Lloyd s Direct Reporting

Lloyd s Direct Reporting Data Field Requirements v1.4 Version Control Version Date Author Comments 1.0 03/06/2013 Jessica Owen Finalised Data Requirements 1.1 25/06/2013 Jessica Owen Description and example for Policy Number (Ref 8) updated to include syndicate number prefix 1.2 02/08/2013 Jessica Owen Added Party ID for Reinsurer and Party ID Agency for Reinsurer, Broker, Reporting Bureau, Surplus Lines Broker, Open Market Correspondent & Cedent in line with the ACORD party aggregate Removed validation requirements for Malaysia from intermediary actors Renamed Reinsured to Cedent Renamed Original Insured to Original Policyholder 1.3 25/02/2013 Kevin Blake Amended Background and Implementation Plan segments 1.4 11/07/2014 Jessica Owen Updated to include Outstanding Claims values in Settlement Currency Background Lloyd s is responsible for managing certain central services on behalf of Managing Agents. These include: Producing and filing regulatory and fiscal returns to various regulators around the world (Lloyd s is licensed to write business in over 70 countries); Collecting and monitoring tax payments; Operating a central clearing house settlement facility; Analysing individual managing agent business performance to ensure the Lloyd s Market conducts its business within guidelines. Data collection to support these functions has been achieved as a by-product of the insurance business transaction process. The systems that support this process and enable the data collection were originally part of Lloyd s but in 2001 these were outsourced to Xchanging. Xchanging acts as an outsourced service provider engaged by Managing Agents to process their insurance transactions. Xchanging then provides information from their data warehouse and ancillary data capture systems, e.g. US Surplus Lines Database, Central Taxes System, in both data file and report format to Lloyd s departments. This one-size-fits-all process has been challenged, with several Service Companies stating that they wish to provide this fiscal and regulatory information directly to Lloyd s as, due to the nature of their business, they do not need to use Xchanging to account for them. During 2008 a pilot involving Service Company business was undertaken to test the feasibility of reducing Xchanging s involvement in the processing of Service Company Business information. The scope of the pilot was as follows: In scope 100% business where an insurer underwrites the whole risk. Separate subscription business - where an insurer underwrites part of a risk using a separate insurance document to other insurers which underwrite that risk. Out of scope 1 Stage 5 - Direct Reporting Data Field Requirements - Auto.Docx

Conventional subscription business - where all underwriters underwriting part of a risk use the same market reform contract for subscription. The findings of this pilot concluded that the optimal process is for Lloyd s to accept the fiscal and regulatory information for these firms directly from Managing Agents (Service Companies). Therefore in 2012, as part of Lloyd s Tax and Regulatory Reporting Programme, the Direct Reporting Project was initiated. The project s aims are: Replace the prototype Direct Reporting engine used in the pilot with more secure, robust technology. Increase the scope of the pilot system to include all territories for Managing Agents with Service Companies. Ensure that data for Direct Reporting will be reported via an ACORD standard XML message, pre-validated by the participating Managing Agent via an ACORD validator. Facilitate the relay of an ACORD standard XML message to the Managing Agent upon successful completion of the file process, to mimic the reporting segment of the Xchanging USM/SCM messages. Note: all data falling outside of the initial scope of the service must continue to be submitted to Xchanging until further notice. 2

Purpose of this Guide This guide has been produced in order to outline in detail the data field requirements that will be required from participating Managing Agents as part of the Lloyd s Direct Reporting solution. For each of the data fields shown, a brief description is given, as well as further detail such as whether the field is mandatory or conditional. Many of the fields included are also part of existing data sets such as the Data Standards Control Framework and the Lloyd s Coverholder Reporting Standards. Please note that the fields within this document form a provisional set at this stage; there may be changes necessary as the fields are discussed with the market, and Lloyd s reporting requirements are subject to change at any time by the relevant Regulators and Tax Authorities. Implementation GUIDE Lloyd s has also produced the Direct Reporting Implementation Guide, which provides guidance for managing agents who are preparing to implement Lloyd s Direct Reporting for the first time. It outlines the twelve stages of implementation, along with the expected timescales and resources available for each stage. Additionally there is a summary of resources at the back of the document which can be used as a quick reference tool for all the templates and definitions required for the project. Please contact the Lloyd s Direct Reporting team for any further information on the Implementation Guide. Contact details For any queries relating to this document please use the following contact details: Email: direct.reporting@lloyds.com Telephone: 020 7327 6696 Web: www.lloyds.com/directreporting 3

Lloyd s Direct Reporting Data Fields 1 List of Data Fields The fields required for Lloyd s Direct Reporting are listed below. They are first listed and grouped by the field type (Reference, Premium, Location & Party Risk), Tax, Regulatory, Claim or Location & Party Claim) and an indicator of whether the field is mandatory, conditional or optional is also given. A numerical reference has also been assigned to each field, which can be used to refer to that field in the detailed table in section 2. The detailed table in section 2 gives further information for each of the fields, including a brief description, data type, example values and further notes on conditionality (where applicable). M Mp / Mc C O Mandatory fields are shown in red Fields that are mandatory for premiums (Mp) or claims (Mc) are shown in orange. Conditional fields are shown in yellow; these are mandatory under certain conditions fields are shown in blue Reference Fields Field name Ref M Sender 234 M Receiver 235 M Sender Email 1 M File Reference 2 M Reporting Bureau 236/243 M Reinsurer 237/241/242 M Syndicate Number 3 M Broker Number 4/244 M Policy Number 8 M Contra Flag 239 M Version 240 M Transaction Type 9 M Insurance Type 10 C Contract Nature 11 C Treaty Type 12 C New Business 13 M Transaction Reference 14 C Referred Transaction Reference 16 M Unique Market Reference 17 M Section Reference 19 M Lloyd's Risk Code 20 M Year of Account 23 M Contract Type 24 M Original Currency 25 M Settlement Currency 26 Premium Fields Field name Ref Mp Declaration Inception Date 27 Mp Declaration Expiry Date 28 Mp Gross Premium - Original Currency 30/31 Mp Net Premium - Original Currency 32/33 Mp Gross Premium - Settlement Currency 34/35 Mp Net Premium - Settlement Currency 36/37 4

