Digital Information Interchange in the Insurance Industry - Transfer of electronic documents - Part 1: Process and Data Model

This document defines the process and the structure of the transfer of electronic documents, and facilitates the transfer of electronic documents between stakeholders in the insurance industry.

Digitaler Informationsaustausch in der Versicherungswirtschaft - Übertragung elektronischer Dokumente - Teil 1: Prozess und Datenmodell

Échange d'informations numériques dans le secteur de l'assurance - Transfert de documents électroniques - Partie 1 : Modèles de procédé et de données

Le présent document définit le processus et la structure du transfert de documents électroniques, et facilite le transfert de documents électroniques entre les parties prenantes dans le secteur des assurances.

Digitalna izmenjava informacij v zavarovalniški dejavnosti - Prenos elektronskih dokumentov - 1. del: Procesni in podatkovni model

General Information

Status
Published
Publication Date
24-Nov-2020
Withdrawal Date
30-May-2021
Current Stage
6060 - Definitive text made available (DAV) - Publishing
Start Date
25-Nov-2020
Due Date
10-Feb-2021
Completion Date
25-Nov-2020

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SLOVENSKI STANDARD
01-januar-2021
Digitalna izmenjava informacij v zavarovalniški dejavnosti - Prenos elektronskih
dokumentov - 1. del: Procesni in podatkovni model
Digital Information Interchange in the Insurance Industry - Transfer of electronic
documents - Part 1: Process and Data Model
Digitaler Informationsaustausch in der Versicherungswirtschaft - Übertragung
elektronischer Dokumente
Échange d'informations numériques dans le secteur de l'assurance - Transfert de
documents électroniques
Ta slovenski standard je istoveten z: EN 17419-1:2020
ICS:
03.060 Finance. Bančništvo. Finances. Banking. Monetary
Monetarni sistemi. systems. Insurance
Zavarovanje
35.240.20 Uporabniške rešitve IT pri IT applications in office work
pisarniškem delu
2003-01.Slovenski inštitut za standardizacijo. Razmnoževanje celote ali delov tega standarda ni dovoljeno.

EN 17419-1
EUROPEAN STANDARD
NORME EUROPÉENNE
November 2020
EUROPÄISCHE NORM
ICS 03.060; 35.240.20
English Version
Digital Information Interchange in the Insurance Industry -
Transfer of electronic documents - Part 1: Process and
Data Model
Échange d'informations numériques dans le secteur de Digitaler Informationsaustausch in der
l'assurance - Transfert de documents électroniques - Versicherungswirtschaft - Übertragung elektronischer
Partie 1 : Modèles de procédé et de données Dokumente
This European Standard was approved by CEN on 11 October 2020.

CEN members are bound to comply with the CEN/CENELEC Internal Regulations which stipulate the conditions for giving this
European Standard the status of a national standard without any alteration. Up-to-date lists and bibliographical references
concerning such national standards may be obtained on application to the CEN-CENELEC Management Centre or to any CEN
member.
This European Standard exists in three official versions (English, French, German). A version in any other language made by
translation under the responsibility of a CEN member into its own language and notified to the CEN-CENELEC Management
Centre has the same status as the official versions.

CEN members are the national standards bodies of Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia,
Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway,
Poland, Portugal, Republic of North Macedonia, Romania, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and
United Kingdom.
EUROPEAN COMMITTEE FOR STANDARDIZATION
COMITÉ EUROPÉEN DE NORMALISATION

EUROPÄISCHES KOMITEE FÜR NORMUNG

CEN-CENELEC Management Centre: Rue de la Science 23, B-1040 Brussels
© 2020 CEN All rights of exploitation in any form and by any means reserved Ref. No. EN 17419-1:2020 E
worldwide for CEN national Members.

Contents Page
European foreword . 3
Introduction . 4
1 Scope . 5
2 Normative references . 5
3 Terms and definitions . 5
4 Symbols and abbreviations . 8
5 Business processes and functionalities supported by the transfer of electronic
documents . 9
5.1 The business parties . 9
5.2 Requirements for the metadata of an insurance transaction . 9
5.3 Use case requirements supported . 11
5.4 Requirements for the transmission status message for an insurance transaction . 17
6 Data models for the transfer of electronic documents . 18
6.1 General . 18
6.2 Data model for the metadata of an insurance transaction . 18
6.3 Data model for the data of a transmission status message . 35
7 Sample use cases . 39
7.1 General . 39
7.2 Transfer from insurer to intermediary with insurance transaction issued by insurer
and addressed to intermediary . 39
7.3 Transfer from intermediary to insurer with insurance transaction issued by
intermediary and addressed to insurer . 41
7.4 Transfer from insurer to intermediary with insurance transaction issued by insurer
and addressed to client . 43
7.5 Transfer from service provider to intermediary with insurance transaction issued
by insurer and addressed to client . 45
7.6 Transfer from intermediary to insurer with insurance transaction issued by client
and addressed to insurer . 47
7.7 Transfer from insurer to intermediary with insurance transaction issued by insurer
and addressed to client, with a document that is to be signed by the client . 49
7.8 Transfer from intermediary to insurer with insurance transaction issued by client
and addressed to insurer, with a document that has been signed by the client . 51
7.9 Transfer of a transmission status message . 53
Annex A (normative) Code lists . Error! Bookmark not defined.
Bibliography . 65

