Insurance Match Implementation Guide - EO Updates

2025-03-31-IM_Implementation_Guide.pdf

Information Comparison with Insurance Data

Insurance Match Implementation Guide - EO Updates

OMB: 0970-0342

Document [pdf]
Download: pdf | pdf
OCSE O&M and Continuous Improvements

Insurance Match

Implementation Guide
Version 3.1
February 1, 2024

Administration for Children and Families
Office of Child Support Enforcement
330 C Street SW, 5th Floor
Washington, DC 20201

OCSE O&M and Continuous Improvements
Insurance Match

Implementation Guide
Version 3.1

Table of Contents
1

Purpose ............................................................................................................ 1-1

2

Background...................................................................................................... 2-1

3

Introduction ...................................................................................................... 3-1

4

Participation Benefits ...................................................................................... 4-1

5

Participation Options....................................................................................... 5-1

5.1
5.2
5.3
5.4

Participation Option One – Claims Submitter..................................................... 5-1
Participation Option Two – Matching Partner..................................................... 5-2
Participation Option Three – ISO ....................................................................... 5-4
Participation Option Four – DIS ......................................................................... 5-5

6

Transmission Methods.................................................................................... 6-1

7

File Layout........................................................................................................ 7-1

8

Where to Get Help............................................................................................ 8-1

A

OCSE Insurance Match Standard Input File Record ................................... A-1

B

Debtor File Layout .......................................................................................... B-1

C

Summary of Changes..................................................................................... C-1

List of Figures
Figure 5-1: Claims Submitter Process Flow.................................................................. 5-1
Figure 5-2: Matching Partner Process Flow.................................................................. 5-3
Figure 5-3: ISO Process Flow....................................................................................... 5-4
Figure 5-4: DIS Process Flow....................................................................................... 5-5

Table of Contents

i

February 1, 2024

OCSE O&M and Continuous Improvements
Insurance Match

1

Implementation Guide
Version 3.1

Purpose

The Insurance Match (IM) Implementation Guide gives insurers (or their agents), self-insured
employers, third-party administrators (TPAs), and state workers’ compensation agencies (WCs)
information about participating in the federal Office of Child Support Enforcement (OCSE) IM
program. Information includes program background, benefits of participating, and participation
options.

Part 1: Purpose

1-1

February 1, 2024

OCSE O&M and Continuous Improvements
Insurance Match

2

Implementation Guide
Version 3.1

Background

The Deficit Reduction Act of 2005 authorizes us to compare information on individuals owing
past-due child support with information maintained by insurers (or their agents) pertaining to
insurance claims, settlements, awards, and payments.
This legislation also provides a non-liability clause for participants, as specified in U.S. Code:
42 U.S. Code 652 – Duties of Secretary
(m) Comparisons With Insurance Information
(1) In General The Secretary, through the Federal Parent Locator Service, may—
(A) compare information concerning individuals owing past-due support with
information maintained by insurers (or their agents) concerning insurance claims,
settlements, awards, and payments; and
(B) furnish information resulting from the data matches to the State agencies
responsible for collecting child support from the individuals.
(2) Liability
An insurer (including any agent of an insurer) shall not be liable under any Federal or
State law to any person for any disclosure provided for under this subsection, or for any
other action taken in good faith in accordance with this subsection.

Part 2: Background

2-1

February 1, 2024

OCSE O&M and Continuous Improvements
Insurance Match

3

Implementation Guide
Version 3.1

Introduction

We developed the IM program to help states and the insurance industry to identify individuals
who may receive an insurance settlement, award, or a payment, and who owe past-due child
support. The program also helps state child support agencies make claims against an insurance
payout.
Participation in the IM program is voluntary for the insurance industry and state child support
agencies.
The child support agencies in all 50 states, the District of Columbia, and three U.S. territories
(Guam, Puerto Rico, and U.S. Virgin Islands) participate in the program. Many insurance
companies, self-insured employers, TPAs, and state WC agencies also participate in the program.
Each state child support agency sends us information on individuals who owe past-due child
support. We store this information in the Debtor file and use it to match with individual
claimants and beneficiaries that insurers submit. We also send the Debtor file to matching
partners to conduct the match.
The IM program is capable of processing many types of insurance claims such as workers’
compensation, personal injury, life, annuity, and policy surrenders. A full list of claim types is in
Appendix A under Insurance Product Claim Type.
We offer four options to participate in the IM program.
•
•
•
•