Location & Party Detail (Risk) Fields Field name Ref C Insured Name 40/41 C Insured Type 42 C Insured Location (Street & Number) 43 C Insured Location (City Name) 44 C Insured Location (State) 45 O Insured Location (County) 46 C Insured Location (PostCode) 47 C Insured Location (Country) 48 O Risk Location (Street & Number) 49 O Risk Location (City Name) 50 O Risk Location (County) 51 C Risk Location (State) 52 Mp Risk Location (Country) 53 O Risk Location (PostCode) 54 C Surplus Lines Broker Number 55/56/245 C Surplus Lines Broker Type 57 O Surplus Lines Broker (Street & Number) 58 O Surplus Lines Broker (City Name) 59 C Surplus Lines Broker (State) 60 O Surplus Lines Broker (County) 61 O Surplus Lines Broker (PostCode) 62 C Surplus Lines Broker (Country) 63 C Producing Broker 64/65 C Producing Broker Type 66 O Producing Broker (Street & Number) 67 O Producing Broker (City Name) 68 C Producing Broker (State) 69 O Producing Broker(County) 70 O Producing Broker(PostCode) 71 C Producing Broker(Country) 72 C Local Broker 73/74 C Local Broker Type 75 O Local Broker (Street & Number) 76 O Local Broker (City Name) 77 C Local Broker (State) 78 O Local Broker(County) 79 O Local Broker (PostCode) 80 C Local Broker (Country) 81 C Open Market Correspondent Reference 82/83/246 C Open Market Correspondent Type 84 O Open Market Correspondent (Street & Number) 85 O Open Market Correspondent (City Name) 86 C Open Market Correspondent (State) 87 O Open Market Correspondent (County) 88 O Open Market Correspondent (PostCode) 89 C Open Market Correspondent (Country) 90 C Direct Assured Name 91/92 C Direct Assured Type 93 C Direct Assured (Street & Number) 94 C Direct Assured (City Name) 95 C Direct Assured (State) 96 C Direct Assured (County) 97 C Direct Assured (PostCode) 98 5

C Direct Assured (Country) 99 C Coverholder Name 100/101 O Coverholder Type 102 O Coverholder (Street & Number) 103 O Coverholder (City Name) 104 C Coverholder (State) 105 O Coverholder (County) 106 O Coverholder (PostCode) 107 C Coverholder (Country) 108 C Placing Broker 109/110 C Placing Broker Type 111 O Placing Broker (Street & Number) 112 O Placing Broker (City Name) 113 C Placing Broker (State) 114 O Placing Broker (County) 115 O Placing Broker (PostCode) 116 C Placing Broker (Country) 117 C Cedent Name 118/119/247 C NAIC Code 120 C Cedent Type 121 O Cedent (Street & Number) 122 O Cedent (City Name) 123 C Cedent (State) 124 O Cedent (County) 125 O Cedent (PostCode) 126 C Cedent (Country) 127 C Original Policyholder 128/129 C Original Policyholder Type 130 O Original Policyholder (Street & Number) 131 O Original Policyholder (City Name) 132 C Original Policyholder (State) 133 O Original Policyholder (County) 134 O Original Policyholder (PostCode) 135 C Original Policyholder (Country) 136 Tax Fields Field name Ref C Tax Amount (Tax Settlement Currency) 138 C Tax Settlement Currency 140 C Taxable Basis (Tax Settlement Currency) 141 C Tax Class 142 C Tax Rate 143 C Tax Rate Basis 144 C Tax Type 146 C Tax Location (Country) 147 C Tax Location (State) 148 C Fixed Tax Rate Multiplier 149 C Tax Settlement Reporting Indicator 150 C VAT Code 151 O Fiscal Code 152 6

Regulatory Fields Field name Ref Mp Regulatory Location of Risk (country) 38 C Regulatory Location of Risk(State/Province/Territory) 39 C State of Filing 153 C State of Filing Country 232 Mp Coverage Amount Currency 154 Mp Coverage Amount 155 Mp Coverage Basis 228 Mp Coverage Type 229 C Deductible Currency 156 C Deductible Amount 157 C Deductible Basis of Loss 158 C Deductible Type 233 C USA Risk Classification 159 C New Jersey Transaction Reference 160 C Vehicle Type 161 C Vehicle Registration Country 163 C IMO Identification Number 165 C Wet Marine Indicator 166 C Country of Citizenship 230 Claim Fields Field name Ref Mc Claim Reference 167 Mc Referred Claim Reference 231 Mc Outstanding Qualifier 168 C Catastrophe Code 169 C Date of Loss From 170 C Date of Loss To 171 C Date Claim Made From 172 C Date Claim Made To 173 Mc Paid This Time (Indemnity) - Original Currency 175/176 Mc Paid This Time (Fees) - Original Currency 177/178 O Paid This Time (Expenses) - Original Currency 179/180 Mc Paid This Time (Indemnity) - Settlement Currency 181/182 Mc Paid This Time (Fees) - Settlement Currency 183/184 O Paid This Time (Expenses) - Settlement Currency 185/186 Mc Paid To Date (Indemnity) - Original Currency 187/188 Mc Paid To Date (Fees) - Original Currency 189/190 O Paid To Date (Expenses) - Original Currency 191/192 Mc Paid To Date (Indemnity) - Settlement Currency 193/194 Mc Paid To Date (Fees) - Settlement Currency 195/196 O Paid To Date (Expenses) - Settlement Currency 197/198 Mc Outstanding (Indemnity) - Original Currency 199/200 Mc Outstanding (Fees) - Original Currency 201/202 O Outstanding (Expenses) - Original Currency 203/204 Mc Outstanding (Indemnity) - Settlement Currency 248/249 Mc Outstanding (Fees) - Settlement Currency 250/251 O Outstanding (Expenses) - Settlement Currency 252/253 Mc Advised To Leading Reinsurer 238 Mc Date Change Made 205 7

