DATA DICTIONARY FOR MOTOR DATA - (Effective for Transactions from 1st April 2014 onwards)

MOTOR POLICY / OD CLAIMS / TP-MACT CLAIMS/RECOVERED FORMATS - Form Nos 12a,12b,12c & 12d

SL. FIELD NAME NO

1 2 3 4 5 6

Format F12

FIELD SIZE
4 6 7 30 1 20

TYPE

DATA DEFINITION DICTIONARY REFERENCE

120001 120002 120003 120004 120005 120006 Refer Insurer Code Master Unique Underwriting Office Code of Insurer To be shown in starting year - ending year format, eg: 2000-01 Unique number to be given in all records Y for Endorsement, otherwise N Endorsement Number where endorsement details are given - For only "non-nil" endorsements only Location of the registering RTA Code of the registering RTA Code Master Type of the Policy - Refer IMT Policy Code master Type of vehicle - Refer IMT Class Code master Vehicle Specific - Refer IMT Make Code master Vehicle Specific - Submit Company specific Make Code master Refer IMT Zone Code master Vehicle Age in completed years on inception/ renewal Refer IMT CC/ PCC/ GVW Code master Unique number to be given in all records Unique number to be given in all records Unique number to be given in all records Descriptive entry Sum insured rounded off to rupees Refer Permit Code Master Refer Nature of Goods Code Master Refer Road Type Code Master Refer Driver Type Code Master Refer Driver Age Code Master Refer Driver Experience Code Master Claims History Code Master Refer Driver Education Code Master Claims Experience of previous years based on which premium is loaded If opted for restricted cover - "Y". If Wider cover applicable - "N" Y if Antitheft discount given, otherwise N Y if Auto Association discount given, otherwise N Y if Voluntary Excess discount given, otherwise N Y if Vintage Car discount given, otherwise N Y if operating in own premises only discount given, otherwise N Y if Specially Designed Vehicle for blind, physically or mentally challenged user discount given, otherwise N Y if discount for Side Car given, otherwise N Y if Special rating discount given, otherwise N applicable only for Trade Policies Y if NCB discount given, otherwise N Amount of NCB given Gross Basic OD Premium rounded off to rupees Gross Premium for Electronic Fittings rounded off to rupees Gross Premium for Bi-fuel rounded off to rupees Gross Premium for Trailers rounded off to rupees Net OD Premium on which service tax is calculated rounded off to rupees

Txt_Insurer Txt_ Office_Code Txt_Policy_Year Txt_Policy_Number Boo_Endorsement Txt_Endorsement_Number

a,b,c,d a,b,c a,b,c,d a,b,c,d a,b,c a,b,c

Text Text Text Text Boolean Text

7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36

Txt_Location_RTA Txt_RTA_Code Txt_Policy_Code Txt_Class_Code Txt_TAC_Make_Code Txt_Insurer_Make_Code Txt_Zone_Code Num_Vehicle_Age Txt_CC_ PCC_ GVW_Code Txt_Reg_Number_Vehicle Txt_Chassis_Number Txt_Engine_Number Txt_Colour_Vehicle Num_IDV Txt_Permit_Code Txt_Nature_Goods_Code Txt_Road_Type_Code Txt_Vehicle_Driven_By_Code Txt_Driver_Age_Code Txt_Driver_Exp_Code Txt_Claims_History_Code Txt_Driver_Qualification_Code Txt_Incurred_Claims_Code Boo_ TPPD Statutory Cover only Boo_AntiTheft Boo_AutoAssociation Boo_Voluntary_Excess Boo_Vintage_Car Boo_Own_Premises Boo_Spl_Design

a,b,c a,b,c a,b,c a,b,c a,b,c,d a,b,c,d a,b,c a,b,c a,b,c a,b,c,d a,b,c,d a,b,c,d a,b,c a,b,c a,b,c a,b,c a,b,c a,b,c a,b,c a,b,c a,b,c a,b,c a,b,c a,b,c a a a a a a

20 20 2 2 6 10 2 2 2 20 25 25 20 12 2 2 2 2 2 2 2 2 3 1 1 1 1 1 1 1

Text Text Text Text Text Text Text Number Text Text Text Text Text Number Text Text Text Text Text Text Text Text Text Boolean Boolean Boolean Boolean Boolean Boolean Boolean

120007 120008 120009 120010 120011 120012 120013 120014 120015 120016 120017 120018 120019 120020 120021 120022 120023 120024 120025 120026 120027 120028 120029 120030 120031 120032 120033 120034 120035 120036

37 38 39 40 41 42 43 44 45

Boo_Side_Car Boo_Spl_Rating Boo_NCB Num_NCB Num_Gross_Basic_OD_Premium Num_Gross_Elec_OD_Premium Num_Gross_Bifuel_OD_Premium Num_Gross_Trailers_OD_Premium Num_Net_OD_Premium

a a a a a a a a a

1 1 1 7 10 10 10 10 10

Boolean Boolean Boolean Number Number Number Number Number Number

120037 120038 120039 120040 120041 120042 120043 120044 120045

SL. FIELD NAME NO

46 47 48 49 50 51 52

Format F12

FIELD SIZE
7 7 7 7 7 7 7

TYPE

DATA DEFINITION DICTIONARY REFERENCE

120046 120047 120048 120049 120050 120051 120052 Total Gross Basic TP Premium calculated and rounded off to rupees Total Gross Trailers TP Premium rounded off to rupees Total Gross Bifuel TP Premium rounded off to rupees Total Gross Driver Wider Legal Liability TP Premium rounded off to rupees Total Gross Cleaner Wider Legal Liability Premium TP Premium rounded off to rupees Total Gross Coolies Wider Legal Liability Premium TP Premium rounded off to rupees Total Gross Conductor's Wider Legal Liability Premium TP Premium rounded off to rupees Total Gross Owner PA Premium rounded off to rupees Total Gross Personal Accident Premium for Others rounded off to rupees Gross of other TP Premium not specifically provided, rounded off to rupees Total Net TP Premium on which service tax is calculated rounded off to rupees Free text entry To be shown in starting year - ending year format, eg: 2000-01 Unique Master Claim Number Unique Child Claim Number under a master claim number. To be filled if insurer follows system of alloting multiple child claim numbers under the same master claim number for same accident DD/MM/YYYY- Date of accident or loss Name the place of accident PIN Code of place of accident DD/MM/YYYY - Date of intimation of accident or loss Refer IMT Nature of Loss Code Master Submit Company specific Nature of Loss Code master, if any DD/MM/YYYY- Date of final disbursement of claim amount Y if Total Loss, otherwise, N Amount of OD Claims made rounded off to rupees Amount of OD Claims paid rounded off to rupees Amount of Survey fees, Advocate fees, Investigators fees, court costs paid rounded off to rupees on OD claim Amount of interest/ compensation paid to insured through courts / consumer forums rounded off to rupees on OD claim Y if payment is on account, otherwise N Settlement basis as per Settlement Codes Master maintained by the insurer Outstanding OD Claims at the beginning of the year Outstanding OD Claims at the end of the year 'Civil Court' for OD Claims in Civil Suit and 'Consumer Forum' in CF cases Free text entry Y if claim is fatal, otherwise N Amount claimed in the petition / claim Amount of TP /MACT Claims paid rounded off to rupees Amount of MACT Award paid rounded off to rupees Amount of Survey fees, Advocate fees, Investigators fees, court costs paid rounded off to rupees on TP/ MACT claim

Num_Gross_Basic_TP_Premium Num_Gross_Trailers_TP_Premium Num_Gross_Bifuel_TP_Premium Num_Gross_Driver_LL_TP_Premium Num_Gross_Cleaner_TP_Premium Num_Gross_Coolies_TP_Premium Num_Gross_Conductor _TP_Premium

a a a a a a a

Number Number Number Number Number Number Number

53 54 55 56 57 58 59 60

Num_Gross_Owner_PA_Premium Num_Gross_Other_PA_Premium Num_Gross_Other_TP_Premium Num_Net_TP_Premium Txt_Policy_Remarks Txt_Claim_Year Txt_Claim_Number Txt_Child_Claim_Number

a a a a a b,c,d b,c,d b,c

7 7 7 7 100 7 20 4

Number Number Number Number Text Text Text Text

120053 120054 120055 120056 120057 120058 120059 120060

61 62 63 64 65 66 67 68 69 70 71

Date_Accident_Loss Txt_Place_Accident Txt_Pincode Date_Claim_Intimation Txt_TAC_NOL_Code Txt_Insurer_NOL_Code Date_Disbursement Boo_OD_Total_Loss Num_OD_Amount_Claimed Num_OD_Claims _Paid Num_OD_Expenses_Paid

b,c,d b,c b,c b,c b,c b,c b,c b b,c b,c b,c

10 20 6 10 2 4 10 1 7 7 11

Date Text Text Date Text Text Date Boolean Number Number Number

120061 120062 120063 120064 120065 120066 120067 120068 120069 120070 120071

72

Num_OD_Interest_Paid

b,c

11

Number

120072

73 74 75 76 77 78 79 80 81 82 83

Boo_On_Account Txt_Settlement_Basis_Code Num_Open_Provision Num_Closing_Provision Txt_Summons_Type Txt_OD_Claims_Remarks Boo_Fatal_NonFatal Num_TP_Amount_Claimed Num_TP_Claims _Paid Num_TP_Awards_Paid Num_TP_Expenses_Paid

b,c b,c b b b,c b c c c c c

1 2 11 11 20 100 1 11 7 7 11

Boolean Text Number Number Text Text Boolean Number Number Number Number

120073 120074 120075 120076 120077 120078 120079 120080 120081 120082 120083

SL. FIELD NAME NO

84

Format F12

FIELD SIZE
11

TYPE

DATA DEFINITION DICTIONARY REFERENCE

120084 Amount of interest/ compensation paid to insured through courts / consumer forums rounded off to rupees on TP MACT claim Amount paid on account of Wider legal Liability Amount paid to insured on account of PA Owner Driver Amount paid to insured on account of PA Others Refer Injury Code Master Y if payment is on account of interim awards, otherwise N Settlement basis as per Settlement Codes Master maintained by the insurer Outstanding TP / MACT Claims at the beginning of the year for Award / Compensation Outstanding TP / MACT Claims at the beginning of the year for Expenses, fees, costs Outstanding TP / MACT Claims at the beginning of the year for interest on award / compesation Outstanding TP / MACT Claims at the end of the year for Award / Compensation Outstanding TP / MACT Claims at the end of the year for Expenses, fees, costs Outstanding TP / MACT Claims at the end of the year for interest on award / compesation 6 digit code for court location as per Court Master of the insurer 7 digit year in which case was filed in the court Eg: 2000-01 6 digit case number allotted by the court Court case title for reference to the case DD/MM/YYYY - Date of filing of the petition by the claimant 2 digit code for type of summons Age of the claimant in case of injury cases, age of deceased in case of death cases and blank in case of TPPD cases Sex of the claimant in case of injury cases, sex of deceased in case of death cases and blank in case of TPPD cases M - Male, F - Female, O Other Annual Income of the claimant in case of injury cases, Annual Income of deceased in case of death cases and blank in case of TPPD cases Annual Income of the claimant considered for provision in case of injury cases, Annual Income of deceased considered for provision in case of death cases and blank in case of TPPD cases Occupation of the claimant in case of injury cases, Occupation of deceased in case of death cases and blank in case of TPPD cases as per Occupation Codes Master Nature of injury in free text Percentage of disability suffered by the claimant Number of days of loss of income claimed for injury cases only 3 digit reason code for the case next posted for hearing as per master maintained by insurer Y in case children are below 25 years, otherwise N Y in case children are above 25 years, otherwise N Free text entry - details of damaged property

Num_TP_Interest_Paid

Number

85 86 87 88 89 90 91

Num_Amount_Wider_Legal_Liability Num_Amount_PA_Owner_Driver Num_Amount_PA_Others Txt_Nature_Of_Injury Boo_Interim_Award Txt_Settlement_Basis_Code Num_Open_Provision_Main

c c c c c c c

11 11 11 3 1 2 11

Number Number Number Text Boolean Text Number

120085 120086 120087 120088 120089 120090 120091

92

Num_Open_Provision_Expenses

11

Number

120092

93

Num_Open_Provision_Interest

11

Number

120093

94 95 96 97 98 99 100 101 102 103

Num_Closing_Provision_Main Num_Closing_Provision_Expenses Num_Closing_Provision_Interest Txt_Court_Location_Code Txt_Case_Year Txt_Case_Number Txt_Case_Title Date_Petition_Filed_On Txt_Summons_Type_Code Num_Age

c c c c c c c c c c

11 11 11 6 7 6 50 10 2 3

Number Number Number Text Text Text Text Date Text Number

120094 120095 120096 120097 120098 120099 120100 120101 120102 120103

104

Txt_Sex

Text

120104

105

Num_Cur_Annual_Income

11

Number

120105

106

Num_Provision_Annual_Income

11

Number

120106

107

Num_Occupation_Code

Number

120107

108 109 110 111

Txt_Nature_Of_Injury Num_Disability_Percentage Num_Income_Loss_Days Txt_Reason_Hearing_Code

c c c c

50 3 4 3

Text Number Number Text

120108 120109 120110 120111

112 113 114

Boo_Children_under_25 Boo_Children_above_25 Txt_Damaged_Property

c c c

1 1 100

Boolean Boolean Text

120112 120113 120114

SL. FIELD NAME NO

115 116 117 118 119 120 121 122 123 124 125 126 127

Format F12

FIELD SIZE
2 1 10 1 1 1 10 1 10 10 10 10 1

TYPE

DATA DEFINITION DICTIONARY REFERENCE

120115 120116 120117 120118 120119 120120 120121 120122 120123 120124 120125 120126 120127 Number of dependents Y in case written statement filed, otherwise N DD/MM/YYYY- Date of filing written statement Y in case policy copy is filed, otherwise N Y in case claim is fit for compromise, otherwise N Y in case Criminal Court Records filed, otherwise N DD/MM/YYYY- Date of filing Criminal Court Records "Y" in case advocate has been allowed to defend the insured, otherwise "N" DD/MM/YYYY- Date of filing application under Section 170 DD/MM/YYYY- Date of Court Order under Section 170 DD/MM/YYYY- Date of conducting Company's evidence DD/MM/YYYY- Date of conducting Driver's evidence "Y" in case claimant is included in charge sheet in case of injury cases, deceased is included in the charge sheet in case of death cases, otherwise "N" DD/MM/YYYY- Date of post mortem for death claims only Reason for death in free text Rate of interest in percentage considered for payment or provision Free text entry DD/MM/YYYY- Date of Policy Starting DD/MM/YYYY- Date of Policy Ending Product ID number provided by insurer Refer Endorsement Type Master. (The endorsement type master is enclosed.) PAN Number of the insured provided by Income Tax or Director Identification Number (DIN) in case of Company. Transaction ID of the company prefixed with insurer code and suffixed by time stamp. The ID shall be unique in the database and should not be repeated. DD/MM/YYYY - Date of stolen vehicle recovery Name of the Police station (PS) where the FIR was filed for the stolen vehicle Name of the Police station (PS) where the vehicle was recovered. "Y" if the vehicle is taken over by the insurer else "N" If the 120141 is "Y", salvage value of the vehicle taken over. Free Text % of No Claim discount granted Year of Manufacture of Vehicle as mentioned in the Registration Certificate. Year of Registration of Vehicle as mentioned in the Registration Certificate. 1. Petrol, 2, Diesel, 3. CNG 4.Others "Y" if it is a pay & recover claims else "N" District of accident place. Product ID number as per Insurers Product ID Master. Please refer to Distribution Channel Code master. Whether Fleet Policy or not, if yes then 'Y' else 'N'. If applicable (Unique number to be given in all records). Whether Compromised or Award by court, if yes then 'Y' else 'N'.

Num_Number_Of_Dependents Boo_Is_WS_Filed Date_WS_Filed_On Boo_Is_Policy_Filed Boo_Is_Compromise_Fit Boo_Is_CC_Filed Date_CC_Filed_On Boo_Is_Insured_Defended Date_Section_170_Filed Date_Section_170_Court_Order Date_Co_Evidence_Date Date_Driver_Evidence_Date Boo_Is_Petitioner_in_CS

c c c c c c c c c c c c c

Number Boolean Date Boolean Boolean Boolean Date Boolean Date Date Date Date Boolean

128 129 130 131 132 133 134 135 136

Date_Of_Post_Mortem Txt_Reason_for_Death Num_Interest_Rate Txt_TP_Claims_Remarks Date_Policy_Start_Date Date_Policy_End_Date Txt_Product_ID Txt_Endt_Type Txt_PAN_DIN_Number

c c c c a,b,c a,b,c a,b,c a,b,c a,b,c

10 50 5 100 10 10 10 10 10

Date Text Number Text Date Date Text Text Text

120128 120129 120130 120131 120132 120133 120134 120135 120136

137

Txt_Transaction_ID

a,b,c

25

Text

120137

138 139 140 141 142 143 144 145 146 147 148 149 150 151 152

Date_Recovery Txt_PS_FIR_Filed Txt_PS_of_Recovery Boo_Vehicle_Taken_by_Insurer Num_Salvage_Value Txt_Recovery_Remarks Num_NCB_Percentage Txt_Year_of_Manufacturing Txt_Year_of_Registration Num_Type of Fuel Boo_Pay_Recover Txt_District_Accident Txt_Insurer_Product_ID Txt_Distribution_Channel_Code Boo_Fleet_Policy Txt_Previous_Policy_Number Boo_Compromised_or_Award

d d d d d d a a,b,c a,b,c a c b,c a a,b,c a,b,c a b,c

10 50 50 1 10 100 10 4 4 1 1 25 100 1 1 50 1

Date Text Text Boolean Number Text Number Text Text Number Boolean Text Text Text Boolean Text Boolean

120138 120139 120140 120141 120142 120143 120144 120145 120146 120147 120148 120149 120150 120151 120152 120153 120154

153 154

SL. FIELD NAME NO

155 156

Format F12

FIELD SIZE
1 1

TYPE

DATA DEFINITION DICTIONARY REFERENCE

120155 120156 1-Reopened Claim; 0- New Claim 1 - Claim Fully settled, 2 - Claim Settled Partially, 3 - Claim Repudiated, 4 - Claims Closed Without Payment (other than repudiation), 5 - Claim Outstanding or in process Provide Driver's License Number. Provide name of the issuing RTO. Amount of award paid as 'General Damages'. Amount not related to indemnity/Tort (E.g. Expenses for Nutritious Food, Loss of consortium, Funeral Expenses etc. ) Amount of award paid as 'Special Damages' Amount awarded as per schedule 2 of Sec 163..

Boo_New_or_Reopened_Claim Txt_Claim_Status

b,c b,c

Boolean Number

157 158 159

Txt_Driver_License_Number Txt_Issuing_RTO_Driver_License Num_Award_General_Damages_Paid

b,c b,c c

20 50 8

Text Text Number

120157 120158 120159

160

Num_Award_Special_Damages_Paid

Number

120160

Data dictionary for insured vehicle identification - daily submission

MOTOR POLICY Form No - 98

SL. NO
1 2 3 4 5 6 7 8 9

FIELD NAME

FIELD SIZE

TYPE

DATA DICTIONA RY REFERENC E

980001 980002 980003 980004 980005 980006 980007 980008 980009

DEFINITION

Registration Number Chassis Number Engine Number Policy Number Policy start date Policy end date Type of transaction (Issue/Cancellation) Net Premium Date of transaction

12 12 12 20 10 10 1 7 10

Text Text Text Text Date Date Text Number Date

Unique number to be given in all records Unique number to be given in all records Unique number to be given in all records Unique number to be given in all records DD/MM/YYYY- Date of Policy Starting DD/MM/YYYY- Date of Policy Ending I for Issue and C for cancellation Total Net TP Premium on which service tax is calculated rounded off to rupees DD/MM/YYYY- Date of transaction

HEALTH DATA DICTIONARY w.e.f 01.04.2014

DATA FIELD FIELD HEADING HEALTH NON-LIFE FORMATS (F15) FIELD TYPE FIELD SIZE DATA DICTIONARY REFERENCE

101 102

Txt_Distribution_Channel_Code Boo_Claim_Reopened_or_Not

A,B,C C

Text Boolean

2 1

150101 150102

103

Txt_Claim_Status

Text

150103

C
104 105 106 107 108 109 110 111 112 113 Txt_PAN_or_TAN_of_Policyholder Txt_Adhaar_Number_of_Policyholder Txt_Pin_Code_of_Policyholder Txt_City_of_Policyholder Txt_District_of_Policyholder Txt_State_of_Policyholder Boo_Type_of_Premium Txt_Surgical_or_Non_Surgical_Treatment Txt_Out-Patient_or_In-Patient_Treatment Txt_IRDA_Product_ID

A,B,C A,B,C A,B,C A,B,C A,B,C A,B,C A,B,C C C A,B,C

Text Text Text Text Text Text Boolean Boolean Boolean Text

30 12 10 50 50 50 2 2 2 100

150104 150105 150106 150107 150108 150109 150110 150111 150112 150113

114

Txt_U_W_Office_Code

Text

20

150003

B,C
115 Txt_Previous_Policy_Number A,B,C Text 50 150114

116 117

Txt_Previous_Member_Reference_Key Txt_Critical_Illness_Disease_Code

B,C C

Text Text

50 50

150115 150116

REMARKS

Please refer to Distribution Channel Code Master 1- Reopened Claim ; 0 - New Claim 01' - Claims settled fully '02' - Claims settled partially '03' - Claims repudiated '04' - Claims closed due to other reasons '05' - Claim Reported But No Payment Made As on Date of Submitting the Data to IIB

If Group Policy then enter TAN of the Employer else enter PAN of the Policyholder Enter Adhaar card number of Policyholder
6 digit Postal Pincode of Policyhlder's Residential Address City of Policyhlder's Residential Address District of Policyhlder's Residential Address State of Policyhlder's Residential Address

1' - 1st time Premium, '0' - Renewal Premium 0: Surgical Treatment, 1: Non-Surgical Treatment 0: Out-Patient Treatment, 1: In-Patient Treatment File & Use product code allocated by IRDA
Branch/ Divisional Office Code or Name as available. If Branch/ Division not applicable, enter '0' (ALREADY AVAILABLE IN POLICY (15A) FORMAT. TO BE ENTERED IN MEMBER(15B) AND CLAIM(15C) FORMATS AS WELL) If Boo_Type_of_Premium = '0' (i.e Renewal) then enter Policy Number of previous year. If Boo_Type_of_Premium = '1' (i.e 1st time Premium) then leave blank. If Boo_Type_of_Premium = '0' (i.e Renewal) then enter Member Reference Key of previous year. If Boo_Type_of_Premium = '1' (i.e 1st time Premium) then leave blank. For Critical Illness polices enter the code of critical illness disease diagnosed (list to be devised and circulated)

Health Data Manual - APPENDIX 2 NON-LIFE HEALTH DATA RECONCILIATION SHEET Company: Submission for Period: 01.04.20XX to 31.03.20XX+1 Data Figure : (As per the Figure submitted to IRDA Difference ( as mentioned in Transaction level data submitted reconciliation) to IIB) Commerci Govt Total Data Commerci Govt Total Commerci Govt al al submitted al Figure No of Policies (15A figure) Policy Premium (15A figure) No of Claims (15C figure) Claim Paid Amount (15C figure) Number of members (15B figure) to IRDA

Company: Submission for Period: 01.04.20XX to 31.03.20XX+1 As per the Figure data submitted submitted to IRDA to IIB

As per the Figure data submitted Difference submitted to IRDA to IIB ( as mentione d in reconciliat ion) No. of Claims Incurred Claims Incurred Amount

I hereby confirm the above figures to be correct. I hereby confirm that the adjustme nts to the data figures shown in the reconcili ation statemen ts beneath are correct and the amounts in the
Signature:- Signature:-

Complian ce Officer :Name &Designat ion:-

AccountsIn-Charge:Name & Designati on:-

Reconciliation
No of Policies, No of Members & Policy Premium Descriptio No of Policies No of Members n Commerci Commerci al Govt al Govt As per the Transactio n level data submitted to IIB Add Item 1 Item 2 Item 3 Less Item 1 Item 2 Item 3 As submitted to IRDA Insurer may add additional rows for more items to be inserted Policy Premium Commerci al

Govt

Reconciliation
No of Claims & Claims Paid Descriptio n No of Claims Commerci al As per the Transactio n level data submitted to IIB Add Item 1 Item 2 Item 3 Less Item 1 Item 2 Item 3 As submitted to IRDA Insurer may add additional rows for more items to be inserted Claim Paid Amount Commerci al

Govt

Govt

Reconciliation
No. of Claims Incurred & Claims Incurred Amount Descriptio No. of Claims Claims Incurred n Incurred Amount Commerci Commerci al Govt al Govt As per the data submitted to IIB Add Item 1 Item 2

Item 3 Less Item 1 Item 2 Item 3 As submitted to IRDA Insurer may add additional rows for more items to be inserted

( as mentioned in ion) Total

SL. NO. 1 2 3 4 5 6 7 8

FIELD NAME Txt_Insurer Txt_ Office_Code Txt_Policy_Year Txt_Policy_Number Date_Policy_Start_Date Date_Policy_End_Date Txt_Previous_Policy_Number Boo_Endorsement

Data Dictionary - Businesses for which no specific data format is provided by IIB Mandatory/Non DICTIONARY Mandatory FIELD SIZE DATA TYPE REFERENCE m m m m m m m m 4 6 7 50 10 10 50 1 Text Text Text Text Date Date Text Boolean 990001 990002 990003 990004 990005 990006 990007 990008

9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

Txt_Endorsement_Number Txt_Policy_Type Txt_Type_of_Distribution Txt_Product ID Txt_PinCode_Location Num_Sum_Insured Num_Net_Premium Txt_Claim_Number Txt_Claim_Year Date_Accident_Loss Txt_Place_Accident Txt_District Txt_Pincode Date_claim_Intimation Date_Disbursement Txt_Description_Loss Num_Opening_Provision Num_Net_Claim_Paid Num_Expenses_Paid Num_Closing_Provision Boo_Final_or_Partial_Settlement

m m m m m m m m m m m m m m m m m m m m m

20 50 1 100 6 10 10 50 7 10 20 25 6 10 10 100 10 10 10 10 1

Text Text Text Text Text Number Number Text Text Date Text Text Text Date Date Text Number Number Number Number Boolean

990009 990010 990011 990012 990013 990014 990015 990016 990017 990018 990019 990020 990021 990022 990023 990024 990025 990026 990027 990028 990029

30 31 32 33 34 35 36 37 38

Txt_Transaction_ID Txt_Policy_Remarks Txt_Claims_Remarks Txt_Distribution_Channel_Code Txt_IRDA_Product_ID Txt_Insurer_Product_ID Date_Policy_Start_Date Date_Policy_End_Date Boo_Claim_Reopened_or_Not Txt_Claim_Status

m n n m m m m m m m

25 100 100 2 100 100 10 10 1 1

Text Text Text Text Text Text Date Date Boolean Text

990030 990031 990032 990033 990034 990035 990036 990037 990038

39

990039

o specific data format is provided by IIB DEFINITION Refer Insurer Code Master Unique Underwriting Office Code of Insurer To be shown in starting year - ending year format, e.g.: 2000-01 Unique number to be given in all records DD/MM/YYYY- Date of Policy Starting DD/MM/YYYY- Date of Policy Ending If applicable Y for Endorsement, otherwise N Endorsement Number where endorsement details are given - For only "non-nil" endorsements only Give details of Type of Policy in descrption Please refer to Type of Distribution Product ID number approved by IRDA Pin code of the location of Risk Total Sum insured Net Premium on which service tax is calculated rounded off to rupees Unique number to be given in all records To be shown in starting year - ending year format, e.g.: 2000-01 DD/MM/YYYY- Date of accident or loss Name the place of accident District of accident place PIN Code of place of accident DD/MM/YYYY - Date of intimation of accident or loss DD/MM/YYYY- Date of disbursement of claim amount Descrption on nature of Loss Claims outstanding at the beginning of the year (as on 1st April) Net Claim Paid rounded off to rupees Amount of Survey fees,Advocate fees, Investigators fees, court costs etc. paid Claims outstanding at the end of the year (as on 31st March) Whether Final or Partial Settlement Unique ID for each of row generated by insurer prefixed with the insurer code and suffixed by time stamp Free text entry Free text entry Refer Distribution Channel Code Master Product ID number approved by IRDA Product ID number as per Insurers Product ID Master Policy Start Date Policy End Date 1-Reopened Claim; 0- New Claim 01' - Claim Fully settled, '02' - Claim Settled Partially, '03' - Claim Repudiated, '04' - Claims Closed Without Payment, '05' - Claim Outstanding or in process

DATA DICTIONARY FOR FIRE DATA (SECTION 64 UE) FIRE : Policy Data Table SL. FIELD NAME NO: Form No FIELD SIZE Data Dictionary TYPE Number Description 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 Txt_Name_Insurer Txt_Reporting_Year Txt_Reporting_Quarter_Code Txt_Office_Code Txt_Policy_Number Txt_Endt_Number Txt_Pol_Endt_Reason_Code Txt_Pol_Endt_Reason Txt_Policy_Year Num_Policy_Period Date_Pol_Endt_Year Txt_Pol_Endt_Period Num_Policy_SI Boo_Whether_Floater_Policy Num_Pol_Number_of_Occupancies Boo_Pol_Occupancys_outside_India Num_Policy_Basic_Premium Num_Policy_Cover_Peril_Premium Num_Pol_Premium Boo_Pol_Is_LOP_covered Txt_Coinsurance_Status Num_Coinsurance_Share Txt_Occ_Endt_Reason_Code Txt_Occ_Endt_Reason Date_Occ_Endt_Year Num_Occ_Endt_Period Txt_Occ_Serial_Number_Occupancy Num_Occ_Risk_Pincode Num_Occ_Perils_Opted Num_Occ_Covers_Opted Txt_Occ_Occupancy_Code Txt_Occ_Occupancy_Risk Txt_Nature_of_Occupancy Txt_Occ_Type_Construction Num_Occ_Height_Building Num_Occ_Age_Building Txt_Occ_TAC's_Electrical_Regulations_co mplied Txt_Occ_Type_Fire_Protection abcd abcd abcd abcd abcd abc ab ab abcd abd a a abcd abd a a a ac abcd ad ad ad ab b b b bcd bd bcd bd bd bd bd bd bd bd b b m m m m m m m n m m m m m m m n m m m m m m m m m m m m m m m n m m n n n n 4 9 1 6 30 30 4 30 9 4 9 10 16 1 3 1 16 16 16 1 1 5 4 30 9 4 20 6 2 2 4 50 1 2 3 3 1 10 600001 600002 600003 600004 600005 600006 600007 600008 600009 600010 600011 600012 600013 600014 600015 600016 600017 600018 600019 600020 600021 600022 600023 600024 600025 600026 600027 600028 600029 600030 600031 600032 600033 600034 600035 600036 600037 600038 Text Text Text Text Text Text Text Text Text Number Date Text Number Boolean Number Boolean Number Number Number Boolean Text nn.nn Text Text Date Number Text Number Number Number Text Text Text Text Number Number Text Text Refer Insurer Code Master Mention Year in yyyy/yyyy format 1' for First Qtr, '2' for Second Qtr, '3' for Third Qtr & '4' for Fourth Qtr. Unique Underwriting Office Code of Insurer Give the Policy Number Give the Endorsement Number Give Code as per Endorsement Reason Code Master If Code not provided, give the Reasons for Policy level endorsement Indicate the Policy period in yyyy/yyyy format Give period of the policy in number of days Indicate the period of Policy level endorsement in yyyy/yyyy format Give period of Policy level endorsement in number of days Total Sum Insured at Policy level - rounded off in Indian rupees - value of other currencies are to be converted to INR 0' for Non Floater, '1' for Floater Give the number of occupancies covered under the locations in both floater and non floater policies '1' if occupancys outside India are covered, '0' if otherwise Total Net Basic Fire Premium at Policy level excluding Service Tax - rounded off in Indian rupees - value of other currencies are to be converted to INR Total Peril- Cover Premium at Policy level excluding Service Tax - rounded off in Indian rupees - value of are at to Policy be converted to INR Service Tax - rounded off in Policy Premium - other Totalcurrencies Net Premium level excluding Indian rupees - value of other currencies are to be converted to INR Whether a Loss of Profit policy exists for the risk - '0' for no, '1' for yes 0' for no coinsurance, '1' for outgoing coinsurance, '2' for incoming coinsurance Mention your share in percentage rounded off to two decimals Give Code as per Endorsement Reason Code Master If Code not provided, give the Reasons for Occupancy level endorsement Indicate the period of Occupancy level endorsement in yyyy/yyyy format Give period of Occupancy level endorsement in number of days Give Occupancy Serial Number Give all Pin Code Numbers of the Risk where it is situated incl Floater locations Total number of Perils Opted - Refer Peril Code Master Total number of Covers Opted - Refer Cover Code Master Give details of type of occupancy. Give Code as per Occupancy Code Master Give details of type of occupancy. Mention only if not provided under Occupancy Code Master 1' for Single, '2' for Multiple, '3' for Indusrial Estates Give Code as per Construction Code Master State how many meters in height from the surrounding ground level. State how many years the building is old Whether Electrical systems Complied '1', Not complied '2' or Not available '0' (TAC, NFPA, BIS, Individual Co. Standard) Type of Fire Protection installed - Select from the list given below (TAC, NFPA, BIS, Individual Co. Standard) Not to go by Approving Authority, to go by "Protection Type" Refer Fire Protection Type Code Master Whether Risk at the Occupancy is silent. '0' for no, '1' for yes Refer either Hazardous Goods for Shops Code Master or Hazardous Goods for Storage Code Master as applicable. Mention percentage opted Mention Total Sum Insured at Occupancy level rounded off in Indian rupees - value of other currencies are to be converted to INR - only for 'non nil' endts Mention endorsement Sum Insured amount at Occupancy level 'plus' or 'minus' rounded off in Indian rupees - value of other currencies are to be converted to INR - only for 'non nil' endts Give basis of indemnity Refer Indemnity Code Master In case of First Loss, mention the percentage upto 3 decimals Total Premium at Occupancy level for all Covers- rounded off in Indian rupees - value of other currencies are to be converted to INR Refer Cover Code Master/ Peril Code Master 30 09 2006 FORMAT NUMBER - FIRE-6 (a), (b), ( c), (d)

