What is an Insured and and what is an Employer/Location?
IAIABC Proof of Coverage data is completed by the submission of information in two parts identified as the Insured and Employer/Location records. The Insured record (sections I-IV of the web based application) contains information about the type of POC transaction being sent (e.g. New Policy, Cancel Policy); the effective date of the transaction; the insurer (e.g. carrier, issuing office and agent), the insured (the named policyholder on the policy) and other identifying policy information. The Employer/Location record(s) (section V of the web based application) identifies the employer(s) affected by the transaction submitted. Depending on the transaction, Employer records need to be submitted for each legal entity (i.e. employer) either covered on the policy or affected by the transaction being submitted. The employer’s FEIN Number is also submitted in this area.