Location & Party Detail (Claim) Fields Field name Ref Mc Location of Loss (Country) 207 C Location of Loss (State/Territory/Province) 208 C Adjuster Name 210/211 C Adjuster Type 212 O Adjuster Location (Street & Number) 213 O Adjuster Location (City Name) 214 O Adjuster Location (State) 215 O Adjuster Location (County) 216 O Adjuster Location (PostCode) 217 O Adjuster Location (Country) 218 C Lawyer Name 219/220 C Lawyer Type 221 O Lawyer Location (Street & Number) 222 O Lawyer Location (City Name) 223 O Lawyer Location (State) 224 O Lawyer Location (County) 225 O Lawyer Location (PostCode) 226 O Lawyer Location (Country) 227 8

2 Data Fields Further Detail This section provides further details for each of the fields listed in the previous section. For each field the following are given: Ref a numeric reference for the field that refers back to the list in section 1. Field name a name for the field. a definition of what the field is intended to include. e.g., integer etc. an example of a valid value for the field Core field whether changes to the data in this field need to be reported via a contra whether the field is mandatory, conditional or optional notes further details of the conditions for the inclusion of the field the source of the valid data if from a reference table or valid value list 234 Field name Sender The Party sending the file reinsurer Mandatory notes Must always have a value of 'reinsurer'. B02 235 Field name Receiver The Party receiving the file reportingbureau Mandatory notes Must always have a value of 'reportingbureau'. B02 1 Field name Sender Email Email address of the name or department at the Sender organisation to be contacted in the event of queries joe.bloggs@managingagent.com Mandatory notes 2 Field name File Reference Unique Universal Identifier (UUID) created for a file/message. This is a reference generated by the sender of a file/message's XML extraction process, and its content is determined by a standard algorithm which ensures that every time such a reference is generated it is always unique. 9AB88A6E-81E1-4660-B4C6-A45E60C1C17C 9

notes Mandatory 236/243 Field name Reporting Bureau The name of the Reporting Bureau - in this instance, Lloyd's. lloyds Mandatory notes Must always have a value of 'lloyds'. 237/241/242 Field name Reinsurer The Name of the Insurance Company registered with the Dun & Bradstreet Agency. notes Smith & Son Underwriting Company Ltd Mandatory 3 Field name Syndicate Number Coded identification of an insurance/reinsurance company (the carrier). In the case of Lloyd's, this is the Syndicate Number. 1084 notes Mandatory 4/244 Field name Broker Number 334 notes Lloyds Syndicate Reference Table/List Coded identification of a service provider. This is the unique broker ID used by the Broker involved in the transactions included in the file. In the instance of Service Company business this field should be populated with the Service Company ID (Dummy Broker Number). Mandatory 8 Field name Policy Number Lloyd's Brokers Reference Table / List 10

A unique reference to identify the policy. This must be formed of the Lloyd's syndicate number, followed by a dash (-) and then the unique reference for the risk allocated by the carrier, usually the policy number (or certificate/covernote number on Binding Authorities): <SyndicateNumber> & - & < ContractReinsurerReference> notes 2003-POL88912344 Mandatory 239 Field name Contra Flag Indicates whether the data being submitted is in relation to a non-financial contra notes Boolean TRUE Mandatory true/false 240 Field name Version Identifies the version of the contract being submitted (related to nonfinancial contras). The default is 0 (zero). notes Integer Mandatory 9 Field name Transaction Type Identifies the type of transaction being processed lm_additional_premium_ap Mandatory notes ACORD Table A17 10 Field name Insurance Type Entry indicating the type of insurance for the transaction. direct notes Mandatory ACORD Table A29 11 Field name Contract Nature 11

notes Entry specifying whether the participation of the underwriters in the contract is proportional, or non proportional nonproportional Mandatory for premiums and claims if {Treaty/Fac Indicator} = "treaty" ACORD Table A33 12 Field name Treaty Type notes Entry to indicate whether a risk that is defined as "Treaty" and "Non- Proportional" is either Excess of Loss OR Excess of Loss on Excess of Loss excess of loss Mandatory for premiums and claims if {Treaty/Fac Indicator} = "treaty" AND {Contract Nature} = "nonproportional". ACORD Table A31 13 Field name New Business notes Flag to identify if the business is a renewal of the previous year or whether it is new business to the underwriter. Applies at individual risk level Boolean true Mandatory for Premium transactions where the Risk or the Insured are located in Ireland, Australia or Iceland. true/false 14 Field name Transaction Reference Reference of the transaction allocated by the sender. Must be unique in the sender's system for each risk transaction - premium or claim. notes TR550X66734 Mandatory 16 Field name Referred Transaction Reference The TransactionEntryReference (Sender Transaction Reference) of the Transaction to which the transaction relates (e.g. the reference of an original premium for processing an additional premium or claim) TR550X66733 12