Claims Submitter – Sends claims to us
Matching Partner – We send you individuals to match to claims
Insurance Services Office (ISO) – ISO ClaimSearch® participants
Debt Inquiry Service (DIS) – Individual look-up or file upload

Participants are required to enter into an operational agreement with us. There are no fees or
charges to you.
OCSE sends information resulting from data matches to the state child support agencies
responsible for collecting child support. Each state child support agency determines the next
step, such as sending a lien, levy, or an income withholding order based on the state’s laws and
policies.

Part 3: Introduction

3-1

February 1, 2024

OCSE O&M and Continuous Improvements
Insurance Match

4

Implementation Guide
Version 3.1

Participation Benefits

Benefits of participating in the IM program include the following:
•
•
•

Helps children by increasing child support collections through access to monies previously
unavailable
Helps you by reducing the burden of responding to subpoenas
Helps state WC agencies comply with state requirements

The program also helps you meet state mandates to determine whether a claimant owes child
support before making a payout (except the Massachusetts IM program, which ties to other state
agency-related IM requirements). You can find state policy information on our
Intergovernmental Reference Guide (IRG) website.
To find state policies:
1. Click the state you’re researching on the IRG – Policy Profiles and Contacts map.
2. Select M. Insurance Match under Program Category.
The electronic submission and transmission of insurance claim data has the following benefits:
•
•
•
•
•
•

Process is centralized, efficient, and cost effective
Process provides automatic matching, sorting, and reporting of insurance claims to state child
support agencies
States receive notification about insurance claims more quickly
Insurers and state agencies experience improved communication
Transfer is over a secure network protecting personally identifiable information
Process provides transfer of validated data

Part 4: Participation Benefits

4-1

February 1, 2024

OCSE O&M and Continuous Improvements
Insurance Match

5

Implementation Guide
Version 3.1

Participation Options

We support multiple flexible participation options to minimize the impact on your business
process and resources.

5.1

Participation Option One – Claims Submitter

Claim submitters send us a file with claims information for us to compare individuals to the
Debtor file. We forward matched claim information to the state agencies responsible for
collecting child support.
You can send files to us on a daily, weekly, biweekly, or monthly basis through the Child
Support Portal (Portal), Managed File Transfer (MFT), or Secure File Transfer Protocol (SFTP)
with Virtual Private Network (VPN). For child support agencies to receive timely information,
you must send files at least monthly.
Figure 5-1 shows the claims submitter process flow. Child support (CS) agencies send
information to us about individuals who owe past-due support.
Figure 5-1: Claims Submitter Process Flow

Part 5: Participation Options

5-1

February 1, 2024

OCSE O&M and Continuous Improvements
Insurance Match

5.2

Implementation Guide
Version 3.1

Participation Option Two – Matching Partner

We send the Debtor file to matching partners. You may designate whether we send you an
individual’s information for all states or only specific states. You compare individuals against
claimants, policyholders, or beneficiaries, and return matches to us. We then forward matches to
the state agencies responsible for collecting child support.
We send the Debtor file weekly, monthly, or quarterly, and each record has 300 bytes.
Appendix B of this guide explains the Debtor File layout.
We require strong security and privacy controls to make sure the information on the Debtor File
remains protected. Users are accountable for protecting and preserving the privacy of the
individuals whose information is in the file.
The matching partner’s operational agreement has the following specific requirements:
•
•
•

•
•

You maintain an audit trail of activities pertaining to the OCSE file and its contents until
destroyed.
Destroy electronic files promptly after conducting the data match, no more than two business
days after OCSE sends the replacement Debtor file.
Establish and maintain a security incident response capability. You must report all security or
privacy incidents, or suspected incidents, involving the file to OCSE no later than one hour
after discovery.
Implement logical access controls that supply protection from unauthorized access,
alteration, loss, or disclosure.
Limit physical and logical access to the OCSE file and the information included within to
authorized personnel only.