39 40 41 42 43

Boo_Occ_Risk_silent Txt_Type_of_Goods_Shop_Storage Num_Occ_Percentage_escalation Num_Occ_SI_amount Num_Occ_Endt_SI_amount

b b b bd abc

m m n m m

1 5 6 16 16

600039 600040 600041 600042 600043

Boolean Text Number Number Number

44 45 46 47

Txt_Occ_Basis_Indemnity Num_Occ_First_Loss_percentage Num_Occ_Premium Txt_Cover_Peril_Code

b bd bd c

m m m m

3 6 16 8

600044 600045 600046 600047

Text Number Number Number

48 49

Num_Cover_Peril_SI Num_Cover_Peril_Premium

cd cd

m m

16 16

600048 600049

Number Number

Sum insured on Cover / Peril rounded off in Indian rupees - value of other currencies are to be converted to INR Premium on Cover / Peril rounded off in Indian rupees - value of other currencies are to be converted to INR

50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80

Txt_Claim_Number Txt_Claim_Child_Number Txt_Claim_Time_Loss Date_Claim_Date_Loss Date_Claim_Date_Intimation Date_Claim_Date_Registration_Reopen Date_final_survey_report_ received Date_initial_claim_payment Boo_Whether Deductible_on_SI_or_Claim Num_Deductible_non-AOG Num_Per_Deductible_Non_AOG Num_Deductible_AOG Num_Per_Deductible_AOG Txt_Claim_NOL_Code Num_Claim_Tot_initial_Provision_Loss Num_Claim_Loss_Paid_Building Num_Claim_Loss_Paid_P&M Num_Claim_Loss_Paid_Stocks Num_Claim_Loss_Paid_Others Num_Claim_Total_Paid_Amount Date_Claim_Date_settlement Num_Claim_Opening_Claims_Provision Num_Claim_Closing_Claims_Provision Num_Claim_Deductible Num_Claim_Amount_Expenses Txt_Claim_Expenses_Code Num_Claim_Amount_Recovery Txt_Claim_Recovery_Code Txt_whether_claim_partially_settled Claim_Date_part_settlement Num_Salvage_Adjusted_Recovered

d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d d

m n m m m m m m m m m m m m m m m m m m m m m m m m n n m m m

30 30 2 10 10 10 10 10 1 16 6 16 6 4 16 16 16 16 16 16 10 16 16 16 16 16 16 16 1 10 16

600050 600051 600052 600053 600054 600055 600056 600057 600058 600059 600060 600061 600062 600063 600064 600065 600066 600067 600068 600069 600070 600071 600072 600073 600074 600075 600076 600077 600078 600079 600080

Text Text Text Date Date Date Date Date Boolean Number Number Number Number Text Number Number Number Number Number Number Date Number Number Number Number Text Number Text Text Date Number

Give the Claim Number (unique number for the claim) Give the Claim Child Number (unique number to be combined with Claim Number) Give the approximate time of the loss/damage (in 24 hour format) Give the date on which the loss took place in dd/mm/yyyy format Give the date on which the loss was intimated in dd/mm/yyyy format Give the date on which the loss was registered / reopened in the books - in dd/mm/yyyy format. Date on which the loss/damage final survey report received Date on which the initial payment of loss/damage was made If deductible is a percentage of Sum Insured, '0', if deductible is a percentage of claim amount, '1' Deductible Non-AOG Amount - rounded off in Indian rupees - value of other currencies are to be converted to INR Deductible Non- AOG Percentage Deductible AOG Amount Deductible AOG Percentage Ref: Nature of Loss Code Master Total initial Provision amount of claim rounded off in Indian rupees - value of other currencies are to be converted to INR Paid amount for the damage of the Building rounded off in Indian rupees - value of other currencies are to be converted to INR Paid amount for the damage of the P&M rounded off in Indian rupees - value of other currencies are to be converted to INR Paid amount for the damage of the Stocks rounded off in Indian rupees - value of other currencies are to be converted to INR Paid amount for the damage of the other items rounded off in Indian rupees - value of other currencies are to be converted to INR Total amount paid/recovered by the insurer on the Claim rounded off in Indian rupees value of other currencies are to be converted to INR Date on which the claim was settled Outstanding Claims Provision at the beginning of the year - rounded off in Indian rupees value of other currencies are to be converted to INR Outstanding Claims Provision at the end of the year - rounded off in Indian rupees - value of other currencies are to be converted to INR Amount deducted towards deductible Total amount paid/recovered by the insurer towards expenses rounded off in Indian rupees value of other currencies are to be converted to INR Mention Code from Expenses Code Master (Give additional Records for each Expenses Head Code) Mention amount of Recovery made - applicable where paid amount is negative Mention Code from Recovery Code Master where paid amount is negative 0' if fully settled, '1' if partially settled, '2' if not settled, '3' if outstanding for payment of expenses only Date on which the claim was partly settled earlier - Applicable in cases where part of the claim amount was settled earlier -either including previous reporting periods. Total on salvage adjusted from the claim paid or recovered after settlement rounded off in Indian rupees - value of other currencies are to be converted to INR. This figure need not be tallied with the Claims Paid

81 82 83 84 85 86 87 88 89 90 91

Txt_Claim_Payment_Head_Code Txt_Claim_Reason_Rejection Num_Amount_Underinsurance Num_Percent_Underinsurance Txt_Claims_Remarks Txt_Transaction_ID Boo_Endorsement Date_Policy_Start_Date Date_Policy_End_Date Txt_PAN_DIN_CIN_Number Txt_Previous_Policy_Number

d d c c d abcd ad abcd abcd abcd abcd

m m n n n m m m m n n

4 30 16 16 100 25 1 10 10 25 30

600081 600082 600083 600084 600085 600086 600087 600088 600089 600090 600091

Text Text Number Number Text Text Boolean Date Date Text Text

Ref: Claim Payment Head Code Master (Give additional Records for each Payment Head Code) If claim was rejected, give reasons for such rejection as per Rejection Code Master Amount deducted due to underinsurance rounded off in Indian rupees - value of other currencies are to be converted to INR Percentage of deduction due to underinsurance - rounded off in Indian rupees - value of other currencies are to be converted to INR Free text entry Unique ID for each of row generated by insurer prefixed with the insurer code and suffixed by time stamp Y' for Endorsement otherwise' N' DD/MM/YYYY - Date of Policy Starting DD/MM/YYYY - Date of Policy Ending PAN Number of the insured provided by Income Tax or Director Identification Number (DIN)/Corporate Identity Number (CIN) in case of Company Give the previous policy number if it is a renewal, irrespctive of insurer

92 93 94 95 96

Txt_Distribution_Channel_Code Txt_IRDA_Product_ID Txt_Insurer_Product_ID Txt_Policy_Number_LOP

abcd abcd abcd abcd

m m m m m

2 100 50 30 1

600092 600093 600094 600095 600096

Text Text Text Text Boolean

Please refer to Distribution Channel Code Master Product ID number approved by IRDA Product ID number as per Insurers Product ID Master Give the LOP Policy Number, if the option for 20 is 'yes' Specifying whether it is single location or multiple location (0 for single, 1 for multiple)

Boo_Is_it_ single location or multiple location abcd

DATA DICTIONARY FOR CL (FIRE) DATA (SECTION 64 UE) CL (FIRE) : Policy/ Occupancy/ Claims Data Table SL. FIELD NAME NO: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Txt_Name_Insurer Txt_Reporting_Year Txt_Reporting_Quarter_Code Txt_Office_Code Txt_Policy_Number Txt_Endt_Number Txt_Pol_Endt_Reason_Code Txt_Pol_Endt_Reason Date_Policy_Year Txt_Policy_Period Date_Pol_Endt_Year Txt_Pol_Endt_Period Txt_Fire_MD_Policy_Number Boo_Basis_of Policy Txt_Sum Insured basis Txt_Indemnity Period Boo_Is_it_ single location or multiple location Txt_Indemnity Period Boo_Extension Num_Sum Insured_Gross_Profit Num_Sum Insured_Standing Charges alone Num_Sum Insured_Wages Num_Sum Insured - Lay off and retrenchement Num_Sum Insured - Any other Num_Policy_SI Num_Premium_Gross_Profit Num_Premium_Standing Charges alone Num_Premium_Wages Num_Premium - Lay off and retrenchement Num_Premium - Any other Num_Pol_Basic Premium Form No abc abc abc abc abc abc ab ab abc abc a a abc a a ac b bc a a a a a a a a a a a a a m m n m m m m n m m m m m m m m m m m m m m m m m m m m m m m Data FIELD Dictionary TYPE SIZE Number 4 9 1 6 30 30 4 30 9 10 9 10 30 1 20 3 1 3 1 15 15 15 15 15 16 15 15 15 15 15 16 610001 610002 610003 610004 610005 610006 610007 610008 610009 610010 610011 610012 610013 610014 610015 610016 610017 610018 610019 610020 610021 610022 610023 610024 610025 610026 610027 610028 610029 610030 610031 Text Text Text Text Text Text Text Text Date Text Date Text Text Text Text Text Boolean Text Boolean Number Number Number Number Number Number Number Number Number Number Number Number Revised as on 01/04/2014 FORMAT NUMBERS - CL (FIRE)-61 (a), (b) & ('c)

Description

Refer Insurer Code Master Mention Year in yyyy/yyyy format 1' for First Qtr, '2' for Second Qtr, '3' for Third Qtr & '4' for Fourth Qtr. Unique Underwriting Office Code of Insurer Give the Policy Number Give the Endorsement Number Give Code as per Endorsement Reason Code Master If Code not provided, give the Reasons for Policy level endorsement Indicate the Policy period in yyyy/yyyy format Give period of the policy in number of days Indicate the period of Policy level endorsement in yyyy/yyyy format Give period of Policy level endorsement in number of days Give the Policy Number of the Fire Material Damage Policy of the risk Give Code as per Basis of Policy Code Master Enter '1', If Sum Insured is on "Addition Basis"or '2' if Sum Insured is on"Difference Basis" Refer Indemnity Period Code Master Specifying whether it is single location or multiple location (0 for single, 1 for multiple) Refer Indemnity Period Code Master See Extension Code Sum Insured for Gross Profit at Policy level - rounded off in Indian rupees - value of other currencies are to be converted to INR Sum Insured for Standing Charges alone at Policy level - rounded off in Indian rupees - value of other currencies are to be converted to INR Sum Insured for Wages at Policy level - rounded off in Indian rupees - value of other currencies are to be converted to INR Sum Insured for Lay off and retrenchement at Policy level - rounded off in Indian rupees - value of other currencies are to be converted to INR Sum Insured for any other cover at Policy level - rounded off in Indian rupees - value of other currencies are to be converted to INR Total Sum Insured at Policy level - rounded off in Indian rupees - value of other currencies are to be converted to INR Premium for Gross Profit at Policy level - rounded off in Indian rupees - value of other currencies are to be converted to INR Premium for Standing Charges alone at Policy level - rounded off in Indian rupees - value of other currencies are to be converted to INR Premium for Wages at Policy level - rounded off in Indian rupees - value of other currencies are to be converted to INR Premium for Lay off and retrenchement at Policy level - rounded off in Indian rupees - value of other currencies are to be converted to INR Premium for any other cover at Policy level - rounded off in Indian rupees - value of other currencies are to be converted to INR Total Basic Premium at Policy level excluding Service Tax - to be filled up only when breakup is not available - rounded off in Indian rupees - value of other currencies are to be converted to INR

32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59

Num_Pol_Premium _ Earthquake Num_Pol_Premium_Spoilage CL cover Num_Pol_Premium_Utility _Power Num_Pol_Premium_Utility _Water Num_Pol_Premium_Utility _Gas Num_Pol_Premium_Utility _Air Num_Pol_Premium_Utility _Steam Num_Pol_Premium_Supplier_Extension Num_Pol_Location_Supplier_Limit_Percent Num_Pol_Premium_Customer_Extension Num_Pol_Location_Customer__Limit_Percent Num_Pol_Premium_Storage locations outside manufacturing premises Num_Pol_Premium Txt_Pol_Number_of_Occupancies Boo_Pol_Occupancies_outside_India Num_Pol_Deductible_non-AOG Num_Pol_Per_Deductible_non-_AOG Num_Pol_Deductible_AOG Num_Pol_Per_Deductible_AOG Txt_Occ_Serial_Number_Occupancy Num_Occupancy_Occupancy Sum Insured_Gross_Profit Num_Occupancy Sum Insured_Standing Charges alone Num_Occupancy Sum Insured_Wages Num_Occupancy Sum Insured - Lay off and retrenchement Num_Occupancy Sum Insured - Any other Num_Occupancy_Sum_Insured Txt_Occ_Endt_Reason_Code Txt_Occ_Endt_Reason

a a a a a a a a a a a a a a a a a a a bc b b b b b b b b

m m m m m m m m m m m m m m m m m m m n m m m m m m m n

16 16 16 16 16 16 16 16 16 16 16 16 16 3 1 16 6 16 6 20 15 15 15 15 15 16 4 30

610032 610033 610034 610035 610036 610037 610038 610039 610040 610041 610042 610043 610044 610045 610046 610047 610048 610049 610050 610051 610052 610053 610054 610055 610056 610057 610058 610059

Number Policy Premium - Net Premium for Earthquake at Policy level - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Policy Premium - Net Premium forSpoilage CL cover at Policy level - rounded off in Indian rupees value of other currencies are to be converted to INR Number Policy Premium - Net Premium for Utility _Power at Policy level - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Policy Premium - Net Premium for Utility _Water at Policy level - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Policy Premium - Net Premium for Utility _Gas at Policy level - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Policy Premium - Net Premium for Utility _Air at Policy level - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Policy Premium - Net Premium for Utility _Steam at Policy level - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Policy Premium -Net Premium for Suppliers' extension at Policy level - rounded off in Indian rupees value of other currencies are to be converted to INR Number Limit in respect of any one Supplier's location expressed as a percentage of sum insured based on the dependency on that location Number Policy Premium - Net Premium for Customers' extensions - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Limit in respect of any one Customer's location expressed as a percentage of sum insured based on the dependency on that location Number Policy Premium - Net Premium for Storage locations outside manufacturing premises at Policy level rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total Premium at Policy level excluding Service Tax - to be filled up only when breakup is not available - rounded off in Indian rupees - value of other currencies are to be converted to INR Text Give the number of occupancies covered. Boolean Y if occupancies outside India are covered, N if otherwise Number Policy Level Deductible non-AOG Amount - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Policy Level Deductible non- AOG Percentage at Policy level Number Policy Level Deductible AOG Amount at Policy level Number Policy Level Deductible AOG Percentage at Policy level Text Give Occupancy Serial Number Number Sum Insured for Gross Profit at Occupancy level - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Sum Insured for Standing Charges alone at Occupancy level - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Sum Insured for Wages at Occupancy level - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Sum Insured for Lay off and retrenchement at Occupancy level - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Sum Insured for any other cover at Occupancy level - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total Sum Insured at Occupancy level - rounded off in Indian rupees - value of other currencies are to be converted to INR Text Give Code as per Endorsement Reason Code Master Text If Code not provided, give the Reasons for Occupancy level endorsement

60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94

Date_Occ_Endt_Year Txt_Occ_Endt_Period Txt_Occ_Serial_Number_Occupancy Num_Occ_Risk_Pincode Boo_Whether_Occupancy_outside_India Num_Occ_Perils_Opted Num_Occ_Covers_Opted Txt_Occ_Occupancy_Code Txt_Occ_Occupancy_Risk Txt_Nature_of_Occupancy Txt_Occ_Risk_silent Num_Occ_Deductible_non_AOG Num_Occ_Deductible_non__AOG Num_Occ_Deductible_AOG Num_Occ_Deductible_AOG Num_Occ_Level_Total_Premium Txt_Claim_Number Txt_Claim_Child_Number Txt_Claim_Time_Loss Date_Claim_Date_Loss Date_Claim_Date_Intimation Date_Claim_Date_Registration_Reopen Num_Interruption period Num_Claim_Total_First_Provision Txt_Cause_Interruption Loss_Contribution_Amount_Utilities _Power Loss_Contribution_Amount_Utilities _Water Loss_Contribution_Amount_Utilities _Gas Loss_Contribution_Amount_Utilities _Air Loss_Contribution_Amount_Utilities _Steam Loss_Contribution_Amount_Suppliers_Extensio n Loss_Contribution_Amount_Customer's extension Loss_Contribution_Amount_Earthquake Loss_Contribution_Amount_Spoilage CL cover

b b b bc b b b bc bc bc b bc bc bc bc b c c c c c c c c c c c c c c c c c c c c c c c c c c c c c c c c c c c c c c c c c c c c c

m m m m m m m m n m m m m m m m m n n m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

9 10 20 6 1 2 2 4 50 1 1 16 5 16 16 16 30 30 2 10 10 10 10 16 30 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 10 16 16 16 16 16 1 10 16 16

610060 610061 610062 610063 610064 610065 610066 610067 610068 610069 610070 610071 610072 610073 610074 610075 610076 610077 610078 610079 610080 610081 610082 610083 610084 610085 610086 610087 610088 610089 610090 610091 610092 610093 610094 610095 610096 610097 610098 610099 610100 610101 610102 610103 610104 610105 610106 610107 610108 610109 610110 610111 610112 610113 610114 610115 610116 610117 610118 610119 610120 610121

Date Text Text Number Boolean Number Number Text Text Text Text Number Number Number Number Number Text Text Text Date Date Date Number Number Text Number Number Number Number Number Number

Indicate the period of Occupancy level endorsement in yyyy/yyyy format Give period of Occupancy level endorsement in number of days Give Occupancy Serial Number Give Pin Code Number of the Risk where it is situated Whether of the risk is outside India - '0' for no, '1' for yes Total number of Perils Opted - Refer Peril Code Master Total number of Covers Opted - Refer Cover Code Master Give details of type of occupancy. Give Code as per Occupancy Code Master Give details of type of occupancy. Mention only if not provided under Occupancy Code Master 1' for Batch Process, '2' for Continuous Process Whether Risk at the Occupancy is silent. '0' for no, '1' for yes Amount of deductible applicable at Occupancy level - rounded off in Indian rupees - value of other currencies are to be converted to INR Percentage of deductible applicable at Occupancy level. Amount of deductible applicable at Occupancy level - rounded off in Indian rupees - value of other currencies are to be converted to INR Percentage of deductible applicable at Occupancy level. Total Premium at Occupancy level for all Covers- rounded off in Indian rupees - value of other currencies are to be converted to INR Give the Claim Number (unique number for the claim) Give the Claim Child Number (unique number to be combined with Claim Number) Give the approximate time of the loss/damage (in 24 hour format) Give the date on which the loss took place in dd/mm/yyyy format Give the date on which the loss was intimated in dd/mm/yyyy format Give the date on which the loss was registered / reopened in the books - in dd/mm/yyyy format. Indicate reinstatement period in days Total First Provision amount of claim rounded off in Indian rupees - value of other currencies are to be converted to INR Use Nature of Loss Code as per Fire Format Amount of Gross Profit lost due to Utilities Power Amount of Gross Profit lost due to Utilities Water Amount of Gross Profit lost due to Utilities Gas Amount of Gross Profit lost due to Utilities Air Amount of Gross Profit lost due to Utilities Steam Amount of Gross Profit lost due to Suppliers' extension

Number Amount of Gross Profit lost due to Customer's extension Number Amount of Gross Profit lost due to Earthquake Number Amount of Gross Profit lost due to Spoilage CL cover Number Amount of Gross Profit lost due to Storage locations outside manufacting premises Number Number Number Number Number Number Number Amount of Gross Profit lost due to Any other Percent of Gross Profit lost due to Utilities Power Percent of Gross Profit lost due to Utilities Water Percent of Gross Profit lost due to Utilities Gas Percent of Gross Profit lost due to Utilities Air Percent of Gross Profit lost due to Utilities Steam Percent of Gross Profit lost due to Suppliers' extension

Loss_Contribution_Amount_Storage_locations outside_manufacting premises Loss_Contribution_Amount_Any other Loss_Contribution_Percent_Utilities _Power Loss_Contribution_Percent_Utilities _Water Loss_Contribution_Percent_Utilities _Gas Loss_Contribution_Percent_Utilities _Air Loss_Contribution_Percent_Utilities _Steam Loss_Contribution_Percent_Suppliers_Extensio n 102 Loss_Contribution_Percent_Customer's extension 103 Loss_Contribution_Percent_Earthquake 104 Loss_Contribution_Percent_Spoilage CL cover 95 96 97 98 99 100 101 105 Loss_Contribution_Percent_Storage locations outside manufacting premises 106 Loss_Contribution_Percent_Any other 107 Num_claim_settled_due_to reduction in turn over 108 Num_claim settled due to increased cost of working 109 Num_claim settled towards Auditors' fees 110 Num_claim settled towards solicitors and professional mens' fees 111 Num_Claim_Total_Amount_Paid 112 Date_Claim_Date_settlement 113 Num_Claim_Opening_Claims_Provision 114 Num_Claim_Closing_Claims_Provision 115 Num_Claim_Deductible 116 Num_Claim_Deductible 117 Txt_Peril_Claim_Reason_Expenses 118 Boo_whether_claim_partially_settled 119 Date_Claim_Date_part_settlement 120 Num_Peril_Claim_Total_Paid_Amount_Loss

Number Percent of Gross Profit lost due to Customer's extension Number Percent of Gross Profit lost due to Earthquake Number Percent of Gross Profit lost due to Spoilage CL cover Number Percent of Gross Profit lost due to Storage locations outside manufacting premises Number Percent of Gross Profit lost due to Any other reason Number Amount of claim settled due to reduction in turn over rounded off in Indian rupees - value of other currencies are to be converted to INR Number Amount of claim settled due to increased cost of working rounded off in Indian rupees - value of other currencies are to be converted to INR Number Amount of claim settled for Auditors' fees rounded off in Indian rupees - value of other currencies are to be converted to INR Number Amount of claim settled towards solicitors and professional mens' fees rounded off in Indian rupees value of other currencies are to be converted to INR Number Total amount paid/recovered by the insurer on the Claim rounded off in Indian rupees - value of other currencies are to be converted to INR Date Date on which the claim was settled Number Outstanding Claims Provision at the beginning of the year - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Outstanding Claims Provision at the end of the year - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Amount deducted towards deductible Number % of the claim amount deducted Number Mention Code from Expenses Code Master (Give additional Records for each Expenses Head Code) Boolean 0' if fully settled, '1' if partially settled. Date Date on which the claim was patly settled earlier Number Total amount at cover/ peril level paid/recovered by the insurer rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total amount at paid/recovered by the insurer towards Surveyors/ Investigation/ Advocates/ Arbitrator/ Fire Fighting etc rounded off in Indian rupees - value of other currencies are to be converted to INR (Total of above - to be filled Number Amount deducted due to underinsurance - under 'turnover' or 'standing charges' - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Percentage of deduction due to underinsurance - under 'turnover' or 'standing charges' - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Mention Code from Recovery Code Master where paid amount is negative Text If claim was rejected, give reasons for such rejection as per Rejection Code Master Text Free text entry Unique ID for each of row generated by insurer prefixed with the insurer code and suffixed by time Text stamp Boolean Y' for Endorsement otherwise' N' DD/MM/YYYY - Date of Policy Starting Date DD/MM/YYYY - Date of Policy Ending Date PAN Number of the insured provided by Income Tax or Director Identification Number Text (DIN)/Corporate Identity Number (CIN) in case of Company Give the previous policy number if it is a renewal, irrespctive of insurer Text

121 Num_Peril_Claim_Total_Claim_Amount_Expens c es 122 Num_Amount_Underinsurance 123 Num_Percent_Underinsurance 124 125 126 127 128 129 130 131 Txt_Peril_Claim_Recovery_Code Txt_Claim_Reason_Rejection Txt_Claims_Remarks Txt_Transaction_ID Boo_Endorsement Date_Policy_Start_Date Date_Policy_End_Date Txt_PAN_DIN_CIN_Number c c c c c abc ad abc abc abc abc

m m

16 16

610122 610123 610124 610125 610126 610127 610128 610129 610130 610131 610132

m 16 m 30 n 100 m 25 m m m n n 1 10 10 25 30

132 Txt_Previous_Policy_Number

133 Txt_Distribution_Channel_Code 134 Txt_IRDA_Product_ID 135 Txt_Insurer_Product_ID

abc abc abc

m m m

2 100 50

610133 610134 610135

Text Text Text

Please refer to Distribution Channel Code Master Product ID number approved by IRDA Product ID number as per Insurers Product ID Master

DATA DICTIONARY FOR MARINE CARGO DATA (SECTION 64 UE) MARINE CARGO POLICY & CLAIMS DATA DICTIONARY Mandatory/ Non Field mandatory Size m m m m m m m m m m m m m m m m m m m n n n n m m m m m m m m m m m n m m m m m m m n m m m m m m 4 6 9 30 1 30 4 30 16 2 2 50 4 20 1 6 20 20 2 3 1 3 1 1 20 1 16 5 16 16 16 1 5 30 30 10 2 10 10 10 10 1 20 6 7 4 5 16 16 Data Dictionary Reference

Revised on 01/04/2014 APPLICABLE FOR FORMAT NUMBERS - F-16 a & b

SL. NO:

FIELD NAME 1 Txt_Insurer 2 Txt_ Office_Code 3 Txt_Policy_Year 4 Txt_Policy_Number 5 Boo_Endorsement 6 Txt_Endorsement_Number 7 Txt_Endt_Reason_Code

From No. ab ab ab ab ab ab a a a a a a a a a a a a a a a a a a a a a a a a a a a b b b b b b b b b b b b b b b b

TYPE

160001 Text 160002 Text 160003 Text 160004 Text 160005 Boolean 160006 Text 160007 Text 160008 160009 160010 160011 160012 160013 160014 160015 160016 160017 160018 160019 160020 160021 160022 Text Number Text Text Text Text Text Boolean Text Text Text Text Number Boolean Text

DEFINITION Refer Insurer Code Master Unique Underwriting Office Code of Insurer To be shown in starting year - ending year format. Financial yearwise (eg: 2000-2001) Unique number to be given in all records '1' for Endorsement, otherwise '0' Endorsement Number where endorsement details are given - For "non-nil" endorsements only Give Code as per Endorsement Reason Code Master If Code not provided, give the Reasons for Policy level endorsement Sum insured rounded off in Indian rupees Policy Code - Refer Policy Code Master Cargo Code - Refer Cargo Code Master Description of Cargo as in proposal form (in cases where codes are not available) Packing Code - Refer Packing Code Master Packing Description as in proposal format/ other records If multiple transit involved, "1", otherwise "0" Conveyance Type - Refer Conveyance Type Code Master Point of commencement of transit (Place, City name, State) Point of termination of transit (Place, City name, State) Refer Type of Vessel Code Enter actual age of Vessel in years -Non mandatory '0' if liner, '1' if otherwise. Non mandatory Refer Type of Land Conveyance Code Master If land transit is by Private/exclusive transport - '2', If by Public/shared transport, '1', if not applicable, '0' If storage involved, "1", otherwise "0" Refer "Type of Storage Code Master If deductible is a percentage of Sum Insured, '2', if deductible is a percentage of claim amount,'1', if no deductible is applicable, '0' Policy Level Deductible Amount - rounded off in Indian rupees value of other currencies are to be converted to INR Policy Level Deductible Percentage Net premium received in Indian Rupees only. Other currencies to be converted to INR. In Indian Rupees only. Other currencies to be converted to INR. In Indian Rupees only. Other currencies to be converted to INR. 0' for no coinsurance, '1' for outgoing coinsurance, '2' for incoming coinsurance Mention your share in percentage Unique number to be given in all records Give the Claim Child Number (unique number to be combined with Claim Number) DD/MM/YYYY- Date of accident or loss Give the approximate time of the loss/damage (in 24 hour format) DD/MM/YYYY- Date of accident or loss Give the date on which the loss was registered / reopened in the books - in dd/mm/yyyy format. Date on which the loss/damage final survey report received Date on which the first payment of loss/damage was made 2' for loss at land, '1' for loss at sea, for any other option '0' Name the place of accident (Place, City name, State). For accident at sea, name nearest port. PINCODE of place of accident if in India Refere Country Code Master. Give Country where Loss occurred, in cases where loss happenned outside Indian territorry. Refer Cause of Loss Code Master Refer Type of Loss Code Master Amount of Claim estimated in INR only. Convert value of other currencies to INR Amount of Claim paid in INR only. Convert value of other currencies to INR Amount of Expenses paid in INR only. Value of other currencies to be converted to INR.(e.g. Survey fees, Advocate fees, Investigators fees, court costs paid) Amount of recoveries made on all accounts in INR only. Value of other currencies to be converted to INR. (Salvage Sale, Third Party Recovery, Contribution etc) Amount of interest/ penalty paid to insured Outstanding Claims at the beginning of the year in INR only. Value of other currencies to be converted to INR. Outstanding Claims at the end of the year In Indian Rupees only. Value of other currencies to be converted to INR. Mention Code from Expenses Code Master Mention Code from Recovery Code Master where paid amount is negative 2' if fully settled, '1' if partially settled, if not settled '0'