This is a conditional field: notes Mandatory for all transaction types other than those with a value of 'premium' (denoting an original premium); must be blank for transaction types values of 'premium'. For claims, the related reference should be either an original premium transaction to which the claim relates (for the first instance of a claim) or, for subsequent claim movements, the previous claim movement 17 Field name Unique Market Reference Unique Reference assigned to the contract. For the London Market this should be the unique market reference (UMR) for the risk. notes All UMRs start with B, followed by the Lloyd s broker s number and a series of characters. The UMR should not contain any spaces, hyphens, slashes or other punctuation; it should only contain the numbers 0-9 and the letters A-Z. Maximum length 17 characters. B0334SC334201146 Mandatory 19 Field name Section Reference Reference allocated by insurer to uniquely identify the contract section within the Risk Contract Entry. Usually a sequential number. 1204236 notes Mandatory 20 Field name Lloyd's Risk Code The Lloyd's risk code allocated by the first participating Lloyd's Insurer W3 notes Mandatory Lloyd's Risk Code Table 23 Field name Year of Account Underwriting Year in which the contract, or an individual risk covered by the contract, is underwritten. 2004 13

notes Mandatory 24 Field name Contract Type notes Identifies the channel through which the risk has been acquired by the carrier such as: open market, binding authority (full or limited), line slip or open cover. binding_authority Mandatory ACORD Table B35 25 Field name Original Currency notes The ISO (International Standards Organisation) currency code. For premium data this is the original currency of the premium. For claims data this is the original currency for the claim USD Mandatory 26 Field name Settlement Currency ISO Reference table ISO4217-3 letter code. notes The ISO (International Standards Organisation) coded identification for the settlement currency. For premium data this is the settlement currency of the premium. For claims data this is the settlement currency for the claim JPY Mandatory ISO Reference table ISO4217-3 letter code. Only 14 currencies are valid Lloyd's Settlement Currency codes. 27 Field name Declaration Inception Date The inception date of the risk; the date on which coverage starts. Date (YYYY/MM/DD) 01/01/2010 14

notes Mandatory (Premiums) 28 Field name Declaration Expiry Date The expiry date of coverage for the declarations being reported. Date (YYYY/MM/DD) 31/12/2010 Mandatory (Premiums) notes 30/31 Field name Gross Premium - Original Currency 111,000.00 Mandatory (Premiums) notes 32/33 Field name Net Premium - Original Currency 89,000.00 Mandatory (Premiums) notes The share of the total premiums before deduction of original commissions, brokerage, discounts and reinsurance premiums and net of all taxes payable by the insured. The amount of the premium that is left after the subtraction of some or all permitted deductions such as brokerage and (for certain types of business) profit commission, in reference currency (original currency). 34/35 Field name Gross Premium - Settlement Currency 111,000.00 Mandatory (Premiums) notes 36/37 Field name Net Premium - Settlement Currency 89,000.00 Mandatory (Premiums) notes 40/41 Field name Insured Name The share of the total premiums before deduction of original commissions, brokerage, discounts and reinsurance premiums and net of all taxes payable by the insured. The amount of the premium that is left after the subtraction of some or all permitted deductions such as brokerage and (for certain types of business) profit commission, in target currency (settlement currency). 15

notes The name of the party - Can be an individual or an organisation. Jones Salvage Experts Mandatory for all premium and claims transaction types where the field {Insurance Type} contains a value of 'Direct'. 42 Field name Insured Type To identify the type of party whose following details are being reported. organisation notes Mandatory for all premium and claims transaction types where the field {Insurance Type} contains a value of 'Direct'. ACORD Table B31 43 Field name Insured Location (Street & Number) The Street & Number part of the party's address 42, Main Street Mandatory for all premium transaction types for US Surplus Lines Risks, denoted by a US Risk Classification value of 'us_surplus_lines'. notes Required for the following scenarios: Transactions where field {Transaction Type} = 'premium' AND {Location of Insured (country)} = 'US' (United_States) AND {Location of Insured (State)} ='KY' (Kentucky). 44 Field name Insured Location (City Name) The City part of the party's address Bradford Mandatory for all premium transaction types for US Surplus Lines Risks, denoted by a US Risk Classification value of 'us_surplus_lines'. notes Required for the following scenarios: Transactions where field {Transaction Type} = 'premium' AND {Location of Insured (country)} = 'US' (United_States) AND {Location of Insured (State)} ='KY' (Kentucky). 45 Field name Insured Location (State) The State part of the party's address 16

notes AU-VIC Mandatory for all premium and claims transaction types where the field {Insurance Type} contains a value of 'Direct' and where the Insured Location Country is any of the following: United States, Canada, Switzerland, Australia and Malaysia. Mandatory for all premium transaction types for US Surplus Lines Risks, denoted by a US Risk Classification value of 'us_surplus_lines'. Combination of ISO ISO3166-1 Country Codes Table and ISO3166-2 Country Subdivisions Codes Table in the following format: 2 digit ISO 3166-1 value, followed by a hyphen, followed by the 2 or 3 digit ISO 3166-2 value See example 46 Field name Insured Location (County) The County part of the party's address (e.g. within the state where the party is located) notes Norfolk 47 Field name Insured Location (PostCode) The Zip/Post code part of the party's address SW1A 2AA Mandatory for all premium transaction types for US Surplus Lines Risks, denoted by a US Risk Classification value of 'us_surplus_lines'. notes Required for the following scenarios: Transactions where field {Transaction Type} = 'premium' AND {Location of Insured (country)} = 'US' (United_States) AND {Location of Insured (State)} ='KY' (Kentucky). 48 Field name Insured Location (Country) The Country part of the party's address BR 17