You return matches to us in the Standard Input Format (SIF), found in Appendix A.
Figure 5-2 shows the matching partner process flow. CS agencies send information to us about
individuals who owe past-due support.

Part 5: Participation Options

5-2

February 1, 2024

OCSE O&M and Continuous Improvements
Insurance Match

Implementation Guide
Version 3.1

Figure 5-2: Matching Partner Process Flow

Part 5: Participation Options

5-3

February 1, 2024

OCSE O&M and Continuous Improvements
Insurance Match

5.3

Implementation Guide
Version 3.1

Participation Option Three – ISO

Property and casualty insurers can participate in our IM program if they report claims to the ISO
ClaimSearch database. The ISO offers participation in the IM program free of charge.
We send our Debtor file to the ISO, which compares your claims to our debtors, and then returns
the matches to us. We forward matches to the state agencies responsible for collecting child
support.
Figure 5-3 shows the ISO process flow. CS agencies send information to us about individuals
who owe past-due support.
Figure 5-3: ISO Process Flow

Part 5: Participation Options

5-4

February 1, 2024

OCSE O&M and Continuous Improvements
Insurance Match

5.4

Implementation Guide
Version 3.1

Participation Option Four – DIS

DIS is a web application on the Portal that allows you to send information about individuals
eligible to receive a lump sum or other type of payout to determine whether they owe past-due
support.
You can look up a single individual and receive an immediate response. You may also upload a
file containing multiple individuals that we process within one hour. The system generates an
email indicating the processing results.
You must send all information at least five days before the payout date. This five-day window
allows state agencies time to process matches they receive.
You may release the payment to the claimant or beneficiary after the payout date. However, if
the state-mandated hold period for lump-sum payouts is beyond the payout date, you must hold
the payment according to state law.
Specifications including the record layout for the DIS are located in the Debt Inquiry Service
System Interface Specifications.
Figure 5-4 shows the DIS process flow. CS agencies send information to us about individuals
who owe past-due support.
Figure 5-4: DIS Process Flow

Part 5: Participation Options

5-5

February 1, 2024

OCSE O&M and Continuous Improvements
Insurance Match

6

Implementation Guide
Version 3.1

Transmission Methods

We support the following transmission methods.
•
•

•

The Portal (for Participation Option One: Claims Submitter Only)
Managed File Transfer (MFT)
− TIBCO® MFT software required
− Platform-to-platform exchange
− Connectivity requirements are Internet with VPN tunnel and AES-256/SHA-2 encryption
SFTP with VPN Requirement
− The VPN requires that all phase 1 and phase 2 settings use AES256/SHA2
− The pre-shared secrets will be exchanged over the phone
− Pre-shared secrets should contain upper and lower case alpha, numeric, and symbolic
characters and should be no less than 16 characters in length
− We use public IP (non-RFC 1918) addresses within our VPN tunnel and require our
external business partners to provide public IPs for use within the VPN tunnel
− We will source all outbound SSH/SFTP traffic from a single IP address
− Two additional IPs will be provided for inbound connections to our production and
integration environments
− Inbound connections within the VPN should use SSH/TCP Port 22
− Outbound connections are normally configured to use SSH/TCP Port 22, but may be
modified if required
− Your SFTP software must be able to support Secure Shell (SSH) with key authentication

Note 1: The VPN implementation is a requirement. OCSE must use encryption at both the
transport (via the VPN) and application (via SFTP) levels for the exchange. There are no
exceptions.
Note 2: We do not support Pretty Good Privacy (PGP) encryption
− Your SFTP software must be able to act as both the SFTP server and client
− OCSE will act as the SFTP client for transmission of the OCSE inquiry file. No sites are
permitted to “pull” or act as the SFTP client to receive the inbound (OCSE-to-external)
file
− OCSE will dictate the outbound (external site-to-OCSE) filename
Contact Charlotte Hancock ([email protected]) to schedule a teleconference with
your network and SFTP host/server administrator.
− Network engineer: to discuss the VPN requirement
− SFTP host/server administrator: to discuss the SFTP directory structure, credentials share
(SSH key exchange), and SFTP server/client environment
− Application contact: to discuss end-to-end application testing

Part 6: Transmission Methods

6-1

February 1, 2024

OCSE O&M and Continuous Improvements
Insurance Match

7

Implementation Guide
Version 3.1

File Layout

You can use the IM SIF layout shown in Appendix A to send claims information to us. The SIF
is only required if you are a matching partner.
We support text (.txt) and comma-separated values (.csv) file formats.
The DIS file layout is available in the Debt Inquiry Service System Interface Specifications.