8 9 10 11 12 13 14 15 16 17 18 19 20 21 22

Txt_Endt_Reason Num_Sum_Insured Txt_Policy_Code Txt_Cargo_Code Txt_Cargo_Description Txt_Packing _Code Txt_Packing_Description Boo_Multiple _Transits Txt_Mode_of_Transit_Code Txt_Transit_From Txt_Transit_To Txt_Type_of_Vessel Num_Age_of_Vessel Liner Status of vessel Txt_Type_of_Land_conveyance

23 Txt_Whether_land_transit _Private_or_Public 24 Boo_Storage 25 Txt_Storage_Type 26 Txt_Whether Deductible_on_SI_or_Claim 27 Num_Pol_Deductible 28 Num_Pol_Per_Deductible 29 Num_Net_Premium 30 Num_Premium_SRCC 31 Num_Premium_War 32 Txt_Pol_Coinsurance_Status 33 Num_Pol_Coinsurance_Share 34 Txt_Claim_Number 35 36 37 38 39 40 41 42 Txt_Claim_Child_Number Date_Date_of_Loss Txt_Claim_Time_Loss Date_Accident_Loss/ Intimation Date_Claim_Date_Registration_Re open Date_final_survey_report_ received Date_first_claim_payment Txt_Location_of_Loss

160023 Text 160024 Boolean 160025 Text 160026 Text 160027 Number 160028 nn.nn 160029 Number 160030 Number 160031 Number 160032 Text 160033 nn.nn 160034 Text 160035 160036 160037 160038 160039 160040 160041 160042 Text Date Text Date Date Date Date Text

43 Txt_Place_of_Loss 44 Txt_Pincode 45 Txt_Country_code 46 Txt_TAC_COL_Code 47 Txt_TAC_Type of Loss_Code 48 Num_Amount_Estimated 49 Num_Claims _Paid

160043 Text 160044 Text 160045 Text 160046 Text 160047 Text 160048 Number 160049 Number

50 Num_Expenses_Paid

16

160050 Number

51 Num_Recoveries_made 52 Num_Interest_Penalty_Paid 53 Num_Opening_Claims_Provision 54 Num_Closing_Claims_Provision 55 Txt_Claim_Expenses_Code 56 Txt_Claim_Recovery_Code 57 Txt_whether_claim_partially_sett led

b b b b b b b

m m m m m m m

16 16 16 16 15 16 1

160051 Number 160052 Number 160053 Number 160054 Number 160055 Text 160056 Text 160057 Text

58 Num_Peril_Salvage_Adjusted_Rec overed

16

160058 Number

Total amount at cover/ peril level on salvage either adjusted from the claim paid or recovered after settlement rounded off in INR - value of other currencies to be converted to INR. This figure need not be tallied with the Claims Paid Ref: Claim Payment Head Code Master of Insurer (Give additional Records for each Payment Head Code) - Attach copy of Code Master If claim was rejected, give reasons for rejection as per Rejection Code Master Amount deducted due to under insurance rounded off in INR value of other currencies are to be converted to INR Percentage of deduction due to underinsurance - rounded off in INR value of other currencies are to be converted to INR Amount deducted towards deductible Any other descriptive detail may be provided Unique ID for each of row generated by insurer prefixed with the insurer code and suffixed by time stamp DD/MM/YYYY - Date of Policy Starting Open cover/policy DD/MM/YYYY - Date of Policy Ending PAN Number of the insured provided by Income Tax or Director Identification Number (DIN)/Corporate Identity Number (CIN) in case of Company Give the previous policy number if it is a renewal, irrespctive of insurer Please refer to Distribution Channel Code Master Product ID number approved by IRDA Product ID number as per Insurers Product ID Master

59 Txt_Claim_Payment_Head_Code 60 Txt_Claim_Reason_Rejection 61 Num_Amount_Underinsurance 62 Num_Percent_Underinsurance 63 Num_Claim_Deductible 64 Txt_Remarks Txt_Transaction_ID 65 66 Date_Policy_Start_Date 67 Date_Policy_End_Date Txt_PAN_DIN_CIN_Number 68 Txt_Previous_Policy_Number 69 70 Txt_Distribution_Channel_Code 71 Txt_IRDA_Product_ID 72 Txt_Insurer_Product_ID

b b b b b b ab ab ab ab

m m n n m n m m m n 25 10 10 25

4 30 16 16 16 50

160059 Number 160060 Text 160061 Number 160062 Number 160063 Number 160064 Text Text 160065 160066 Date 160067 Date Text 160068

ab ab ab ab

n m m m

30 2 100 50

Text 160069 160070 Text 160071 Text 160072 Text

DATA DICTIONARY FOR MARINE HULL DATA (SECTION 64 UE) MARINE HULL DATA DICTIONARY SL. FIELD NAME NO: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 Txt_Insurer Txt_ Office_Code Txt_Policy_Year Txt_Policy_Number Boo_Endorsement Txt_Endorsement_Number Txt_Endorsement_Reason_Code Txt_Policy_Code Num_Sum_Insured Txt_Fleet Category Num_SI_H_and_M Num_SI_Disb_Increased_Value Num_SI_Freight Num_SI_on_Premium_Reducing Num_SI_War_Risks Num_Premium_H_and_M Num_Premium_Disb_Increased_Value Num_Premium_Freight Num_Premium_on_Prem_Reducing Num_Premium_War_Risks Num_Incurred_Claims Num_Years_Incurred_claims From No. abc abc abc abc abc abc ab abc abc ac abc ab ab ab ab abc ab ab ab ab a a m m m m m m m m m m m m m m m m m m m m n n FIEL D SIZE 4 6 9 30 1 30 30 2 16 2 16 16 16 16 16 16 16 16 16 16 5 2 DATA DICTIONARY REFERENCE 080001 080002 080003 080004 080005 080006 080007 080008 080009 080010 080011 080012 080013 080014 080015 080016 080017 080018 080019 080020 080021 080022 TYPE Revised as on 01/04/2014 APPLICABLE FOR FORMAT NUMBERS - F-8a, b & c. DEFINITION

Text Text Text Text Boolean Text Text Text Number Text Number Number Number Number Number Number Number Number Number Number Number Number

23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43

Boo_Deductibles Num_Amount_Deductibles Num_Percentage_Deductibles Txt_Pol_Coinsurance_Status Num_Pol_Coinsurance_Share Txt_Name of Vessel Date_Date_of_attachment Txt_Vessel_Code Txt_Country_of_Registration_Code Txt_Lloyds_Register_No Txt_Year_of_Built Txt_Classification_Code_1 Txt_Classification_Code_2 Txt_Class_Awarded_1 Txt_Class_Awarded_2 Num_SI_Hull_and_Machinery Num_SI_Disbursement_Increased_Value Num_SI_Freight Num_SI_on_Premium_Reducing Num_SI_War_Risks Txt Tonnage

a a a a a bc b bc b b b b b b b bc bc bc bc bc bc

m m m m m m n m m m m m m m m m m m m m m

1 16 16 1 5 30 10 2 5 30 4 2 2 2 2 16 16 16 16 16 16

080023 080024 080025 080026 080027 080028 080029 080030 080031 080032 080033 080034 080035 080036 080037 080038 080039 080040 080041 080042 080043

Boolean Number Number Text nn.nn Text Date Text Text Text Number Text Text Text Text Number Number Number Number Number Number

44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63

Txt_Scope_of_Cover Txt_Trading_Warranty Txt_Name_of_the_Builder Txt_Place_Built Txt_Construction_details Txt_Particulars_of_Engine_Machinery Txt_Flag_of_Vessel Boo_Is_the_Vessel_rebuilt Txt_Is_monsoon warranty waived

b b b b b b b b b

m m n n m m m m m m m m m m m m m m m m

3 3 20 20 2 20 20 1 1 1 1 1 1 1 16 16 16 16 16 16

080044 080045 080046 080047 080048 080049 080050 080051 080052 080053 080054 080055 080056 080057 080058 080059 080060 080061 080062 080063

Text Text Text Text Text Text Text Boolean Text Boolean Boolean Boolean Boolean Boolean Number Number Number Number Number Number

Boo_Is_vessel_equipped_with Twin b screws/Engines Boo_Is_vessel_equipped_with Double Bootom b Boo_Is_vessel_equipped_with Collision Bulkhead Boo_P&I_Club Boo_Deductibles Num_Amount_of_Deductible Num_Percentage_of_Deductible Num_Premium_SI_Hull_and_Machinery b b b b b bc

Num_Premium_Disbursement_Increased_Valu bc e Num_Premium_Freight bc Num_Premium_on_Premium_Reducing bc

Refer Insurer Code Master Unique Underwriting Office Code of Insurer To be shown in starting year - ending year format. Financial yearwise (eg: 2000-2001) Unique policy number to be given in all records '1' for Endorsement, otherwise '0' Endorsement Number where endorsement details are given - For only "non-nil" endorsements only Give Code as per Endorsement Reason Code Master Refer Policy Code Master Total Fleet Sum Insured rounded off in Indian rupees Refer Fleet Category Code Master Total Fleet Sum Insured on Hull and Machinery & Accessories rounded off in Indian rupees Total Fleet Sum Insured on Disbursements and Increased Value rounded off in Indian rupees Total Fleet Sum Insured on Freight rounded off in Indian rupees Total Fleet Sum Insured on Premium Reducing rounded off in Indian rupees Total Fleet Sum Insured on War Risks rounded off in Indian rupees Total Fleet Premium on Hull and Machinery & Accessories rounded off in Indian rupees Total Fleet Premium on Disbursements and Increased Value rounded off in Indian rupees Total Fleet Premium on Freight rounded off in Indian rupees Total Fleet Premium on Premium Reducing rounded off in Indian rupees Total Fleet Premium on War Risks rounded off in Indian rupees Claims Experience of fleet for previous years based on which premium is loaded Number of years considered for calculating claims experience of previous years based on which premium is loaded. '1' if discount given at fleet level , otherwise '0' Amount of Voluntary Excess discount given Percentage of Voluntary Excess discount given 0' for no coinsurance, '1' for outgoing coinsurance, '2' for incoming coinsurance Mention your share in percentage Vessel's name as in the proposal form Date of attachment of vessel Refer Type of Vessel Code Master Refer Country Code Master If registered with Lloyds, give Registration number Year of Built of vessel Refer Classification Code Master Refer Classification Code Master (In case of Dual Classification) Class Awarded Under Classification Code Master under 080031above Class Awarded Under Classification Code Master (In case of Dual Classification) under 080032 above Total Vessel Sum Insured on Hull and Machinery & Accessories rounded off in Indian rupees Total Vessel Sum Insured on Disbursements and Increased Value rounded off in Indian rupees Total Vessel Sum Insured on Freight rounded off in Indian rupees Total Vessel Sum Insured on Premium Reducing rounded off in Indian rupees Total Vessel Sum Insured on War Risks rounded off in Indian rupees G.R.T for Dry Cargo Vessel, D.W.T for for Bulk Carrier/ Tanker, B.H.P for Tug/Supply Vessel and Anchor Handling Tug Refer Scope of Cover Code Master Refer Trading Warranty Code Master Name_of_the_Builder of the vessel Name the place where vessel was built Refer Type of Construction Code Master Free text entry - Fuel used, Capacity of Fuel Tank, Horse Power, Number of Cylinders etc. Details of Flag of Vessel 1' for Rebuilt vessel, '0' for Original build '1' for Waived, '2' fpr Not Waived, '0' for not applicable. (Applicable only for Fishing Vessels & Sailing Vessels) '1' if vessel is equipped with Twin screws/Engines, '0' if otherwise. (Applicable to Sundry Vessels) '1' if vessel is equipped with Double Bottom, '0' if otherwise. (Applicable to Sundry Vessels) '1' if vessel is equipped with Collision Bulk-head, '0' if otherwise. (Applicable to Sundry Vessels) '1' if Ship is part of a P& I Club, otherwise '0' '1' if applicable, otherwise '0' Amount of Deductible applicable Percentage of Deductible applicable Vessel Premium on Value Hull and Machinery & Accessories rounded off in Indian rupees Vessel Premium on Disbursements and Increased Value rounded off in Indian rupees Vessel Premium on Freight rounded off in Indian rupees Vessel Premium on Premium Reducing rounded off in Indian rupees

64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87

Num_Premium_War_Risks Txt_Claims_Number Txt_Claim_Child_Number Date_Date_of_Loss Txt_Claim_Time_Loss Date_of Claim_Intimation Date_Claim_Date_Registration_Reopen Date_final_survey_report_ received Date_first_claim_payment Txt_Type_of_Loss Txt_TAC_Cause_of_Loss_Code Num_Amount_claimed_for_H&M Num_Amount_claimed_for_Freight Num_Amount_claimed_for_Disbursement_and _IV Num_Amount_claimed_for_Premium_Reducing Num_Amount_claimed_for_War_Risks

bc c c c c c c c c c c c c c c c

m m n m m m m m m m m m m m m m m m m m m m m m

16 30 30 10 2 10 10 10 10 4 4 16 16 16 16 16 16 16 16 16 16 1 1 16

080064 080065 080066 080067 080068 080069 080070 080071 080072 080073 080074 080075 080076 080077 080078 080079 080080 080081 080082 080083 080084 080085 080086 080087

Number Vessel Premium on War Risks rounded off in Indian rupees Text Unique Claims number to be given in all records Text Give the Claim Child Number (unique number to be combined with Claim Number) Date DD/MM/YYYY- Date of accident or loss Text Give the approximate time of the loss/damage (in 24 hour format) Date DD/MM/YYYY - Date of intimation of accident or loss Date Give the date on which the loss was registered / reopened in the books - in dd/mm/yyyy format. Date Date on which the loss/damage final survey report received Date Date on which the first payment of loss/damage was made Date Text Number Number Number Number Number Number Number Number Number Number Boolean Boolean Number Refer Type of Loss Code Master Refer Cause of Loss Code Master Amount_claimed_for_H&M rounded off in Indian rupees Amount claimed for Freight rounded off in Indian rupees Amount claimed for Disbursement and IV rounded off in Indian rupees Amount claimed for Premium Reducing rounded off in Indian rupees Amount claimed for War Risks rounded off in Indian rupees Amount_Paid_for_H&M rounded off in Indian rupees Amount Paid for Freight rounded off in Indian rupees Amount Paid for Disbursement and IV rounded off in Indian rupees Amount Paid for Premium Reducing rounded off in Indian rupees Amount Paid for War Risks rounded off in Indian rupees '1' if Total Loss, otherwise, '0' '1' if payment is on account, otherwise '0' Outstanding Claims Provision at the beginning of the year for H&M - rounded off in Indian rupees - value of other currencies are to be converted to INR Outstanding Claims Provision at the beginning of the year for Freight - rounded off in Indian rupees - value of other currencies are to be converted to INR Outstanding Claims Provision at the beginning of the year for Disbursement and IV rounded off in Indian rupees value of other currencies are to be converted to INR

Num_Amount_Paid_for_H&M c Num_Amount_Paid_for_Freight c Num_Amount_Paid_for_Disbursement_and_IV c Num_Amount_Paid_for_Premium_Reducing Num_Amount_Paid_for_War_Risks Boo_Total_Loss Boo_On_Account payment Num_Opening_Claims_Provision_for_H&M c c c c c

88

Num_Opening_Claims_Provision_for_Freight

16

080088

Number

89

Num_Opening_Claims_Provision_for_Disburse c ment_and_IV

16

080089

Number

90

Num_Opening_Claims_Provision_for_Premium c _Reducing Num_Opening_Claims_Provision_for_War_Ris c ks Num_Closing_Claims_Provision_for_H&M c

16

080090

91

16

080091

92

16

080092

93

Num_Closing_Claims_Provision_for_Freight

16

080093

94

Num_Closing_Claims_Provision_for_Disburse ment_and_IV

16

080094

95

Num_Closing_Claims_Provision_for_Premium_ c Reducing Num_Closing_Claims_Provision_for_War_Risk c s Txt_Peril_Claim_Recovery_Code c c c c

16

080095

96

16

080096

97

m m m m

16 16 1 16

080097 080098 080099 080100

98 Num_Amt_Recovered 99 Boo_whether_claim_partially_settled 100 Num_Peril_Salvage_Adjusted_Recovered

101 Txt_Claim_Payment_Head_Code

080101

102 Txt_Claim_Reason_Rejection 103 Num_Amount_Underinsurance

c c

m n

30 16

080102 080103

104 Num_Percent_Underinsurance

16

080104

105 Txt_Remarks 106 Txt_Transaction_ID 107 Date_Policy_Start_Date 108 Date_Policy_End_Date 109 Txt_PAN_DIN_CIN_Number 110 Txt_Previous_Policy_Number 111 Txt_Distribution_Channel_Code 112 Txt_IRDA_Product_ID 113 Txt_Insurer_Product_ID

c abc abc abc abc abc abc abc abc

n m m m n n m m m

50 25 10 10 25 30 2 100 50

080105 080106 080107 080108 080109 080110 080111 080112 080113

Number Outstanding Claims Provision at the beginning of the year for Premium Reducing rounded off in Indian rupees - value of other currencies are to be converted to INR Number Outstanding Claims Provision at the beginning of the year for War Risks rounded off in Indian rupees - value of other currencies are to be converted to INR Number Outstanding Claims Provision at the end of the year for H&M - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Outstanding Claims Provision at the end of the year for Freight - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Outstanding Claims Provision at the end of the year for Disbursement and IV rounded off in Indian rupees - value of other currencies are to be converted to INR Number Outstanding Claims Provision at the end of the year for Premium Reducing rounded off in Indian rupees - value of other currencies are to be converted to INR Number Outstanding Claims Provision at the end of the year for War Risks rounded off in Indian rupees - value of other currencies are to be converted to INR Number Mention Code from Recovery Code Master where paid amount is negative Number Total Amount of recoveries made on the claim. Boolean 0' if fully settled, '1' if partially settled. Number Total amount at cover/ peril level on salvage either adjusted from the claim paid or recovered after settlement rounded off in Indian rupees - value of other currencies are to be converted to INR. This figure need not be tallied with the Claims Paid Break Number Ref: Claim Payment Head Code Master of Insurer (Give additional Records for each Payment Head Code) - Attach copy of Code Master Text If claim was rejected, give reasons for such rejection as per Rejection Code Master Number Amount deducted due to underinsurance rounded off in Indian rupees - value of other currencies are to be converted to INR Number Percentage of deduction due to underinsurance - rounded off in Indian rupees - value of other currencies are to be converted to INR Text Any other descriptive detail may be provided Unique ID for each of row generated by insurer prefixed Text with the insurer code and suffixed by time stamp DD/MM/YYYY - Date of Policy Starting for Open Date cover/policy DD/MM/YYYY - Date of Policy Ending Date Text Text Text Text Text PAN Number of the insured provided by Income Tax or Director Identification Number (DIN)/Corporate Identity Give the previous policy number if it is a renewal, irrespctive of insurer Please refer to Distribution Channel Code Master Product ID number approved by IRDA Product ID number as per Insurers Product ID Master

DATA DICTIONARY FOR MACHINERY BREAKDOWN DATA (SECTION 64 UE) MLOP: Policy/Equipment/Claim SL. FIELD NAME NO: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 Txt_Name_Insurer Txt_Reporting_Year Txt_Reporting_Quarter_Code Txt_Office_Code Txt_Policy_Number Txt_Endt_Number Txt_Endt_Reason_Code Txt_Endt_Reason Date_Policy_Year Txt_Policy_Period Date_Endt_Year Txt_Endt_Period Boo_Basis_ of _Policy Txt_ Indemnity_Period_Opted Num_Industry Code Txt_time excess_opted Num_Total MB_ SI Txt_Nature of_Power_Plant Txt_capacity of _individual generating sets Num_Pol_Gross_Profit_SI Num_Pol_insured Standing Charges _ SI a a a a a a a abc abc abc abc abc abc ab ab abc abc a a a a m m m m m m m n m m m m m m m m m m m m m FIELD SIZE 4 9 1 6 30 30 4 30 9 10 9 10 1 16 3 2 6 1 10 16 16 Data Dictionary Number 310001 310002 310003 310004 310005 310006 310007 310008 310009 310010 310011 310012 310013 310014 310015 310016 310017 310018 310019 310020 310021 TYPE DEFINITION Revised as on 01/04/2014 FORMAT NUMBER - MLOP-31 (a) (b) (c)

Text Text Text Text Text Text Text Text Date Text Date Text Boolean Text Text Number Number Text

Number Number

22 23

Num_Pol_Wages_SI Num_Pol_SI_auditors/accounts fees

a a

m m

16 16

310022 310023

Number Number

24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60

Num_Pol_Gross_Profit_Premium Num_Pol_Standing_Charges_Premium Num_Pol_Wages_Premium Num_auditors/accounts fess_Premium Num_Net Total_Premium Txt_Pol_Coinsurance_Status Num_Pol_Coinsurance_Share Txt_Equip_Endt_Reason_Code Txt_Equip_Endt_Reason Date_Equip_Endt_Year Txt_Equip_Endt_Period Num_Equip_Risk_Pincode Txt_Equip_Serial_Number_Equipment Num_Equip_capacity Num_Equip_capacity_unit Txt_Equip_Equipment_Code Txt_Equip_Equipment_Type Num_Equip_Age_Equipment Txt_Equip_Whether_Standstill_Period Boo_Equipment_imported Num_%_dependency Boo_whether_Standby machine Txt_details_spares_available Boo_Fire_Protection_System Num_Type of_Fire_Protection_System Num_No._of_shifts Boo_Equip_Whether_Standby_machines_covered Boo_Equip_Whether_Spares_of_machines_covered Num_Total_Sum_Insured Num_Equip_Time Excess Num_Equipment_Level_Net_Total_Premium Txt_Claim_Number Txt_Claim_Child_Number Txt_Claim_Time_Loss Date_Claim_Date_Loss Date_Claim_Date_Intimation Date_final_survey_report_ received c c c c c c

a a a a a a a b b b b bc b b b b b b b b b b b b b b b b b b b

N N N N m m m m m m m m m m m m n n m m m m m m m m m m m m m m 30 m 30 m 2 m 10 m 10 m

16 16 16 16 16 1 5 4 30 9 10 6 20 4 4 4 50 3 1 1 2 1 30 1 1 1 1 1 16 5 16

310024 310025 310026 310027 310028 310029 310030 310031 310032 310033 310034 310035 310036 310037 310038 310039 310040 310041 310042 310043 310044 310045 310046 310047 310048 310049 310050 310051 310052 310053 310054 310055 310056 310057 310058 310059 310060

Number Number Number Number Number Text nn.nn Text Text Date Text Number Number Number Number Text Text Number Text Boolean Number Boolean Text Boolean Number Number Boolean Boolean Number Number Number Text Text Text Date Date Date

Refer Insurer Code Master Mention Year in yyyy/yyyy format 1' for First Qtr, '2' for Second Qtr, '3' for Third Qtr & '4' for Fourth Qtr. Unique Underwriting Office Code of Insurer Give the Policy Number Give the Endorsement Number Give Code as per Endorsement Reason Code Master If Code not provided, give the Reasons for Policy level endorsement Indicate the Policy period in yyyy/yyyy format Give period of the policy in number of days Indicate the period of Policy level endorsement in yyyy/yyyy format Give period of Policy level endorsement in number of days Give '1' for turnover and '2'for Output basis Give period of Indemnity in months as per MLOP period of indemnity code master Give the code number from the Industry Code Master Give the time excess opted in days Givethe total sum insured under MB policy(ies) (1) Gas Based (2) Combined Cycle (3) Hydel and (4) Bio-Mass based Power Plant Give the capacity of _individual generating sets in MW. Total Sum Insured at Policy level - for Gross Profit rounded offin Indian rupees - value of other currencies are to be converted to INR Total Sum Insured - select the standing charges from the code master. The sum rounded off in Indian rupees - value of other currencies are to be converted to INR Total Sum Insured at Policy level - for Wages rounded offin Indian rupees value of other currencies are to be converted to INR Total Sum Insured at Policy level - -(cost incurred in the preparation of claims) for auditors/accounts rounded offin Indian rupees - value of other currencies are to be converted to INR Premium on Gross Profit SI at Policy level - rounded off in Indian rupees value of other currencies are to be converted to INR Premium on SI for Standing Charges at Policy level - rounded off in Indian rupees - value of other currencies are to be converted to INR Premium on SI for Wage at Policy level - rounded off in Indian rupees value of other currencies are to be converted to INR Premium on SI for auditors/accounts fess at Policy level -off in Indian rupees - value of other currencies are to be converted to INR Total Net Premium at Policy level excluding Service Tax - rounded off in Indian rupees - value of other currencies are to be converted to INR 0' for no coinsurance, '1' for outgoing coinsurance, '2' for incoming coinsurance Mention your share in percentage Give Code as per Endorsement Reason Code Master If Code not provided, give the Reasons for Equipment level endorsement Indicate the period of Equipment level endorsement in yyyy/yyyy format Give period of Equipment level endorsement in number of days Give Pin Code Number of the Risk where it is situated Give the Schedule serial number of the Equipment Equipment capacity in number Equipment capacity unit as per Unit Code Master Give details of type of Equipment. Give Code as per Equipment Code Master Give details of type of Equipment. Mention only if not provided under Equipment Code Master State the age of the equipment in years Are any of the equipment under stand still period. '0' for yes, '1' for no 0 for imported and 1 for indegenous Give the % of dependency of the machine '1' for yes and '0' for no Gives details of spares available for Critical equipment 1' for yes and '0' for no Give the type of Fire Protection System from the Fire Protection Code Master Give the number of working shits Are any standby equipment covered, '1' for yes and '0' for no, Are spares of equipment covered, '0' for no, '1' for yes Total Sum Insured at Equipment level - rounded off in Indian rupees - value of other currencies are to be converted to INR Time excess applicable at Equipment level in number of days. Total Premium at Equipment level for all Covers- rounded off in Indian rupees - value of other currencies are to be converted to INR Give the Claim Number (unique number for the claim) Give the Claim Child Number (unique number to be combined with Claim Number) Give the approximate time of the loss/damage (in 24 hour format) Give the date on which the loss took place in dd/mm/yyyy format Give the date on which the loss was intimated in dd/mm/yyyy format Date on which the loss/damage final survey report received

61 62 63 64 65 66

Date_first_claim_payment Date_Claim_Date_Registration_Reopen Num_Interruption period Num_Claim_Total_First_Provision Txt_Cause_Interruption Num_claim_settled_due_to reduction in turn over/output

c c c c c c

m m 10 m 10 m 16 m 30 m 16

310061 310062 310063 310064 310065 310066

Date Date Number Number Text Number

Date on which the first payment of loss/damage was made Give the date on which the loss was registered / reopened in the books - in dd/mm/yyyy format. Indicate reinstatement period in days Total First Provision amount of claim rounded off in Indian rupees - value of other currencies are to be converted to INR Use Nature of Loss Code as per Fire Format Amount of claim settled due to reduction in turn over/output rounded off in Indian rupees - value of other currencies are to be converted to INR Amount of claim settled due to increased cost of working rounded off in Indian rupees - value of other currencies are to be converted to INR Amount of claim settled for Auditors' fees rounded off in Indian rupees value of other currencies are to be converted to INR Amount of claim settled towards solicitors and professional mens' fees rounded off in Indian rupees - value of other currencies are to be converted to INR Total amount paid/recovered by the insurer on the Claim rounded off in Indian rupees - value of other currencies are to be converted to INR Date on which the claim was settled Outstanding Claims Provision at the beginning of the year - rounded off in Indian rupees - value of other currencies are to be converted to INR Outstanding Claims Provision at the end of the year - rounded off in Indian rupees - value of other currencies are to be converted to INR Time excess applicable at Equipment level in number of days. Amount deducted from Claim % of claim deducted the claim amount deducted Mention Code from Expenses Code Master (Give additional Records for each Expenses Head Code) 0' if fully settled, '1' if partially settled. Date on which the claim was patly settled earlier Total amount at cover/ peril level paid/recovered by the insurer rounded off in Indian rupees - value of other currencies are to be converted to INR Total amount at paid/recovered by the insurer towards Surveyors/ Investigation/ Advocates/ Arbitrator/ Fire Fighting etc rounded off in Indian rupees - value of other currencies are to be converted to INR (Total of above - to be filled Mention Code from Recovery Code Master where paid amount is negative If claim was rejected, give reasons for such rejection as per Rejection Code Master Amount deducted due to underinsurance - under 'turnover/ output' or 'standing charges' - rounded off in Indian rupees - value of other currencies are to be converted to INR Percentage of deduction due to underinsurance - under 'turnover/ output' or 'standing charges' - rounded off in Indian rupees - value of other currencies are to be converted to INR Free text entry Unique ID for each of row generated by insurer prefixed with the insurer code and suffixed by time stamp Y' for Endorsement otherwise' N' DD/MM/YYYY - Date of Policy Starting DD/MM/YYYY - Date of Policy Ending PAN Number of the insured provided by Income Tax or Director Identification Number (DIN)/Corporate Identity Number (CIN) in case of Company Give the previous policy number if it is a renewal, irrespctive of insurer Please refer to Distribution Channel Code Master Product ID number approved by IRDA Product ID number as per Insurers Product ID Master Give the Material Damage Policy Number Specifying whether it is single location or multiple location (0 for single, 1 for multiple)

67 68 69

Num_claim settled due to increased cost of working Num_claim settled towards Auditors' fees

c c

m 16 m 16 m 16

310067 310068 310069

Number Number Number

Num_claim settled towards solicitors and professional mens' c fees Num_Claim_Total_Amount_Paid Date_Claim_Date_settlement Num_Claim_Opening_Claims_Provision Num_Claim_Closing_Claims_Provision Num_Equip_Time Excess Num_Claim_Deductible Num_Claim_Deductible Txt_Claim_Reason_Expenses Boo_whether_claim_partially_settled Date_Claim_Date_part_settlement Num_Claim_Total_Paid_Amount_Loss c c c c c c c c c c c

70 71 72 73 74 75 76 77 78 79 80

m 16 m 10 m 16 m 16 m 5 m 16 m 16 m 16 m 1 m 10 m 16

310070 310071 310072 310073 310074 310075 310076 310077 310078 310079 310080

Number Date Number Number Number Number Number Number Boolean Date Number

81

Num_Claim_Total_Claim_Amount_Expenses

m 16

310081

Number

82 83 84

Txt_Claim_Recovery_Code Txt_Claim_Reason_Rejection Num_Amount_Underinsurance

c c c

m 16 m 30 N 16

310082 310083 310084

Number Text Number

85

Num_Percent_Underinsurance

N 16

310085

Number

86 87 88 89 90 91

Txt_Claims_Remarks Txt_Transaction_ID Boo_Endorsement Date_Policy_Start_Date Date_Policy_End_Date Txt_PAN_DIN_CIN_Number

c abc ac abc abc abc

n 100 m 25 m m m n 1 10 10 25

310086 310087 310088 310089 310090 310091

Text Text Boolean Date Date Text

92 93 94 95 96 97

Txt_Previous_Policy_Number Txt_Distribution_Channel_Code Txt_IRDA_Product_ID Txt_Insurer_Product_ID Txt_Policy_Number_MD Boo_Is_it_ single location or multiple location

abc abc abc abc abc abc

n m m m m m

30 2 100 50 30 1

310092 310093 310094 310095 310096 310097

Text Text Text Text Text Boolean

DATA DICTIONARY FOR MACHINERY BREAKDOWN DATA (SECTION 64 UE) MB : Policy Data Table SL. NO: 1 2 3 4 5 6 7 8 9 10 11 12 13 FIELD NAME FIELD SIZE abc abc abc abc abc abc abc abc abc abc abc abc a m m m m m m m m m m m m m 4 9 1 6 30 30 4 30 9 10 9 10 15 Data Dictionary Number 300001 300002 300003 300004 300005 300006 300007 300008 300009 300010 300011 300012 300013 TYPE DEFINITION Revised as on 01/04/2014 FORMAT NUMBER - MB-3 (a)