notes Mandatory for all premium and claims transaction types where the field {Insurance Type} contains a value of 'Direct'. Mandatory for all premium transaction types for US Surplus Lines Risks, denoted by a US Risk Classification value of 'us_surplus_lines'. ISO ISO3166 Country Code Table - 2 letter code. 49 Field name Risk Location (Street & Number) The Street & Number where a risk is located 22 Acacia Avenue notes 50 Field name Risk Location (City Name) The city where a risk is located Birmingham notes 51 Field name Risk Location (County) The county (within the state/province) in which a risk is located Essex notes 52 Field name Risk Location (State) The state in which a risk is located AU-VIC notes Mandatory for Premium transactions where the Risk Location Country is any of the following: United States, Canada, Switzerland, Australia and Malaysia. Combination of ISO ISO3166-1 Country Codes Table and ISO3166-2 Country Subdivisions Codes Table in the following format: 2 digit ISO 3166-1 value, followed by a hyphen, followed by the 2 or 3 digit ISO 3166-2 value See example 53 Field name Risk Location (Country) The country in which a risk is located. BR 18

notes Mandatory (Premiums) ISO ISO3166 Country Code Table - 2 letter code. 54 Field name Risk Location (PostCode) The Zip/Post code for the where a risk is located SW1A 2AA notes 55/56/245 Field name Surplus Lines Broker Number 1812332 To identify the party (the party's ID). Used only for US Surplus Line Licensed brokers. This should be the company or individual licence holder as applicable notes Mandatory for all premium transaction types for US Surplus Lines Risks, denoted by a US Risk Classification value of 'us_surplus_lines'. http://www.lloyds.com/lloyds/offices/americas/us-homepage/placing- Risk/How-to-access-Lloyds#surplus 57 Field name Surplus Lines Broker Type To identify the type of party whose following details are being reported. organisation notes Mandatory for all premium transaction types for US Surplus Lines Risks, denoted by a US Risk Classification value of 'us_surplus_lines'. ACORD Table B31 58 Field name Surplus Lines Broker (Street & Number) The Street & Number part of the party's address 42, Main Street notes 59 Field name Surplus Lines Broker (City Name) The City part of the party's address Bradford 19

notes 60 Field name Surplus Lines Broker (State) The State part of the party's address AU-VIC notes Mandatory for Premium transactions where the Surplus Lines Broker Country is any of the following: United States, Canada or Australia. Mandatory for all premium transaction types for US Surplus Lines Risks, denoted by a US Risk Classification value of 'us_surplus_lines'. Combination of ISO ISO3166-1 Country Codes Table and ISO3166-2 Country Subdivisions Codes Table in the following format: 2 digit ISO 3166-1 value, followed by a hyphen, followed by the 2 or 3 digit ISO 3166-2 value See example 61 Field name Surplus Lines Broker (County) The County part of the party's address (e.g. within the state where the party is located) notes Norfolk 62 Field name Surplus Lines Broker (PostCode) The Zip/Post code part of the party's address SW1A 2AA notes 63 Field name Surplus Lines Broker (Country) The Country part of the party's address BR notes Mandatory for all premium transaction types for US Surplus Lines Risks, denoted by a US Risk Classification value of 'us_surplus_lines'. 20

ISO ISO3166 Country Code Table - 2 letter code. 64/65 Field name Producing Broker The name of the broker that was instructed by the client to arrange cover, i.e. the broker in the chain nearest to the client. J Bloggs Broking Services notes Mandatory for all premium transaction types where a Producing Broker is involved. This should be used in preference to the Local Broker field. 66 Field name Producing Broker Type To identify the type of party whose following details are being reported. organisation notes Mandatory for all premium transaction types where a Producing Broker is involved. This should be used in preference to the Local Broker field. ACORD Table B31 67 Field name Producing Broker (Street & Number) The Street & Number part of the party's address 42, Main Street notes 68 Field name Producing Broker (City Name) The City part of the party's address Bradford notes 69 Field name Producing Broker (State) The State part of the party's address AU-VIC 21

notes Mandatory for all premium transaction types where a Producing Broker is involved and where the Producing Broker Country is any of the following: United States, Canada or Australia. This should be used in preference to the Local Broker field. Combination of ISO ISO3166-1 Country Codes Table and ISO3166-2 Country Subdivisions Codes Table in the following format: 2 digit ISO 3166-1 value, followed by a hyphen, followed by the 2 or 3 digit ISO 3166-2 value See example 70 Field name Producing Broker(County) The County part of the party's address (e.g. within the state where the party is located) notes Norfolk 71 Field name Producing Broker(PostCode) The Zip/Post code part of the party's address SW1A 2AA notes 72 Field name Producing Broker(Country) The Country part of the party's address BR notes Mandatory for all premium transaction types where a Producing Broker is involved. This should be used in preference to the Local Broker field. ISO ISO3166 Country Code Table - 2 letter code. 73/74 Field name Local Broker Details of any additional broker involved in addition to the producing broker. Maggs & Son Broking Services notes Mandatory for all premium transaction types where a Local Broker is involved. To be used in addition to the 'Producing Broker' field. 22

75 Field name Local Broker Type To identify the type of party whose following details are being reported. organisation notes Mandatory for all premium transaction types where a Local Broker is involved. To be used in addition to the 'Producing Broker' field. ACORD Table B31 76 Field name Local Broker (Street & Number) The Street & Number part of the party's address 42, Main Street notes 77 Field name Local Broker (City Name) The City part of the party's address Bradford notes 78 Field name Local Broker (State) The State part of the party's address AU-VIC notes Mandatory for all premium transaction types where a Local Broker is involved and where the Local Broker Country is any of the following: United States, Canada or Australia. To be used in addition to the 'Producing Broker' field. Combination of ISO ISO3166-1 Country Codes Table and ISO3166-2 Country Subdivisions Codes Table in the following format: 2 digit ISO 3166-1 value, followed by a hyphen, followed by the 2 or 3 digit ISO 3166-2 value See example 79 Field name Local Broker(County) The County part of the party's address (e.g. within the state where the party is located) 23