Part 7: File Layout

7-1

February 1, 2024

OCSE O&M and Continuous Improvements
Insurance Match

8

Implementation Guide
Version 3.1

Where to Get Help

If you have questions about specifications, email the IM Help Desk at
[email protected].

Part 8: Where to Get Help

8-1

February 1, 2024

OMB Control Number: 0970-0342
Expiration Date: 01/31/2027

Part A: OCSS Insurance Match Standard Input File Record

A.

OCSS INSURANCE MATCH STANDARD INPUT FILE RECORD

The IM SIF is a standard, fixed-format layout used for sending insurance claim data to us. This section explains the SIF record layout,
including field definitions and required fields. Although all of the data elements are helpful to state child support agencies, most of the
elements are not required. If the information is not available, you must fill the fields with spaces.
Chart A-1 includes the following information:
Field Name
Location
Length
A/N
Comments

Identifies the name of the field.
Identifies the position of the field in the record.
Identifies the size of the field in bytes.
Designates the type of field: alphabetic (A), numeric (N), or alphanumeric (A/N).
Provides a description of the field, as well as valid values.
CHART A-1: OCSS INSURANCE MATCH STANDARD INPUT FILE RECORD

Field Name

Location

Length

A/N

Comments

Record Identifier

1-2

2

A/N

The characters ‘IM.’

Insurer Processing
Date
Insurer Provided SSN

3-10

8

A/N

The date you created or updated the record in your system. The
date is in the CCYYMMDD format.

11-19

9

A/N

The claimant’s SSN you have on file. If you cannot provide the
SSN, you must provide the Claimant Birth Date or Claimant
Address fields.

Obligor SSN

20-28

9

A/N

Matching partners must use the SSN we provided in the Debtor
file.

Obligor Last Name

29-48

20

A/N

Matching partners must use the last name we provided in the
Debtor file.

Obligor First Name

49-63

15

A/N

Matching partners must use the first name we provided in the
Debtor file.

Insurer Identifier

64-72

9

A/N

Your Federal Employer Identification Number.

Part A: OCSS Insurance Match Standard Input File Record

A-1

OMB Control Number: 0970-0342
Expiration Date: 01/31/2027

Part A: OCSS Insurance Match Standard Input File Record

CHART A-1: OCSS INSURANCE MATCH STANDARD INPUT FILE RECORD
Field Name

Location

Length

A/N

Comments

Insurer Name

73-117

45

A/N

The insurer who keeps the insurance claim and to whom the state
is directed to send the insurance intercept request for processing.
This field is required.

Insurer Address Line 1

118-157

40

A/N

The insurer’s street address where the state sends the insurance
intercept request. This field is required unless Insurer Address
Line 2 is provided.

Insurer Address Line 2

158-197

40

A/N

The insurer’s address information where the state sends the
insurance intercept request.

Insurer Address City
Name

198-227

30

A/N

The insurer’s city where the state sends the insurance intercept
request. This field is required.

Insurer Address State
Code

228-229

2

A/N

The state alphabetic code where the state sends the insurance
intercept request. This field is required.

Insurer Address Zip
Code

230-244

15

A/N

The insurer’s ZIP Code. U.S. ZIP Codes must be 5 or 9
characters. Foreign ZIP Codes may be up to 15 characters.

245

1

A/N

If the insurer’s address is in a foreign country, enter a numeric
‘1.’

Insurer Address
Foreign Country Name

246-270

25

A/N

If the “Insurer Address Foreign Country Indicator” is a ‘1,’ enter
the name of the foreign country.

Insurer Contact Last
Name

271-300

30

A/N

Your contact’s last name.

Insurer Contact First
Name

301-320

20

A/N

Your contact’s first name.