Txt_Name_Insurer Txt_Reporting_Year Txt_Reporting_Quarter_Code Txt_Office_Code Txt_Policy_Number Txt_Endt_Number Txt_Endt_Reason_Code Txt_Endt_Reason Date_Policy_Year Txt_Policy_Period Date_Endt_Year Txt_Endt_Period Num_SI_Pol_amount_escalation

Text Text Text Text Text Text Text Text Date Text Date

Refer Insurer Code Master Mention Year in yyyy/yyyy format 1' for First Qtr, '2' for Second Qtr, '3' for Third Qtr & '4' for Fourth Qtr. Unique Underwriting Office Code of Insurer Give the Policy Number Give the Endorsement Number Give Code as per Endorsement Reason Code Master If Code not provided, give the Reasons for Policy level endorsement Indicate the Policy period in yyyy/yyyy format Give period of the policy in number of days Indicate the period of Policy level endorsement in yyyy/yyyy format

Text Give period of Policy level endorsement in number of days Number Give the sum insured amount towards the escalated value, in cases where escalation is opted - value of other currencies are to be rounded off & converted to INR Give the sum insured percentage towards the escalated value, in cases where escalation is opted Number Total Sum Insured at Policy level - for Gross Basic MD, rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total Sum Insured at Policy level - for Gross Express Freight / Overtime / Holiday rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total Sum Insured at Policy level - for Gross Air Freight rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total Sum Insured at Policy level - for Gross Surrounding Property rounded offin Indian rupees - value of other currencies are to be converted to INR Number Total Sum Insured at Policy level - for Gross TP rounded offin Indian rupees - value of other currencies are to be converted to INR Number Total Sum Insured at Policy level - for Gross Addl. Customs Duty rounded offin Indian rupees - value of other currencies are to be converted to INR Text Give the code number from the industry code master (industry code master to be created - by Mr. A. Roy, Oriental) nn.nn

14 15

Num_Pol_Percentage_escalation Num_Pol_Gross_Basic_MB_SI

a a

m m

5 16

300014 300015

16

Num_Pol_Gross_Express_Freight_Overtime_Holiday_SI

16

300016

17

Num_Pol_Gross_Air_Freight_SI

16

300017

18

Num_Pol_Gross_Surrounding_Property_SI

16

300018

19

Num_Pol_Gross_TP_SI

16

300019

20

Num_Pol_Gross_Addl_Custom_Duty_SI

16

300020

21

Num_Industry_Code

300021

22 23

Boo_Pol_locations_outside_India Num_Pol_Gross_Express_Freight_Overtime_Holiday_Pr emium

a a

m N

1 16

300022 300023

Boolean '1' if locations outside India are covered, '0' if otherwise Number Total Net Premium at Policy level excluding Service Tax - for Gross Express Freight / Overtime / Holiday rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total Net Premium at Policy level excluding Service Tax - for Gross Air Freight rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total Net Premium at Policy level excluding Service Tax - for Gross Surrounding Property rounded offin Indian rupees - value of other currencies are to be converted to INR Number Total Net Premium at Policy level excluding Service Tax - for Gross TP rounded offin Indian rupees - value of other currencies are to be converted to INR Number Total Net Premium at Policy level excluding Service Tax - for Gross Addl. Customs Duty rounded offin Indian rupees - value of other currencies are to be converted to INR Number Total Net Premium at Policy level excluding Service Tax - for Gross MB, rounded offin Indian rupees - value of other currencies are to be converted to INR Text 0' for no coinsurance, '1' for outgoing coinsurance, '2' for incoming coinsurance nn.nn Mention your share in percentage Boolean Whether a Loss of Profit policy exists for the risk - '0' for no, '1' for yes Number Give the Schedule serial number of the Equipment Text Give Code as per Endorsement Reason Code Master Text If Code not provided, give the Reasons for Equipment level endorsement Date Indicate the period of Equipment level endorsement in yyyy/yyyy format Text Give period of Equipment level endorsement in number of days Number Text Text Text Number Number Number Text Text Text Text Number Give Pin Code Number of the Risk where it is situated Are any of the equipment covered only seasonal production - '0' for yes, '1' for no Give details of type of Equipment. Give Code as per Equipment Code Master Give details of type of Equipment. Mention only if not provided under Equipment Code Master State the age of the equipment in years. To be made mandatory after 1-4-2007 Equipment capacity in number Equipment capacity unit as per Unit Code Master Are any of the equipment under stand still period. '0' for yes, '1' for no Are any standby equipment covered, '0' for no, '1' for yes Are spares of equipment covered, '0' for no, '1' for yes Give basis of indemnity Refer Indemnity Code Master To be made mandatory after 1-4-2007 Total Sum Insured at Equipment level - rounded off in Indian rupees - value of other currencies are to be converted to INR

24

Num_Pol_Gross_Air_Freight_Premium

16

300024

25

Num_Pol_Gross_Surrounding_Property_Premium

16

300025

26

Num_Pol_Gross_TP_Premium

16

300026

27

Num_Pol_Gross_Addl_Custom_Duty_Premium

ac

16

300027

28

Num_Pol_Gross_MB_Premium

16

300028

29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48

Txt_Pol_Coinsurance_Status Num_Pol_Coinsurance_Share Boo_Pol_Is_LOP_covered Txt_Equip_Serial_Number_Equipment Txt_Equip_Endt_Reason_Code Txt_Equip_Endt_Reason Date_Equip_Endt_Year Txt_Equip_Endt_Period Num_Equip_Risk_Pincode Txt_Equip_Whether_Operations_Seasonal Txt_Equip_Type_Equipment_Code Txt_Equip_Equipment_Details Num_Equip_Age_Equipment Num_Equip_capacity Num_Equip_capacity_unit Txt_Equip_under_Standstill_Period Txt_Equip_Whether_Standby_machines_covered Txt_Equip_Whether_Spares_of_machines_covered Txt_Equip_Basis_Indemnity Num_Equipment_Gross_Sum_Insured

a a a bc b b b b b b b b b b b b b b b b

m m m m m m m m m m m n n m m m m m m m

1 5 1 20 4 30 9 10 6 1 4 50 3 4 4 1 1 1 3 16

300029 300030 300031 300032 300033 300034 300035 300036 300037 300038 300039 300040 300041 300042 300043 300044 300045 300046 300047 300048

49

Num_Equip_Gross_Express_Freight_Overtime_Holiday_ SI Num_Equip_Gross_Air_Freight_SI

16

300049

Number Total Sum Insured at Equipment level - for Gross Express Freight / Overtime / Holiday rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total Sum Insured at Policy level - for Gross Air Freight rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total Sum Insured at Equipment level - for Gross Owners Surrounding Property rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total Sum Insured at Policy level - for Gross TP rounded offin Indian rupees - value of other currencies are to be converted to INR Number Total Sum Insured at Equipment level - for Gross Addl. Customs Duty rounded offin Indian rupees - value of other currencies are to be converted to INR Number Total Premium at Equipment level for all Covers- rounded off in Indian rupees - value of other currencies are to be converted to INR Date on which the loss/damage occurred Time at which the loss/damage occurredin 24 hour format (Hours and Minutes) Date on which the loss/damage intimated Date on which the loss/damage final survey report received Date on which the first payment of loss/damage was made

50

16

300050

51

Num_Equip_Gross_Surrounding_Property_SI

16

300051

52

Num_Eqip_Gross_TP_SI

16

300052

53

Num_Equip_Gross_Addl_Custom_Duty_SI

16

300053

54

Num_Equipment_Level_Total_Premium

16

300054

55 56 57 58 59 60 61 62

Date_of_Loss Time_of_Loss Date_of_ Intimation Date_final_survey_report_received Date_first_claim_payment Damage_Details Cause_of_Loss_Code Amount_settled_-Total_Loss

c c c cc c c c c

m m m m m N m m

10 5 10 10 10 30 2 16

300055 300056 300057 300058 300059 300060 300061 300062

Date hh.mm Date Date Date

Text Give breif description of the damage details Text Mention relevant "Cause of Loss Code Master" Number Give the amount for which the claim is settled rounded off in Indian rupees - value of other currencies are to be converted to INR Number Give the amount for which the claim is settled rounded off in Indian rupees - value of other currencies are to be converted to INR Number Amount settled on Partial Loss basis - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Give the expenses incurred in settlling the claim rounded off in Indian rupees - value of other currencies are to be converted to INR Number Claim paid under Gross Basic Express Freight /Overt ime /Holiday - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Claim paid on Gross Basic Air_Freight - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Claim paid on Gross Basic Owners Surrounding Property rounded off in Indian rupees - value of other currencies are to be converted to INR Number Claim paid on Gross Basic TP - rounded off in Indian rupees value of other currencies are to be converted to INR Number Claim paid on Gross Basic Addl. Custom Duty - Give the rounded off in Indian rupees - value of other currencies are to be converted to INR Number Give the Claim paid on Basic MB Give the rounded off in Indian rupees - value of other currencies are to be converted to INR Number Outstanding Claims Provision at the beginning of the year rounded off in Indian rupees - value of other currencies are to be converted to INR Number Outstanding Claims Provision at the end of the year - rounded off in Indian rupees - value of other currencies are to be converted to INR Date Date on which the claim is settled Number Amount of deductible applicable at Equipment level - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Percentage of deductible applicable at Equipment level. Number Amount paid by the insurer towards the claim Number Amount paid towards Surveyors/Investigation/Advocates/Arbitrator etc Number Amount deducted due to underinsurance rounded off in Indian rupees - value of other currencies are to be converted to INR Number Percentage of deduction due to underinsurance rounded off in Indian rupees - value of other currencies are to be converted to INR Number Mention Code from Recovery Code Master where paid amount is negative Number Total amount recovered after settlement rounded off in Indian rupees - value of other currencies are to be converted to INR. This figure need not be tallied with the Claims Paid Text Text Text Boolean Date Date Text If claim was rejected, give reasons for such rejection as per Rejection Code Master Free text entry Unique ID for each of row generated by insurer prefixed with the insurer code and suffixed by time stamp Y' for Endorsement otherwise' N' DD/MM/YYYY - Date of Policy Starting DD/MM/YYYY - Date of Policy Ending PAN Number of the insured provided by Income Tax or Director Identification Number (DIN)/Corporate Identity Number (CIN) in case of Company Give the previous policy number if it is a renewal, irrespctive of insurer Please refer to Distribution Channel Code Master Product ID number approved by IRDA Product ID number as per Insurers Product ID Master Give the LOP Policy Number, if the option for 31 is 'yes' Specifying whether it is single location or multiple location (0 for single, 1 for multiple)

63

Amount_settled_Partial_Loss_ (Replacement/spares) Amount_settled_Partial_loss_(labour)

16

300063

64

16

300064

65

Total_expenses_incurred_towards_claim_settlement

16

300065

66

Claim_paid_Under_Gross_Basic_Express_Freight/Overti me/Holiday_Cover Claim_paid_Under_Gross_Basic_Air_Freight

16

300066

67

16

300067

68

Claim_paid_Under_Gross_Basic_Owners_Surrounding_P roperty Claim_paid_Under_Gross_Basic_TP

16

300068

69

16

300069

70

Claim_paid_Under_Gross_Basic_Addl._Custom_Duty

16

300070

71

Claim_paid_Under_Gross__Basic_MB

16

300071

72

Num_Opening_Claims_Provision

16

300072

73

Num_Closing_Claims_Provision

16

300073

74 75

Date_of_payment Num_Equip_Deductible

c c

m m

16

300074 300075

76 77 78 79

Num_Equip_Deductible Total_Claim_amount_paid_on_the_loss Total_amount_paid_towards_expenses Num_Amount_Underinsurance

c c c c

m m m N

5 16 16 16

300076 300077 300078 300079

80

Num_Percent_Underinsurance

16

300080

81 82

Txt_Claim_Recovery_Code Num_Adjusted_Recovered

c c

m m

16 16

300081 300082

83 84 85 86 87 88 89

Txt_Claim_Reason_Rejection Txt_Claims_Remarks Txt_Transaction_ID Boo_Endorsement Date_Policy_Start_Date Date_Policy_End_Date Txt_PAN_DIN_CIN_Number

c c abc ac abc abc abc

m n m m m m n

30 100 25 1 10 10 25

300083 300084 300085 300086 300087 300088 300089

90 91 92 93 94 95

Txt_Previous_Policy_Number Txt_Distribution_Channel_Code Txt_IRDA_Product_ID Txt_Insurer_Product_ID Txt_Policy_Number_LOP Boo_Is_it_ single location or multiple location

abc abc abc abc abc abc

n m m m m m

30 2 100 50 30 1

300090 300091 300092 300093 300094 300095

Text Text Text Text Text Boolean

ERECTION ALL RISKS & CONTRACTORS' ALL RISKS (EAR/ CAR) INSURANCE (SECTION 64 UE) EAR/ CAR POLICY / LOCATION/ ADD-ON/ CLAIMS/ CLAIMS ADD-ON TABLES SL. FIELD NAME NO: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 Txt_Name_Insurer Txt_Reporting_Year Txt_Reporting_Quarter_Code Txt_Office_Code Txt_Policy_Number Txt_Endt_Number Txt_Endt_Reason_Code Txt_Endt_Reason Date_Policy_Year Txt_Policy_Period Date_Endt_Year Txt_Endt_Period Txt_Name_Contractor_or_Sub_Contractor Num_of_Locations Boo_Pol_Locations_outside_India Boo_Whether_ALOP_or_DSU_policy_was_availe d Boo_Type_of_Earthquake_cover_availed Num_Percentage_of_Earthquake_cover Whether_new_or_used_machinery_involved Boo_Whether_greenfield_project_or_expansion Num_Period_of_insurance_in_months Num_Period_of_testing Num_SI_on_civil_works Num_SI_Landed_cost_of_imported_machinery_at _site Num_SI_Landed_cost_of_indigenous_machinery_ at_site Num_SI_towards_cost_of_erection Num_SI_towards_half_the_escalated_value Num_Total_sum_insured__Complete_erected_value_of_the_project Num_Premium_On_civil_works Num_Premium_Landed_cost_of_imported_machi nery_ Num_Premium_Landed_cost_of_indigenous_mac hinery_ Num_Premium_Cost_of_erection_ Num_Premium_towards_terrorism Num_Premium_towards_half_the_escalated_valu e Num_Total_premium_Complete_erected_value_of _the_project Num_Pol_Number_of_Storage_Risks_at_Fabricat ors_Premises_or_Workshop_Covered Num_Pol_Total_Premium_Storage_Risks_at_Fab ricators_Premises_or_Workshop_Covered Num_Pol_SI_Deductible_Percentage_Storage_Ri sks_at_Fabricators_Premises_or_Workshop_Cov ered Num_Pol_Claim_Deductible_Percentage_Storage _Risks_at_Fabricators_Premises_or_Workshop_ Covered Num_Refund_of_premium Txt_Pol_Coinsurance_Status Num_Pol_Coinsurance_Share Boo_Is_Location_Outside_India Txt_Loc_Serial_Number Num_Loc_Risk_Pincode Num_Loc_Covers_Opted Txt_Loc_Risk_Code Txt_Loc_Risk_Details Txt_Loc_Whether_new_or_used_machinery_invol ved Txt_Loc_Whether_greenfield_project_or_expansio n Txt_Loc_Type_Fire_Protection Form no. abcd abcd abcd abcd abcde abd ab ab abcd abd abd abd abd a abd a a a a a a a a a a a a ad a a a a a a ad a a a m m m m m m m n m m m m N m m N m m m m m m m m m m m m N N N N N N m m N m FIELD Data SIZE Dictionary Number 4 400001 9 400002 1 400003 6 400004 30 400005 30 400006 4 400007 30 400008 9 400009 10 400010 9 400011 10 400012 100 2 1 2 1 5 1 1 4 4 15 15 15 15 15 15 15 15 15 15 15 15 15 16 16 16 400013 400014 400015 400016 400017 400018 400019 400020 400021 400022 400023 400024 400025 400026 400027 400028 400029 400030 400031 400032 400033 400034 400035 400036 400037 400038 TYPE DEFINITION Revised as on 01/04/2014 FORMAT NUMBER - F 4(a),(b),(c),(d)&(e)

Text Text Text Text Text Text Text Text Date Text Date Text Text Number Boolean Text Boolean Nn.nn Number Boolean Number Number Number Number Number Number Number Number Number Number Number Number

Refer Insurer Code Master Mention Year in yyyy/yyyy format 1' for First Qtr, '2' for Second Qtr, '3' for Third Qtr & '4' for Fourth Qtr. Unique Underwriting Office Code of Insurer Give the Policy Number Give the Endorsement Number Give Code as per Endorsement Reason Code Master If Code not provided, give the Reasons for Policy level endorsement Indicate the Policy period in yyyy/yyyy format Give period of the policy in months Indicate the period of Policy level endorsement in yyyy/yyyy format Give the period in days if the policy is extended beyond the expiry date already reported. Give the name and address of the turnkey contractor /Main contractor Give number of locations '1' if any of the Locations are outside India, '0' if only locations in India are covered 0 for 'no', 1 for 'yes' 0 for Full Cover, 1 for First Loss In case of First Loss cover, state percentage of SI opted new, old or mix - 0,1 or 3 0 for 'no', 1 for 'yes' Period of insurance in months inclusive of testing period Give the testing period in months Give the sum insured on civil works - value of other currencies are to be rounded off & converted to INR Give the sum insured on landed cost of imported machinery at site - value of other currencies are to be rounded off & converted to INR Give the sum insured on landed cost of indigenous machinery at site - value of other currencies are to be rounded off & converted to INR Give the sum insured towards cost of erection - value of other currencies are to be rounded off & converted to INR Give the sum insured towards half the escalated value, in cases where escalation is opted - value of other currencies are to be rounded off & converted to INR Give the total sum insured - Complete erected value of the project - value of other currencies are to be rounded off & converted to INR Give the premium on civil works - value of other currencies are to be rounded off & converted to INR Give the premium on landed cost of imported machinery- value of other currencies are to be rounded off & converted to INR Give the premium on landed cost of indigenous machinery - value of other currencies are to be rounded off & converted to INR Give the premium - value of other currencies are to be rounded off & converted to INR

39

16

400039

40 41 42 43 44 45 46 47 48 49 50 51

a a a b bcd b b b b b b b

m m m m m m m m n m m m

16 1 5 1 20 6 2 4 50 1 1 10

400040 400041 400042 400043 400044 400045 400046 400047 400048 400049 400050 400051

Number Give the Premium towards terrorism cover - value of other currencies are to be rounded off & converted to INR Number Give the Premium towards half the escalated value, in cases where escalation is opted value of other currencies are to be rounded off & converted to INR Number Give the net total premium including premium for Add-on covers & terrorism covervalue of other currencies are to be rounded off & converted to INR Number State the number of Storage Risks at Fabricators Premises or Workshop Covered under the policy Number Total Premium of Storage Risks at Fabricators Premises or Workshop Covered under the policy Nn.nn Percentage of Deductible on Storage Risks at Fabricators Premises or Workshop Covered as per policy conditions - in case deductibles are specified as a percentage of the Sum Insured Nn.nn Percentage of Deductible on Storage Risks at Fabricators Premises or Workshop as per policy conditions - in case deductibles are specified as a percentage of the Claim Amount Number If any premium is refunded, amount refunded with reason for refund and computation Text nn.nn Boolean Text Number Number Text Text 0' for no coinsurance, '1' for outgoing coinsurance, '2' for incoming coinsurance Mention your share in percentage If Location is outside India '1', if within India, '0'. Give Location Serial Number Give Pin Code Number of the Risk where it is situated Total number of Covers Opted - Refer Cover Code Master Give details of predominant type of risk. Give Code as per Risk Code Master Give details of predominant type of risk. Mention only if not provided under Risk Code Master Number new, old or mix - 0,1 or 3 Boolean If Yes '1', if no, '0'. Text Type of Fire Protection installed - Select from the list given below (TAC, NFPA, BIS, Individual Co. Standard) Not to go by Approving Authority, to go by "Protection Type" Refer Fire Protection Type Code Master If hydrant system and hand appliances were installed and commissioned before commencement of erection activity, '1', if not, '0'. If the project is meant for erection of main occupancy, '0'. If project is meant for auxiliary facility, '1'. Period of insurance in months inclusive of testing Give the testing period in months Extension sought for erection after project period. Give the period sought in months

52 53 54 55 56 57 58 59 60 61 62 63 64 65

Boo_hydrant_hand_appliances_commissioned_be fore_erection Boo_Whether_project_is_main_or_auxiliary Num_Loc_Period_of_insurance_in_months Num_Loc_Period_of_testing_in_months Num_Extension_erection_period Num_Extension_testing_period Txt_Reason_for_extension Num_Loc_SI_on_civil_works Num_Loc_SI_Landed_cost_of_imported_machine ry_at_site Num_SI_Landed_cost_of_indigenous_machinery_ at_site Num_SI_towards_cost_of_erection Num_SI_towards_half_the_escalated_value Num_Total_sum_insured__Complete_erected_value_of_the_project Num_Premium_On_civil_works

b b b b b b b b b b b b b b

m n m m m m n m m m m m m N

1 1 4 4 3 4 50 15 15 15 15 15 15 15

400052 400053 400054 400055 400056 400057 400058 400059 400060 400061 400062 400063 400064 400065

Boolean Boolean Number Number Number

Number Extension sought for testing after project period. Give the period sought in months Text Give the reasons for the extension as narration Number Give the sum insured on civil works - value of other currencies are to be rounded off & converted to INR Number Give the sum insured on landed cost of imported machinery at site - value of other currencies are to be rounded off & converted to INR Number Give the sum insured on landed cost of indigenous machinery at site - value of other currencies are to be rounded off & converted to INR Number Give the sum insured cost of erection - value of other currencies are to be rounded off & converted to INR Number Give the sum insured towards half the escalated value, in cases where escalation is opted - value of other currencies are to be rounded off & converted to INR Number Give the total of col no.(19 to 22) - value of other currencies are to be rounded off & converted to INR Number Give the premium on civil works- value of other currencies are to be rounded off & converted to INR

66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89

Num_Premium_Landed_cost_of_imported_machi nery Num_Premium_Landed_cost_of_indigenous_mac hinery Num_Premium_Cost_of_erection Num_Premium_towards_terrorism Num_Premium_towards_half_the_escalated_valu e Num_Total_premium__Complete_erected_value_ of_the_project Num_CPM_Sum_Insured_Amount Num_CPM_Sum_Insured_Percent Num_CPM_Premium Txt_Cov_Cover_Code Num_Cov_Sum_Insured Num_Deductible Num_Per_Deductible Date_of_Loss Num_Time_of_Loss Date_of_ Intimation Date_final_survey_report_ received Date_first_claim_payment Damage_Details Cause_of_Loss_Code Claims_Payments_Head_Code Expenses_Code Amount_settled_Total_Loss Amount_settled_Partial_Loss_Replacement_spare s Amount_settled_Partial_loss_(labour) Total_expenses_incurred_towards_claim_ settlement Num_Number of Add_On_Covers_contributing to_Claim Stage under which the loss has occurred Claim_Amount_On civil works Claim_Amount_on_imported machinery at site Claim_Amount_on_ indigenous machinery at site Claims under terrorism cover Whether the loss is partial/total/Composite Num_Opening_Claims_Provision

b b b

N N N N

15 15 15 15 15 15 16 16 16 2 16

400066 400067 400068 400069 400070 400071 400072 400073 400074 400075 400076 400077

b b b b b ce c c c d d d d d d d d d d d

N m m m m m m m m m m m m m N m m m m N

16 6 10 5 10 10 10 30 2 4 4 16 16

400078 400079 400080 400081 400082 400083 400084 400085 400086 400087 400088 400089

90 91 92 93 94 95 96 97 98 99

d d d d d d d d d d d d d d d d d d d d d d d d d d d d d

N m m m m m m m m m m

16 16 2 2 16 16 16 16 2 16

400090 400091 400092 400093 400094 400095 400096 400097 400098 400099 400100

100 Num_Closing_Claims_Provision 101 Num_Pol_Deductible_non-AOG_Normal 102 Num_Pol_Per_Deductible_non-_AOG_Normal 103 Num_Pol_Deductible_Testing 104 Num_Pol_Per_Deductible_Testing 105 Num_Pol_Deductible_AOG 106 Num_Pol_Per_Deductible_AOG 107 Num_Pol_Deductible_Fire_Protection 108 Num_Pol_Per_Deductible_Fire_Protection 109 Txt_Claim_Reason_Rejection 110 Txt_Claims_Remarks 111 Num_Opening_Claims_Provision 112 Num_Closing_Claims_Provision 113 Date_of_payment 114 Num_Total_Claim_amount_paid_on_the_loss 115 Num_Amount_Underinsurance 116 Num_Percent_Underinsurance 117 Txt_Claim_Recovery_Code 118 Num_Adjusted_Recovered

16 m m m m m m m m m N m m m m N N m m 16 16 16 16 16 16 16 16 30 100 16 16 9 16 16 16 16 16 400101 400102 400103 400104 400105 400106 400107 400108 400109 400110 400111 400112 400113 400114 400115 400116 400117 400118

Number Give the premium on landed cost of imported machinery at Num_Premium- value of other currencies are to be rounded off & converted to INR Number Give the premium landed cost of indigenous machinery - value of other currencies are to be rounded off & converted to INR Number Give the premium Cost of erection - value of other currencies are to be rounded off & converted to INR Number Give the Premium towards terrorism cover - value of other currencies are to be rounded off & converted to INR Number Give the Premium towards half the escalated value, in cases where escalation is opted value of other currencies are to be rounded off & converted to INR Number Give the net total premium including premium for Add-on covers & terrorism cover value of other currencies are to be rounded off & converted to INR Number Give the CPM sum insured - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Give the CPM sum insured Percentage Number Give the premium amount - value of other currencies are to be rounded off & converted to INR Text Covers Opted - Refer Cover Code Master Number Give the sum insured - value of other currencies are to be rounded off & converted to INR Number Deductible rounded off in Indian rupees - value of other currencies are to be converted to INR Number Deductible Percentage - rounded off nn.nn Date Date on which the loss/damage occurred hh.mm Time at which the loss/damage occurred (24 hours basis - hours & minutes) Date Date on which the loss/damage intimated Date Date on which the loss/damage final survey report received Date Date on which the first payment of loss/damage was made Text Give breif description of the damage details Text Mention relevant "Cause of Loss Code Master" Text Mention relevant head from "Claims Payments Head Master" Text Ref: "Expenses Code Master" Number Give the amount settled on Total Loss basis for which the claim is settled rounded off in Indian rupees - value of other currencies are to be converted to INR Number Give the amount settled on Partial Loss Replacement spares for which the claim is settled rounded off in Indian rupees - value of other currencies are to be converted to INR Number Amount settled on Partial Loss basis (labour) - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Give the expenses incurred in settlling the claim rounded off in Indian rupees - value of other currencies are to be converted to INR Text Give Number of Add On Covers contributing to the Claim. For each Add On Cover give separate records in Add_On Cover Table Text Refer 'Stage of Occurance Code Master' - to be made mandatory from 1-4-2007 Number Give the amount claimed on civil works- value of other currencies are to be rounded off & converted to INR Number Give the amount claimed on imported machinery at site - value of other currencies are to be rounded off & converted to INR Number Give the amount claimed on indigenous machinery at site - value of other currencies are to be rounded off & converted to INR Number Give the amount claimed under terrorism cover - value of other currencies are to be rounded off & converted to INR Boolean '0' for Total, '1' for partial, '2' for composite Number Outstanding Claims Provision at the beginning of the year - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Outstanding Claims Provision at the end of the year - rounded off in Indian rupees value of other currencies are to be converted to INR Number Policy Level Deductible non- AOG Amount - rounded off in Indian rupees - value of other currencies are to be converted to INR nn.nn Policy Level Deductible non- AOG Percentage Number Policy Level DeductibleTesting Amount - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Policy Level Deductible Testing Percentage Number Policy Level Deductible AOG Amount - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Policy Level Deductible AOG Percentage Number Policy Level Deductible Fire Protection Amount - - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Policy Level Deductible Fire Protection Percentage Text If claim was rejected, give reasons for such rejection as per Rejection Code Master Text Free text entry - on claim settlement and peculiarity of the claim, if any. Number Outstanding Claims Provision at the beginning of the year - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Outstanding Claims Provision at the end of the year - rounded off in Indian rupees value of other currencies are to be converted to INR Date Date on which the claim is settled Number Amount paid by the insurer towards the claim Number Amount deducted due to underinsurance - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Percentage of deduction due to underinsurance -rounded off in Indian rupees - value of other currencies are to be converted to INR Number Mention Code from Recovery Code Master where paid amount is negative Number Total amount recovered after settlement rounded off in Indian rupees - value of other currencies are to be converted to INR. This figure need not be tallied with the Claims Paid Number Give Code as per Expenses Code Master Number Amount paid towards Surveyors/ Investigation/ Advocates/ Arbitrator etc Number Give the Claim paid - value of other currencies are to be rounded off & converted to INR Number Add On Cover Deductible Amount Number Add On Cover Deductible Percentage Text Claim Number Text Unique ID for each of row generated by insurer prefixed with the insurer code and suffixed by time stamp Boolean Y' for Endorsement otherwise' N' Date Date Text Text Text Text Text DD/MM/YYYY - Date of Policy Starting DD/MM/YYYY - Date of Policy Ending PAN Number of the insured provided by Income Tax or Director Identification Number (DIN)/Corporate Identity Number (CIN) in case of Company Give the previous policy number if it is a renewal, irrespctive of insurer Please refer to Distribution Channel Code Master Product ID number approved by IRDA Product ID number as per Insurers Product ID Master

119 Txt_Expenses_Code 120 Num_Total_amount_paid_towards_expenses 121 Num_Cov_Claim_Paid 122 123 124 125 Num_Cov_Deductible Num_Cov_Per_Deductible Txt_Claim Number Txt_Transaction_ID

d d e e e ce abcde acde abcde abcde abcde abcde abcde abcde abcde

m m m m m m m m m m n n m m m

16 16 16 6 6 30 25 1 10 10 25 30 2 100 50

400119 400120 400121 400122 400123 400124 400125 400126 400127 400128 400129 400130 400131 400132 400133

126 Boo_Endorsement 127 Date_Policy_Start_Date 128 Date_Policy_End_Date 129 Txt_PAN_DIN_CIN_Number 130 Txt_Previous_Policy_Number 131 Txt_Distribution_Channel_Code 132 Txt_IRDA_Product_ID 133 Txt_Insurer_Product_ID

SL. NO: 7 13 23 36 38 40 42 43 56 65 67 73 74 77 78

FIELD NAME Txt_Endt_Reason_Code Num_Location_Pincode Txt_Basis_of_Indemnity_ Date_of_Loss Date_of_Intimation Date_first_claim_payment Txt_Cause_of_Loss_Code Txt_Basis_of_Indemnity_ Date_of_payment Txt_Claim_Recovery_Code Txt_Claim_Reason_Rejection Date_Policy_Start_Date Date_Policy_End_Date Txt_Distribution_Channel_Code Txt_IRDA_Product_ID