notes Norfolk 80 Field name Local Broker (PostCode) The Zip/Post code part of the party's address SW1A 2AA notes 81 Field name Local Broker (Country) The Country part of the party's address BR notes Mandatory for all premium transaction types where a Local Broker is involved. To be used in addition to the 'Producing Broker' field. ISO ISO3166 Country Code Table - 2 letter code. 82/83/246 Field name Open Market Correspondent Reference A Lloyd's term for a broker that produces business to a Lloyd s broker for placement on an open market basis. Lloyd s requires that firms in certain overseas territories must be approved or registered by its attorney in fact or general representative before they can produce business to one or more sponsoring Lloyd s brokers for placement on an open market basis. 151554 Mandatory for all premium transaction types where a value of illinois_licensed', 'kentucky_licensed' or 'us_virgin_isles_licensed' has been presented for the field 'US Risk Classification'. notes Mandatory where the OMC is domiciled in Canada. All approved OMCs are listed on www.lloyds.com (http://www.lloyds.com/the-market/directories/open-market- Correspondents-directory?letter=a) Lloyds OMC Reference Table/List. 84 Field name Open Market Correspondent Type To identify the type of party whose following details are being reported. organisation 24

Mandatory for all premium transaction types where a value of illinois_licensed', 'kentucky_licensed' or 'us_virgin_isles_licensed' has been presented for the field 'US Risk Classification'. notes Mandatory where the OMC is domiciled in Canada. All approved OMCs are listed on www.lloyds.com (http://www.lloyds.com/the-market/directories/open-market- Correspondents-directory?letter=a) ACORD Table B31 85 Field name Open Market Correspondent (Street & Number) The Street & Number part of the party's address 42, Main Street notes 86 Field name Open Market Correspondent (City Name) The City part of the party's address Bradford notes 87 Field name Open Market Correspondent (State) The State part of the party's address AU-VIC notes Mandatory for all premium transaction types where a value of illinois_licensed', 'kentucky_licensed' or 'us_virgin_isles_licensed' has been presented for the field 'US Risk Classification'. Mandatory for Premium transactions where the Open Market Correspondent Country is any of the following: United States, Canada or Australia. Combination of ISO ISO3166-1 Country Codes Table and ISO3166-2 Country Subdivisions Codes Table in the following format: 2 digit ISO 3166-1 value, followed by a hyphen, followed by the 2 or 3 digit ISO 3166-2 value See example 88 Field name Open Market Correspondent (County) The County part of the party's address (e.g. within the state where the party is located) Norfolk 25

notes 89 Field name Open Market Correspondent (PostCode) The Zip/Post code part of the party's address SW1A 2AA notes 90 Field name Open Market Correspondent (Country) The Country part of the party's address BR notes Mandatory for all premium transaction types where a value of illinois_licensed', 'kentucky_licensed' or 'us_virgin_isles_licensed' has been presented for the field 'US Risk Classification'. ISO ISO3166 Country Code Table - 2 letter code. 91/92 Field name Direct Assured Name This is the Insured where there is no broker involved in the territory of the insured. notes D A Blake Mandatory for all premium transaction types where no broker is involved in the territory of the insured. Lloyds OMC Reference Table/List. 93 Field name Direct Assured Type To identify the type of party whose following details are being reported. organisation notes Mandatory for all premium transaction types where no broker is involved in the territory of the insured. ACORD Table B31 94 Field name Direct Assured (Street & Number) The Street & Number part of the party's address 42, Main Street 26

notes Mandatory for all premium transaction types where no broker is involved in the territory of the insured and the field {Direct Assured (Country)} = "US" AND field {Direct Assured (State)} = "KY". 95 Field name Direct Assured (City Name) The City part of the party's address Bradford notes Mandatory for all premium transaction types where no broker is involved in the territory of the insured and the field {Direct Assured (Country)} = "US" AND field {Direct Assured (State)} = "KY". 96 Field name Direct Assured (State) The State part of the party's address AU-VIC notes Mandatory for all premium transaction types where no broker is involved in the territory of the insured and where the Direct Assured Country is any of the following: United States, Canada, Switzerland, Australia. Combination of ISO ISO3166-1 Country Codes Table and ISO3166-2 Country Subdivisions Codes Table in the following format: 2 digit ISO 3166-1 value, followed by a hyphen, followed by the 2 or 3 digit ISO 3166-2 value See example 97 Field name Direct Assured (County) The County part of the party's address (e.g. within the state where the party is located) notes Norfolk Mandatory for all premium transaction types where no broker is involved in the territory of the insured and the field {Direct Assured (Country)} = "US" AND field {Direct Assured (State)} = "KY". 98 Field name Direct Assured (PostCode) The Zip/Post code part of the party's address SW1A 2AA notes Mandatory for all premium transaction types where no broker is involved in the territory of the insured and the field {Direct Assured (Country)} = "US" AND field {Direct Assured (State)} = "KY". 27

99 Field name Direct Assured (Country) The Country part of the party's address BR notes 100/101 Field name Coverholder Name Mandatory for all premium transaction types where no broker is involved in the territory of the insured. ISO ISO3166 Country Code Table - 2 letter code. notes The name of the Coverholder used where the risk is placed via a binding authority. Note: there can only be one Coverholder for a transaction. D A Blake Mandatory for all premium transaction types where the risk is placed via a binding authority. Note: there can only be one Coverholder for a transaction. Lloyds OMC Reference Table/List. 102 Field name Coverholder Type To identify the type of party whose following details are being reported. organisation notes ACORD Table B31 103 Field name Coverholder (Street & Number) The Street & Number part of the party's address 42, Main Street notes 104 Field name Coverholder (City Name) The City part of the party's address Bradford notes 105 Field name Coverholder (State) The State part of the party's address AU-VIC 28

notes Mandatory for all premium transaction types where the risk is placed via a binding authority and where the Coverholder Country is any of the following: United States, Canada, Switzerland, Australia and Malaysia. Note: there can only be one Coverholder for a transaction. Combination of ISO ISO3166-1 Country Codes Table and ISO3166-2 Country Subdivisions Codes Table in the following format: 2 digit ISO 3166-1 value, followed by a hyphen, followed by the 2 or 3 digit ISO 3166-2 value See example 106 Field name Coverholder (County) The County part of the party's address (e.g. within the state where the party is located) notes Norfolk 107 Field name Coverholder (PostCode) The Zip/Post code part of the party's address SW1A 2AA notes 108 Field name Coverholder (Country) The Country part of the party's address BR notes 109/110 Field name Placing Broker Mandatory for all premium transaction types where the risk is placed via a binding authority. Note: there can only be one Coverholder for a transaction. ISO ISO3166 Country Code Table - 2 letter code. 29

