Organization

An organization involved in the insurance ecosystem. This includes carriers, brokers, MGAs, TPAs, reinsurers, and other entities.

Structure

Name	Card.	Type	Description
ROrganization			An organization involved in the insurance ecosystem.
●resourceType	1..1	"Organization"	Fixed resource type discriminator
●id	0..1	string	Logical id of this resource.
●meta	0..1	Meta	Metadata about the resource
●status	1..1	active | inactive	Whether this organization record is active
●name	1..1	string	Official name of the organization
●type	1..1	CodeableConcept	Type of organization in the insurance ecosystem. terminology
●naic	0..1	Coding	NAIC (National Association of Insurance Commissioners) company code.
●fein	0..1	Coding	FEIN (Federal Employer Identification Number).
●amBestRating	0..1	Coding	AM Best financial strength rating
●spRating	0..1	Coding	S&P financial strength rating
[ ]address	0..*	Address	Physical and mailing addresses
[ ]contact	0..*	ContactPoint	Contact information
[ ]licensedStates	0..*	string[]	States in which this carrier is licensed to write business
[ ]linesOfBusiness	0..*	CodeableConcept	Lines of business this organization writes or handles. terminology
●admittedStatus	0..1	CodeableConcept	Whether this is an admitted or non-admitted (surplus lines) carrier. terminology
●partOf	0..1	Reference	Reference to a parent organization
[ ]financialRatings	0..*	FinancialRating	Structured financial strength ratings (supersedes amBestRating, spRating for richer detail)
[ ]appointments	0..*	CarrierAppointment	Carrier appointments for brokers and MGAs
●eAndOPolicy	0..1	Reference	Reference to the broker's E&O policy
●entityType	0..1	CodeableConcept	Business entity type (LLC, Corp, Mutual, Reciprocal, etc.) terminology
●organizationLevel	0..1	CodeableConcept	Organizational hierarchy level. terminology
[ ]specialties	0..*	InsuranceSpecialty	Insurance specialties and lines of business for departments
[ ]licenses	0..*	License	Insurance licenses held by this organization
[ ]territories	0..*	string[]	Geographic territories where this organization operates (supersedes licensedStates for richer detail)
▾bindingAuthority	0..1	object	Binding authority limits for MGAs and delegated underwriting authorities
●maxPremium	0..1	Money	Maximum premium amount this organization can bind
●maxLimit	0..1	Money	Maximum limit of insurance this organization can bind
[ ]linesOfBusiness	0..*	CodeableConcept	Lines of business this organization can bind. terminology

Example

{
  "resourceType": "Organization",
  "id": "org-carrier-200",
  "status": "active",
  "name": "Hartford Financial Services",
  "type": {
    "coding": [
      {
        "code": "carrier",
        "display": "Insurance Carrier"
      }
    ]
  },
  "naic": {
    "code": "29459",
    "display": "Hartford Fire Insurance Company"
  },
  "amBestRating": {
    "code": "A+",
    "display": "Superior"
  },
  "address": [
    {
      "line": [
        "One Hartford Plaza"
      ],
      "city": "Hartford",
      "state": "CT",
      "postalCode": "06155"
    }
  ]
}

JSON Schema

Full JSON Schema: Organization.schema.json