C Record

Loss & UEP

Overview          Record Fields

Overview

The UDS  C record details at transaction level payments and recoveries a guaranty fund has made or received on a claim. The UDS C record also gives the end of reporting period outstanding loss and expense reserve at claimant and coverage level for each open claim.  The purpose of the C record is to inform the Receiver of current payments and reserves so that the Receiver can collect reinsurance, and report accurately to the court.  It also serves as the detailed documentation of the funds claims in the liquidating estate. 

C records are sent by the guaranty funds to the Receiver for the estate each month or each quarter, as the Receiver prefers, through the Secure UDS (SUDS) platform. They are placed in the Receiver’s /FromGF directory. 

How these records are processed after delivery is a Receiver-specific decision.

 

Record Fields

No Field Name Description Default To
1RECORD TYPEThe value of this field must be “C”C
2INSOLVENT COMPANY NAIC NUMBERThe unique number assigned by the NAIC to the insolvent company for data tracking purposes. For self-insured entitiesNo default allowed
3TRANSACTION LOCATION STATEThe two-character code used by the U.S. Post Office to identify the sending state for the batchNo default allowed
4TRANSACTION LOCATION CODELocation code of the sending entityNo default allowed
5COVERAGE CODEDefines the category of coverage that provided protection for the lossBlank for claim level
6POLICY NUMBERPolicy NumberUDSUNKNOWN
7INSOLVENT COMPANY CLAIM NUMBERUnique number assigned by the insolvent company to the claimNo default allowed
8RECEIVER CLAIM NUMBERUnique number assigned by Receiver to the claimBlank
9FUND CLAIM NUMBERUnique number assigned by the Fund to the claimBlank
10INSURED NAME #1Named Insured’s last name or business nameUDSUNKNOWN
11INSURED NAME #2Named Insured’s first nameBlank
12CLAIMANT NUMBERNumber assigned by Receiver to this claimantBlank for Claim Level Transactions
13CLAIMANT NAME #1Claimant’s last name or business nameBlank
14CLAIMANT NAME #2Claimant’s first nameBlank
15CLAIMANT ADDRESS #1Claimant’s addressBlank
16CLAIMANT ADDRESS #2Continuation of claimant’s address if neededBlank
17CLAIMANT CITYClaimant’s cityBlank
18CLAIMANT STATEClaimant’s state See State Codes tableBlank
19CLAIMANT ZIP CODEClaimant’s zip codeBlank
20TRANSACTION CODEA three-digit code that identifies the type of transaction for this recordNo default allowed
21TRANSACTION DATEDate transaction processed.This must be the last date of the reporting period for 130 and 230 transaction codesNo default allowed
22TRANSACTION AMOUNTThe dollar value of the transaction being processedAll Zeroes
23CHECK NUMBERUnique identifier for this payment transaction such as check number or ACH Trace numberBlank if not a payment
24PAYEE INDICATORF = Federal ID number S = Social Security NumberBlank
25PAYEE ID NUMBERFederal ID number or Social Security numberBlank
26PAYEE NAME #1Payee last name or business nameNo Default Allowed for a payment Blank for non-payment transactions
27PAYEE NAME #2Payee first name or continuation of Payee Name #1Blank
28CATASTROPHIC LOSS CODECode assigned to a catastrophic eventBlank
29RECOVERY INDICATOR CODEPotential recovery typeZero
30SUIT INDICATORIs claim in litigation? Y / N / UUEP: ‘N’ All others: ‘U’
312ND INJURY FUND INDICATORPotential 2nd Injury Fund involvement Y / N / UUEP: ‘N’ All others: ‘U’
32DATE OF LOSSDate of Loss (Accident Date)19010101
33TRANSACTION COMMENTThis field allows the Fund to provide the Receiver a message regarding the specific transactionBlank
34EXPENSE CODEThis field includes all ‘DCC’ paymentsBlank
35WCIO INJURY CODESee WCIO Injury Code TableBlank
36WCIO PART OF BODYSee WCIO Part of Body tableBlank
37WCIO NATURE OF INJURYSee WCIO Nature of Injury tableBlank
38WCIO CAUSESee WCIO Cause of Injury tableBlank
39WCIO ACTSee WCIO Act tableBlank
40WCIO TYPE OF LOSSSee WCIO Type of Loss tableBlank
41WCIO TYPE OF RECOVERYSee WCIO Type of Recovery tableBlank
42WCIO TYPE OF COVERAGESee WCIO Type of Coverage tableBlank
43WCIO TYPE OF SETTLEMENTSee WCIO Type of Settlement tableBlank
44WCIO VOCATIONAL REHAB INDICATORWCIO Vocational Rehab IndicatorBlank
45TPA CLAIM NUMBERUnique Number assigned by insolvent company’s TPA to the claimBlank
46LONG CLAIM NUMBERInsolvent Company Claim Number if longer than 20 charactersBlank
47SERVICE/BENEFIT FROM DATEBeginning date of service or benefit covered by this paymentFor Workers’ Comp Payments – No Default Allowed All Others - Blank
48SERVICE/BENEFIT THROUGH DATEEnding date of service or benefit covered by this paymentFor Workers’ Comp Payments – No Default Allowed All Others - Blank
49POLICY DEDUCTIBLE INDICATORPolicy deductible applied to this payment? Y / NN Blank for Workers’ Comp and UEP