The broker that placed the risk with underwriters. For Lloyd's this is the Lloyd's broker. notes In a Service Company environment this is the "dummy" broker that the service company uses for processing purposes. If on Service Company business the business was introduced to the service company by a real Lloyd's broker that broker should be entered in another relevant broker field. Maggs & Son Broking Services Mandatory for all premium transaction types where a Placing Broker is involved. 111 Field name Placing Broker Type To identify the type of party whose following details are being reported. organisation notes Mandatory for all premium transaction types where a Placing Broker is involved. ACORD Table B31 112 Field name Placing Broker (Street & Number) The Street & Number part of the party's address 42, Main Street notes 113 Field name Placing Broker (City Name) The City part of the party's address Bradford notes 114 Field name Placing Broker (State) The State part of the party's address AU-VIC notes Mandatory for all premium transaction types where a Placing Broker is involved and where the Placing Broker Country is any of the following: United States, Canada and Australia. 30

Combination of ISO ISO3166-1 Country Codes Table and ISO3166-2 Country Subdivisions Codes Table in the following format: 2 digit ISO 3166-1 value, followed by a hyphen, followed by the 2 or 3 digit ISO 3166-2 value See example 115 Field name Placing Broker (County) The County part of the party's address (e.g. within the state where the party is located) notes Norfolk 116 Field name Placing Broker (PostCode) The Zip/Post code part of the party's address SW1A 2AA notes 117 Field name Placing Broker (Country) The Country part of the party's address BR notes Mandatory for all premium transaction types where a Placing Broker is involved. ISO ISO3166 Country Code Table - 2 letter code. 118/119/247 Field name Cedent Name The insurance company or organisation that underwriters are reinsuring i.e. the cedant notes AXA Insurance Mandatory for all premium transaction types where the field 'Insurance Type' contains a value of other than 'Direct' - i.e. for Reinsurance. Mandatory where the field 'US Risk Classification' contains a value of 'us_reinsurance'. 120 Field name NAIC Code The NAIC Reference of the insurance company or organisation that underwriters are reinsuring i.e. the cedant. 901123 31

notes Mandatory where the field 'US Risk Classification' contains a value of 'us_reinsurance'. NAIC Code Table 121 Field name Cedent Type To identify the type of party whose following details are being reported. organisation notes Mandatory for all premium transaction types where the field 'Insurance Type' contains a value of other than 'Direct' - i.e. for Reinsurance. Mandatory where the field 'US Risk Classification' contains a value of 'us_reinsurance'. ACORD Table B31 122 Field name Cedent (Street & Number) The Street & Number part of the party's address 42, Main Street notes 123 Field name Cedent (City Name) The City part of the party's address Bradford notes 124 Field name Cedent (State) The State part of the party's address AU-VIC 32

notes Mandatory for all premium transaction types where the field 'Insurance Type' contains a value of other than 'Direct' - i.e. for Reinsurance and where the Cedent Country is any of the following: United States, Canada, Switzerland, Australia and Malaysia. Mandatory where the field 'US Risk Classification' contains a value of 'us_reinsurance'. Combination of ISO ISO3166-1 Country Codes Table and ISO3166-2 Country Subdivisions Codes Table in the following format: 2 digit ISO 3166-1 value, followed by a hyphen, followed by the 2 or 3 digit ISO 3166-2 value See example 125 Field name Cedent (County) The County part of the party's address (e.g. within the state where the party is located) notes Norfolk 126 Field name Cedent (PostCode) The Zip/Post code part of the party's address SW1A 2AA notes 127 Field name Cedent (Country) The Country part of the party's address BR notes Mandatory for all premium transaction types where the field 'Insurance Type' contains a value of other than 'Direct' - i.e. for Reinsurance. Mandatory where the field 'US Risk Classification' contains a value of 'us_reinsurance'. ISO ISO3166 Country Code Table - 2 letter code. 128/129 Field name Original Policyholder The original insured where the risk is facultative reinsurance. J Smith notes Required for all premium transactions where the field 'Insurance Type' contains a value of 'facultative'. 33

130 Field name Original Policyholder Type To identify the type of party whose following details are being reported. organisation notes Required for all premium transactions where the field 'Insurance Type' contains a value of 'facultative'. ACORD Table B31 131 Field name Original Policyholder (Street & Number) The Street & Number part of the party's address 42, Main Street notes 132 Field name Original Policyholder (City Name) The City part of the party's address Bradford notes 133 Field name Original Policyholder (State) The State part of the party's address AU-VIC notes Required for all premium transactions where the field 'Insurance Type' contains a value of 'facultative' and where the Original Policyholder Location Country is any of the following: United States, Canada, Switzerland, Australia and Malaysia. Combination of ISO ISO3166-1 Country Codes Table and ISO3166-2 Country Subdivisions Codes Table in the following format: 2 digit ISO 3166-1 value, followed by a hyphen, followed by the 2 or 3 digit ISO 3166-2 value See example 134 Field name Original Policyholder (County) The County part of the party's address (e.g. within the state where the party is located) notes Norfolk 34

