RFP%2031786-00193%20Appendix%207.9%20Monthly%20Premiums%20Due%20Deduction%20File%20Layout.xlsx

XLSX spreadsheet 12 KB Posted

Attached to
Life and Accidental Death and Dismemberment Insurance - UPDATED
Solicitation number
RFP 31786-00193
Issued by
Davidson County, Tennessee

About this file

This is a technical specification document for the State of Tennessee's monthly premiums due deduction file layout, related to a Life and Accidental Death and Dismemberment Insurance contract (RFP 31786-00193). The document establishes the data structure and field requirements for transmitting employee insurance premium deduction records to the state's billing system on a monthly basis, processing both new enrollments (ADD) and changes to existing coverage (CHG), but excluding terminations.

The file layout specifies a fixed-length record format with a total record length of 160 characters, containing 18 distinct data fields that capture essential employee and premium information. Key fields include the billing source code (always 'PR'), change type designation, date-time stamp with sequence numbering for multiple deductions, transaction type (always 'OD'), employee Social Security Number, last name, five-digit department identification code, program identifier, current premium amount due, due date, Edison Employee ID, and division code. The specification requires low-value entries for multiple filler fields and establishes precise character positions and lengths for each data element, enabling systematic processing of monthly premium adjustments across the state's employee population.

View the file

Other files

File Type Posted
RFP_31786-00193_Appendix_7.28.pdf PDF
RFP_31786-00193_Appendix_7.30.xlsx XLSX spreadsheet
RFP_31786-00193_Life_and_ADD_RFP_Release_2.docx DOCX document
RFP_31786-00193_Appendix_7.27.pdf PDF
RFP_31786-00193_Appendix_7.15.xlsx XLSX spreadsheet
RFP_31786-00193_Appendix_7.26.xlsx XLSX spreadsheet
RFP_31786-00193_Appendix_7.29.pdf PDF
RFP_31786-00193_Amendment_Two.docx DOCX document
RFP_31786-00193_Appendix_7.4.xlsx XLSX spreadsheet
RFP_31786-00193_Appendix_7.25.xlsx XLSX spreadsheet
RFP_31786-00193_Appendix_7.5.xlsx XLSX spreadsheet
RFP_31786-00193_Amendment_One_Schedule_Update.docx DOCX document
RFP%2031786-00193%20Appendix%207.6%20Issue%20and%20Attained%20Age%20with%20Coverage%20Values%20in%20Voluntary%20Term%20Life%20(as%20of%20June%202026).xlsx XLSX spreadsheet
RFP%2031786-00193%20Appendix%207.22%20SOTN%20Voluntary%20ADD%20Certificate%20(Eff%2012-1-2025).pdf PDF
RFP%2031786-00193%20Appendix%207.7%20BA067%20Weekly%20Enrollment%20File%20Layout.xlsx XLSX spreadsheet
RFP%2031786-00193%20Appendix%207.3%20Claims,%20Conversion%20and%20Premium%20Experience%202018%20_June%202026%20Voluntary%20Term%20Life.xlsb XLSB spreadsheet
RFP%2031786-00193%20Appendix%207.1%20Claims_Conversion%20and%20Premium%20Experience%202018%20_June%202026%20Basic%20Term%20Life%20and%20Basic%20ADD.xlsb XLSB spreadsheet
RFP%2031786-00193%20Appendix%207.24%20Written%20Questions_Comments%20Template.xlsx XLSX spreadsheet
RFP%2031786-00193%20Appendix%207.16%20Basic%20Term%20Life%20Waiver%20of%20Premium%20Claims%20History%202018%20%E2%80%93%20June%202026.xlsx XLSX spreadsheet
RFP%2031786-00193%20Appendix%207.14%20Voluntary%20Term%20Life%20Enrollment%20History%202018%20-%20June%202026.pdf PDF
RFP%2031786-00193%20Appendix%207.2%20Claims%20Conversion%20and%20Premium%20Experience%202018_June%202026%20Voluntary%20ADandD.xlsb XLSB spreadsheet
DRAFT_RFP_31786-00193_Attachment_6.3_Cost_Proposal_Life_Insurance.xlsx XLSX spreadsheet
RFP%2031786-00193%20Appendix%207.21%20SOTN%20Basic%20Term%20Cert%20(Eff%2012-1-2025).pdf PDF
RFP%2031786-00193%20Appendix%207.23%20SOTN%20Voluntary%20Term%20Cert%20(Eff.%2012-1-2025).pdf PDF
31786-00193_Digital_Submission_Instructions.docx DOCX document
RFP%2031786-00193%20Appendix%207.4%20Enrollment%20and%20Coverage%20in%20Basic%20Term%20Life%20and%20Basic%20ADD%202018%20-%20June%202026.xlsx XLSX spreadsheet
RFP%2031786-00193%20Appendix%207.17%20Voluntary%20Term%20Life%20Waiver%20of%20Premium%20Claims%20History%202018%20%E2%80%93%20June%202026.xlsx XLSX spreadsheet
RFP%2031786-00193%20Appendix%207.12%20Basic%20Term%20Life%20and%20ADD%20Invoice%20Template.xlsx XLSX spreadsheet
RFP%2031786-00193%20Appendix%207.11%20BA246%20Annual%20Head%20of%20Contract%20Life%20Insurance%20Reduction%20File%20Layout.xlsx XLSX spreadsheet
RFP%2031786-00193%20Appendix%207.10%20Monthly%20Premiums%20Collected%20File%20Layout.xlsx XLSX spreadsheet
RFP%2031786-00193%20Appendix%207.8%20BA066%20Weekly%20Termination%20File%20Layout.xlsx XLSX spreadsheet
RFP%2031786-00193%20Appendix%207.15%20Voluntary%20Term%20Life%20Census%20-%20zac%20rvw.xlsx XLSX spreadsheet
RFP%2031786-00193%20Appendix%207.20%20Detail%20Claims%20Listing%20%E2%80%93%20Voluntary%20Term%20Life.xlsx XLSX spreadsheet
RFP%2031786-00193%20Appendix%207.13%20Life%20Insurance%20Rates%20and%20Program%20Changes.docx DOCX document
RFP%2031786-00193%20Appendix%207.5%20Basic%20Term%20Life%20Voluntary%20ADD%20Enrollment%20Census.xlsx XLSX spreadsheet
RFP_31786-00193_Life_and_ADandD_RFP.docx DOCX document
RFP%2031786-00193%20Appendix%207.18%20Detail%20Claims%20Listing%20_Basic%20Term%20Life%20Basic%20ADandD.xlsx XLSX spreadsheet
RFP%2031786-00193%20Appendix%207.19%20Detail%20Claims%20Listing%20_Voluntary_ADandD.xlsx XLSX spreadsheet
Show all 38

