Back   Individual Life Insurance Application (004020X106)


The Individual Life Insurance Application Implementation Guide describes the use of the ASC X12 Individual Life, Annuity and Disability Application (267) transaction set for the following business usage:
  • Provide the required information, such as applicant name, address, beneficiary, and product name, to apply to purchase individually underwritten life and/or health insurance.

Primary Trading Partners

Life and health insurance companies. Distributors of life and health insurance products. Third-party providers of electronic clearinghouse services.


Annuity and disability income insurers and distributors.


This is the first implementation guide for this business purpose.


No coordination required at this time with other ASC X12 Subcommittees.

Additional Information

Registered 2/6/1998
Transaction Set ID 267 Standard Version 004020
ASC X12 DM# Owning Group X12N