From No. ab ab a b b b b b b b b ab ab ab ab

Deterioation of Stocks (Potatoes) Data Field Dictionary M/Nm Size Reference TYPE DEFINITION m 4 170007 Text Give Code as per Endorsement Reason Code Master m 6 170013 Number Give Pin Code Number of the Risk where it is situated m 2 170023 Number Mention code as per 'Basis of Indemnity Code Master' m 10 170036 Date Date on which the loss/damage occurred m 10 170038 Date Date on which the loss/damage intimated m 10 170040 Date Date on which the first payment of loss/damage was made m 2 170042 Text Mention relevant "Cause of Loss Code Master" m 2 170043 Number Mention code as per 'Basis of Indemnity Code Master' m 10 170056 Date Date on which the claim is settled Mention Code from Recovery Code Master where paid amount is m 16 170065 Number negative If claim was rejected, give reasons for such rejection as per Rejection m 30 170067 Text Code Master m 10 Date DD/MM/YYYY - Date of Policy Starting 170073 m 10 Date DD/MM/YYYY - Date of Policy Ending 170074 m 2 Text Please refer to Distribution Channel Code Master 170077 m 100 Text Product ID number approved by IRDA 170078

SL. NO: 7 13 45 49 82 84 86 88 123 127

FIELD NAME Txt_Pol_Endt_Reason_Code Num_Pol_Location_Pincode Txt_Equip_Occupancy Txt_Equip_Type_Code Date_of_Loss Date_of_Intimation Date_first_claim_payment Txt_Cause_of_Loss_Code Date_of_payment Txt_Peril_Claim_Reason_Expenses

From No. a ac b bc c c c c c c d c abc abc abc abc

M/N m m m m m m m m m m m m m m m m m

Field Size

128 Txt_Claim_Recovery_Code 130 136 137 140 141 Txt_Claim_Reason_Rejection Date_Policy_Start_Date Date_Policy_End_Date Txt_Distribution_Channel_Code Txt_IRDA_Product_ID

Electronic Equipment Insurance Data Dictionary Reference TYPE DEFINITION Give Code as per Endorsement Reason Code Master 4 500007 Text 6 500013 Number Give Pin Code Number of the Risk where it is situated As per Fire Occupancy Codes 3 500045 Text Refer EEI Equipment Type Code Master 3 500049 text Date on which the loss/damage occurred 10 500082 Date Date on which the loss/damage intimated 10 500084 Date Date on which the first payment of loss/damage was made 10 500086 Date Mention relevant "Cause of Loss Code Master" 2 500088 Tex 16 500123 Number Date on which the claim is settled Ref: "Expenses Code Master" 16 500127 Mention Code from Recovery Code Master where paid amount is 16 500128 Number negative If claim was rejected, give reasons for such rejection as per Rejection 16 500130 Code Master Text 500136 DD/MM/YYYY - Date of Policy Starting 10 Date 500137 DD/MM/YYYY - Date of Policy Ending 10 Date 500140 Please refer to Distribution Channel Code Master 2 Text 500141 Product ID number approved by IRDA 100 Text

POLICY DATA TABLE FOR CONTRACTOR PLANT & MACHINERY CPM Policy Sl. FIELD NAME No: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Txt_Name_Insurer Txt_Reporting_Year Txt_Reporting_Quarter_Code Txt_Office_Code Txt_Policy_Number Txt_Endt_Number Txt_Endt_Reason_Code Txt_Endt_Reason Date_Policy_Year Txt_Policy_Period Date_Endt_Year Txt_Endt_Period Num_of_Locations Boo_Pol_Locations_outside_India From No. abc abc abc abc abc abc abc abc abc abc abc ac a a m m m m m m m m m m m m m m N N m m m m Field Data Size Dictionary Number 4 200001 9 200002 1 200003 6 30 30 4 30 9 10 9 10 2 1 1 1 1 5 4 16 200004 200005 200006 200007 200008 200009 200010 200011 200012 200013 200014 200015 200016 200017 200018 200019 200020 Type Definition Revised as on 01/04/2014 F 2 (a)

Text Text Text Text Text Text Text Text Date Text Date Text

Refer Insurer Code Master Mention Year in yyyy/yyyy format 1' for First Qtr, '2' for Second Qtr, '3' for Third Qtr & '4' for Fourth Qtr. Unique Underwriting Office Code of Insurer Give the Policy Number Give the Endorsement Number Give Code as per Endorsement Reason Code Master If Code not provided, give the Reasons for Policy level endorsement Indicate the Policy period in yyyy/yyyy format Give period of the policy in months Indicate the period of Policy level endorsement in yyyy/yyyy format

Boo_Whether_Covered_Under_EAR_ a CAR_Policy Boo_Whether_Floater_Applicable a Boo_Type_of_Earthquake_cover_ava a iled Num_Percentage_of_Sum_Insured_E a arthquake_cover Num_Period_of_insurance_in_month a s Num_Total Pol_Machinery_SI a

Give the period in days if the policy is extended beyond the expiry date already reported. Number Give number of locations Boolean '1' if any of the Locations are outside India, '0' if only locations in India are covered Boolean 0 for 'no', 1 for 'yes' Boolean 0 for 'no', 1 for 'yes' Boolean 0 for Full Cover, 1 for First Loss Nn.nn In case of First Loss cover, state percentage of SI opted

Number Period of insurance in months inclusive of testing period Number Total Sum Insured at Policy level - for the Plant and Machinery rounded off in Indian rupees - value of other currencies are to be converted to INR nn.nn Give the sum insured percentage towards the escalated value, in cases where escalation is opted. Number Total Sum Insured at Policy level - for Gross Express Freight / Overtime / Holiday rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total Sum Insured at Policy level - for Gross Air Freight rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total Sum Insured at Policy level - for Gross Surrounding Property rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total TP (Property plus Personal Injury) Liability Sum Insured on an Any One Accident Basis -rounded off in Indian rupees - value of other currencies to be converted to INR Number Total TP (Property plus Personal Injury) Liability Sum Insured on an Any One Year Basis -rounded off in Indian rupees - value of other currencies to be converted to INR Number Total Sum Insured at Policy level - for Gross Addl. Customs Duty rounded off in Indian rupees - value of other currencies are to be converted to INR Number Any other Sum Insured at Equipment level rounded off in Indian rupees - value of other currencies are to be converted to INR Text Number Number If Sum Insured for any other cover given, details may be provided as free text entry Give the Premium towards terrorism cover - value of other currencies are to be rounded off & converted to INR Total Net Premium at Policy level excluding Service Tax - for Gross Express Freight / Overtime / Holiday rounded off in Indian rupees value of other currencies are to be converted to INR Total Net Premium at Policy level excluding Service Tax - for Gross Air Freight rounded off in Indian rupees - value of other currencies are to be converted to INR Total Net Premium at Policy level excluding Service Tax - for Gross Surrounding Property rounded off in Indian rupees - value of other currencies are to be converted to INR Total Net Premium at Policy level excluding Service Tax - for Gross TP rounded off in Indian rupees - value of other currencies are to be converted to INR Total Net Premium at Policy level excluding Service Tax - for Gross Addl. Customs Duty rounded off in Indian rupees - value of other currencies are to be converted to INR

21 22

Num_Pol_Percentage_Escalation Num_Pol_Gross_Express_Freight_O vertime_Holiday_SI Num_Pol_Gross_Air_Freight_SI

a a

m m

5 16

200021 200022

23

16

200023

24

Num_Pol_Gross_Surrounding_Proper ty_SI Num_Pol_TP_AOA_SI

16

200024

25

16

200025

26

Num_Pol_Gross_TP_AOY_SI

16

200026

27

Num_Pol_Gross_Addl_Custom_Duty _SI

16

200027

28 Num_Pol_SI_Any_Other Txt_Specify_Details_of_SI_Any_Othe r_Cover Num_Premium_towards_terrorism Num_Pol_Gross_Express_Freight_O vertime_Holiday_Premium Num_Pol_Gross_Air_Freight_Premiu m Num_Pol_Gross_Surrounding_Proper ty_Premium Num_Pol_Gross_TP_Premium

16

200028

29 30 31

a a a

m N m

16 15 16

200029 200030 200031

32

16

200032

Number

33

16

200033

Number

34

16

200034

Number

35

Num_Pol_Gross_Addl_Custom_Duty _Premium

16

200035

Number

36

Num_Pol_Gross_CPM_Premium

16

200036

37 38 39 40 41 42 43 44 45 46

Boo_Whether_LOP_Covered Txt_Pol_Coinsurance_Status Num_Pol_Coinsurance_Share Txt_Equipment_End_Period Num_Equip_Risk_Pincode Txt_Equip_Serial_Number_Equipmen t Txt_Equip_Type_Equip_Code Txt_Equip_Equipment_details

a a a bc b b b b

m m m m m m m m m m

1 1 5 10 6 20 4 50 1 1

200037 200038 200039 200040 200041 200042 200043 200044 200045 200046

Number Total Net Premium at Policy level excluding Service Tax - for the CPM, rounded off in Indian rupees - value of other currencies are to be converted to INR Boolean If LOP policy exists, '1', Otherwise, '0' Text 0' for no coinsurance, '1' for outgoing coinsurance, '2' for incoming coinsurance nn.nn Mention your share in percentage Text Give period of equipment level endorsment in mumber of days Number Give Pin Code Number of the risk where it is situated Text Give the schedule serial number of the equipment Give details of type of equipment. Give Code as per Equipment Code Master Text Give details of type of equipment. Mention only if not provided under Equipment Code Master "0" for Ground Level, "1" for under ground, "2" for tunnel Text Boolean 0 for 'no' and 1 for 'yes' Text

47 48 49 50 51 52

Txt_Site_Condition b Boo_Whether b Equipment_Machinery)dismantled and Re-erected in new location Boo_Equipment_imported b Boo_whether_floater_applicabale b Num_Equip_Capacity bc Num_Equip_Capacity_Unit bc Boo_whether_equip_machinery_mou b nteed_floating_vessel_craft Num_Equipment_SI b

m m m m m m

1 1 4 4 1 15

200047 200048 200049 200050 200051 200052

Boolean Boolean Number Number Boolean

0 for 'indegineous and 1 for 'imported' 0 for 'no' and 1 for 'yes' Equipment capacity in number Equipment capacity unit as per Unit Code Master 0 for 'no' and 1 for 'yes'

Number Give the basic MD sum insured on Imported Plant and Machinery value of other currencies are to be rounded off & converted to INR Number Total Sum Insured at Equipment level - for Gross Express Freight / Overtime / Holiday rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total Sum Insured at Equipment level - for Gross Air Freight rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total Sum Insured at Equipment level - for Gross Surrounding Property rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total TP (Property plus Personal Injury) Liability Sum Insured on an Any One Accident Basis -rounded off in Indian rupees - value of other currencies to be converted to INR Number Total TP (Property plus Personal Injury) Liability Sum Insured on an Any One Year Basis -rounded off in Indian rupees - value of other currencies to be converted to INR Number Total Sum Insured at Equipment level - for Gross Addl. Customs Duty rounded off in Indian rupees - value of other currencies are to be converted to INR Number Give the premium in respect of machinery - value of other currencies are to be rounded off & converted to Number Give the premium on indigenous machinery - value of other currencies are to be rounded off & converted to INR Number Give the premium on imported machinery- value of other currencies are to be rounded off & converted to INR Number Give the premium on Add On covers - value of other currencies are to be rounded off & converted to INR Number Give the Premium towards terrorism cover - value of other currencies are to be rounded off & converted to INR Number Total Net Premium at Equipment level excluding Service Tax - for Gross Express Freight / Overtime / Holiday rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total Net Premium at Equipment level excluding Service Tax - for Gross Air Freight rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total Net Premium at Equipment level excluding Service Tax - for Gross Surrounding Property rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total Net TP Premium at Equipment level excluding Service Tax - for Gross TP rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total Net Premium at Equipment level excluding Service Tax - for Gross Addl. Customs Duty rounded off in Indian rupees - value of other currencies are to be converted to INR Number Any other Premium at Equipment level excluding Service Tax - for the CPM, rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total Net Premium at Equipment level excluding Service Tax - for the CPM, rounded off in Indian rupees - value of other currencies are to be converted to INR Text Give details of training of the machinery operator Boolean If inspection certificate is required 0 and if not 1 Text Text Give details of inspection If equipment is insured with increased premium,state how much is increase in premium

53

Num_Equip_Gross_Express_Freight_ Overtime_Holiday_SI Num_Equip_Gross_Air_Freight_SI

16

200053

54

16

200054

55

Num_Equip_Gross_Surrounding_Pro perty_SI Num_Equip_TP_AOA_SI

16

200055

56

16

200056

57

Num_Equip_Gross_TP_AOY_SI

16

200057

58

Num_Equip_Gross_Addl_Custom_Du ty_SI Num_Equip_Premium_Total||31|| Num_Equip_Premium_indigenous_m achinery Num_Equip_Premium_imported_mac hinery Num_Equip_Premium_Add_On_Cove rs Num_Equip_Premium_towards_terror ism Num_Equip_Gross_Express_Freight_ Overtime_Holiday_Premium Num_Equip_Gross_Air_Freight_Prem ium Num_Equip_Gross_Surrounding_Pro perty_Premium Num_Equip_Gross_TP_Premium

16

200058

59 60 61 62 63 64

b b b b b b

m N N N N m

15 15 15 15 15 16

200059 200060 200061 200062 200063 200064

65

16

200065

66

16

200066

67

16

200067

68

Num_Equip_Gross_Addl_Custom_Du ty_Premium Num_Any_Other_Premium

16

200068

69

16

200069

70

Num_Equip_Gross_CPM_Premium

16

200070

71 72 73 74

Txt_Training_Details Boo_inspection_certification_required _by_statutory_authority Txt_details_periodical_inspection Txt_equipment_insured_wit_increase d_premium

bc bc bc bc

m m m m

50 1 30 16

200071 200072 200073 200074

75 76 77 78 79 80 81 82 83 84 85 86

Boo_whether_special_condition_was_ imposed Boo_whether_insurance_was_grante d_after_repair_risk_improvement Txt_Claim_Number Num_Total_Amount_Claimed Date_of_Loss Time_of_Loss Date_of_ Intimation Date_final_survey_report_received Date_first_claim_payment Txt_Damage_Details Txt_Cause_of_Loss_Code Num_Amount_settled_Total_Loss

bc bc c c c c c c c c c c

m m m m m m m m m N m m

1 1 20 16 10 5 10 10 10 30 2 16

200075 200076 200077 200078 200079 200080 200081 200082 200083 200084 200085 200086

Boolean If special condition was imposed 0 and if not 1 Boolean If insurance was granted after improvement in risk 0 and if not 1 Text Number Date hh.mm Unique Claim Number as in insurers records Total amount claimed under the loss Date on which the loss/damage occurred Time at which the loss/damage occurredin 24 hour format (Hours and Minutes) Date Date on which the loss/damage intimated Date Date on which the loss/damage final survey report received Date Date on which the first payment of loss/damage was made Text Give breif description of the damage details Text Mention relevant "Cause of Loss Code Master" Number Give the amount for which the claim is settled rounded off in Indian rupees - value of other currencies are to be converted to INR Number Give the amount for which the claim is settled rounded off in Indian rupees - value of other currencies are to be converted to INR Number Amount settled on Partial Loss basis - rounded off in Indian rupees value of other currencies are to be converted to INR Number Give the expenses incurred in settlling the claim rounded off in Indian rupees - value of other currencies are to be converted to INR Number Claim paid under Gross Basic debris removal rounded off in Indian rupees - value of other currencies are to be converted to INR Number Claim paid under Gross Basic Express Freight /Overtime /Holiday rounded off in Indian rupees - value of other currencies are to be converted to INR Number Claim paid on Gross Basic Air_Freight - rounded off in Indian rupees value of other currencies are to be converted to INR Number Claim paid on Gross Basic Owners Surrounding Property - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Claim paid on Gross Basic Addl. Custom Duty - Give the rounded off in Indian rupees - value of other currencies are to be converted to INR Number Claim paid on Gross Basic TP Liability - Give the rounded off in Indian rupees - value of other currencies are to be converted to INR Number Give the Claim paid on Basic MB Give the rounded off in Indian rupees - value of other currencies are to be converted to INR Number Outstanding Claims Provision at the beginning of the year - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Outstanding Claims Provision at the end of the year - rounded off in Indian rupees - value of other currencies are to be converted to INR Date Date on which the claim is settled Number Amount of deductible applicable at Equipment level - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Percentage of deductible applicable at Equipment level. Amount deducted due to depreciation rounded off in Indian rupees value of other currencies are to be converted to INR Amount deducted due to air freight/owner's surroundding property/additional custom dutyrounded off in Indian rupees - value of other currencies are to be converted to INR Number Amount paid towards Surveyors/Investigation/Advocates/Arbitrator etc Number Number Number Mention Code from Expenses Code Master (Give additional Records for each Expenses Head Code) Mention Code from Recovery Code Master where paid amount is negative Total amount recovered after settlement rounded off in Indian rupees value of other currencies are to be converted to INR. This figure need not be tallied with the Claims Paid If claim was rejected, give reasons for such rejection as per Rejection Code Master Amount deducted due to underinsurance rounded off in Indian rupees value of other currencies are to be converted to INR Percentage of deduction due to underinsurance rounded off in Indian rupees - value of other currencies are to be converted to INR Free text entry Unique ID for each of row generated by insurer prefixed with the insurer code and suffixed by time stamp Y' for Endorsement otherwise' N' DD/MM/YYYY - Date of Policy Starting

87

Num_Amount_settled_Partial_Loss_

16

200087

88 89

Num_Amount_settled_Partial_loss_(l abour) Num_Total_expenses_incurred_towar ds_claim_settlement Num_Claim_paid_under_gross_basic _clearaance-debris_removal Num_Claim_paid__Basic_Express_F reight/Overtime/Holiday_Cover Num_Claim_paid_Under_Gross_Basi c_Air_Freight Num_Claim_paid_Under_Gross_Basi c_Owners_Surrounding_Property Num_Claim_paid_Under_Gross_Basi c_Addl._Custom_Duty

c c

m m

16 16

200088 200089

90

16

200090

91

16

200091

92 93

c c

m m

16 16

200092 200093

94

16

200094

95 Num_Claim_paid_Under_Gross_Basi c_TPLiability Num_Claim_paid_Under_Gross__Ba sic_CPM Num_Opening_Claims_Provision

16

200095

96 97

c c

m m

16 16

200096 200097

98

Num_Closing_Claims_Provision

16

200098

99 Date_of_payment 100 Num_Equip_Deductible_amt

c c

m m

16

200099 200100

101 Num_Equip_Deductible_percentage 102 Num_amount_deducted_depreciation 103 Num_amount_deducted_air fireight_owner's surrounding property_additional custom duty 104 Total_amount_paid_towards_expense s 105 Txt_Peril_Claim_Reason_Expenses 106 Txt_Claim_Recovery_Code 107 Num_Adjusted_Recovered

c c c

m m m

5 16 16

200101 200102 200103

c c c c

m m m m

16 16 16 16

200104 200105 200106 200107

108 Txt_Claim_Reason_Rejection 109 Num_Amount_Underinsuraance 110 Num_Percent_Underinsurance

c c c

m N N

30 16 16

200108 200109 200110

Text Number Number

111 Txt_Claims_Remarks 112 Txt_Transaction_ID 113 Boo_Endorsement 114 Date_Policy_Start_Date

c abc ac abc

n m m m

100 25 1 10

200111 200112 200113 200114

Text Text Boolean Date

115 Date_Policy_End_Date 116 Txt_PAN_DIN_CIN_Number

abc abc

m n

10 25

200115 200116

Date Text

117 Txt_Previous_Policy_Number 118 119 120 121 122

abc

n m m m m m

30 2 100 50 30 1

200117 200118 200119 200120 200121 200122

Text Text Text Text Text Boolean

DD/MM/YYYY - Date of Policy Ending PAN Number of the insured provided by Income Tax or Director Identification Number (DIN)/Corporate Identity Number (CIN) in case of Company Give the previous policy number if it is a renewal, irrespctive of insurer Please refer to Distribution Channel Code Master Product ID number approved by IRDA Product ID number as per Insurers Product ID Master Give the LOP Policy Number, if the option for 20 is 'yes' Specifying whether it is single location or multiple location (0 for single, 1 for multiple)

Txt_Distribution_Channel_Code abc Txt_IRDA_Product_ID abc Txt_Insurer_Product_ID abc Txt_Policy_Number_LOP abc Boo_Is_it_ single location or multiple location abc

POLICYWISE FORMAT FOR ENGINEERING (BPP) DATA (SECTION 64 UE) POLICY/ BP VESSEL/ CLAIMS SL. FIELD NAME NO: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Txt_Name_Insurer Txt_Reporting_Year Txt_Reporting_Quarter_Code Txt_Office_Code Txt_Policy_Number Txt_Endt_Number Txt_Endt_Reason_Code Txt_Endt_Reason Date_Policy_Year Txt_Policy_Period Date_Endt_Year Txt_Endt_Period Num_Location_Pincode Num_SI_Pol_amount_escalation Form No abc abc abc abc abc ab a a abc abc ab a a ab Data FIELD Dictionary TYPE SIZE Number m 4 100001 Text m 9 100002 Text n 1 100003 Text m 6 100004 Text m 30 100005 Text m 30 100006 Text m 4 100007 Text n 30 100008 Text m 9 100009 Date m 10 100010 Text m 9 100011 Date m 10 100012 Text m 6 100013 Number m 15 100014 Number Revised as on 01/04/2014 FORMAT NUMBER - 1(a), (b) & (c)

Description Refer Insurer Code Master Mention Year in yyyy/yyyy format 1' for First Qtr, '2' for Second Qtr, '3' for Third Qtr & '4' for Fourth Qtr. Unique Underwriting Office Code of Insurer Give the Policy Number Give the Endorsement Number Give Code as per Endorsement Reason Code Master If Code not provided, give the Reasons for Policy level endorsement Indicate the Policy period in yyyy/yyyy format Give period of the policy in number of days Indicate the period of Policy level endorsement in yyyy/yyyy format Give period of Policy level endorsement in number of days Give Pin Code Number of the Risk where it is situated Give the sum insured amount towards the escalated value, in cases where escalation is opted - value of other currencies are to be rounded off & converted to INR Give the sum insured percentage towards the escalated value, in cases where escalation is opted Give the code number from the Industry Code Master '1' if locations outside India are covered, '0' if otherwise Total Sum Insured at Policy level - for the Plant, rounded off in Indian rupees - value of other currencies are to be converted to INR Total Sum Insured at Policy level - for the Accessories, rounded off in Indian rupees value of other currencies are to be converted to INR Total Sum Insured at Policy level - for Gross Express Freight / Overtime / Holiday rounded off in Indian rupees - value of other currencies are to be converted to INR

15 16 17 18 19 20

Num_Pol_Percentage_escalation Num_Industry_Code Boo_Pol_locations_outside_India Num_Pol_BPP_SI Num_Pol_BPP_Accessory_SI Num_Pol_Gross_Express_Freight_Overtime_H oliday_SI Num_Pol_Gross_Air_Freight_SI Num_Pol_Gross_Surrounding_Property_SI Num_Pol_TP_AOA_SI

ab a a ab ab a

m m m m m m

5 3 1 16 16 16

100015 100016 100017 100018 100019 100020

nn.nn Text Boolean Number Number Number

21 22 23

a a a

m m m

16 16 16

100021 100022 100023

24

Num_Pol_Gross_TP_AOY_SI

16

100024

25 26 27 28

Num_Pol_Gross_Addl_Custom_Duty_SI Num_Pol_BPP_Premium Num_Pol_BPP_Accessory_Premium Num_Pol_Gross_Express_Freight_Overtime_H oliday_Premium Num_Pol_Gross_Air_Freight_Premium

a ab ab a

m m m m

16 16 16 16

100025 100026 100027 100028

29

16

100029

Number Total Sum Insured at Policy level - for Gross Air Freight rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total Sum Insured at Policy level - for Gross Surrounding Property rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total TP (Property plus Personal Injury) Liability Sum Insured on an Any One Accident Basis -rounded off in Indian rupees - value of other currencies to be converted to INR Number Total TP (Property plus Personal Injury) Liability Sum Insured on an Any One Year Basis -rounded off in Indian rupees - value of other currencies to be converted to INR Number Total Sum Insured at Policy level - for Gross Addl. Customs Duty rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total Premium at Policy level - for the Plant, rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total Premium at Policy level - for the Accessories, rounded off in Indian rupees value of other currencies are to be converted to INR Number Total Net Premium at Policy level excluding Service Tax - for Gross Express Freight / Overtime / Holiday rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total Net Premium at Policy level excluding Service Tax - for Gross Air Freight rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total Net Premium at Policy level excluding Service Tax - for Gross Surrounding Property rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total TP Liability Premium on an Any One Accident Basis -rounded off in Indian rupees - value of other currencies to be converted to INR Number Total TP Liability Premium on an Any One Year Basis -rounded off in Indian rupees value of other currencies to be converted to INR Number Total Net Premium at Policy level excluding Service Tax - for Gross TP rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total Net Premium at Policy level excluding Service Tax - for Gross Addl. Customs Duty rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total Net Premium at Policy level excluding Service Tax - for the BPP, rounded off in Indian rupees - value of other currencies are to be converted to INR Boolean If LOP policy exists, '1', Otherwise, '0' Text 0' for no coinsurance, '1' for outgoing coinsurance, '2' for incoming coinsurance nn.nn Mention your share in percentage Number Give Schedule Serial Number of the Boiler /Pressure Vessel as mentioned in the Policy Number Give the sum insured amount towards the escalated value, in cases where escalation is opted - value of other currencies are to be rounded off & converted to INR nn.nn Give the sum insured percentage towards the escalated value, in cases where escalation is opted Number Total Sum Insured for the Plant, rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total Sum Insured for the Accessories, rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total Premium at Policy level - for the Accessories, rounded off in Indian rupees value of other currencies are to be converted to INR Number Total Net Premium at Policy level excluding Service Tax - for the BPP, rounded off in Indian rupees - value of other currencies are to be converted to INR nn.nn nn.nn If the last Clearance by Boiler Inspectorate is valid, '0', otherwise, '1' If Restricted by Boiler Inspectorate, '1', otherwise, '0'

30

Num_Pol_Gross_Surrounding_Property_Premiu m Num_Pol_TP_AOA_Premium Num_Pol_Gross_TP_AOY_Premium Num_Pol_Gross_TP_Premium

16

100030

31 32 33

a a a

m m m

16 16 16

100031 100032 100033

34

Num_Pol_Gross_Addl_Custom_Duty_Premium

16

100034

35

Num_Pol_Gross_BPP_Premium

ab

16

100035

36 37 38 39 40

Boo_Whether_LOP_Covered Txt_Pol_Coinsurance_Status Num_Pol_Coinsurance_Share Txt_Boiler_Schedule_Serial_Number Num_SI_Pol_amount_escalation

a a a b ab

m m m m m

1 1 5 3 15

100036 100037 100038 100039 100040

41 42 43 45 46

Num_Pol_Percentage_escalation Num_Pol_BPP_SI Num_Pol_BPP_Accessory_SI Num_Pol_BPP_Accessory_Premium Num_Pol_Gross_BPP_Premium

ab ab ab ab ab

m m m m m

5 16 16 16 16

100041 100042 100043 100044 100045

47 48

Boo_Whether_Last_Clearance_by_Boiler_Insp b ectorate_valid Boo_Whether_Restricted_by_Boiler_Inspectora b te

m m

5 5

100046 100047

49 50 51 52 53 54 55 56 57 58 59 60 61

Txt_Boiler_Type_Code Txt_Boiler_PV_Type_Details Txt_Whether_Fired_Boiler Num_Boiler_Age Text_Boiler_Fuel Boo_Whether_Alternate_Fuel_Used Text_Boiler_Steam_Pressure_KSC Text_Boiler_Steam_Pressure_PSI Text_Boiler_Steam_Capacity_TPH Text_Boiler_Steam_Capacity_Others Txt_Boiler_under_Standstill_Period Txt_Claim_Number Txt_Transaction_Reference_Number b b b b b b b b b c c

abc abc

m m n m m m n n n n m m m

4 50 5 3 4 1 4 4 4 4 1 30 30

100048 100049 100050 100051 100052 100053 100054 100055 100056 100057 100058 100059 100060

Text Text nn.nn Number Number Boolean Number Number Number Number Text Text Text

62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81

Txt_Details_of_Item_Lost_in_Claim Num_SI_of_Item_Lost_in_Claim Txt_Details_of_Accessories_Lost_in_Claim Num_SI_of_Accessories_Lost_in_Claim Date_of_Loss Time_of_Loss Date_of_ Intimation Date_final_survey_report_received Date_first_claim_payment Damage_Details Cause_of_Loss_Code Boo_Whether_Attendant_Qualified Boo_Whether_Last_Clearance_by_Boiler_Insp ectorate_valid Boo_Whether_Restricted_by_Boiler_Inspectora te Num_Amount_Estimated_BPP Num_Amount_Estimated_Accessories Num_Amount_Estimated_Add_On_Covers Num_Amount_paid_BPP Num_Amount_paid_Accessories Num_Amount_paid_Add_On_Covers

c c c c c c c c c c c c c c c c c c c c

m m n m m n m m m n m m m m m m m m m m

20 20 20 20 10 5 10 10 10 30 2 2 5 5 16 16 16 16 16 16

100061 100062 100063 100064 100065 100066 100067 100068 100069 100070 100071 100072 100073 100074 100075 100076 100077 100078 100079 100080

Number Number Number Number Date hh.mm Date Date Date Text Text Text nn.nn nn.nn

Give details of type of Boiler. Give Code as per "Boiler & Pressure Vessel Type Code Master" Give details of type of Boiler. Mention only if not provided under "Boiler & Pressure Vessel Type Code Master" If the Boiler is Fired, '1', if unfired, '0' (For all Pressure Vessels, report '0') State the age of the Boiler in years. To be made mandatory after 1-4-2007 Type of Fuel as per Fuel Code Master If fired alternatively by 2 types of fuels, '1', if not, '0'. If Steam Pressure is recorded in KSC, otherwise leave blank If Steam Pressure is recorded in PSI, otherwise leave blank Steam Capacity in TPH Steam Capacity in case in any unit Are any of the Boilers under stand still period. '0' for yes, '1' for no Give the Claim Number Give the reference number of the payment/ transaction to make the record unique especially when multiple transactions are done under the same claim number. (For example, voucher number) Details of Item Lost in the Claim Sum Insured of Item Lost in the Claim Details of Accessories Lost in the Claim Sum Insured of Accessories Lost in the Claim Date on which the loss/damage occurred Time at which the loss/damage occurred in 24 hour format (Hours and Minutes) Date on which the loss/damage intimated Date on which the loss/damage final survey report received Date on which the first payment of loss/damage was made Give breif description of the damage details Mention relevant "Cause of Loss Code Master" Mention whether the Boiler Attendant holds valid proficiency certificate If the last Clearance by Boiler Inspectorate is valid, '0', otherwise, '1' If Restricted by Boiler Inspectorate, '1', otherwise, '0'

Number Give the amount for which the BPP claim is Estimated rounded off in Indian rupees value of other currencies are to be converted to INR Number Give the amount for which the claim on accessories is Estimated rounded off in Indian rupees - value of other currencies are to be converted to INR Number Amount Estimated on Add On cover claims - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Give the amount for which the BPP claim is settled rounded off in Indian rupees value of other currencies are to be converted to INR Number Give the amount for which the claim on accessories is settled rounded off in Indian rupees - value of other currencies are to be converted to INR Number Amount settled on Add On covers - (other than the covers specified in this format) rounded off in Indian rupees - value of other currencies are to be converted to INR Number Claim paid under Gross Basic Express Freight /Overtime /Holiday - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Claim paid on Gross Basic Air_Freight - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Claim paid on Gross Basic Owners Surrounding Property - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Claim paid on Gross Basic TP - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Claim paid on Gross Basic Addl. Custom Duty - Give the rounded off in Indian rupees - value of other currencies are to be converted to INR Number Give the Claim paid on Basic MB Give the rounded off in Indian rupees - value of other currencies are to be converted to INR Number Outstanding Claims Provision at the beginning of the year - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Outstanding Claims Provision at the end of the year - rounded off in Indian rupees value of other currencies are to be converted to INR

