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Grafico 3.4: Gateway troncales centralizados
The handling of Aviation vertical placements involving Lloyd’s business can be supported via a workaround involving the use of a FDO (For Declaration Only) signing specifically for claims handling. This will enable the component signings of a vertical placement to be merged for the purpose of claims handling.
Folowing the implementation of the IMR Security Model enhancements on the 7th December 2009,
new functionality will allow a broker to restrict the access rights to the appropriate carriers for documents containing confidential terms. For further details please see section 4.34.5.
Below is a list of conditions that are a pre-requisite of using this process for handling aviation verticals in ECF and a step by step guide for each party involved in the submission of premium and claims transactions. Risks must comply with all of the conditions before claims may be submitted on ECF:
4.33.1 Conditions
• This process only applies to new placed risks or renewals of existing risks
• All component parts of the vertical placement must be signed under the same UMR
• Everything on the component slips with the exception of Rates, Brokerage and Commissions must be the same across all components. E.g. Limits, Orders, Interest and Year of Account • A separate claims FDO “Sanitised slip” (A complete copy of the slip. Where confidentiality of the
Rates, Brokerage and Commissions needs to be protected, the sanitised slip should exclude these but include all syndicate lines and references of all component parts of the slip) must be provided by the broker to XIS for signing. This slip should include all lines of all components. • Where confidentiality of the commercial terms of the component signings e.g. rates,
commissions, brokerage etc. needs to be protected, these should be excluded from the sanitised slip.
• The broker must provide XIS with written confirmation that the Claims FDO is a complete and accurate reflection of the vertical signing components with the exception of the commercial terms • The broker must provide confirmation in the UMR on the Insurers’ Market Repository (IMR) that
the premium for the individual component vertical signings have been paid in accordance with the terms of trade agreed on the component signings
4.33.2 Premium submission and claims process
• Broker Premium Department Process
1. Broker to confirm that vertical placement meets all of the conditions in the section “Conditions” above.
2. Broker to create an electronic “Sanitised slip” and load this to the UMR folder in the IMR in an area of the UMR that is visible to XCS and Managing Agency claims staff.
3. Broker to load all components of the vertical placement slip to the UMR folder on the IMR in the secure area (XIS Processing Only), which will prevent carriers and XCS from seeing the individual components.
4. Broker to load all relevant electronic documents e.g. ePANs etc. to support the workpackage. 5. Broker to include written confirmation that the Claims FDO is a complete and accurate
reflection of the vertical signing components, with the exception of the commercial terms. 6. Broker to indicate on the workpackage that this submission includes a Claims FDO. 7. Broker to submit the workpackage to XIS for processing.
• XIS premium department
8. XIS to recognise the vertical placement as one that requires an additional FDO signing. 9. XIS to process the workpackage as normal, but additionally allocate an OSND (Original
the FDO signing number and date). Note that no UCRs should be created using the signing numbers and dates of the component placements.
12. Broker to load a statement relating to the status of the premium signing on the IMR within the UMR folder. This will need to be in an area of the UMR that is visible to XCS and Managing Agency claims staff.
13. Broker to submit the ECF claim to the Lead Agreement Party • Lead Agreement Party process
14. Lead Agreement Party to handle the claims in ECF as normal, noting that the UCR is lodged against the Claims FDO signing and that the slip to be used for claims handling is the sanitised FDO version on the IMR.
• XCS Claims adjusters
15. XCS to handle the claims in ECF as normal, noting that the UCR is lodged against the Claims FDO signing and that the slip to be used for claims handling is the sanitised FDO version on the IMR.
16. XCS to review the broker loaded document in the IMR relating to the premium position in accordance with current XCS instructions.
Note: Where placements are subject to on-going endorsement activity that might affect any claims, any premium or coverage endorsements submitted to XIS for processing on the component signings will also have to be updated on the “Sanitised Claims FDO” slip
4.33.2.1 Process for Paper Premium Submissions
The process for paper premium submissions presented to XIS is essentially the same as the A&S process described above, except that the broker should submit paper documents supporting the different components of the vertical placement as a complete set to XIS for premium processing. These should include a paper copy of the sanitised Claims FDO slip, to which XIS will append the Claims FDO OSND. The broker should load this to the UMR of any ECF claims submissions. It should also be noted that all components and the Claims FDOs should either be submitted all under A&S or all by paper. XIS will not accept a mixture of paper and A&S submissions - the broker should not try to submit the individual components in paper and the Claims FDO via A&S.