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pdfJune 28, 2007
Exhibit 111
FCIC-Appendix III
ADJUSTER REQUIREMENTS FOR eDAS
Format/Edits
Section/Attribute
ADJUSTER
Description/Edit
“ADJUSTER” is the title of this section. It identifies the opening and closing
of the xml transaction for an adjuster. This document provides additional
reporting requirements of data under this section.
Adjuster precedes Indemnity.
CHANGE_FLAG (ATTRIBUTE)
If Process Flag = 2 or 5 certain data will be allowed to change after initial
acceptance. Tags have been identified by flags below. Flag of ‘1’ will only be
allowed to change data identified by ‘1’. Flag of ‘2’ will be allowed to change
data identified by ‘1 or 2’. Flag of ‘3’ will be allowed to change any data.
Valid flags:
1 = general
2 = company approval
3 = RMA approval
Change flag will default to 2 unless otherwise indicated.
PROCESS_FLAG (ATTRIBUTE)
FCIC-APPENDIX III
Valid flags:
1 = original
2 = modify
3 = delete
4 = validate (original)
5 = validate (modify)
6 = quote (only applicable for premium)
7 = retrieve
8 = cancel (only applicable for Livestock crop policy)
9 = re-instate (only applicable for Livestock crop policy)
Process flag will default to 1 unless otherwise indicated.
111 - 1
RY 2008
June 28, 2007
Exhibit 111
FCIC-Appendix III
ADJUSTER REQUIREMENTS FOR eDAS
Format/Edits
No.
Tag
Key
Level of
Change
Picture
Description/Edit
1
Y
3
Y/Y
REQ
Y
NA
Y/Y
3
2
X(02)
REQ
4
9(04)
Edit with Approved Insurance
Provider/Company table.
Must = Reinsurance Year.
Y
2
Y/Y
REQ
9
X(09)
4
1
Y/Y
REQ
20
X(20)
5
1
Y/Y
REQ
10
X(10)
6
1
Y/Y
OPT
10
X(10)
7
1
Y/Y
OPT
5
X(05)
8
1
Y/Y
OPT
4
X(04)
9
<AUTHORIZATION_
NUM>
2
Y/Y
CON
5
9(05)
10
<FCIC_DT_TM>
NA
N/Y
REQ
19
X(19)
11
<TRANS_
SEQUENCE_NUM>
NA
N/Y
REQ
8
9(08)
12
<TRANS_RECORD_
NUM>
<TRANSACTION_
FLAG>
NA
N/Y
REQ
6
9(06)
NA
N/Y
REQ
1
X(01)
2
13
FCIC-APPENDIX III
IN/
OUT
REQ/
OPT/
CON
111 - 2
Max
Size
A valid SSN for the adjuster.
Validate to SSA file and ITS file.
Must be 9 digits.
Last name of adjuster. Requires
a minimum of 2 characters.
Alpha including (-), (.), ( ), (‘),
(,).
First name of adjuster. Must not
be blank, Alpha including (-), (.),
( ), (‘), (,).
Middle name of adjuster. Alpha
including (-), (.), ( ), (‘), (,).
Suffix (e.g. SR, JR, II, etc.) of
adjuster. Alpha including (-), (.),
( ), (‘), (,).
Title (e.g. DR, etc.) of adjuster.
Alpha including (-), (.), ( ), (‘),
(,).
Authorization Number provided
by Reinsurance Services
Division (RSD) approving the
original, change or deletion.
Change Flag must = 3 and
Process Flag must = 1, 2, 3, 4 or
5. If changing a “Key” field
with Level of Change = 2,
Authorization Number assigned
by administrative screen and
Change Flag must = 2.
FCIC Control Date and Time of
process, format MM/DD/YYYY
HH:MM:SS. There is a space
between the YY and HH.
Transaction Sequential Number
assigned to each transaction
number processed by eDAS.
Transaction Record Number
If transaction accepted, flag = Y.
If rejected, flag = N. If deleted,
flag = D. If cancel, flag = C.
RY 2008
June 28, 2007
Exhibit 111
FCIC-Appendix III
ADJUSTER REQUIREMENTS FOR eDAS
Format/Edits
No.
Tag
Key
**
<ADJUSTER_
DETAIL>
**
14
<DETAIL_NUM>
Y
15
Level of
Change
IN/
OUT
REQ/
OPT/
CON
Max
Size
Picture
The beginning of adjuster
information at a detail level.