Insurer Contact Phone
Number

321-330

10

A/N

Your contact’s phone number.

Insurer Contact Phone
Extension Number

331-336

6

A/N

Your contact’s phone number extension.

Insurer Address
Foreign Country
Indicator

Part A: OCSS Insurance Match Standard Input File Record

A-2

OMB Control Number: 0970-0342
Expiration Date: 01/31/2027

Part A: OCSS Insurance Match Standard Input File Record

CHART A-1: OCSS INSURANCE MATCH STANDARD INPUT FILE RECORD
Field Name

Location

Length

A/N

Insurer Contact Fax
Number

337-346

10

A/N

Your contact’s fax number.

Insurer Contact Email

347-386

40

A/N

Your contact’s e-mail address.

Insurer Claim Number

387-416

30

A/N

The unique claim number you assigned.

Insurance Product
Claim Type

417-418

2

A/N

Insurance Claim State
Code

419-420

2

A/N

The type of claim in this record. Valid values are:
00 – Life
01 – Automobile
02 – Automobile – No fault
03 – Automobile – Medical
04 – Property liability
05 – Workers’ compensation
06 – Personal injury
07 – General liability
08 – Homeowners liability
09 – Medical premise/owner’s policy
10 – Product liability
11 – Slip, trip, and fall
12 – Property damage
13 – Unknown
14 – Disability
15 – Annuity
16 – Policy surrender
17 – Mutual fund
18 – Unemployment
19 – Dividend withdrawals
99 – Other
The state alphabetic code where the insurance loss occurred.

Part A: OCSS Insurance Match Standard Input File Record

Comments

A-3

OMB Control Number: 0970-0342
Expiration Date: 01/31/2027

Part A: OCSS Insurance Match Standard Input File Record

CHART A-1: OCSS INSURANCE MATCH STANDARD INPUT FILE RECORD
Field Name

Location

Length

A/N

Insurance Claim Loss
Date

421-428

8

A/N

The insurance claim or injury date. The date is in the
CCYYMMDD format.

Insurance Claim
Beneficiary Indicator

429

1

A/N

430-437

8

A/N

Specify whether a beneficiary is associated with this life
insurance claim. Valid values are:
Y – Yes. A beneficiary is associated with this life insurance
claim.
N – No. A beneficiary is not associated with this life insurance
claim.
The date the claimant reported the claim to you. The date is in
the CCYYMMDD format.

Insurance Claim Status
Code

438

1

A/N

Insurance Claim
Payout Frequency
Code

439

1

A/N

Insurance Claim
Reported Date

Part A: OCSS Insurance Match Standard Input File Record

Comments

The status of the claim. Valid values are:
0 – Open
1 – Closed
Indicate the frequency of the payouts. Valid values are:
1 – One-time
2 – Weekly
3 – Biweekly
4 – Monthly
5 – Quarterly
6 – Annually
7 – Other

A-4

OMB Control Number: 0970-0342
Expiration Date: 01/31/2027

Part A: OCSS Insurance Match Standard Input File Record

CHART A-1: OCSS INSURANCE MATCH STANDARD INPUT FILE RECORD
Field Name

Location

Length

A/N

Obligor Match Code

440-441

2

A/N

Claimant Last Name

442-471

30

A/N

Claimant First Name

472-491

20

A/N

The claimant’s first name you have on file.
This is a required field.

Claimant Middle
Name

492-507

16

A/N

The claimant’s middle name you have on file.

Claimant ITIN
Number

508-516

9

A/N

The claimant’s Individual Taxpayer Identification Number
(ITIN) when there is no SSN.

Claimant Birth Date

517-524

8

A/N

The claimant’s date of birth you have on file. The date is in the
CCYYMMDD format.
If the “Insurer Provided SSN” is not included, then this field or
the Claimant Address fields are required.

Part A: OCSS Insurance Match Standard Input File Record

Comments

Claim submitters fill this field with spaces.
Matching partners enter the result of the match performed by
comparing the obligor identifying information we provided
against your data. Valid values are:
00 – Name and Address
01 – Name and DOB
02 – Name and SSN
03 – SSN
04 – SSN and Address
05 – SSN and DOB
06 – SSN, Name, and Address
07 – SSN, Name, and DOB
08 – SSN, Address, and DOB
09 – SSN, Name, Address, and DOB
10 – Name, Address, and DOB
The claimant’s last name you have on file.
This is a required field.