82 83 84 85 86 87 88 89

Num_Claim_paid_Under_Gross_Basic_Express _Freight/Overtime/Holiday_Cover Num_Claim_paid_Under_Gross_Basic_Air_Frei ght Num_Claim_paid_Under_Gross_Basic_Owners _Surrounding_Property Num_Claim_paid_Under_Gross_Basic_TP

c c c c

m m m m m m m m

16 16 16 16 16 16 16 16

100081 100082 100083 100084 100085 100086 100087 100088

Num_Claim_paid_Under_Gross_Basic_Addl._C c ustom_Duty Num_Claim_paid_Under_Gross__Basic_MB c Num_Opening_Claims_Provision Num_Closing_Claims_Provision c c

90 91 92 93 94

Date_of_payment Boo_Whether_Deductible_on_SI_or_Claim Num_Boiler_Deductible Num_Boiler_Deductible Net_Claim_amount_paid_on_loss

c c c c c

m m m m m

10 1 16 5 16

100089 100090 100091 100092 100093

95 96 97 98 99

Total_amount_paid_towards_expenses Txt_Expenses_Code Num_Amount_Salvage_Adjusted_in_Claim Txt_Claim_Recovery_Code Num_Adjusted_Recovered

c c c c c

m m m m m

16 3 16 16 16

100094 100095 100096 100097 100098

100 Txt_Claim_Reason_Rejection 101 Num_Amount_Underinsurance 102 Num_Percent_Underinsurance 103 Txt_Claims_Remarks 104 Txt_Transaction_ID 105 106 107 108 109 110 111 112 Boo_Endorsement Date_Policy_Start_Date Date_Policy_End_Date Txt_PAN_DIN_CIN_Number Txt_Previous_Policy_Number Txt_Distribution_Channel_Code Txt_IRDA_Product_ID Txt_Insurer_Product_ID

c c c c abc ad abc abc abc abc abc abc abc

m m m n m m m m n n m m m

30 16 16 100 25 1 10 10 25 30 2 100 50

100099 100100 100101 100102 100103 100104 100105 100106 100107 100108 100109 100110 100111

Date Date on which the claim is settled Boolean If Deductible is on SI, "1", if on Claim "0" Number Amount of deductible applicable at Equipment level - rounded off in Indian rupees value of other currencies are to be converted to INR Number Percentage of deductible applicable at Equipment level. Number Amount paid by the insurer towards the claim net of all adjustments. Total amount paid/recovered by the insurer on the Claim rounded off in Indian rupees - value of other currencies are to be converted to INR Number Amount paid towards Surveyors/Investigation/Advocates/Arbitrator etc Number Give Code as per Expenses Code Master Number Value of Salvage adjusted in the claim where salvage is not taken over by the company Number Mention Code from Recovery Code Master where paid amount is negative Number Total amount recovered after settlement rounded off in Indian rupees - value of other currencies are to be converted to INR. This figure need not be tallied with the Claims Paid Text If claim was rejected, give reasons for such rejection as per Rejection Code Master Number Amount deducted due to underinsurance rounded off in Indian rupees - value of other currencies are to be converted to INR Number Percentage of deduction due to underinsurance rounded off in Indian rupees - if applicable. Value of other currencies are to be converted to INR Text Free text entry Unique ID for each of row generated by insurer prefixed with the insurer code and Text suffixed by time stamp Boolean Y' for Endorsement otherwise' N' DD/MM/YYYY - Date of Policy Starting Date DD/MM/YYYY - Date of Policy Ending Date PAN Number of the insured provided by Income Tax or Director Identification Text Number (DIN)/Corporate Identity Number (CIN) in case of Company Give the previous policy number if it is a renewal, irrespctive of insurer Text Please refer to Distribution Channel Code Master Text Product ID number approved by IRDA Text Product ID number as per Insurers Product ID Master Text

DATA DICTIONARY FOR BANKER's BLANKET DATA

BANKER's BLANKET: Policy/Claims Data Table SL. NO: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 FIELD NAME Txt_Insurer_Code Txt_Office_Code Txt_Policy_Number Txt_Endt_Number Txt_Pol_Endt_Reason_Code Txt_Pol_Endt_Reason Txt_PAN_DIN_Number Txt_Transaction_ID Txt_Product_ID Txt_Insured_Name Date_Policy_Start_Date Date_Policy_End_Date Date_Retroactive_Date Date_Endorsement Effective Date Boo_Is_it_single_location_or_ multiple_location Risk_Location_Pin_Code Num_Policy_SI Num_Pol_Premium Field Size 4 6 30 30 4 30 10 30 30 50 9 9 9 9 1 6 16 16 TYPE Text Text Text Text Text Text Text Text Text Text Date Date Date Date Text Number Number Number FORMAT NUMBERS - BANKER's BLANKET (a) & (b) DEFINITION Refer Insurer Code Master Unique Underwriting Office Code of Insurer Give the Policy Number Give the Endorsement Number (Mandatory for Endorsement) Give Code as per Endorsement Reason Code Master (Mandatory for Endorsement) Give the Reasons for Policy level endorsement (Mandatory for Endorsement) PAN / DIN NO. Unique Transaction Id of Insurer Product Code of the Insurer Insured Name Policy Start Date in dd-mmm-yy Policy Start End in dd-mmm-yy dd-mmm-yy Endorsement Effective Date in dd-mmm-yy (To be left bank for Policy Record) If Multi Location mention 1 else 0 Risk Pin Code Total Sum Insured at Policy level - rounded off in Indian rupees - value of other currencies are to be converted to INR Total Premium at Policy level excluding Service Tax - rounded off in Indian rupees - value of other currencies are to be converted to INR 0' for no coinsurance, '1' for outgoing coinsurance Mention your share in percentage Specify 0 if Not Applicable, 1 if Applicable Within a Single State - 1, Within India - 2, India and abroad - 3, abroad -4 Reporting Year Sum Insured for Basic Cover Addional Sum Insured on Premises Premium for Premises Addional Sum Insured In transit Premium for In Transit Addional Sum Insured on Forgery or Alteration Premium for Forgery or Alteration Addional Sum Insured on Employee Dishonesty Premium for Employee Dishonesty Addional Sum Insured on Hypothecated goods Premium for Hypothecated goods Addional Sum Insured on Registered Postal Sending Premium for Registered Postal Sending

ab ab ab ab ab ab ab ab ab ab ab ab ab ab ab a a a

m m m m m m n m m m m m m m m m m m

19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36

Txt_Pol_Coinsurance_Status Num_Pol_Coinsurance_Share Boo_Floater Option Teritorial_Limit Reporting_Year Policy Basic Sum Insured On Premises Additional Sum Insured On Premises Additional Premium In Transit Additional Sum Insured In Transit Additional Premium Forgery or Alteration Additional Sum Insured Forgery or Alteration Additional Premium Employee Dishonesty Additional Sum Insured Employee Dishonesty Additional Premium Hypothecated goods Additional Sum Insured Hypothecated goods Additional Premium Registered Postal Sending Additional Sum Insured Registered Postal Sending Additional Premium

ab ab ab ab a a a a a a a a a a a a a a

m m m Nm nm nm nm nm nm nm nm nm nm nm nm nm nm nm

1 5 1

Text nn.nn Boolean

4 16 16 16 16 16 16 16 16 16 16 16 16 30

Number Number Number Number Number Number Number Number Number Number Number Number Number Number

DATA DICTIONARY FOR BANKER's BLANKET DATA

BANKER's BLANKET: Policy/Claims Data Table 37 Additional cover for Appraisers (Sum Insured) 38 39 Additional cover for Appraisers (Premium) Additional cover for Janta Agents / Pygmy Collectors / Chhoti Bachat Yojana Agents (Sum Insured) Additional cover for Janta Agents / Pygmy Collectors / Chhoti Bachat Yojana Agents (Premium) Boo_STFI Boo_Earthquake Boo_Terrorism No of Branches No of Employees Txt_Claim_Number Txt_Claim_Time_Loss Date_Claim_Date_Loss Date_Claim_Date_Intimation Date_Claim_Date_Registration_Reopen Date_initial_claim_payment Txt_Claim_NOL_Code Num_Claim_Total_Paid_Amount a a a nm nm nm 16 30 16 Number Number Number FORMAT NUMBERS - BANKER's BLANKET (a) & (b) Addional Sum Insured on Appraisers Premium for Appraisers Addional Sum Insured on Janta Agents / Pygmy Collectors / Chhoti Bachat Yojana Agents Premium for Janta Agents / Pygmy Collectors / Chhoti Bachat Yojana Agents Specify '1' if applicable, else '0' Specify '1' if applicable, else '0' Specify '1' if applicable, else '0' No of Branches No of Employees Give the Claim Number (unique number for the claim) Give the approximate time of the loss/damage (in 24 hour format) Give the date on which the loss took place in dd-mmm-yy format Give the date on which the loss was intimated in dd-mmm-yy format Give the date on which the loss was registered / reopened in the books - in dd-mmm-yy format. Date on which the initial payment of loss/damage was made ddmmm-yy format Ref: Nature of Loss Code Master Total amount paid/recovered by the insurer on the Claim rounded off in Indian rupees - value of other currencies are to be converted to INR Date on which the claim was settled in dd-mmm-yy format Outstanding Claims Provision at the end of the period - rounded off in Indian rupees - value of other currencies are to be converted to INR Amount deducted towards deductible Total amount paid by the insurer towards expenses rounded off in Indian rupees - value of other currencies are to be converted to INR Mention Code from Expenses Code Master (Give additional Records for each Expenses Head Code) Applicable where recovery is made Applicable where recovery is made 0' if fully settled, '1' if partially settled. '2' if not settled. Date on which the claim was partly settled earlier - Applicable in cases where part of the claim was settled earlier - including previous reporting periods in dd-mmm-yy format If claim was rejected, give reasons for such rejection Quarter Code Insured office code Year of the Policy Date of final Survey report Initial Loss Provision

40

nm

16

Number

41 42 43 44 45 46 47 48 49 50 51 52 53

a a a a a b b b b b b b b

m m m m m m n m m m m m m

1 1 1 16 16 30 2 9 9 9 9 4 16

Boolean Boolean Boolean Number Number Text Text Date Date Date Date Text Number

54 55

Date_Claim_Settlement Num_Claim_Closing_Claims_Provision

b b

m m

9 16

Date Number

56 57

Num_Claim_Deductible Num_Claim_Amount_Expenses

b b

m m

16 16

Number Number

58 59 60 61 62

Txt_Claim_Expenses_Code Num_Claim_Amount_Recovery Txt_Claim_Recovery_Code Txt_whether_claim_partially_settled Claim_Date_part_settlement

b b b b b

m nm nm m m

16 16 16 1 9

Text Number Text Text Date

63 65 66 67 68 69

Txt_Claim_Reason_Rejection Reporting_Quarter_Code Office_Code Policy_Year Date_final_survey_report_ received Claim_Tot_initial_Provision_Loss

b b b b ab b

m m m m m m

30 30 30 30 9 16

Text Text Text Text Date Number

DATA DICTIONARY FOR BANKER's BLANKET DATA

BANKER's BLANKET: Policy/Claims Data Table 70 Claim_Opening_Claims_Provision 71 Amount_Underinsurance 72 Percent_Underinsurance 73 Claim_Amount_Head_Code b b ab b m m m m 16 30 5 16 Number Text nn.nn Number FORMAT NUMBERS - BANKER's BLANKET (a) & (b) Opening Claims Provision Amount UnderInsuarnce Percent UnderInsuarnce Claim Amount head Code

POLICY DATA FOR BANKER's BLANKET DATA

BANKER's BLANKET : Policy Data Table SL. NO: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 FIELD NAME Txt_Insurer_Code Txt_Office_Code Txt_Policy_Number Txt_Endt_Number Txt_Pol_Endt_Reason Txt_PAN_DIN_Number Txt_Transaction_ID Txt_Product_ID Txt_Insured_Name Date_Policy_Start_Date Date_Policy_End_Date Date_Retroactive_Date Date_Endorsement Effective Date Boo_Is_it_single_location_or_ multiple_location Risk_Location_Pin_Code Field Size 4 6 30 30 30 10 30 30 50 9 9 9 9 1 6 TYPE Text Text Text Text Text Text Text Text Text Date Date Date Date Text FORMAT NUMBER - BANKER's BLANKET(a) POLICY DATA DEFINITION Refer Insurer Code Master Unique Underwriting Office Code of Insurer Give the Policy Number Give the Endorsement Number (Mandatory for Endorsement) Give the Reasons for Policy level endorsement (Mandatory for Endorsement) PAN / DIN NO. Unique Transaction Id of Insurer Product Code of the Insurer Insured Name Policy Start Date in dd-mmm-yy Policy Start End in dd-mmm-yy dd-mmm-yy Endorsement Effective Date in dd-mmm-yy (To be left bank for Policy Record) If Multi Location mention 1 else 0 <Risk location and Coverage related information to be maintained in a separate form to meet multi-risk locations requirement within the same policy> COMMENT

ab ab ab ab

m m m m

ab m ab ab ab ab ab ab ab ab n m m m nm m m m

ab m a m

Number Risk Pin Code

16

Num_Policy_SI

16

17

Num_Pol_Premium

16

18 19 20 21 22 23

Txt_Pol_Coinsurance_Status Num_Pol_Coinsurance_Share Boo_Floater Option Teritorial_Limit Reporting_Year Policy Basic Sum Insured

ab ab ab ab a a

m m m nm m m

1 5 1

4 16

24 25

On Premises Additional Sum Insured On Premises Additional Premium

a nm a nm

16 16

Number Total Sum Insured at Policy level - rounded off in Indian rupees value of other currencies are to be converted to INR-Basic + Additional Sum Insured Number Total Premium at Policy level excluding Service Tax - rounded off in Indian rupees - value of other currencies are to be converted to INR Text 0' for no coinsurance, '1' for outgoing coinsurance nn.nn Mention your share in percentage Boolean Specify 0 if Not Applicable, 1 if Applicable Within Single State - 1 , Within India - 2, India and abroad - 3, abroad - 4 Number Reporting Year Number Sum Insured for Basic Cover <Risk location and Coverage related information to be maintained in a separate form to meet multi-risk locations requirement within the same policy> Number Addional Sum Insured on Premises <Risk location and Coverage related Number Premium for Premises information to be maintained in a separate form to meet multi-risk locations requirement within the same policy>

POLICY DATA FOR BANKER's BLANKET DATA

BANKER's BLANKET : Policy Data Table 26 27 28 29 30 31 32 33 34 35 36 37 38 In Transit Additional Premium In Transit Additional Sum Insured Forgery or Alteration Additional Sum Insured Forgery or Alteration Additional Premium Employee Dishonesty Additional Sum Insured Employee Dishonesty Additional Premium Hypothecated goods Additional Sum Insured Hypothecated goods Additional Premium Registered Postal Sending Additional Sum Insured Registered Postal Sending Additional Premium Additional cover for Appraisers (Sum Insured) Additional cover for Appraisers (Premium) Additional cover for Janta Agents / Pygmy Collectors / Chhoti Bachat Yojana Agents (Sum Insured) Additional cover for Janta Agents / Pygmy Collectors / Chhoti Bachat Yojana Agents (Premium) Boo_STFI Boo_Earthquake Boo_Terrorism No of Branches No of Employees a nm a nm a nm a nm a nm a nm a nm a nm a nm a nm a nm a nm a nm 16 16 16 16 16 16 16 16 16 30 16 30 16 Number Premium for In Transit Number Addional Sum Insured In transit Number Addional Sum Insured on Forgery or Alteration Number Premium for Forgery or Alteration Number Addional Sum Insured on Employee Dishonesty Number Premium for Employee Dishonesty Number Addional Sum Insured on Hypothecated goods Number Premium for Hypothecated goods Number Addional Sum Insured on Registered Postal Sending Number Premium for Registered Postal Sending Number Addional Sum Insured on Appraisers Number Premium for Appraisers Number Addional Sum Insured on Janta Agents / Pygmy Collectors / Chhoti Bachat Yojana Agents Number Premium for Janta Agents / Pygmy Collectors / Chhoti Bachat Yojana Agents Boolean Boolean Boolean Number Number Specify '1' if applicable, else '0' Specify '1' if applicable, else '0' Specify '1' if applicable, else '0' No of Branches No of Employees

<Risk location and Coverage related information to be maintained in a separate form to meet multi-risk locations requirement within the same policy>

FORMAT NUMBER - BANKER's BLANKET(a) POLICY DATA

39

a nm

30

40 41 42 43 44

a nm a m a m a m a m

1 1 1 16 16

CLAIM DATA FOR BANKER's BLANKET DATA BANKER's BLANKET : Claim Data Table
SL. NO: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 FIELD NAME Txt_Insurer_Code Txt_Office_Code Txt_Policy_Number Txt_Transaction_ID Txt_Product_ID Txt_Insured_Name Date_Policy_Start_Date Date_Policy_End_Date Txt_Claim_Number Txt_Claim_Time_Loss Date_Claim_Date_Loss Date_Claim_Date_Intimation Date_Claim_Date_Registration_Reopen Date_initial_claim_payment Txt_Claim_NOL_Code Num_Claim_Total_Paid_Amount ab ab ab ab ab ab ab ab b b b b b b b b m m m m m m m m m nm m m m m m m Field Size 4 6 30 30 30 50 9 9 30 2 9 9 9 9 4 16 TYPE Text Text Text Text Text Text Date Date Text Text Date Date Date

FORMAT NUMBER -BANKER's BLANKET (b)

DEFINITION Refer Insurer Code Master Unique Underwriting Office Code of Insurer Give the Policy Number Unique Transaction Id of Insurer Product Code of the Insurer Insured Name Policy Start Date in dd-mmm-yy Policy Start End in dd-mmm-yy Give the Claim Number (unique number for the claim) Give the approximate time of the loss/damage (in 24 hour format) Give the date on which the loss took place in dd-mmm-yy format Give the date on which the loss was intimated in dd-mmm-yy format

Give the date on which the loss was registered / reopened in the books - in dd-mmm-yy format. Date Date on which the initial payment of loss/damage was made dd-mmmyy format Text Ref: Nature of Loss Code Master Number Total amount paid/recovered by the insurer on the Claim rounded off in Indian rupees - value of other currencies are to be converted to INR Date Date on which the claim was settled in dd-mmm-yy format Number Outstanding Claims Provision at the end of the period - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Amount deducted towards deductible Number Total amount paid by the insurer towards expenses rounded off in Indian rupees - value of other currencies are to be converted to INR Number Mention amount of Recovery made - applicable where recovery is made Text Mention Code from Recovery Code Master where recovery is made Text Date 0' if fully settled, '1' if partially settled. '2' if not settled. Date on which the claim was partly settled earlier - Applicable in cases where part of the claim was settled earlier - including previous reporting periods in dd-mmm-yy format

17 18

Date_Claim_Settlement Num_Claim_Closing_Claims_Provision

b b

m m

9 16

19 20

Num_Claim_Deductible Num_Claim_Amount_Expenses

b b

nm m

16 16

22 23 24 25

Num_Claim_Amount_Recovery Txt_Claim_Recovery_Code Txt_whether_claim_partially_settled Claim_Date_part_settlement

b b b b

nm m m m

16 16 1 9

CLAIM DATA FOR BANKER's BLANKET DATA BANKER's BLANKET : Claim Data Table
26 28 29 30 31 32 33 34 35 Txt_Claim_Reason_Rejection Reporting_Quarter_Code Office_Code Policy_Year Date_final_survey_report_ received Claim_Tot_initial_Provision_Loss Claim_Opening_Claims_Provision Court Cases Yes/No Interest Amount b b b b b b b b b m m m m m m m n n 30 30 30 30 9 16 16 Text Text Text Text Date Number Number Number

FORMAT NUMBER -BANKER's BLANKET (b)

If claim was rejected, give reasons for such rejection - as per master Quarter Code Insured office code Year of the Policy Date of final Survey report Initial Loss Provision Opening Claims Provision Y for Yes , N for No

Bankers Blanket/ Indemnity Policy

Serial Number 1 2 3 4 5 6 Code Master - Endorsement Reason Code Master Change In SI Cancellation Due To Cheque Dishonour Cancellation Of Policy Reinstatement Any Other Nil Endorsement Any Other Non Nil Endorsement Code 01 02 03 04 05 06

Sl. Number 1 2 3 4 5 6 7 8 9 10 Sl. Number 1 2 3 4 5 6 7

Code Master - Recovery Code Master Recovery From Motor Transport Co. Recovery From Postal Authorities Recovery From Courier Agencies Recovery From Third Party Recovery Of Erroneous Excess Payment Recovery from Police Authorities Recovery from Contractual Obligations Recovery from Employee Contribution from other policy Any other Code Master - Nature of Loss Code Master Burglary, House Breaking Loss / Damage in Transit Theft Robbery / Hold Up Riots Strike Malicious Damage Terrorism Damage Other Losses not mentioned above

Code 01 02 03 04 05 06 07 08 09 10 Code 01 02 03 04 05 06 07

Data Dictionary - Burglary Class of Business

Sl No.
1 2 3 4 5 6 7 8 9 10 11 12

Field Name
Txt_Name_Insurer Txt_Reporting_Year Txt_Reporting_Quarter_Code Txt_Office_Code Txt_Policy_Number Num_Policy_Start_Date Num_Policy_End_Date Txt_PAN_DIN_Number Txt_Transaction_ID Txt_Product_ID Boo_Whether_Floater_Policy Num_Occ_Risk_Pincode

Form M/N
ab ab ab ab ab ab ab ab ab ab a a n m m m m m m m m m m m

Field Size
4 9 1 6 30 10 10 10 30 30 1 6

Type
Text Text Text Text Text Number Number Text Text Text Boolean Number

Definition
Refer Insurer Code Master Mention Year in yyyy/yyyy format 1' for First Qtr, '2' for Second Qtr, '3' for Third Qtr & '4' for Fourth Qtr. Unique Underwriting Office Code of Insurer Give the Policy Number Policy Start Date in dd/mm/yyyy format Policy End Date in dd/mm/yyyy format PAN / DIN NO. Unique Transaction Id of Insurer Product Code of the Insurer 0' for Non Floater, '1' for Floater Give Pin Code Number of the Risk where it is situated. In case of multiple locations, give pin code for the highest sum insured location. Give details of type of occupancy. Give Code as per Occupancy Code Master. In case of multiple occupancies, give occupancy code for the highest SI. 1' for Single, '2' for Multiple, '3' for Industrial Estates

13

Txt_Occ_Occupancy_Code

Text

14 15 16 17 18 19 20

Txt_Nature_of_Occupancy Num_Locations_Covered Num_Occ_First_Loss_percentage Txt_Endt_Number Txt_Pol_Endt_Reason_Code Date_Endorsement Effective Date Num_Policy_SI

a a a a a a a

m m n m m m m

1 2 2 30 4 9 16

Text

21

Num_Pol_Premium

16

22 23 24

Num_Pol_Terrorism_Premium Txt_Pol_Coinsurance_Status Num_Pol_Coinsurance_Share

a ab ab

nm m m

16 1 5

Number Number of Locations Covered (To be filled only if its a multi location policy Number In case of First Loss, mention the percentage upto 3 decimals Text Give the Endorsement Number (Mandatory for Endorsement) Number Give Code as per Endorsement Reason Code Master (Mandatory for Endorsement) Date Endorsement Effective Date in dd-mmm-yy (To be left bank for Policy Record) Number Total Sum Insured at Policy level - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total Premium at Policy level excluding Service Tax rounded off in Indian rupees - value of other currencies are to be converted to INR Number Terrorism Premium at Policy level Text 0' for no coinsurance, '1' for outgoing coinsurance nn.nn Mention your share in percentage

3 25 26 27 28 29 30 31 32 33 34 35 36

Txt_Reporting_Quarter_Code Boo_Whether Deductible_on_Claim Deductible_Percentage Num_Deductible_Policy Boo_RSMD Txt_Pol_Coinsurance_Status Num_Pol_Coinsurance_Share Txt_Claim_Number Txt_Claim_Time_Loss

ab a a a a ab ab b b

m m nm m m m m m nm m m m m

1 1 2 16 1 1 5 30 5 10 10 10 4

1' for First Qtr, '2' for Second Qtr, '3' for Third Qtr & '4' for Fourth Qtr. Boolean If deductible is a percentage of claim amount '1' else '0' nn.nn Number Boolean Text nn.nn Text Text Date Date Date Text Deductable Percentage Specify the deductable amount, if Nil mention '0' Specify '1' if applicable, else '0' 0' for no coinsurance, '1' for outgoing coinsurance Mention your share in percentage Give the Claim Number (unique number for the claim) Give the approximate time of the loss/damage (in hh:mm format) Give the date on which the loss took place in dd/mm/yyyy format Give the date on which the loss was intimated in dd/mm/yyyy format Give the date on which the loss was registered / reopened in the books - in dd/mm/yyyy format. Loss code as per Master

Text

Date_Claim_Date_Loss b Date_Claim_Date_Intimation b Date_Claim_Date_Registration_Reopen Txt_Claim_NOL_Code b b

3 37

Txt_Reporting_Quarter_Code Num_Claim_Tot_initial_Provision_Loss

ab

Text

b 38 39 Num_Claim_Loss_Paid_Other than Stocks b Num_Claim_Loss_Paid_Stocks

m m

16 16

Number Number

b 40 Num_Claim_Loss_Paid_First Loss Basis_Stocks b 41 Num_Claim_Damage_Paid_Other than stocks b 43 Num_Claim_Total_Paid_Amount

16

Number

nm

16

Number

16

Number

1' for First Qtr, '2' for Second Qtr, '3' for Third Qtr & '4' for Fourth Qtr. Total initial Provision amount of claim rounded off in Indian rupees - value of other currencies are to be converted to INR Stocks and Other Stocks ,If stocks - 1 , other than stocks 2 Paid amount for the loss of stock-in-trade / Goods held in Trust or on commission, Tools of Trade, rounded off in Indian rupees - value of other currencies are to be converted to INR Paid amount for the loss on a First Loss Basis rounded off in Indian rupees - value of other currencies are to be converted to INR Paid amount for the damage to the Building / Premises / Contents rounded off in Indian rupees - value of other currencies are to be converted to INR Total amount paid/recovered by the insurer on the Claim rounded off in Indian rupees - value of other currencies are to be converted to INR (Sum of rows 20 to 24) Total amount paid/recovered by the insurer towards expenses rounded off in Indian rupees - value of other currencies are to be converted to INR Mention Code from Expenses Code Master (Give additional Records for each Expenses Head Code) Mention amount of Recovery made Mention Code from Recovery Code Master Amount of Reinstatement Premium Collected Date on which the claim was settled Outstanding Claims Provision at the end of the year rounded off in Indian rupees - value of other currencies are to be converted to INR Amount deducted towards deductible

b 44 Num_Claim_Amount_Expenses b 45 46 47 48 49 50 Txt_Claim_Expenses_Code Num_Claim_Amount_Recovery Txt_Claim_Recovery_Code Num_Claim_Amount_RI Date_Claim_Settlement Num_Claim_Closing_Claims_Provision b b b b b

16

Number

m m nm m n m

16 16 16 16 16 10

Number Text Number Text Number Date

51

Num_Claim_Deductible

b b

m m

16 16

Number Number

3 52 53

Txt_Reporting_Quarter_Code Txt_whether_claim_partially_settled

ab

Text

b Num_Salvage_Adjusted_Recovered

Text

1' for First Qtr, '2' for Second Qtr, '3' for Third Qtr & '4' for Fourth Qtr. 0' if settled / rejected and closed, '1' if partially settled and open. '2' if not settled and open.

b 54 55 Txt_Claim_Reason_Rejection b Num_Amount_Underinsurance b b

n n

16 30

56

Num_Percent_Underinsurance

n n

16 16

Total amount on salvage either adjusted from the claim paid or recovered after settlement rounded off in Indian rupees - value of other currencies are to be converted to Number INR. This figure need not be tallied with the Claims Paid If claim was rejected, give reasons for such rejection as per Rejection Code Master Text Amount deducted due to underinsurance rounded off in Indian rupees - value of other currencies are to be Number converted to INR Number Percentage of deduction due to underinsurance

Policy Data Sheet for Buglary Class of Business

Sl No. 1 2 3 4 5 6 7 8 9 10 11 12 Field Name Txt_Name_Insurer Txt_Reporting_Year Txt_Reporting_Quarter_Code Txt_Office_Code Txt_Policy_Number Num_Policy_Start_Date Num_Policy_End_Date Txt_PAN_DIN_Number Txt_Transaction_ID Txt_Product_ID Boo_Whether_Floater_Policy Num_Occ_Risk_Pincode Form ab ab ab ab ab ab ab ab ab ab a a M/N m m m m m m m n
m m

Field Size 4 9 1 6 30 10 10 10
30 30

Type Text Text Text

Definition

Refer Insurer Code Master Mention Year in yyyy/yyyy format 1' for First Qtr, '2' for Second Qtr, '3' for Third Qtr & '4' for Fourth Qtr. Text Unique Underwriting Office Code of Insurer Text Give the Policy Number Number Policy Start Date in dd/mm/yyyy format Number Policy End Date in dd/mm/yyyy format Text
Text Text

PAN / DIN NO.

Unique Transaction Id of Insurer Product Code of the Insurer

m m

1 6

Boolean 0' for Non Floater, '1' for Floater Number Give Pin Code Number of the Risk where it is situated. In case of multiple locations, give pin code for the highest sum insured location. Text Give details of type of occupancy. Give Code as per Occupancy Code Master. In case of multiple occupancies, give occupancy code for the highest SI.

