signature
Date
361
8
9(08)
68
First Notice of Loss Date
369
8
9(08)
69
Primary Date of Damage
377
8
9(08)
70
Primary Cause
385
2
9(02)
71
Primary Percent
387
3
9(01)V9(02)
72
Secondary Date of
Damage
390
8
9(08)
73
Secondary Cause
398
2
9(02)
74
Insured’s Signature Date
400
8
9(08)
This field must equal ‘A’, ‘E’ or ‘H’.
‘A’ = Additional Price: If the additional
price has not been released, DAS will
validate to the established price.
‘E’ = Established Price
‘H’ = Harvest Price causes indemnity to
exceed SCP Limit. For plans 25, 42, 44.
Plan codes 30, 55, 70, 84, & 90 can be ‘A’ or
‘E’.
Plan Code 90, Hawaii Tropical Fruit (crops
0255, 0256 & 0257), indicator must equal
‘E’. All other Plan codes must = ‘E’.
Required, unless Simplified Claim Flag (field
45) = ‘S’ or ‘R’. Date that Loss Adjuster
settled claim. MMDDCCYY format.
If Plan = 12, 13, 14, or 73, zero fill.
Required. Date that insured provided first
notice of loss. MMDDCCYY format. Cannot
exceed submission date.
If Plan = 12, 13, 14 or 73, zero fill.
Required. Day is optional The format is
(MM00CCYY). Unless the cause of loss =
“13, 14, 21, 41, 42, 51, 63, 64, 91, 92, 95, 97
or 98” enter MMDDCCYY. If plan = “12,
13, 14 or 73” must be month of final
payment. The Primary OR Secondary Date
must be before Notice of Loss date.
Must have a valid cause of loss
(See Exhibit 21-2) Plan 12, 13, 14 or 73 =
55.
Must be 0.50 – 1.00 if Primary Cause > “0”.
Must be “0” if plan = “12, 13, 14 or 73”.
Day is optional. The format is
(MM00CCYY), unless the cause of loss =
“13, 14, 21, 41, 42, 51, 63, 64, 91, 92, 95, 97
or 98” enter MMDDCCYY. The Primary
OR Secondary Date must be before Notice of
Loss date.
If Plan = 12, 13, 14 or 73, zero fill.
Must have a valid cause of loss
(See Exhibit 21-2) If Plan = 12, 13, 14, or
73, zero fill.
Required: Format is MMDDCCYY
Cannot exceed submission date. Cannot be
less than Notice of Loss Date (field 68).
FCIC-APPENDIX III
Begin
Pos
21 - 12
RY 2008
June 28, 2007
Exhibit 21
FCIC-Appendix III
(LOSS LINE – TYPE 21)
Format/Edits
Field
No.
Field Name
75
Second Crop Waived
Indemnity
76
Size
Picture
Field Edits
408
10
S9(10)
Large Claim Flag
418
1
X(01)
77
Settlement Flag
419
1
X(01)
78
Misreported Information
Factor
420
7
9(01)V9(06)
79
Last Notice of Loss Date
427
8
9(08)
80
Common Option Codes
435
20
X(20)
81
Written Agreement Multi
Year Flag
455
1
X(01)
82
Unit Liability Flag
456
1
X(01)
83
84
Filler
Ineligible Tracking
Validation Flag
457
543
86
8
X(86)
X(08)
If the Multi Cropping Flag = ‘SW’ this field
must = the calculated indemnity for the
crop/plan (See exhibit 21-10 for calculation)
If the record is part of a potential claim on the
eligible crop insurance contract, which is
likely to exceed $500,000, this field must be:
N= AIP notified RMA of excessive
Indemnity and RMA did not participate
in loss determinations
R = RMA participated in loss
determinations, else spaces
Values are:
A = Settlement by arbitration
M = Settlement by mediation
O = Other settlement process
Spaces = Not applicable
See the LAM, page 34 for Calculation
Formula. Factor will be same value for all
records of a unit by payment type.