European foreword
This document (EN 17419-1:2020) has been prepared by Technical Committee CEN/TC 445 “Digital
information interchange in the Insurance Industry”, the secretariat of which is held by DIN.
This European Standard shall be given the status of a national standard, either by publication of an
identical text or by endorsement, at the latest by May 2021, and conflicting national standards shall be
withdrawn at the latest by May 2021.
Attention is drawn to the possibility that some of the elements of this document may be the subject of
patent rights. CEN shall not be held responsible for identifying any or all such patent rights.
According to the CEN-CENELEC Internal Regulations, the national standards organisations of the
following countries are bound to implement this European Standard: Austria, Belgium, Bulgaria,
Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland,
Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Republic of
North Macedonia, Romania, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and the
United Kingdom.
Introduction
Insurance is a very document-centric business. The number of documents issued is extremely high with
an average of at least one document yearly per insurance contract. Any strategy to establish a European
Single Market for insurance products requires as a mandatory prerequisite the automated transfer of
electronic documents for cross-border processes in the European insurance industry. The metadata are
supporting the automated processing and archiving of documents at the receiver of the document,
which leads to a straight through processing. Low expectation for national or market specific
requirements will facilitate the development and acceptance of a European standard. Saved costs for
document printing at the producer, saved costs for the transportation of physical documents and the
avoidance of manual processing at the receiver due to automated processing are strong arguments for a
digital transfer of documents. The reduced time for the document transfer supports faster processes for
an increased satisfaction of insurance clients.

1 Scope
This document defines the process and the structure of the transfer of electronic documents, and
facilitates the transfer of electronic documents between stakeholders in the insurance industry.
2 Normative references
The following documents are referred to in the text in such a way that some or all of their content
constitutes requirements of this document. For dated references, only the edition cited applies. For
undated references, the latest edition of the referenced document (including any amendments) applies.
EN ISO 3166-1, Codes for the representation of names of countries and their subdivisions — Part 1:
Country codes
ISO 639-3, Codes for the representation of names of languages — Part 3: Alpha-3 code for comprehensive
coverage of languages
ISO 8601-1, Date and time — Representations for information interchange — Part 1: Basic rules
ISO/IEC 8859-15, Information technology — 8-bit single-byte coded graphic character sets — Part 15:
Latin alphabet No. 9
ISO/IEC 10646, Information Technology — Universal Coded Character Set (UCS)
3 Terms and definitions
For the purposes of this document, the following terms and definitions apply.
ISO and IEC maintain terminological databases for use in standardization at the following addresses:
• IEC Electropedia: available at http://www.electropedia.org/
• ISO Online browsing platform: available at https://www.iso.org/obp
3.1
insurance business process
collection of insurance related, structured activities or tasks that in a specific sequence produces an
insurance related service or product for a particular insurance related party
Note 1 to entry: Examples of business processes in the insurance industry are: quotation, contract application,
documentation of contract, contract renewal, contract change, contract cancellation, premium invoice, claim
notification or claim settlement.
3.2
insurance transaction
structured collection of information within an insurance business process describing relevant terms of
this process, contents of corresponding documents
Note 1 to entry: An insurance transaction may also contain the binary representation of the related documents.
Note 2 to entry: For example, the insurance transaction of the business process “Documentation of Contract”
may result in the following documents: introductory letter, insurance policy, specific contract conditions, general
terms and conditions, invoice.
3.3
document
information resulting from or supporting a business process
Note 1 to entry: Examples for documents are an insurance policy or a claims photo.
3.4
binary file
digital representation of a document
Note 1 to entry: For example, an insurance policy as a presentation in PDF-format or a claim photo as a JPG-
image file.
3.5
metadata
structured collection of information describing a business process and corresponding document
contents
Note 1 to entry: Examples for metadata are policy number, claim number, client name, insurer name.
3.6
identifier
character string used to identify and distinguish uniquely one instance of an object in an identification
scheme from all other objects within the same scheme
3.7
insurance client
party that requests insurance coverage and pays the premium to an insurance company in exchange for
the coverage provided by an insurance policy
Note 1 to entry: In reinsurance business, the insurance client is the ceding insurance company.
3.8
insured person
party that is covered by an insurance policy
3.9
insurance intermediary
party that offers advice and arranges policies for clients
Note 1 to entry: Definition in accordance with IDD: Directive (EU) 2016/97 of the European Parliament and of
the Council of 20 January 2016 on insurance distribution (recast) (OJ L 26, 2.2.2016).
3.10
insurance company
organization that covers an insurance client against a financial loss on receipt of a premium
Note 1 to entry: Definition in accordance with Solvency II: Directive 2009/138/EC of the European Parliament
and of the Council of 25 November 2009 on the taking-up and pursuit of the business of Insurance and
Reinsurance (Solvency II) (recast) (OJ L 335, 17.12.2009).
Note 2 to entry: In reinsurance business, the insurance company is the re-insurer.
3.11
authentication provider
party that signs a document as a proof o
...

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