13

Txt_Occ_Occupancy_Code

14 15

Txt_Nature_of_Occupancy Num_Locations_Covered

a a

m m

1 2

1' for Single, '2' for Multiple, '3' for Industrial Estates Number Number of Locations Covered (To be filled only if its a multi location policy

Text

Policy Data Sheet for Buglary Class of Business

16 17 18 Num_Occ_First_Loss_percentage Txt_Endt_Number Txt_Pol_Endt_Reason_Code a a a n m m 2 30 4 Number In case of First Loss, mention the percentage upto 3 decimals Text Give the Endorsement Number (Mandatory for Endorsement) Number Give Code as per Endorsement Reason Code Master (Mandatory for Endorsement) Date Endorsement Effective Date in ddmmm-yy (To be left bank for Policy Record) Number Total Sum Insured at Policy level rounded off in Indian rupees - value of other currencies are to be converted to INR Number Total Premium at Policy level excluding Service Tax - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Terrorism Premium at Policy level Text 0' for no coinsurance, '1' for outgoing coinsurance nn.nn Mention your share in percentage Boolean If deductible is a percentage of claim amount '1' else '0' nn.nn Deductable Percentage Number Specify the deductable amount, if Nil mention '0' Boolean Specify '1' if applicable, else '0'

19

Date_Endorsement Effective Date

20

Num_Policy_SI

16

21

Num_Pol_Premium

16

22 23 24 25 26 27 28

Num_Pol_Terrorism_Premium Txt_Pol_Coinsurance_Status Num_Pol_Coinsurance_Share Boo_Whether Deductible_on_Claim Deductible_Percentage Num_Deductible_Policy Boo_RSMD

a ab ab a a a a

nm m m m nm m m

16 1 5 1 2 16 1

Claim Data Sheet for Burglary Class of Business

Sl No. Field Name
1 2 3 4 5 6 7 8 9 10 11 12 13 14 Txt_Claim_Time_Loss 15 Date_Claim_Date_Loss 16 Date_Claim_Date_Intimation 17 b 18 19 Date_Claim_Date_Registration_Reopen Txt_Claim_NOL_Code b b Num_Claim_Tot_initial_Provision_Loss 20 Num_Claim_Loss_Paid b m 16 m m m 10 4 16 Txt_Name_Insurer Txt_Reporting_Year Txt_Reporting_Quarter_Code Txt_Office_Code Txt_Policy_Number Num_Policy_Start_Date Num_Policy_End_Date Txt_PAN_DIN_Number Txt_Transaction_ID Txt_Product_ID Txt_Pol_Coinsurance_Status Num_Pol_Coinsurance_Share Txt_Claim_Number

Form M/N
ab ab ab ab ab ab ab ab ab ab ab ab b b b b m m m m m m m n m m m m m nm m m

Field Size
4 9 1 6 30 4 4 10 30 30 1 5 30 5 10 10

Type Definition
Refer Insurer Code Master Mention Year in yyyy/yyyy format 1' for First Qtr, '2' for Second Qtr, '3' for Text Third Qtr & '4' for Fourth Qtr. Unique Underwriting Office Code of Text Insurer Text Give the Policy Number Indicate the Policy period in yyyy/yyyy Number format Indicate the Policy period in yyyy/yyyy Number format Text PAN / DIN NO. Text Unique Transaction Id of Insurer Text Product Code of the Insurer 0' for no coinsurance, '1' for outgoing Text coinsurance nn.nn Mention your share in percentage Text Text Give the Claim Number (unique number for the claim) Give the approximate time of the Text loss/damage (in hh:mm format) Give the date on which the loss took place Date in dd/mm/yyyy format Give the date on which the loss was Date intimated in dd/mm/yyyy format Give the date on which the loss was Date registered / reopened in the books - in dd/mm/yyyy format. Text Loss code as per Master Total initial Provision amount of claim rounded off in Indian rupees - value of Number other currencies are to be converted to INR Stocks and Other than Stocks ,If stocks Number 1 , other than stocks - 2 Text

Claim Data Sheet for Burglary Class of Business

21 22 Num_Claim_Loss_Paid_ b b Num_Claim_Loss_Paid_First Loss Basis_Stocks 23 b Num_Claim_Damage_Paid_Other than stocks 25 b Num_Claim_Total_Paid_Amount 26 b Num_Claim_Amount_Expenses 27 b 28 29 30 31 Num_Claim_Amount_RI Date_Claim_Settlement Txt_Claim_Expenses_Code Num_Claim_Amount_Recovery Txt_Claim_Recovery_Code b b b b m nm m n m 16 16 16 16 10 m 16 m 16 m 16 m nm 16 16 Number Paid amount for the loss Paid amount for the loss on a First Loss Basis rounded off in Indian rupees - value Number of other currencies are to be converted to INR Paid amount for Other than stocks rounded off in Indian rupees - value of Number other currencies are to be converted to INR Total amount paid/recovered by the insurer on the Claim rounded off in Indian Number rupees - value of other currencies are to be converted to INR (Sum of rows 20 to 24) Total amount paid/recovered by the insurer towards expenses rounded off in Number Indian rupees - value of other currencies are to be converted to INR Mention Code from Expenses Code Text Master (Give additional Records for each Expenses Head Code) Number Mention amount of Recovery made Mention Code from Recovery Code Text Master Amount of Reinstatement Premium Number Collected Date Date on which the claim was settled

Claim Data Sheet for Burglary Class of Business

32 b Num_Claim_Closing_Claims_Provision 33 Num_Claim_Deductible 34 b Txt_whether_claim_partially_settled 35 m 1 Text b m 16 m 16 Outstanding Claims Provision at the end Number of the year - rounded off in Indian rupees value of other currencies are to be converted to INR Number Amount deducted towards deductible 0' if settled / rejected and closed, '1' if partially settled and open. '2' if not settled and open.

16

Num_Salvage_Adjusted_Recovered 36 b Txt_Claim_Reason_Rejection 37 b Num_Amount_Underinsurance 38 Num_Percent_Underinsurance b n 16 n 16 n 30

Total amount on salvage either adjusted from the claim paid or recovered after Number settlement rounded off in Indian rupees value of other currencies are to be converted to INR. This figure need not be tallied with the Claims Paid If claim was rejected, give reasons for Text such rejection as per Rejection Code Master Amount deducted due to underinsurance rounded off in Indian rupees - value of Number other currencies are to be converted to INR Percentage of deduction due to Number underinsurance

Sl Number

Code Master - Endorsement Reason Code Master

Code

1 2 3 4 5 6 7 8 9 10 11
Sl. Number 1 2 3 4 Sl. Number 1 2 3 4 5 6 7 8 9 10 Sl. Number 1 2 3 4 5 6 7 8 9 10 11 12

Change In SI Change In Extensions Extension Of Policy Period Cancellation Due To Cheque Dishonour Cancellation Of Policy Reinstatement Co-Insurance Modification Service Tax Adjustment Addition/Deletion of Block Any Other Nil Endorsement Any Other Non Nil Endorsement

01 02 03 04 05 06 07 08 09 10 11

Code Master - Expenses Code Master Expenses on Surveyors Expenses on Investigations Legal Expenses Any other

Code 01 02 03 99

Code Master - Recovery Code Master Recovery From Motor Transport Co. Recovery From Postal Authorities Recovery From Courier Agencies Recovery From Third Party Recovery Of Erroneous Excess Payment Recovery from Police Authorities Recovery from Contractual Obligations Recovery from Employee Contribution from other policy Any other

Code 01 02 03 04 05 06 07 08 09 99

Code Master - Claim Rejection Code Master Policy Not in force on Loss Date Peril/Cause of Loss not covered in the Policy Violation of Policy Conditions Claimed Person/property not covered as on Loss Date Claim occurred outside jurisdiction covered by Policy Cover ceased due to Policy terms and conditions Policy cancelled due to Cheque Dishonour Claim within the excess/deductibles Claim withdrawn by Insured Fraud Non disclosure of Material Information Insured/Claimant does not have Insurable Interest

Code 101 102 103 104 105 106 107 108 109 110 111 112

13 Sl. Number 1 2 3 4 5 6 7 Sl. Number 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

Any other

113

Code Master - Nature of Loss Code Master Burglary, House Breaking Loss / Damage in Transit Theft Robbery / Hold Up Riots Strike Malicious Damage Terrorism Damage Other Losses not mentioned above

Code

01 02 03 04 05 06 99

Code Master 6 - Occupancy Code Master Dwellings Places of worships Libraries Museums Schools / Colleges Hospitals including X-ray and other Diagnostic clinics Office premises / Meeting Rooms, Auditoriums / Planetarium Mess Houses / Clubs Marriage Halls Showrooms and display centres where goods are kept for display and no sales are carried out Educational and Research Institutes imparting training in various crafts Lodging/Boarding Houses Cycle Shed Dish Antenna Indoor stadiums. Cafes, Restaurants, Hotels, Confectioner & Sweet meat sellers Laundries / Dry Cleaning Battery Charging Service Stations Amusement parks Hoarding, Neon signs Sports Galleries, Outdoor stadiums. Shops dealing in goods otherwise not provided for Shops dealing in hazardous goods Arms & Ammunition dealers Motor Vehicle showroom including sales and service Petrol / Diesel Kiosks Abrasive Manufacturing Aerated Water Factories Aerial Ropeway including trolley stations Agarbatti manufacturing Aircraft Hangers

Code 1001 1002 1003 1004 1005 1006 1007 1008 1009 1010 1011 1012 1013 1014 1015 1016 1017 1018 1019 1020 1021 1022 1023 1024 1025 1026 1027 2001 2002 2003 2004 2005

33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75

Airport Terminal Buildings (including all facilities like Cafes, Shops etc) Aluminium/ Magnesium Powder Plants Aluminium ,Zinc,Copper Factories Arecanut and/or Betelnut factories Asbestos Steam Packing and lagging manufacturing Atta and Cereal Grinding (excluding Dal Mills) Audio/Video Cassette Manufacturing Automobile Manufacturing Bakeries Basket Weavers and Cane Furniture Makers Battery Manufacturing Beedi Factories Biscuit Factories Bitumenised Paper and / or Hessian Cloth Manufacturing including Tar Felt Manufacturing. Book Binders, Envelope and Paper Bag Manufacturing. Breweries Brickworks (including refractories and fire bricks) Bridges - Concrete/Steel Bridges-Wooden Building In course of construction Cable Manufacturing Camphor Manufacturing Candle Works Canning Factories Capsule Manufacturing Carbon paper / Typewriter Ribbon Manufacturing Cardamom Factories Cardboard Box Manufacturing Carpenters, Wood wool Manufacturing, Furniture Manufacturing and other wood worker shops (excluding saw mill) Carpet and Drugget Manufacturing (Cotton/jute/wool ) Carpet and Drugget Manufacturing (Others) Cashew nut Factories Cattle feed Mill Celluloid Goods Manufacturing Cement / asbestos/concrete products Manufacturing Cement Factories Ceramic Factories and Crockery and Stoneware pipe Manufacturing/Clay Works. Chemical Manufacturing(Using materials with Flash Point below 32OC), Bulk Drug Manufacturing Chemical Manufacturing(others), Pharmaceuticals, Toiletry products Cigar and Cigarette Manufacturing Cigarette Filter Manufacturing (Using Solvents with Flash Point below 32OC ) Cigarette Filter Manufacturing (Others) Cinema Film Production Studios

2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041 2042 2043 2044 2045 2046 2047 2048

76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102

103 104 105 106 107 108 109 110 111 112 113 114 115 116

Cinematography Film Editing, Laboratory and Sound recording rooms where Film processing is carried out Cinematography Film Editing, Laboratory and Sound recording rooms without Film processing. Cinema Theatres Circus, Touring Drama Troupes and Touring Cinema Theatres Cloth Processing units situated outside the compound of Textile mills Coal/Coke/Charcoal ball & briquettes Manufacturing Coal Processing Plants Coffee Curing, Roasting / Grinding Coir Factories Collieries - underground Mechinery and pit head gear Condensed Milk Factories, Milk Pasturisings Plants and Dairies Confectionery Manufacturing Contractors Plant and Machinery At one location only Cork Products Manufacturing Cotton Gin and Press Houses Cotton Seed cleaning / Delinting Factory Dehydration Factories Detergent Manufacturing with Sulphonation Plant Detergent Manufacturing (Others) Distilleries Duplicating/stencil paper Manufacturing Electric Generation Stations Hydro Power stations Electric Lamp /T.V. Picture Tube Manufacturing Electronic Goods Manufacturing /Assembly Electronic Software Parks Enamel-ware factories Engineering Workshop - - Structural Steel fabricators, Sheet Metal fabricators, Hot/Cold Rolling, Pipe Extruding, Stamping, Pressing, Forging Mills, Metal smelting, Foundries, Galvanising works, Metal Extraction, Ore processing (other than Aluminium, Copp Engineering Workshop (Others), Clock/Watch Manufacturing , Motor Vehicle Garages Exhibitions, Fetes, Mandaps. Explosives / Blasting Factories Fertiliser Manufacturing (other than those rateable under Petrochemical Tariff) Filter and wax paper Manufacturing Fireworks Manufacturing Flax / Hemp Mills Flour Mills Foamed Plastics Manufacturing and / or converting plants Foam Rubber Manufacturing French Polish Manufacturing Fruit and vegetable drying/dehydrating factories Fruit products and Condiment Factories (including fruit pulp making) Garment Makers, Topee, Hats and the like makers

2049 2050 2051 2052 2053 2054 2055 2056 2057 2058 2059 2060 2061 2062 2063 2064 2065 2066 2067 2068 2069 2070 2071 2072 2073 2074 2075

2076 2077 2078 2079 2080 2081 2082 2083 2084 2085 2086 2087 2088 2089

117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163

Ghee Factories including vegetable Ghee mfg. Glass Fibre Manufacturing Glass wool Manufacturing Glass Manufacturing Gold thread factories / Gilding factories Granite Factories using inflammable solvents Granite Factories (Others) Graphite electrode Manufacturing Grain/seeds disintegrating/crushing/ Decorticating factories/ Dal mills. Grease / Wax Manufacturing Green Houses/ Algae/ Spirulina and the like Gum/Glue/Gelatine Manufacturing Gypsum board manufacturer Hoisery,lace, Embroidery/Thread factories Ice candy and Ice cream Manufacturing Ice factories Incandescent Gas mantle Manufacturing Industrial Diamonds Manufacturing Industrial Gas Manufacturing Ink (excluding printing ink) Manufacturing Jaggery Manufacturing Jute Mills Katha Manufacturing Khandsari Sugar Manufacturing Lac or Shellac Factories Leather Cloth Factories Leather Goods Manufacturing ( incl. boot/shoe) Lime Kiln Lithographic presses Liquified Gas Bottling Plants Malt Extraction Plants Man-made Fibre Manufacturing (using Cellulose) Man-made Fibre Manufacturing Plant (Others) Manure Blending works Match Factories Mattress and Pillow making Metallizing works ( involving metals only) Metallising Works (others) Metal/Tin printers Mica Products Manufacturing Mineral Oil blending and processing Mosaic Factories Mushroom Growing Premises (Excluding Crops) Nitro Cellulose Manufacturing Non-woven fabric Manufacturing Oil Extraction Oil Distillation Plants (essential)

2090 2091 2092 2093 2094 2095 2096 2097 2098 2099 2100 2101 2102 2103 2104 2105 2106 2107 2108 2109 2110 2111 2112 2113 2114 2115 2116 2117 2118 2119 2120 2121 2122 2123 2124 2125 2126 2127 2128 2129 2130 2131 2132 2133 2134 2135 2136

164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207

Oil Mills refining ( Veg/Animal) Oil Mills (Vegetable) Oil and Leather Cloth Factories Paint factories (Water based) Paint (others) & Varnish Factories Paints - Nitrocellulose based Pan Masala making Paper and Cardboard Mills (including Lamination) Particle Board Manufacturing Pencil Manufacturing Petroleum Coke Calcination Plastic Goods Manufacturing (excluding Foam Plastics) Plywood / Wood veneering Factories/ Laminating Factories Polyester Film Manufacturing / BOPP Film Manufacturing Port Premises including jetties and equipment thereon And other port facilities Poultry Farms (Excluding birds therein) Presses for coir fibres/waste/Grass/fodder/boosa/Jute Presses for coir yarn / cotton/senna leaves Presses for carpets, rugs and tobacco Presses for hides and skins Printing Ink Manufacturing / Roller composition factories Printing Press Pulverising Plants(Metals and non-hazardous goods) Pulverizing Plants (Others) Rice Mills Rice Polishing Units Rope works (Plastic), Assembling of Plastic Goods such as Toys and the like Rope Works (others) Rubber Factories Rubber Goods Mfg with Spreading Rubber Goods Manufacturing without spreading Salt crushing Factories and Refineries Saw Mills (including Timber Merchants premises where sawing is done). Sea Food / Meat Processing Silk Mills / Spun Silk Mills Snuff Manufacturing Soap Manufacturing Sponge Iron Plants Spray Painting, Powder coating Stables (excluding animals) Starch Factories Stone quarries Sugar Candy Manufacturing Sugar factories

2137 2138 2139 2140 2141 2142 2143 2144 2145 2146 2147 2148 2149 2150 2151 2152 2153 2154 2155 2156 2157 2158 2159 2160 2161 2162 2163 2164 2165 2166 2167 2168 2169 2170 2171 2172 2173 2174 2175 2176 2177 2178 2179 2180

208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252

Surgical Cotton Manufacturing Sweetmeat Manufacturing Tanneries Tapioca factories Tarpaulin and canvas proofing factories Tea blending/packing factories Tea Factories Telephone Exchanges Textile Mills Spinning mills Tile & Pottery works Tiny sector Industries with values at risk not exceeding Rs 10 lakhs Tissue Culture Premises (Excluding Crops) Tobacco Curing / Redrying Factories Tobacco grinding/ crushing Manufacturing Turpentine and rosin distilleries Tyres and Tubes Manufacturing Tyre Retreading and Resoling factories Umbrella Assembly factories Velvet Cloth Manufacturing Vermicelli factories Weigh Bridges Weaving Mills Wheat Threshers Wood seasoning/treatment/ impregnation Wool cleaning and pressing factories Woollen Mills Yarn Processing Zip fasteners Manufacturing Contractors Plant and Machinery anywhere in India (at specified locations) Electric Generation Stations Others Textile Mills Composite mills Analytical / Quality Control Laboratories Boiler House Dams Effluent /Sewage Treatment Plants Electric Sub-Stations Electric Transmission / Distribution Lines Pipe lines (carrying water only) Pipe lines (others) Pump Houses (Water) Pump Houses (Others) Railway tracks Roads Water Treatment Plants Wireless Transmitting Stations

2181 2182 2183 2184 2185 2186 2187 2188 2189 2190 2191 2192 2193 2194 2195 2196 2197 2198 2199 2200 2201 2202 2203 2204 2205 2206 2207 2208 2209 2210 2211 3001 3002 3003 3004 3005 3006 3007 3008 3009 3010 3011 3012 3013 3014

253

Storage of Non-hazardous goods subject to warranty that hazardous goods of Category I, II, III , Coir waste, Coir fibre and Caddies are not stored therein. Storage of Category I hazaardous Goods subject to warranty that goods listed in Category II, III, Coir waste, Coir fibre and Caddies are not stored therein. Storage of hazardous Goods listed in Category II subject to warranty that goods listed in Category III, Coir waste, Coir fibre and Caddies are not stored therein. Storage of hazardous Goods listed in Category III subject to warranty that Coir waste, Coir fibre and , Caddies are not stored therein. Transporters godowns & Godowns of clearing and forwarding agents. Storage of Coir Waste ,Coir Fibre, Caddies Cold Storage premises Gas Holders/ Bullets/spheres and storages for liquified gases except for Nitrogen, Carbon dioxide and inert gases Gas Holders/ Vessels for Nitrogen, Carbon dioxide and inert gases Tanks containing liquids flashing at 32 0C and below Tanks (others) Others

4001

254

4002

255

4003

256 257 258 259 260 261 262 263 264

4004 4005 4006 4007 4008 4009 4010 4011 4999

SL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34

Field Name
Txt_Insurer Txt_ Office_Code Txt_Policy_Year Txt_Policy_Number Date_Policy_Start_Date Date_Policy_End_Date Txt_Previous_Policy_Number Txt_Policy_Type Txt_Type_of_Distribution Txt_Product Id Txt_Pincode_Location Num_Sum_Insured

Data Dictionary -Cattle/Livestock Insurance Data Type M/N

M M M M M M NM M M M M M M M NM NM NM NM M M NM M M M M NM NM M NM M M M M Text Text Text Text Date Date Text Text Text Text Text Number Number Text

Definition

Refer Insurer Code Master Unique Underwriting Office Code of Insurer To be shown in starting year - ending year format, e.g.: 2000-01 Unique number to be given in all records DD/MM/YYYY- Date of Policy Starting DD/MM/YYYY- Date of Policy Ending If applicable As per master Please refer to Type of Distribution Product ID number approved by IRDA Pin code of the location of Risk Total Sum insured Net Premium on which service tax is calculated rounded off to rupees Unique ID for each row generated by insurer. Which states Y for Endorsement, Otherwise N Endorsement No Give Code as per Endorsement Reason Code

Num_Net_Premium Txt_Transaction_Id Certificate No Boo_Endorsement Txt_Endorsement_Number Txt_Endt_Reason_Code Total_Period_In_Years Risk Covered No of Animals Location Of Animal /Dairyfarm With Pincode Financed/ Non Financed Type Of Animal Species of Animal Origin Nature Identification Marks Breed Body Colour & Tail Switch Sex Age of Animal Tag No./ Micro-Chip Number Txt_Claim_Number

Pincode As per master As per master

As per master As per master As per master

Text

Unique number to be given in all records

Page 68

SL
35 36 37 38 39 40 41 42 43

Field Name
Txt_Claim_Year Date_Accident_Loss Txt_Place_Accident Txt_District Txt_Pincode Date_Claim_Intimation Date_Disbursement Num_Opening_Provision Num_Net_Claim_Paid

Data Dictionary -Cattle/Livestock Insurance Data Type M/N

M M M M M M M M M M Text Date Text Text Text Date Date Number Number Number

Definition

To be shown in starting year - ending year format, e.g.: 2000-01 DD/MM/YYYY- Date of accident or loss Name the place of accident District of accident place PIN Code of place of accident DD/MM/YYYY - Date of intimation of accident or loss DD/MM/YYYY- Date of disbursement of claim amount Claims outstanding at the beginning of the year (as on 1st April) Net Claim Paid rounded off to rupees Amount of Survey fees, Advocate fees, Investigators fees, court costs etc. paid Claims outstanding at the end of the year (as on 31st March) Whether Final or Partial Settlement As per master As per master As per expense code If claim was rejected give reasons for such rejection( As per rejection code master)

44 45 46 47 48 49 50

Num_Expenses_Paid Num_Closing_Provision Boo_Final_or_Partial_Settlement Type of Loss Cause of Loss Total_Expenses Reason_Claim_Rejection M M M M M NM Number Boolean

Page 69

SL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 16 17 18 Txt_Insurer Txt_ Office_Code Txt_Policy_Year Txt_Policy_Number

Field Name

Cattle/Livestock Insurance(Policy Data) M/N Data Type

M M M M M M M M M M M M M M NM NM NM Text Text Text Text Date Date Text Text Text Text Text Number Number Text Refer Insurer Code Master

Definition

Unique Underwriting Office Code of Insurer To be shown in starting year - ending year format, e.g.: 2000-01 Unique number to be given in all records DD/MM/YYYY- Date of Policy Starting DD/MM/YYYY- Date of Policy Ending If applicable As per master Please refer to Type of Distribution Product ID number approved by IRDA Pin code of the location of Risk Total Sum insured Net Premium on which service tax is calculated rounded off to rupees Unique ID for each row generated by insurer. Which states Y for Endorsement, Otherwise N Endorsement No Give Code as per Endorsement Reason Code

Date_Policy_Start_Date Date_Policy_End_Date Txt_Previous_Policy_Number Txt_Policy_Type Txt_Type_of_Distribution Txt_Product Id Txt_Pincode_Location Num_Sum_Insured Num_Net_Premium Txt_Transaction_Id Certificate No Boo_Endorsement Txt_Endorsement_Number

19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

Txt_Endt_Reason_Code Total_Period_In_Years Risk Covered No Of Animals Location Of Animal /Dairyfarm With Pincode Financed/ Non Financed Type Of Animal Species Of Animal Origin Nature Identification Marks Breed Body Colour & Tail Switch Sex Age Of Animal Tag No./ Micro-Chip Number

NM M M NM M M M M NM M M NM M M M

Pincode As per master As per master

As per master As per master As per master

Page 70

Sl No Field Name 1 Txt_Insurer 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

Txt_ Office_Code Txt_Policy_Year Txt_Policy_Number Date_Policy_Start_Date Date_Policy_End_Date Txt_Policy_Type Txt_Product Id Txt_Pincode_Location Num_Sum_Insured Txt_Claim_Number Txt_Claim_Year Date_Accident_Loss Txt_Place_Accident Txt_District Txt_Pincode Date_Claim_Intimation Date_Disbursement Num_Opening_Provision Num_Net_Claim_Paid

Cattle/Livestock Insurance(Claim Data) M/N Data Type

M M M M M M M M M M M M M M M M M M M M M

Definition

Text Text Text Text Date Date Text Text Text Number Text Text Date Text Text Text Date Date Number Number Number

Refer Insurer Code Master Unique Underwriting Office Code of Insurer To be shown in starting year - ending year format, e.g.: 2000-01 Unique number to be given in all records DD/MM/YYYY- Date of Policy Starting DD/MM/YYYY- Date of Policy Ending Give details of Type of Policy in descrption Product ID number approved by IRDA Pin code of the location of Risk Total Sum insured Unique number to be given in all records To be shown in starting year - ending year format, e.g.: 2000-01 DD/MM/YYYY- Date of accident or loss Name the place of accident District of accident place PIN Code of place of accident
DD/MM/YYYY - Date of intimation of accident or loss

DD/MM/YYYY- Date of disbursement of claim amount Claims outstanding at the beginning of the year (as on 1st April) Net Claim Paid rounded off to rupees Amount of Survey fees, Advocate fees, Investigators fees, court costs etc. paid Claims outstanding at the end of the year (as on 31st March) Whether Final or Partial Settlement Unique ID for each row generated by insurer.

Num_Expenses_Paid Num_Closing_Provision Boo_Final_or_Partial_Settlement Txt_Transaction_Id Tag_Number Species of Animal Origin Sex Age of Animal Type of Loss Causes of Loss Total_Expenses Reason_Claim_Rejection
M M M

Number Boolean Text

M M NM M M M M M NM As per master
As per master

As per master As per master

As per expense code If claim was rejected give reasons for such rejection( As per rejection code master)

Page 71

Master for Cattle/Livestock Insurance

SL. No 1 2 SL. No 1 2 3 Code Master - Type of Policy Scheme Non Scheme Code Master - Type of animal Draught Milch Breeding Stock Code 01 02 Code 01 02 03 Code 01 02 03 04 05 06 07 08 09 10 11 Code 01 02 03 04 05 Code 01 02 03 04 Code 01 02

SL. No Code Master - Type of Species 1 Cow 2 Buffalo 3 Bull/Bullock 4 Camel 5 Pig 6 Sheep & Goat 7 Poultry a Parent Breeding Stock b Commercial Layers c Commercial Broilers 8 Others SL No 1 2 3 a 4 SL. No 1 2 3 4 SL. No 1 2 Code Master - Breed Exotic Cross Breed Indigenous Pure Breed Non Descriptive Code Master - Colour Black White Brown Spotted Code Master - Sex Male Female

Code Master - Expenses Code SL. No Master

Code

99

Master for Cattle/Livestock Insurance

1 2 3 4 Expenses on Surveyors Expenses on Investigations Legal Expenses Any other 01 02 03 99

Sl. Code Master - Claim Rejection Number Code Master 1 Policy Not in force on Loss Date 2 Peril/Cause of Loss not covered in the Policy 3 Violation of Policy Conditions 4 5 Claimed Person/property not covered as on Loss Date Claim occurred outside jurisdiction covered by Policy Cover ceased due to Policy terms and conditions Policy cancelled due to Cheque Dishonour Claim within the excess/deductibles Claim withdrawn by Insured Fraud Non disclosure of Material Information Insured/Claimant does not have Insurable Interest Any other Code Master - Type of Loss Death Disablement Code Master - Cause of loss Master 1.Infectious diseases 2.Contagious diseases 3.Parasitic diseases a)Circulatory
99

Code 101 102 103 104 105

6 7 8 9 10 11 12 13 SL. No 1 2

106 107 108 109 110 111 112 113 Code 01 02 Code 01 02 03 04

SL. No 1 2 3 4

Master for Cattle/Livestock Insurance

5 6 b)Metabolic b.Other than specified 05 06

99

Employee Compensation Insurance(Data Dictionary)

Field Name Serial No 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 Txt_Insurer Txt_Reporting Year Txt_Reporting _Quarter Code Txt_Office Code Num_ Policy Year Num _Policy Number Txt_PAN_DIN_Number Txt_Transaction_ID Product _ID Num_Policy Total Premium Num_End_Premium Num_Endorsement Number Num_Endorsement_Period Num_Endorsement_Reason Code Txt_Endorsement_Reason Num_Estimated Wages or Salaries Num_Number of Emloyees Txt_Business Description of the Client Txt_Particulars of work Num_Risk code Num_Coverage provided under the Policy Employees Compensation Act Code 1 Coverage provided under Common LawCode 2 o Coverage provided under Employees Compensation Act and Common Law both Code 3 Policy type Named - Code 1 Unnamed - Code 2 Floater - Code 3 Num_Policy Period in months Num _ the number of risk locations Num_Location_Risk Pin Code Mandatory/ Non Mandatory M M M M M M N M M M M M M M M M M M M M Definition Refer Insurer Code Master Give Policy Year as per the code Master Give the Reporting quarter as per the Code Master Give Underwriting office code of the Insurer Give the Policy Year in the desired format Give the Policy Number PAN / DIN NO. Unique Transaction Id of Insurer IRDA Product ID Give the Total Premium including Premium on Add on covers & endorsements if any Give the Premium on endorsements if any are passed till now Give the Endorsement Number Give the Endorsement Period in required Format Give the reason for the endorsement as per the code master If the endorsement does not fall in the list given above state the reason for the endorsement. Give the Total Estimated Salaries of the employees covered under this insurance Give the total number of employees which are covered under this insurance Give Business Description of the client. Give the exact particulars of work done by the employees. As per master Give the Code as stated in the Code Master

22

As per the Code Master

23 24 25

M M M

Give the Policy Period in months Give the number of risk Locations Pin code of the location of the risk. In case of multi risk location pincode of highest rated location

26

27

Num_Is Location within India If the Location is within India- Code 1 If the Location is outside India -Code 2 Num_Is it a Project Specific risk Project specific risk-Code 1 Not a Project specific Risk-Code 2

As per code master M Give the code as given in the Code Master M

Employee Compensation Insurance(Data Dictionary)

Field Name Serial No 28 29 30 31 Num_Are workers of contractors and sub contractors covered Contractors covered -Code1 Contractors not covered Code 2 Covered -Code 1 Not Covered- Code 2 Txt_Are the Medical Expenses given in full If No - Is it Actuals as per EC act - Code 1 Sublimited - Code 2 Num_Premium received for Medical Expenses Txt_Reason of Refund Txt_Coinsurance_ Status Num_Coinsurance_Share Num_Date_of Loss Txt_Cause_Of_Loss Date_Of _Intimation Date_of_Registration/reopen Txt_Claim_Type Num_Estimated_claim Amount Text_loss_location Num_Opening Claims Provision Num_Closing Claims Provision Txt_Expenses_Code Date_ Claim_payment Num_Amount settled Boo_whether_claim settled_partially Num_Total_Expenses_paid Num_Claim Reason Rejection Mandatory/ Non Mandatory Give the code as given in the Code Master M Definition

M M M M M M M M M M M M M M M M M M M M M

Give the amount of medical expenses

32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48

Give the amount of Premium Give the reason of refund of premium 0'for no coinsurance,'1' for outgoing coinsurance,'2' for incoming coinsurance Mention your share in percentage rounded off to two decimals Date on which the Loss occurred Refer code from cause of loss master State the date when the claim was intimated State the date when the complete documentation was received Refer Master Refer claim amount estimated Pin Code where the loss took place State the outstanding claims provision at the beginning of year State the outstanding claims provision at the end of the year Refer to Expenses Code master State the date of claim payment in dd /mm/yyyy format State the amount of settlement 2 for fully settled, 1 for partially settled, 0 for not settled Num_Total_Expenses_paid Refer Rejection Code Master

Remarks

Additional Form required as available in fire to capture multi - risk locations Additional Form required as available in fire to capture multi - risk locations

Remarks

Serial No 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21

Field Name Txt_Insurer Txt_Reporting Year Txt_Reporting _Quarter Code Txt_Office Code Num_ Policy Year Num _Policy Number Txt_PAN_DIN_Number Txt_Transaction_ID Product _ID Num_Policy Total Premium Num_End_Premium Num_Endorsement Number Num_Endorsement_Period Num_Endorsement_Reason Code Txt_Endorsement_Reason Num_Estimated Wages or Salaries Num_Number of Emloyees