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Sheet1

Record Layout for monthly "Changes Only" (add/change, but not terminations) for State of Tennessee (07/27/2012)
01 ST-BILL-REC.StartLenValueComments
05 ST-BILL-SOURCE-CD PIC X(4).14Always = 'PR '
05 ST-BILL-CHANGE-TYPE PIC X(5).55'ADD ' or 'CHG '
05 ST-BILL-TIME-STAMP.
10 ST-BILL-TIME-CENTURY PIC 99.102Date-Time stamp fields
10 ST-BILL-TIME-YEAR PIC 99.122
10 ST-BILL-TIME-MO PIC 99.142
10 ST-BILL-TIME-DY PIC 99.162
10 ST-BILL-TIME-HOURS PIC 99.182
10 ST-BILL-TIME-MINS PIC 99.202
10 ST-BILL-TIME-SECS PIC 99.222
10 ST-BILL-TIME-SEQ PIC 99.24201, 02, 03, etcSequence number when multiple records/deductions for same Employee
05 ST-BILL-TRANS-TYPE PIC XX.262Always = 'OD'
05 ST-BILL-SSN PIC 9(9).289EE's SSN
05 ST-BILL-LAST-NAME PIC X(15).3715EE's Last Name
05 ST-BILL-BUDGET-CD.
10 ST-BILL-BUD-CODE PIC X(5).5255-Digit Dept-ID
10 ST-BILL-WORK-CENTER PIC X(4).574Low-values
05 ST-BILL-PROG-ID PIC X(10).6110'TERMCH'

'TERMEE'

'TERMSP'

05 ST-BILL-CURR-PX-DUE PIC 9999V99.716Current premium due
05 FILLER PIC X(4).774Low-values
05 ST-BILL-ORIG-DUE-DATE PIC 9(8).818Due Date
05 FILLER PIC X(1).891Low-values
05 ST-BILL-EDISON-EMP-ID PIC 9(8).908Edison Employee ID
05 FILLER PIC X(68).9859Low-values
05 ST-BILL-DIVN PIC X(4).1574Division
160Record Length

RFP 31786-00193 Appendix 7.9 Monthly Premiums Due Deduction File Layout

File details come from the government source that posted it. Updated .