A-5

OMB Control Number: 0970-0342
Expiration Date: 01/31/2027

Part A: OCSS Insurance Match Standard Input File Record

CHART A-1: OCSS INSURANCE MATCH STANDARD INPUT FILE RECORD
Field Name

Location

Length

A/N

525

1

A/N

Claimant Home Phone
Number

526-535

10

A/N

The claimant’s sex you have on file. Valid values are:
F – Female
M – Male
The claimant’s home phone number.

Claimant Business
Phone Number

536-545

10

A/N

The claimant’s business phone number.

Claimant Business
Phone Extension
Number

546-551

6

A/N

The claimant’s business phone number extension.

Claimant Cell Phone
Number

552-561

10

A/N

The claimant’s cell phone number.

Claimant Driver
License Number

562-581

20

A/N

The claimant’s driver’s license number.

Claimant Driver
License State Code

582-583

2

A/N

The state alphabetic code that issued the insurance claimant’s
driver’s license.

Claimant Occupation

584-623

40

A/N

The claimant’s occupation.

Claimant Professional
License Number

624-638

15

A/N

The claimant’s professional license number.

Claimant Address Line
1

639-678

40

A/N

The claimant’s street address.
If the insurer-provided SSN is not included, then the claimant’s
address fields or the “Claimant Birth Date” is required.

Claimant Address Line
2

679-718

40

A/N

The claimant’s address information.

Claimant Address City
Name

719-748

30

A/N

The claimant’s city.

Claimant Sex Code

Part A: OCSS Insurance Match Standard Input File Record

Comments

A-6

OMB Control Number: 0970-0342
Expiration Date: 01/31/2027

Part A: OCSS Insurance Match Standard Input File Record

CHART A-1: OCSS INSURANCE MATCH STANDARD INPUT FILE RECORD
Field Name

Location

Length

A/N

Claimant Address
State Code

749-750

2

A/N

The state alphabetic code for the claimant’s address.

Claimant Address Zip
Code

751-765

15

A/N

The ZIP Code for the claimant’s address. U.S. ZIP Codes must be
5 or 9 characters. Foreign ZIP Codes may be up to 15 characters.

766

1

A/N

If the claimant’s address is in a foreign country, enter a numeric
‘1.’

Claimant Address
Foreign Country Name

767-791

25

A/N

If the “Claimant Address Foreign Country Indicator” is a ‘1,’
enter the name of the foreign country.

Attorney Last Name

792-821

30

A/N

The last name of the claimant’s attorney or firm name.

Attorney First Name

822-841

20

A/N

The first name of the claimant’s attorney.

Attorney Phone
Number

842-851

10

A/N

The phone number of the claimant’s attorney.

Attorney Phone
Extension Number

852-857

6

A/N

The phone number extension of the claimant’s attorney.

Attorney Address Line
1

858-897

40

A/N

The street address of the claimant’s attorney.

Attorney Address Line
2

898-937

40

A/N

The address information of the claimant’s attorney.

Attorney Address City
Name

938-967

30

A/N

The city of the claimant’s attorney.

Attorney Address
State Code

968-969

2

A/N

The state alphabetic code of the claimant’s attorney.

Claimant Address
Foreign Country
Indicator

Part A: OCSS Insurance Match Standard Input File Record

Comments

A-7

OMB Control Number: 0970-0342
Expiration Date: 01/31/2027

Part A: OCSS Insurance Match Standard Input File Record

CHART A-1: OCSS INSURANCE MATCH STANDARD INPUT FILE RECORD
Field Name

Location

Length

A/N

970-984

15

A/N

The ZIP Code of the claimant’s attorney. U.S. ZIP Codes must
be 5 or 9 characters. Foreign ZIP Codes may be up to 15
characters.

985

1

A/N

If the attorney’s address is in a foreign country, enter a numeric
‘1.’

Attorney Address
Foreign Country Name

986-1010

25

A/N

If the “Attorney Address Foreign Country Indicator” is a “1,”
enter the name of the foreign country.

