Policy

A bound insurance policy — the central resource in the BIND standard. Represents an active (or historical) contract between a carrier and an insured, providing specific coverages for a defined period.

Structure

Name	Card.	Type	Description
RPolicy			A bound insurance policy — the central resource in the BIND standard.
●resourceType	1..1	"Policy"	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 | pending | cancelled | expired | non-renewed	Current status of the policy.
●policyNumber	1..1	string	The policy number assigned by the carrier.
●insured	1..1	Reference	Reference to the insured entity
●carrier	1..1	Reference	Reference to the issuing carrier
●broker	0..1	Reference	Reference to the broker/agent of record
●mga	0..1	Reference	Reference to the managing general agent (MGA), if applicable
●effectivePeriod	1..1	Period	The period during which this policy provides coverage
[ ]linesOfBusiness	0..*	CodeableConcept	Lines of business covered by this policy. terminology
●totalPremium	0..1	Money	Total annual premium
●minimumPremium	0..1	Money	Minimum earned premium (if applicable)
●commission	0..1	Commission	Structured commission arrangement (replaces commissionPercentage)
[ ]risks	0..*	Reference	References to Risk resources associated with this policy
●underwriter	0..1	Reference	Reference to the underwriter (PersonRole) assigned to this policy
●accountManager	0..1	Reference	Reference to the account manager (PersonRole) for this policy
●boundDate	0..1	string	Date/time the policy was bound.
●cancelledDate	0..1	string	Date/time the policy was cancelled, if applicable.
●cancellationReason	0..1	CodeableConcept	Reason for cancellation, if applicable. terminology
●coverageForm	0..1	CodeableConcept	Policy form (e.g., occurrence, claims-made). terminology
●retroactiveDate	0..1	string	Retroactive date for claims-made policies.
[ ]coverages	0..*	Reference	References to the individual coverage sections
[ ]endorsements	0..*	Endorsement	Endorsements applied to this policy
●originatingQuote	0..1	Reference	Reference to the quote that this policy was bound from
[ ]documents	0..*	Attachment	Policy documents (dec page, forms, endorsements)
●transactionType	0..1	CodeableConcept	Type of policy transaction (new-business, endorsement, renewal, etc.) terminology
●billingMethod	0..1	CodeableConcept	Billing method for premium collection. terminology
●billingFrequency	0..1	CodeableConcept	Premium payment frequency. terminology
●language	0..1	string	Preferred language for policy documents (BCP-47 tag, e.g.
[ ]additionalInterests	0..*	AdditionalInterest	Additional interested parties — mortgagees, loss payees, additional insureds
[ ]transactions	0..*	PolicyTransaction	Policy lifecycle transaction history
[ ]forms	0..*	InsuranceForm	Standard form references attached to this policy
[ ]notes	0..*	Reference	References to Note resources for this policy

Example

{
  "resourceType": "Policy",
  "id": "pol-2025-1001",
  "status": "active",
  "policyNumber": "CGL-2025-001001",
  "insured": {
    "reference": "Insured/ins-001",
    "display": "Acme Manufacturing Corp"
  },
  "carrier": {
    "reference": "Organization/carrier-200",
    "display": "Hartford Financial"
  },
  "effectivePeriod": {
    "start": "2025-07-01",
    "end": "2026-07-01"
  },
  "linesOfBusiness": [
    {
      "coding": [
        {
          "code": "GL",
          "display": "General Liability"
        }
      ]
    }
  ],
  "totalPremium": {
    "value": 85000,
    "currency": "USD"
  },
  "boundDate": "2025-06-10T16:00:00Z"
}

JSON Schema

Full JSON Schema: Policy.schema.json