135 Field name Original Policyholder (PostCode) The Zip/Post code part of the party's address SW1A 2AA notes 136 Field name Original Policyholder (Country) The Country part of the party's address BR notes Required for all premium transactions where the field 'Insurance Type' contains a value of 'facultative'. ISO ISO3166 Country Code Table - 2 letter code. 138 Field name Tax Amount (Tax Settlement Currency) The total amount of tax for provided tax type and tax rate (% or fixed tax rate) being reported in the tax settlement currency. 550.23 notes Mandatory for premium transactions if tax applies. 140 Field name Tax Settlement Currency The ISO (International Standards Organisation) coded identification of the tax amount settlement currency notes USD Mandatory for premium transactions if tax applies. ISO Reference table ISO4217-3 letter code. 141 Field name Taxable Basis (Tax Settlement Currency) Is either 1) The amount that the tax is being calculated against. This may be different from the premium amount. e.g. would be the amount against which to apply the Tax rate % OR 2) The rate of tax which has been applied other than a percentage tax rate. E.g. 0.02 is charged per person covered on Hunting Liability risks for the National Guarantee Fund in France. 123000 Any figures must be reported in Tax Settlement Currency. 35

notes Mandatory for premium transactions if tax applies. 142 Field name Tax Class Code identifying the tax or parafiscal charge type e.g. "PRT" for Premium Tax notes stamp_duty 143 Field name Tax Rate Mandatory for premium transactions if tax applies. ACORD Table B13 The percentage rate of tax which has been applied. E.g. Premium tax is charge at 9% for General Liability risks in France (subject to exemptions). 0.0513 Mandatory for premium transactions if tax applies. notes Must be provided if the Tax type has a Tax Rate % This field can be blank if no tax applies to the transaction. Should not appear if Tax Base (Amount) is a fixed tax rate Lloyd's Indirect Tax System (ITS) Tax Table. 144 Field name Tax Rate Basis Code identifying the base on which the tax is calculated (e.g. as a percentage of gross premium, insured value, number of units etc.) notes gross_premium Mandatory for premium transactions if tax applies. ACORD Table B14 146 Field name Tax Type Code identifying further the tax or parafiscal charge type e.g. Stamp duty insurance_premium_tax notes Mandatory for premium transactions if tax applies. ACORD Table A70 / Lloyd's Indirect Tax System (ITS) Tax Table. 147 Field name Tax Location (Country) The Country of Risk for tax purposes: this is the country whose tax rules apply to the insurance premium. notes FR Mandatory for premium transactions if tax applies. ISO ISO3166 Country Code Table - 2 letter code. 36

148 Field name Tax Location (State) The applicable State in relation to the Country whose tax rules apply to the insurance premium. notes AU-VIC Mandatory for premium transactions if tax applies and where the Tax Country is any of the following: United States, Canada, or Australia. Combination of ISO ISO3166-1 Country Codes Table and ISO3166-2 Country Subdivisions Codes Table in the following format: 2 digit ISO 3166-1 value, followed by a hyphen, followed by the 2 or 3 digit ISO 3166-2 value See example 149 Field name Fixed Tax Rate Multiplier The number of units used as a multiplier against the fixed tax rate e.g. 100 vehicles (units) x 1.00 per vehicle Integer 3 notes Mandatory for premium transactions if tax applies. Should only be shown if the Tax Base (Amount) is a fixed rate tax 150 Field name Tax Settlement Reporting Indicator Indicates which party is responsible for paying the tax amount being reported - this is the coded party role of the party responsible for paying any taxes due on the risk. LocalBroker notes Mandatory for premium transactions if tax applies. ACORD Table 3035 151 Field name VAT Code notes Code signifying if the contract is VAT zero rated or exempt. Zero Mandatory for premium transactions if tax applies. ACORD Table A116 152 Field name Fiscal Code The fiscal code (allocated to an organisation or individual by the Italian tax authority) for the enterprise or individual who is insured, or reinsured. notes MRTPRI45B20I187X Only applies to premium transactions where the field 'Tax Location (Country)' has a value of 'Italy'. 37

38 Field name Regulatory Location of Risk (country) The regulatory location country in which a risk is located. Lloyd's risks: the appropriate level of detail should be provided, as advised within the Crystal Tool on Lloyds.com, e.g. for Canadian business the Canadian province must be advised; for Australian business the Australian territory must be advised. The Risk Locator on Lloyds.com provides guidance on how to identify the legal location of an insured risk. Specific guidance on the legal position in different jurisdictions is available in the Crystal Tool on Lloyds.com on the relevant country or state page select the category Pre-placement considerations and sub-category: of risk. Some general guidance is below, but the Risk Location should be determined using the above sources of information. Property Risks: The location of risk is the country in which the insured property is located Marine Risks classed as 'hull': The risk is located in the country in which the vessel is registered. Aviation Risks classed as 'hull': The risk is located in the country in which the aircraft is registered. Show the country or the International Aircraft marking (e.g. Australia = VH). notes PA Mandatory (Premiums) ISO ISO3166 Country Code Table - 2 letter code. 39 Field name Regulatory Location of Risk(State/Province/Territory) The regulatory location state in which a risk is located. AU-VIC notes Mandatory for Premium transactions where the Regulatory Location of Risk Country is any of the following: United States, Canada, Australia and Malaysia. Combination of ISO ISO3166-1 Country Codes Table and ISO3166-2 Country Subdivisions Codes Table in the following format: 2 digit ISO 3166-1 value, followed by a hyphen, followed by the 2 or 3 digit ISO 3166-2 value See example 153 Field name State of Filing The United States state in which filing takes place. AU-VIC 38