NA
Y/Y
REQ
3
9(03)
<ADJUSTER_ID_
CODE>
2
Y/Y
REQ
9
X(09)
16
<ACTIVE_FLAG>
1
Y/Y
REQ
1
X(01)
17
<INACTIVE _DT>
1
Y/Y
CON
10
X(10)
18
<ADJUSTER_
ADDRESS>
1
Y/Y
REQ
35
X(35)
19
20
1
1
Y/Y
Y/Y
REQ
REQ
35
2
X(35)
X(02)
1
Y/Y
REQ
3
9(03)
22
<CITY>
<ADDRESS_
STATE>
<ADDRESS_
COUNTY>
<ZIP_CODE>
1
Y/Y
REQ
5
X(05)
23
<ZIP_EXTENSION>
1
Y/Y
OPT
4
X(04)
24
<PHONE_
NUMBER>
<AUTHORIZATION_
NUM>
1
Y/Y
REQ
10
X(10)
3
Y/Y
CON
5
9(05)
21
25
FCIC-APPENDIX III
Description/Edit
111 - 3
Adjuster Detail Number.
Multiple sets may be reported
with a unique number. Must be
≥ 1 or ≤ 999. Detail number
represents a separate Adjuster ID
code.
An Adjuster Identification Code
can only reference one SSN for
an approved insurance provider.
Alpha/numeric. Adjuster ID
Code can not equal Adjuster
SSN.
Must be:
Y = Yes, active
N = No, inactive
Inactive Date required if field 16
(Active Flag) = N. Format
MM/DD/YYYY. Numeric with
slashes. Must be ≥ processing
date but ≤ 06/30 for the
reinsurance year submitted.
Adjuster address. Enter location
or street address. Do not enter
post office address.
Alphanumeric including (-), (,),
(.), ( ), (&), (%), (#).
Adjuster city.
Enter Alpha state abbreviation.
Edit with FIPS State Table.
Edit with county table. Must be
valid for zip code submitted.
Edit with lookup table for
current address state and county.
Optional; if reported must be
valid for zip code, state, county,
and city.
Must be numeric.
Authorization Number provided
by Reinsurance Services
Division (RSD) approving the
original, change or deletion.
Change Flag must = 3 and
Process Flag must = 1, 2, 3, 4 or
5.
RY 2008
June 28, 2007
Exhibit 111
FCIC-Appendix III
ADJUSTER REQUIREMENTS FOR eDAS
Format/Edits
No.
Tag
26
<TRANSACTION_
FLAG>
**
</ADJUSTER_
DETAIL>
Key
Level of
Change
NA
IN/
OUT
N/Y
REQ/
OPT/
CON
REQ
**
Max
Size
1
Picture
Description/Edit
X(01)
If transaction accepted, flag = Y.
If rejected, flag = N. If deleted,
flag = D. If cancel, flag = C.
End of adjuster information at
detail level.
Notes: Key fields are: Approved Insurance Provider (field 1), Reinsurance Year (field 2), and Adjuster SSN
(field 3).
Key fields with Level of Change = 3 will be allowed with RMA approval. When a company submits this
information, eDAS will change all other associated data to the new information.
Key fields with Level of Change = 2 requiring a change to that field, company will use an
administrative screen to identify this change. eDAS will use this information to verify the data when
submitted.
Information regarding column headers:
1) ‘Tag’ identifies the naming convention used in creation of XML.
2) ‘Key’ identifies the tags that are key to the validation/storage of data.
3) ‘Level of Change’ identifies the data that is allowed to change and at what level according to Change
Flag.
4) ‘IN/OUT’ identifies the direction of data, IN for input and OUT for output with flags ‘N’ (NO) and ‘Y’
(YES).
5) ‘REQ/OPT/CON’ identifies if the data is required (REQ), optional (OPT), or conditional (CON). If
optional or conditional and there is no data to report the tag is not used.
6) ‘Max Size’ is the maximum size of data allowed for that tag.
7) ‘Picture’ identifies the type of data expected.
8) ‘Description/Edit’ gives additional information.
On an update, only the key fields that define the sections are required plus any changed fields or new
section(s).
FCIC-APPENDIX III
111 - 4
RY 2008
</pre><Table class="table"><tr><Td>File Type</td><td>application/pdf</td></tr><tr><Td>File Title</td><td>Microsoft Word - EXH111.doc</td></tr><tr><Td>Author</td><td>julie.carew</td></tr><tr><Td>File Modified</td><td>2007-06-28</td></tr><tr><Td>File Created</td><td>2007-06-28</td></tr></table></div></div></div><hr>
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