1.000000 fill if not applicable.
Format (MMDDCCYY)
Cannot exceed submission date.
If plan 12, 13, 14, or 73, zero fill.
Applicable Option Codes from the
Corresponding T-11 record.
Must be left justified.
Spaces = Not applicable.
Internal Use. Must be a space.
Will be populated with Y, N or a space if
there is no Written agreement.
Y - This is the initial year of the multi year
written agreement and the WA approval date
is used to calculate fund cutoff.
N – This is not the initial year of the multi
year written agreement and the sales closing
date will be used to calculate fund cutoff.
Values are:
O = Original Unit Liability (field 97 on the T-11)
R = Revised Unit Liability
Indicates which Unit Liability from the
corresponding T-11 Unit is being used to
calculate the LAF & MIF.
Spaces = Not Applicable
Must be spaces.
Internal Use. Reserved.
FCIC-APPENDIX III
Begin
Pos
21 - 13
RY 2008
June 28, 2007
Exhibit 21
FCIC-Appendix III
(LOSS LINE – TYPE 21)
Format/Edits
Field
No.
Field Name
85
FCIC Control Time
86
Begin
Pos
Size
Picture
Field Edits
551
4
9(04)
FCIC Control Date
555
8
9(08)
87
Reinsurance Year
563
4
9(04)
88
Batch Number
567
4
9(04)
89
Transaction Sequence
Number
571
8
9(08)
90
91
92
Transaction Rejected Flag
Transaction Source Flag
Filler
579
580
581
1
1
20
X(01)
X(01)
X(20)
Internal Use. The time the transaction batch
file was received. (From when transmission
started) HHMM Format.
Internal Use. The date the transaction batch
file was received. (From when transmission
started) MMDDCCYY Format.
Internal Use. The Reinsurance Year. CCYY
format.
Internal Use. The sequential number
identifying the file that was submitted by the
RO to FCIC/RMA.
Internal Use. The sequential number
assigned to each transaction number
processed by DAS after it has been sorted.
Internal Use. Reserved.
Internal Use. Reserved.
Internal Use.
Note 1:
The Type 21 record must contain the record number of the corresponding Type 11 record. The Type 11 record
must match the Type 21 on:
Fields 2 thru 13 and field 28.
Requires an accepted 11 record.
Note 2:
If any of the T-21 records within a unit has a Multi Cropping Code of ‘IR’ and there are other T-21 lines with any of
the following codes (DC, FC, WI, SC, NS, RI) then sum the Indemnities of the lines with any of the codes in
parenthesis, and if the sum of these lines is less than or equal to 0, then apply .35 to all of the lines in the unit except
any line with a Multi Cropping Code of ‘SW’ or any line with a Guarantee Reduction Flag of ‘P’ or ‘E’ and require
that the Multi Cropping Exception Flag have an ‘X’ on these same lines. The lines with DC, FC, WI, SC, NS, RI
would normally be calculated at 100% Indemnity unless this exceptions exists.
Note 3:
n/a
Note 4:
For a Denied Claim Record being submitted to RMA the following fields must be populated:
1 Record Type, 2 AIP, 3 Location State, 5 Policy Number, 6 Crop Year, 7 Crop Code, 8 Ins. Plan, 9 Location County,
10 Unit Number, 11 Type Code, 12 Practice, 13 Coverage Flag, 14 Claim Number, 20 Adjuster SSN, 22 Stage Code
(DC), 25 Determined Acres, 55 Number of Trees, 67 Loss Adjuster Signature Date, 68 First Notice of Loss Date.
FCIC-APPENDIX III
21 - 14
RY 2008
File Type | application/pdf |
File Title | Microsoft Word - REC21.doc |
Author | julie.carew |
File Modified | 2007-06-28 |
File Created | 2007-06-28 |