Third Party
Administrator
Company Name

1011-1050

40

A/N

The name of the TPA’s company.

Third Party
Administrator Contact
Last Name

1051-1080

30

A/N

The TPA contact’s last name.

Third Party
Administrator Contact
First Name

1081-1100

20

A/N

The TPA contact’s first name.

Third Party
Administrator
Company Phone
Number

1101-1110

10

A/N

The TPA contact’s phone number.

Third Party
Administrator
Company Phone
Extension Number

1111-1116

6

A/N

The TPA contact’s phone extension number.

Third Party
Administrator Address
Line 1

1117-1156

40

A/N

The TPA’s street address.

Attorney Address Zip
Code
Attorney Address
Foreign Country
Indicator

Part A: OCSS Insurance Match Standard Input File Record

Comments

A-8

OMB Control Number: 0970-0342
Expiration Date: 01/31/2027

Part A: OCSS Insurance Match Standard Input File Record

CHART A-1: OCSS INSURANCE MATCH STANDARD INPUT FILE RECORD
Field Name

Location

Length

A/N

Third Party
Administrator Address
Line 2

1157-1196

40

A/N

The TPA’s address information.

Third Party
Administrator Address
City Name

1197-1226

30

A/N

The TPA’s city.

Third Party
Administrator Address
State Code

1227-1228

2

A/N

The state alphabetic code for the TPA.

Third Party
Administrator Zip
Code

1229-1243

15

A/N

The ZIP Code for the TPA’s address. U.S. ZIP Codes must be 5
or 9 characters. Foreign ZIP Codes may be up to 15 characters.

Third Party
Administrator Address
Foreign Country
Indicator

1244

1

A/N

If the TPA’s address is in a foreign country, enter a numeric ‘1.’

Third Party
Administrator Address
Foreign Country Name

1245-1269

25

A/N

If the “Third Party Administrator Address Foreign Country
Indicator” is a ‘1,’ enter the name of the foreign country.

Employer Name

1270-1309

40

A/N

The claimant’s employer.

Employer Phone
Number

1310-1319

10

A/N

The employer’s phone number.

Employer Phone
Extension Number

1320-1325

6

A/N

The phone extension number for the claimant’s employer.

Employer Address
Line 1

1326-1365

40

A/N

The employer’s street address.

Part A: OCSS Insurance Match Standard Input File Record

Comments

A-9

OMB Control Number: 0970-0342
Expiration Date: 01/31/2027

Part A: OCSS Insurance Match Standard Input File Record

CHART A-1: OCSS INSURANCE MATCH STANDARD INPUT FILE RECORD
Field Name

Location

Length

A/N

Comments

Employer Address
Line 2

1366-1405

40

A/N

The employer’s address information.

Employer Address
City Name

1406-1435

30

A/N

The employer’s city.

Employer Address
State Code

1436-1437

2

A/N

The state alphabetic code for the employer.

Employer Address Zip
Code

1438-1452

15

A/N

The ZIP Code for the employer’s address. U.S. ZIP Codes must
be 5 or 9 characters. Foreign ZIP Codes may be up to 15
characters.

1453

1

A/N

Enter a numeric ‘1’ if the Employer’s address is in a foreign
country.

Employer Address
Foreign Country Name

1454-1478

25

A/N

Enter the name of the foreign country if the “Employer Address
Foreign Country Indicator” is a ‘1.’

Filler

1479-1487

9

A/N

Reserved for future use, fill with spaces.

Claim Adjuster Name

1488-1517

30

A/N

The name of the insurer’s claim adjuster.

Claim Adjuster Phone

1518-1527

10

A/N

The claim adjuster’s phone number.

NAIC Code

1528-1532

5

A/N

The insurer’s National Association of Insurance Commissioners
code.

Filler

1533-1600

68

A/N

Reserved for future use, fill with spaces.