Employee Compensation Insurance(Policy Data) Mandatory/No Definition n Mandatory M Refer Insurer Code Master M Give Policy Year as per the code Master M Give the Reporting quarter as per the Code Master M Give Underwriting office code of the Insurer M Give the Policy Year in the desired format M Give the Policy Number N PAN / DIN NO. M Unique Transaction Id of Insurer M IRDA Product ID M Give the Total Premium including Premium on Add on covers & endorsements if any M Give the Premium on endorsements if any are passed till now M M M M M M M M M M Give the Endorsement Number Give the Endorsement Period in required Format Give the reason for the endorsement as per the code master If the endorsement does not fall in the list given above state the reason for the endorsement. Give the Total Estimated Salaries of the employees covered under this insurance Give the total number of employees which are covered under this insurance Give Business Description of the client. Give the exact particulars of work done by the employees. As per master Give the Code as stated in the Code Master

Remarks

Txt_Business Description of the Client Txt_Particulars of work Num_Risk code Num_Coverage provided under the Policy Employees Compensation Act Code 1 Coverage provided under Common LawCode 2 Coverage provided under Employees Compensation Act and Common Law both Code 3 Policy type Named - Code 1 Unnamed - Code 2 Floater - Code 3 Num_Policy Period in months Num _ the number of risk locations Num_Location_Risk Pin Code

22

As per code master

23 24 25

M M M

Give the Policy Period in months Give the number of risk Locations Pincode of the location of the risk. Incase of multi - risk location pincode of highest rated location As Per Code Master

Additional Form required as available in fire to capture multi - risk locations Additional Form required as available in fire to capture multi - risk locations

26

Num_Is Location within India If the Location is within India- Code 1 If the Location is outside India -Code 2

27

28

29

Num_Is it a Project Specific risk Project specific risk-Code 1 Not a Project specific Risk-Code 2 Num_Are workers of contractors and sub contractors covered Contractors covered -Code1 Contractors not covered Code 2 Num_Does the Policy provide coverage for medical expenses incurred during the course of employment as per the latest amendment in the EC Act? Covered -Code 1 Not Covered- Code 2

Give the code as given in the Code Master

Give the code as given in the Code Master

Give the coding as given in the Code Master

Employee Compensation Insurance(Policy Data) Serial Mandatory/No Field Name Definition No n Mandatory 30 Txt_Are the Medical Expenses given in full M Give the amount of medical expenses 31 32 33 34 35 If No - Is it Actuals as per EC act - Code 1 Sublimited - Code 2 Num_Premium received for Medical Expenses Txt_Reason of Refund Txt_Coinsurance_ Status Num_Coinsurance_Share M M M M M As per codes given Give the amount of Premium Give the reason of refund of premium 0'for no coinsurance,'1' for outgoing coinsurance,'2' for incoming Mention your share in percentage rounded off to two decimals

Remarks

Employee Compensation Insurance(Claim Data)

Serial No 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Field Name Txt_Insurer Txt_Reporting Year Txt_Reporting _Quarter Code Txt_Office Code Num_ Policy Year Num _Policy Number Txt_PAN_DIN_Number Txt_Transaction_ID Product _ID Num_Date_of Loss Txt_Cause_Of_Loss Date_Of _Intimation Date_of_Registration/reopen Txt_Claim_Type Num_Estimated_claim Amount Text_loss_location Num_Opening Claims Provision Num_Closing Claims Provision Txt_Expenses_Code Date_ Claim_payment Num_Amount settled Boo_whether_claim settled_partially Num_Total_Expenses_paid Num_Claim Reason Rejection Mandatory Definition Non Mandatory M Refer Insurer Code Master M Mention Year as per the given coding M Mention the quarter as per the given coding M M M N M M M M M M M M M M M M M M M M M Give Underwriting office code of the Insurer Give the Policy Year in the desired format Give the Policy Number PAN / DIN NO. Unique Transaction Id of Insurer IRDA Product ID No Date on which the Loss occurred Refer code from cause of loss master State the date when the claim was intimated State the date when the complete documentation was received Refer Master Refer claim amount estimated Pin Code where the loss took place State the outstanding claims provision at the beginning of year State the outstanding claims provision at the end of the year Refer to Expenses Code master State the date of claim payment in dd /mm/yyyy format State the amount of settlement 2 for fully settled, 1 for partially settled, 0 for not settled Num_Total_Expenses_paid Refer Rejection Code Master

Code Master - Endorsement Serial No 1 2 3 4 5 6 7 8 9 10 11 12 Serial No 1 2 3 4 5 Endorsement Reason Code Master Nil Endorsement Non Nil Endorsement Addition/Deletion of Employees Cancellation of Policy due to cheque dishonor Cancellation due to data entry error Cancellation due to other reasons Co insurance Modification Service Tax Adjustment Refund of Premium due to deletion of employees Refund due to other reasons Endorsements attached risk classification in tariff Other endorsements Code Master - Nature of Loss Occupational Diseases Compressed Air Diseases Road Traffic Accident while on duty Death Accident Code 1 2 3 4 5 6 7 8 9 10 11 12 Code 1 2 3 4 5

Serial No 1 2 3 4 5

Code Master- Claim Type Death Permanent Total Disablement Permanent Partial Disablement Temporary Total Disablement Medical expenses

Code 1 2 3 4 5

Code Master - Rejection For Claims Serial No 1 2 3 4 5 6 7 8 9

Serial No 1 2 3 4

Reason for Rejection Policy Not in force on Loss Date Nature of Injury not covered by the Policy Claim not supported by valid documents/information Claim withdrawn by the Insured All other causes not specifically covered Violation of Policy Conditions Non Disclosure of Material Information Accident not arising during the course of employment Other Reasons
Code Master - Expenses Code Master Expenses on Surveyors Expenses on Investigations Legal Expenses Any other

Code 1 2 3 4 5 6 7 8 9
Code 01 02 03 99

Data Dictionary - Liability Class of Business

SL. NO.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36

FIELD NAME
Txt_Insurer Txt_ Office_Code Txt_Policy_Year Txt_Policy_Number Date_Policy_Start_Date Date_Policy_End_Date Txt_Previous_Policy_Number Boo_Endorsement Txt_Endorsement_Number Txt_Product_Name Txt_Type_of_Distribution Txt_Product ID Num_Sum_Insured Num_Policy_Premium Txt_Pol_Coinsurance_Status Num_Pol_Coinsurance_Share Num_ERF_Amount Turn over of the Insured Territory Jurisdiction Industry Policy Type Txt_Claim_Number Txt_Claim_Year Date_Accident_Loss Txt_Place_Accident Claims Jurisdiction Date_claim_Intimation Date_Disbursement Txt_Description_Loss Num_Opening_Provision Num_Net_Claim_Paid Num_Expenses_Paid Num_Closing_Provision Boo_Final_or_Partial_Settlement Txt_Transaction_ID M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M

DATA TYPE
Text Text Text Text Date Date Text Boolean Text Text Text Text Number Number Text nn.nn Number Number Number Number Number Number Text Text Date Text Date Date Text Number Number Number Number Boolean Text

DICTIONARY REFERENCE
990001 990002 990003 990004 990005 990006 990007 990008 990009 990010 990011 990012 990014 990015 990016 990017 990018 990019 990020 990021 990022 990023 990024 990025 990026 990027 990028 990029 990030 990031 990032 990033 990034 990035 990036 990037

DEFINITION
Refer Insurer Code Master Unique Underwriting Office Code of Insurer To be shown in starting year - ending year format, e.g.: 2000-01 Unique number to be given in all records DD/MM/YYYY- Date of Policy Starting DD/MM/YYYY- Date of Policy Ending If applicable Y for Endorsement, otherwise N Endorsement Number where endorsement details are given - For only "non-nil" endorsements only Give details of Product as per Master Please refer to Type of Distribution channel as per master Product ID number approved by IRDA AOY limit to be captured Policy Premium on which service tax is calculated rounded off to rupees 0' for no coinsurance,'1'for outgoing coinsurance Mention your share in percentage Only in case of Public Liability Insurance Act Policy Total Turn over on which premium charged Scope of Cover - refer Master Refer Jurisdiction Master Type of Industry as per master Basis of Policy as per master Unique number to be given in all records To be shown in starting year - ending year format, e.g.: 2000-01 DD/MM/YYYY- Date of accident or loss Claims Jurisdiction Refer master for Jurisdiction of claims DD/MM/YYYY - Date of intimation of accident or loss DD/MM/YYYY- Date of disbursement of claim amount Loss Trigger as per master Claims outstanding at the beginning of the year (as on 1st April) Net Claim Paid rounded off to rupees Amount of Survey fees, Advocate fees, Investigators fees, court costs etc. paid as per master Claims outstanding at the end of the year (as on 31st March) Whether Final or Partial Settlement Unique ID for each row generated by insurer.

Policy Data Sheet for Liability Class of Business

SL. NO.
1 2 3 4 5 6 7 8 9

FIELD NAME
Txt_Insurer Txt_ Office_Code Txt_Policy_Year Txt_Policy_Number Date_Policy_Start_Date Date_Policy_End_Date Txt_Previous_Policy_Number Boo_Endorsement Txt_Endorsement_Number M M M M M M M M M

FIELD SIZE
4 6 7 50 10 10 50 1 20

DATA TYPE
Text Text Text Text Date Date Text Boolean Text

DICTIONARY REFERENCE
990001 990002 990003 990004 990005 990006 990007 990008 990009

DEFINITION
Refer Insurer Code Master Unique Underwriting Office Code of Insurer To be shown in starting year - ending year format, e.g.: 2000-01 Unique number to be given in all records DD/MM/YYYY- Date of Policy Starting DD/MM/YYYY- Date of Policy Ending If applicable Y for Endorsement, otherwise N Endorsement Number where endorsement details are given - For only "non-nil" endorsements only Give details of Type ofProduct as in master Please refer to Type of Distribution Product ID number approved by IRDA AOY limit to be captured Policy Premium on which service tax is calculated rounded off to rupees 0' for no coinsurance,'1'for outgoing coinsurance Mention your share in percentage Only in case of Public Liability Insurance Act Policy Unique ID for each row generated by insurer.

10 11 12 14 15 16 17 18 19

Txt_Product_Name Txt_Type_of_Distribution Txt_Product ID Num_Sum_Insured Num_Policy_Premium Txt_Pol_Coinsurance_Status Num_Pol_Coinsurance_Share ERF_ Amount_ Txt_Transaction_ID

M M M M M M M M M

50 1 100 10 10 1 5 10 25

Text Text Text Number Number Text nn.nn Number Text

990010 990011 990012 990014 990015 990016 990017 990018 990037

Claim Data Sheet for Liability Class of Business

SL. NO.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

FIELD NAME
Txt_Insurer Txt_ Office_Code Txt_Policy_Year Txt_Policy_Number Date_Policy_Start_Date Date_Policy_End_Date Text_Product_Name Txt_Policy_Type Txt_Product ID Num_Sum_Insured Txt_Claim_Number Txt_Claim_Year Date_Accident_Loss Txt_Place_Accident Date_claim_Intimation Date_Disbursement Txt_Description_Loss Num_Opening_Provision Num_Net_Claim_Paid Num_Expenses_Paid M M M M M M M M M M M M M M M M M M M M

FIELD SIZE
4 6 7 50 10 10 50 100 10 50 7 10 20 10 10 100 10 10 10

DATA TYPE
Text Text Text Text Date Date Text Text Text Number Text Text Date Text Date Date Text Number Number Number

DICTIONARY REFERENCE
990001 990002 990003 990004 990005 990006 990010 990010 990012 990014 990016 990017 990018 990019 990022 990023 990024 990025 990026 990027

DEFINITION
Refer Insurer Code Master Unique Underwriting Office Code of Insurer To be shown in starting year - ending year format, e.g.: 2000-01 Unique number to be given in all records DD/MM/YYYY- Date of Policy Starting DD/MM/YYYY- Date of Policy Ending Give details of Product as per Master Give details of Type of Policy in descrption Product ID number approved by IRDA Limit of AOA Unique number to be given in all records To be shown in starting year - ending year format, e.g.: 2000-01 DD/MM/YYYY- Date of accident or loss Claims Jurisdiction as per master DD/MM/YYYY - Date of intimation of accident or loss DD/MM/YYYY- Date of disbursement of claim amount Loss Trigger as per master Claims outstanding at the beginning of the year (as on 1st April) Net Claim Paid rounded off to rupees Amount of Survey fees, Advocate fees, Investigators fees, court costs etc. paid Claims outstanding at the end of the year (as on 31st March) Whether Final or Partial Settlement Unique ID for each row generated by insurer.

21 22 23

Num_Closing_Provision Boo_Final_or_Partial_Settlement Txt_Transaction_ID

M M M

10 1 25

Number Boolean Text

990028 990029 990030

Master For liability Class of Business

Product name master Public liability Act Public Liability Product Liability Public and Product(CGL) Directors and Officers Liability Error and Omission/ professional Indemnity Clinical Trial Others Industry Master Manufacturing Construction Service Others Territory Master India Worldwide excluding USA and Canada Worldwide including USA and Canada Jurisdiction Master India Worldwide excluding USA and Canada Worldwide including USA and Canada Policy type master Occurrence Claims made Claim Jurisdiction India USA and CANADA Rest of World Loss trigger master Bodily Injury Property damage Financial Loss 1 2 3 4 5 6 7 99

1 2 3 99

1 2 3

1 2 3

1 2

1 2 3

1 2 3

DATA DICTIONARY FOR MONEY DATA MONEY : Policy Data Table

SL. NO: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 FIELD NAME Txt_Insurer_Code Txt_Office_Code Txt_Policy_Number Txt_Endt_Number Txt_Pol_Endt_Reason_Code Txt_Pol_Endt_Reason Txt_PAN_DIN_Number Txt_Transaction_ID Txt_Product_ID Date_Policy_Start_Date Date_Policy_End_Date Date_Endorsement Effective Date Boo_Is_it_single_location_or_ multiple_location Num_Locations_Covered Num_Policy_SI Num_Pol_Premium Txt_Pol_Coinsurance_Status Num_Pol_Coinsurance_Share Boo_Floater Option
Field Size TYPE

FORMAT NUMBER - MONEY (a)

DEFINITION Refer Insurer Code Master Unique Underwriting Office Code of Insurer Give the Policy Number Give the Endorsement Number (Mandatory for Endorsement) Give Code as per Endorsement Reason Code Master (Mandatory for Endorsement) Give the Reasons for Policy level endorsement (Mandatory for Endorsement) PAN / DIN NO. Unique Transaction Id of Insurer Product Code of the Insurer Policy Start Date in dd-mmm-yy Policy Start End in dd-mmm-yy Endorsement Effective Date in dd-mmm-yy (To be left bank for Policy Record) If Multi Location mention 1 else 0

abc abc abc ab ab

m m m m m

4 6 30 30 4 30 10 30 30 9 9 9 1 2 16 16 1 5 1

Text Text Text Text Text Text Text Text Text Date Date Date Text

ab m abc abc abc abc abc ab n m m m m m

ab m a m a m a m ac m ac m ab m

Number Number of Locations Covered (To be filled only if its a multi location policy Number Annual carrying limit+cash in safe+ cash at counter+value of safe( if covered) Number Total Premium at Policy level excluding Service Tax - rounded off in Indian rupees - value of other currencies are to be converted to INR Text 0' for no coinsurance, '1' for outgoing coinsurance nn.nn Mention your share in percentage Boolean Specify 0 if Not Applicable, 1 if Applicable

DATA DICTIONARY FOR MONEY DATA MONEY : Data Table for Multi Risk Locations
SL. NO: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 FIELD NAME Txt_Insurer_Code Txt_Office_Code Txt_Policy_Number Txt_Endt_Number Txt_Pol_Endt_Reason_Code Txt_Pol_Endt_Reason Txt_PAN_DIN_Number Txt_Transaction_ID Txt_Product_ID Date_Policy_Start_Date Date_Policy_End_Date Date_Endorsement Effective Date Risk_Location_Pin_Code Transit_From Transit_To Per_Sending_Limit_Transit Estimated_annual_amount_of_mone y_in_transit Sum_Insured_for_Cash_in_Safe Sum_Insured_for_Cash_in_Counter Details_of_Safe Boo_Whether Deductible_on_Claim Deductible_Percentage Num_Deductible_Policy Boo_RSMD Boo_Terrorism
Field Size TYPE

FORMAT NUMBER - MONEY (b)

DEFINITION Refer Insurer Code Master Unique Underwriting Office Code of Insurer Give the Policy Number Give the Endorsement Number (Mandatory for Endorsement) Give Code as per Endorsement Reason Code Master (Mandatory for Endorsement) Give the Reasons for Policy level endorsement (Mandatory for Endorsement)

abc abc abc ab ab ab abc abc abc abc abc ab b b b b b b b b b b b b b

R R m m R R R m m m m m m m m m m m m n n n n m m

4 6 30 30 4 30 10 30 30 9 9 9 6 100 100 16 16 16 16 100 1 6 16 1 1

Text Text Text Text Text Text Text Text Text Date Date Date

PAN / DIN NO. Unique Transaction Id of Insurer Product Code of the Insurer Policy Start Date in dd-mmm-yy Policy Start End in dd-mmm-yy Endorsement Effective Date in dd-mmm-yy (To be left bank for Policy Record) Number Risk Pin Code Text Transit Covered From Text Transit Covered To Number Per Sending Limit for every Transaction Number Estimated annual amount of money in transit Number Sum Insured for Cash in Safe Number Sum Insured for Cash in Counter Text Specifications of Safe Boolean If deductible is a percentage of claim amount '1' else '0' nn.nn Number Boolean Boolean Deductable Percentage Specify the deductable amount, if Nil mention '0' Specify '1' if applicable, else '0' Specify '1' if applicable, else '0'

DATA DICTIONARY FOR MONEY DATA MONEY : Claim Data Table

SL. NO: 1 2 3 7 8 9 10 11 17 18 33 34 35 36 37 38 39 40 41 42 FIELD NAME Txt_Insurer_Code Txt_Office_Code Txt_Policy_Number Txt_PAN_DIN_Number Txt_Transaction_ID Txt_Product_ID Date_Policy_Start_Date Date_Policy_End_Date Txt_Pol_Coinsurance_Status Num_Pol_Coinsurance_Share Txt_Claim_Number Txt_Claim_Time_Loss Date_Claim_Date_Loss Date_Claim_Date_Intimation Date_Claim_Date_Registration_Reopen Date_initial_claim_payment Txt_Claim_NOL_Code Num_Claim_Total_Paid_Amount Date_Claim_Settlement Num_Claim_Closing_Claims_Provision
Field Size TYPE

FORMAT NUMBER - MONEY (c)

DEFINITION Refer Insurer Code Master Unique Underwriting Office Code of Insurer Give the Policy Number PAN / DIN NO. Unique Transaction Id of Insurer Product Code of the Insurer Policy Start Date in dd-mmm-yy Policy Start End in dd-mmm-yy 0' for no coinsurance, '1' for outgoing coinsurance Mention your share in percentage Give the Claim Number (unique number for the claim) Give the approximate time of the loss/damage (in 24 hour format) Give the date on which the loss took place in dd-mmm-yy format Give the date on which the loss was intimated in dd-mmm-yy format Give the date on which the loss was registered / reopened in the books - in dd-mmm-yy format. Date Date on which the initial payment of loss/damage was made dd-mmm-yy format Text Ref: Nature of Loss Code Master Number Total amount paid/recovered by the insurer on the Claim rounded off in Indian rupees - value of other currencies are to be converted to INR Text Text Text Text Text Text Date Date Text nn.nn Text Text Date Date Date Date Date on which the claim was settled in dd-mmm-yy format Number Outstanding Claims Provision at the end of the period - rounded off in Indian rupees - value of other currencies are to be converted to INR Number Amount deducted towards deductible Number Total amount paid by the insurer towards expenses rounded off in Indian rupees - value of other currencies are to be converted to INR Text Mention Code from Expenses Code Master (Give additional Records for each Expenses Head Code) Number Mention amount of Recovery made - applicable where paid amount is negative Text Mention Code from Recovery Code Master where paid amount is negative 0' if fully settled, '1' if partially settled. '2' if not settled. Date on which the claim was partly settled earlier - Applicable in cases where part of the claim was settled earlier - including previous reporting periods in dd-mmm-yy format Text If claim was rejected, give reasons for such rejection Number As per Rejection Code Master Text Date

abc abc abc abc abc abc abc abc ac ac c c c c c c

m m m n m m m m m m m n m m m n

4 6 30 10 30 30 9 9 1 5 30 2 9 9 9 9 4 16 9 16

c m c m c m c m

43 44 45 46 47 48 49

Num_Claim_Deductible Num_Claim_Amount_Expenses Txt_Claim_Expenses_Code Num_Claim_Amount_Recovery Txt_Claim_Recovery_Code

c m c m c m c m c m

16 16 16 16 16 1 9

( status of claim 0 - open, 1- settled, 2 - repudiation) c m Claim_Date_part_settlement c m

50 51

Txt_Claim_Reason_Rejection Txt_Claim_Rejection_Reason_Code

c m c m

30 2

Sl No

Code Master - Endorsement Reason Code Master

Code

1 2 3 4 5 6 7
Sl No 1 2 3 4 Sl No 1 2 3 4 5 6 7 8 9 10

Change In SI Cancellation Due To Cheque Dishonour Cancellation Due To Data Entry Error Cancellation Of Policy Reinstatement Any Other Nil Endorsement Any Other Non Nil Endorsement
Code Master - Expenses Code Master Expenses on Surveyors Expenses on Investigations Legal Expenses Any other Code Master - Recovery Code Master Recovery From Motor Transport Co. Recovery From Postal Authorities Recovery From Courier Agencies Recovery From Third Party Recovery Of Erroneous Excess Payment Recovery from Police Authorities Recovery from Contractual Obligations Recovery from Employee Contribution from other policy Any other

01 07 08 09 10 14 15
Code 01 02 03 99 Code 01 02 03 04 05 06 07 08 09 99

Sl No 1 2 3 4 5 6 7

Code Master - Nature of Loss Code Master Burglary, House Breaking Loss / Damage in Transit Theft Robbery / Hold Up Riots Strike Malicious Damage Terrorism Damage Other Losses not mentioned above

Code

01 02 03 04 05 06 99

Data Dictionary for Personal Accident

SL No. Field Name 1 Txt_Name_Insurer 2 Txt_Reporting_Year 3 Txt_Reporting_Quarter_Code 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Txt_U_W_Office_Code Txt_Policy_Number Date_Policy_Start Date_Policy_End Txt_PAN_DIN_Number Txt_Transaction_ID Product _ID Txt_Product_Type Txt_Type_of_Policy Num_Group_Size Capital Sum Insured Num_Policy_Premium Date_of_Birth Date Num_Age_of_Insured Txt_Gender Txt_Relationship_of_Insured Txt_ Industry Type Definition Refer Insurer Code Master Mention Year in yyyy/yyyy format 1' for First Qtr, '2' for Second Qtr, '3' for Third Qtr & '4' for Fourth Qtr. Branch/ Divisional Office Code or Name Self explanatory Date of commencement of policy as dd/mm/yyyy Date of expiry of policy as dd/mm/yyyy PAN / DIN NO. Unique Transaction Id of Insurer Refer Product Type Master Refer Policy Type Master Number of Lives Covered Indicate total capital Sum Insured Nature of data field Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory

Date of birth of the insured member as dd/mm/yyyy Completed years at commencement of policy Male ,Female,Others - M/F/O Refer Relationship Master(Should mandatory for Individual/family policies) Occupation for individuals as pe occupation type master and industry type for good as pe master 0'for no coinsurance,'1' for outgoing coinsurance,'2' for incoming coinsurance Mention your share in percentage rounded off to two decimals If Policy, enter '1', if Endorsement enter '0' Refer Endorsement Type Master Should be effective date of endorsement Unique number generated by TPA Date on which claim is intimated Refer to cause master Self explanatory as dd/mm/yyyy Self explanatory as dd/mm/yyyy Self explanatory as dd/mm/yyyy Total amount claimed for the particular incident without any bifurcation (Include amounts undervarious subdivisions Total amount of claim paid for the particular incident without any bifurcation (on amounts claimed under various subdivisions from Refer Beneficiary Master Refer Rejection/ Reduction Master If applicable on a lump sum basis state amount of co-payment or excess applicable. If applicable on a percentage basis,state percent of co-payment or excess applicable.

21 22 23 24 26 27 28 29 30 31 32 33

Txt_Coinsurance_ Status Num_Coinsurance_Share Boo_Policy_or_Endorsement Txt_Endorsement_Type Endorsement start date Txt_Claim_Number Date_Claim_Intimation Date Cause of accident Date_of_Diagnosis of disability for the first time Date_of_Accident Date_of_Death Num_Total_Amount_Claimed

Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory

34

Num_Total_Claim_Paid

Mandatory

35 36 37

Type of benefit Txt_Reason_for_rejection_of_ claim Num_Amount_of_co_ payment_or_excess_ if_applicable Num_Percentage_of_co_ payment_or_excess_if_ applicable

Mandatory Mandatory Mandatory

38

Mandatory

Data Dictionary for Personal Accident

39 40 Date_of_Payment Date Txt_Payment_Reference_ Number Date of cheque/cash paid to the insured as dd/mm/yyyy Payment Reference Number allotted by TPA/Insurer Mandatory Mandatory

Data Dictionary for Personal Accident

To be captured in separate form where more than 1 person is covered To be captured in separate form where more than 1 person is covered To be captured in separate form where more than 1 person is covered To be captured in separate form where more than 1 person is covered To be captured in separate form where more than 1 person is covered

Data Dictionary for Personal Accident

Policy Data Sheet for Personal Accident

SL No. Field Name 1 Txt_Name_Insurer 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Txt_Reporting_Year Txt_Reporting_Quarter_Code Txt_U_W_Office_Code Txt_Policy_Number Date_Policy_Start Date_Policy_End Definition Refer Insurer Code Master Mention Year in yyyy/yyyy format 1' for First Qtr, '2' for Second Qtr, '3' for Third Qtr & '4' for Fourth Qtr. Branch/ Divisional Office Code or Name Self explanatory Date of commencement of policy as dd/mm/yyyy Date of expiry of policy as dd/mm/yyyy Nature of data field Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Occupation for individuals as pe occupation type master and industry type for good as pe master
Date of birth of the insured member as dd/mm/yyyy Completed years at commencement of policy Male ,Female,Others - M/F/O Refer Relationship Master(Should be mandatory for Individual/family policies) To be captured in separate form where more than 1 person is covered

Remarks

Txt_PAN_DIN_Number Txt_Transaction_ID
Product _ID Txt_Product_Type Txt_Type_of_Policy Num_Group_Size Capital Sum Insured Num_Policy_Premium Txt_ Industry Type

PAN / DIN NO. Unique Transaction Id of Insurer

IRDA Product ID Refer Product Type Master Refer Policy Type Master Number of Lives Covered Indicate total capital Sum Insured

Mandatory
To be captured in separate form where more than 1 person is covered To be captured in separate form where more than 1 person is covered To be captured in separate form where more than 1 person is covered To be captured in separate form where more than 1 person is covered

17 18 19 20

Date_of_Birth Date

Mandatory Mandatory Mandatory Mandatory

Num_Age_of_Insured

Txt_Gender

Txt_Relationship_of_Insured

21

Txt_Coinsurance_ Status

0'for no coinsurance,'1' for outgoing coinsurance,'2' for incoming coinsurance Mention your share in percentage rounded off to two decimals If Policy, enter '1', if Endorsement enter '0' Refer Endorsement Type Master Occupation for individuals as pe occupation type master and industry type for good as pe master Should be effective date of endorsement

Mandatory

22 23 24 25

Num_Coinsurance_Share Boo_Policy_or_Endorsement Txt_Endorsement_Type Txt_ Industry Type

Mandatory Mandatory Mandatory Mandatory

26

Endorsement start date

Mandatory

Claim Data Sheet for Personal Accident

Sl .No 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Field Name Txt_Name_Insurer Txt_Reporting_Year Txt_Reporting_Quarter_Code Txt_U_W_Office_Code Txt_Policy_Number Date_Policy_Start Date Date_Policy_End Date Txt_Type_of_Policy Txt_Gender Txt_Claim_Number Date_Claim_Intimation Date Date_of_Birth Date Num_Age_of_Insured Txt_Relationship_of_Insured Cause of accident Date_of_Diagnosis of disability for the first time Date_of_Accident Date_of_Death Num_Total_Amount_Claimed Nature of data field Mandatory Refer Insurer Code Master Mandatory Mention Year in yyyy/yyyy format Mandatory 1' for First Qtr, '2' for Second Qtr, '3' for Third Qtr & '4' for Fourth Qtr. Mandatory Branch/ Divisional Office Code or Name Mandatory Self explanatory Date of commencement of policy as dd/mm/yyyy Mandatory Definition Date of expiry of policy as dd/mm/yyyy Refer Policy Type Master Male ,Female,Others - M/F/O Unique number generated by TPA Date on which claim is intimated Date of birth of the insured member as dd/mm/yyyy Completed years at commencement of policy Refer Relationship Master(Should mandatory for Individual/family policies) Refer to Master Self explanatory as dd/mm/yyyy Self explanatory as dd/mm/yyyy Self explanatory as dd/mm/yyyy Total amount claimed for the particular incident without any bifurcation (Include amounts under various subdivisions Total amount of claim paid for the particular incident without any bifurcation (on amounts claimed under various subdivisions Refer Beneficiary Master Refer Rejection/ Reduction Master If applicable on a lump sum basis state amount of co-payment or excess applicable If applicable on a percentage basis,state percent of co-payment or excess applicable. Date of cheque/cash paid to the insured as dd/mm/yyyy Payment Reference Number allotted by TPA/Insurer Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory

20

Num_Total_Claim_Paid

Mandatory

21 22 23 24 25 26

Type of benefit Txt_Reason_for_rejection_of_ claim Num_Amount_of_co_ payment_or_excess_ if_applicable Num_Percentage_of_co_ payment_or_excess_if_ applicable Date_of_Payment Date Txt_Payment_Reference_ Number

Mandatory Mandatory Mandatory Mandatory Mandatory Mandatory

Master For Personal Accident

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Industry Type Master Advertisement and Media Construction and Engineering Education Financial Services (Bank, Insurance, Brokers, etc) / Consultancy FMCG Hotels IT/ITES/BPO/KPO Maufacturing Pharma Shipping and Allied Telecom Travel and Transportation Hospitality / Service Affinity Groups (Non Employer - Employee) Other Services Other Manufacturers Product Type Master General Rural Social Micro insurance Policy Package Policy (covering more than one type of PA above) Hybrid Policy (covering other than PA also) Any Other Benefit Type Rejection Code Master Reasons for Rejection Outside scope of cover - other reasons False/ Fraudulent Claim Sum insured exhausted Withdrawal by the Insured Closing of claims by the Insurer Suppression of Material Information Policy Type Master 01 02 03 04 99 Individual 02 Individual Floater 03 Group 04 Group Floater 99 Any Other Cover Type

1 2 3 4 5 6 7

1 2 3 4 5 6

Codes Endorsement Type 01 10 11 12 13 14 15 16 20 21 27 28 29 30 31 32 33 35 40 Nil Endorsement Change In Sum Insured Change In Loading Change In Discount Change In Extensions Addition Of Members Deletion Of Members Change in Policy Period Non-Nil Endorsement Duplicate Policy Other Extra Other Refund Other Nil Cancellation Due To Cheque Dishonour Extra Endorsement Against Provisional Premium Refund Endorsement Against Provisional Premium Nil Endorsement Against Provisional Premium Cancellation Due To Data Entry Error Cancellation Of Policy Occupation Code Master Professional/ Administrative/ Managerial Business/ Traders Clerical, Supervisory and related workers Hospitality and Support Workers Production Workers, Skilled and non-Agricultural Labourers Farmers and Agricultural Workers Police/ Para Military/ Defence Housewives Retired Persons Students - School and College Any Other Relationship Code Master - Mandatory for Individuals/Families Relationship Self/Employee Spouse Father Mother Son Daughter Others

001 002 003 004 005 006 007 008 009 010 099

01 02 03 04 05 06 99