Employer Address
Foreign Country
Indicator

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this voluntary information collection is
to compare information regarding individuals owing past-due child support with information maintained by insurers pertaining to claims, settlements, awards,
and payments to assist state child support agencies collect past-due support. Public reporting estimated burden for this collection of information is 0.083 hours
per respondent, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. As
provided by the 42 U.S.C. § 653(m), any confidential information collected for this program is secured and accessed only by authorized users. A federal
agency may not conduct or sponsor, and no individual or entity is required to respond to, nor shall an individual or entity be subject to a penalty for failure to
comply with a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless that collection of information displays a
currently valid OMB Control Number. If you have any comments on this collection of information, please contact [email protected]
Part A: OCSE Insurance Match Standard Input File Record

A-10

OCSE O&M and Continuous Improvements
Insurance Match

B.

Implementation Guide
Version 3.1

Debtor File Layout

The Debtor File is a standard, fixed-format layout used for sending individuals who owe child support to matching partners. This
section explains the Debtor File record layout, including field definitions and required fields.
Chart B-1 includes the following information:
Field Name
Location
Length
A/N
Comments

Identifies the name of the field.
Identifies the position of the field in the record.
Identifies the size of the field in bytes.
Designates the type of field: alphabetic (A), numeric (N), or alphanumeric (A/N).
Provides a description of the field, as well as valid values.
Chart B-1: Debtor File Layout

Field Name

Location

Length

A/N

1-9

9

A/N

The obligor’s SSN for insurance matching purposes.

Filler

10-12

3

A/N

This is for future versions. This is all spaces.

Obligor Last Name

13-47

35

A/N

The obligor’s last name to use for insurer matching purposes.

Obligor First Name

48-63

16

A/N

The obligor’s first name.

Obligor Middle Name

64-79

16

A/N

The obligor’s middle name.

Date of Birth

80-87

8

A/N

The obligor’s date of birth in CCYYMMDD format.
If the DOB is not available, this is all spaces.

88

1

A/N

The obligor’s sex:
F – Female
M – Male
If not available, this is a space.

Obligor SSN

Obligor Sex Code

Appendix B: Debtor File Layout

Comments

B-1

February 1, 2024

OCSE O&M and Continuous Improvements
Insurance Match

Implementation Guide
Version 3.1

Chart B-1: Debtor File Layout
Field Name

Location

Length

A/N

Obligor Address Line 1
Text

89-128

40

A/N

The obligor’s address information within this first street field.
If not provided, this is all spaces.

Obligor Address Line 2
Text

129-168

40

A/N

The obligor’s address information within this second street field.
If not provided, this is all spaces.

Obligor Address City
Name

169-193

25

A/N

The city associated with the obligor’s address.
If not provided, this is all spaces.

Obligor Address State
Code

194-195

2

A/N

The alphabetic code for the state associated with the obligor’s address.
If not provided, this is all spaces.

Obligor Address ZIP Code

196-210

15

A/N

The five-digit ZIP Code and the four-digit extension code (if available)
that is the geographic segment subunit of the ZIP Code; or the postal zone
(up to 15 characters) specific to the country, other than the U.S., where
the mail is delivered.
If not provided, this is all spaces.

Obligor Address Foreign
Country Indicator

211

1

A/N

Shows whether the obligor has a U.S. or foreign address:
1 – The obligor’s address is in a foreign country.
Space – The obligor’s address is in theU.S.

Obligor Address Foreign
Country Name

212-236

25

A/N

The foreign country associated with the obligor’s address.
If there is no country name, this is all spaces.
If the address is not in a foreign country, this is all spaces.

Filler

237-300

64

A/N

This is for future versions. This is all spaces.

Appendix B: Debtor File Layout

Comments

B-2

February 1, 2024

OCSE O&M and Continuous Improvements
Insurance Match

C.

Implementation Guide
Version 3.1

Summary of Changes

Chart C-1 lists the change to this document.
Chart C-1: Summary of Changes
Location

Appendix A: OCSE
Insurance Match Standard
Input File Record

Appendix C: Summary of Changes

Change

Updated the OMB Control Number: 0970-0342 (expiring
January 31, 2027) in the header and the document date.

C-1

February 1, 2024


File Typeapplication/pdf
File TitleInsurance Match Implementation Guide
SubjectInsurance Match Implementation Guide
AuthorOCSE
File Modified2025-04-01
File Created2024-05-16

© 2025 OMB.report | Privacy Policy