The ACORD 125 Commercial Insurance Application skill extracts data from ACORD commercial insurance application, which are four-page documents used to record general information about the client, such as business location and contact details, business description, prior insurance, and loss history.
The ACORD 125 Commercial Insurance Application is a preview skill. It has been trained on a limited set of documents and is designed to help you quickly get started with processing commercial insurance applications. For production use, you may need to uptrain the skill with your own document samples.
The ACORD 125 Commercial Insurance Application skill recognizes handwritten text. This option is enabled by default. If you do not import handwritten forms, disable the Handwritten option in the skill settings.
Countries and Languages
| Countries | Languages |
|---|
| USA | English |
Asterisk (*) indicates a required field or field group. Values cannot be empty.
Date
| Field | Description |
|---|
| Date | The date on which the form is completed. |
Agency
| Field | Description |
|---|
| Name | The full name of the insurance producer or agency. |
| Address | The address of the insurance producer or agency. |
| Contact Name | The name of the primary contact person at the producer’s establishment. |
| Phone | The phone number of the primary contact person at the producer’s establishment. |
| Fax | The fax number of the producer or agency. |
| E-mail | The email address of the primary contact person at the producer’s establishment. |
| Code | The identification code assigned to the producer (for example, an agency or brokerage firm) by the insurer. |
| Subcode | The identification code assigned by the insurer to the sub-producer (for example, a natural person) within a producer’s office (for example, an agency or brokerage firm). |
| Customer ID | The identification number of the customer assigned by the producer (for example, an agency or brokerage firm). |
Carrier
| Field | Description |
|---|
| Name | The insurer’s full legal company name(s) as per the file copy of the policy. |
| NAIC Code | The identification code assigned to the insurer by the National Association of Insurance Commissioners (NAIC). |
| Company Policy or Program Name | The description of an independently filed policy or program that may be optionally available from the insurance company. |
| Program Code | The product code assigned by the insurer for the policy. |
| Underwriter | The company underwriter (or other company staff person) that this form should be directed to. |
| Underwriter Office | The company underwriting office that this application should be directed to. |
Status of Transaction
| Field | Description |
|---|
| Status of Transaction | |
| Quote | Indicates that the response expected from the company is a quote. |
| Issue Policy | Indicates that the response expected from the company is an issued policy. |
| Renew | Indicates that the response expected from the company is a renewed policy. |
| Bound | Indicates that the coverage has been bound. |
| Change | Indicates that the policy is being submitted for a policy change. |
| Cancel | Indicates that the policy is being submitted for cancellation. |
| Date | |
| Date | The date on which the policy status becomes effective. This date indicated for policy statuses of Bound, Change, and Cancel. The date value must be in the following format: MM/DD/YYYY. |
| Time | |
| Time | The time at which the policy status becomes effective. The time is used for policy statuses of Bound, Change, and Cancel. |
| AM | Indicates that the time specified is AM. |
| PM | Indicates that the time specified is PM. |
Sections Attached (repeating group)
| Field | Description |
|---|
| Selected | Indicates whether sections are attached to the application. |
| Section Name | The name of the attached section, if any. |
| Premium USD | The premium amount for the section. |
Attachments (repeating group)
| Field | Description |
|---|
| Selected | Indicates whether documents are attached to the application. |
| Attachment Name | The attachment’s full name, if any. |
| Field | Description |
|---|
| Proposed Effective Date | The effective date of the policy. The date on which the terms and conditions of the policy commence. The date value must be in the following format: MM/DD/YYYY. |
| Proposed Expiration Date | The date on which the terms and conditions of the policy will expire. The date value must be in the following format: MM/DD/YYYY. |
| Billing Plan | |
| Direct | Indicates whether the policy is to be billed directly. |
| Agency | Indicates whether the policy is to be billed to the producer or agency |
| Payment Plan | The payment plan for the policy. |
| Method of Payment | The method for paying the invoice. |
| Audit | The audit term for policies that are subject to periodic audit. |
| Deposit | The amount of the premium received as a deposit. |
| Minimum Premium | The minimum premium amount for the policy. |
| Policy Premium | The estimated total cost of the policy |
First Applicant
| Field | Description |
|---|
| Name* | Information about the first insured (that is, the organization that has purchased the insurance coverages shown on the certificate). |
| Address | Information about the first insured (that is, the organization that has purchased the insurance coverages shown on the certificate). |
| E-Mail | Information about the first insured (that is, the organization that has purchased the insurance coverages shown on the certificate). |
| Business Phone | Information about the first insured (that is, the organization that has purchased the insurance coverages shown on the certificate). |
| Website Address | Information about the first insured (that is, the organization that has purchased the insurance coverages shown on the certificate). |
| GL Code | The code identifying the general liability nature of the business of the first insured. |
| SIC | The Standard Industry Classification code assigned to the business activity of the first insured. |
| NAICS | The North American Industry Classification System (NAICS) 6-digit industry code assigned to the business activity of the first insured. |
| FEIN or SSN | The tax identifier of the first insured. |
| Business Type | |
| Corporation | Indicates the legal entity code of the first insured. |
| Individual | Indicates the legal entity code of the first insured. |
| Joint Venture | Indicates the legal entity code of the first insured. |
| LLC | Indicates the legal entity code of the first insured. |
| Not for Profit Organization | Indicates the legal entity code of the first insured. |
| Partnership | Indicates the legal entity code of the first insured. |
| Subchapter S Corporation | Indicates the legal entity code of the first insured. |
| Trust | Indicates the legal entity code of the first insured. |
| Other | Indicates the legal entity code of the first insured. |
| LLC No of Members | The number of members and managers of the limited liability corporation. |
| Business Type Other | The description of the other type of legal entity. |
Non-First Applicant (repeating group)
| Field | Description |
|---|
| Name | Information about the insured (that is, the organization that has purchased the insurance coverages shown on the certificate). |
| Address | Information about the insured (that is, the organization that has purchased the insurance coverages shown on the certificate). |
| E-Mail | Information about the insured (that is, the organization that has purchased the insurance coverages shown on the certificate). |
| Business Phone | Information about the insured (that is, the organization that has purchased the insurance coverages shown on the certificate). |
| Website Address | Information about the insured (that is, the organization that has purchased the insurance coverages shown on the certificate). |
| GL Code | The code identifying the general liability nature of the business of the insured. |
| SIC | The Standard Industry Classification code assigned to the business activity of the insured. |
| NAICS | The North American Industry Classification System (NAICS) 6-digit industry code assigned to the business activity of the insured. |
| FEIN or SSN | The tax identifier of the insured. |
| Business Type | |
| Corporation | Indicates the legal entity code of the insured. |
| Individual | Indicates the legal entity code of the insured. |
| Joint Venture | Indicates the legal entity code of the insured. |
| LLC | Indicates the legal entity code of the insured. |
| Not for Profit Organization | Indicates the legal entity code of the insured. |
| Partnership | Indicates the legal entity code of the insured. |
| Subchapter S Corporation | Indicates the legal entity code of the insured. |
| Trust | Indicates the legal entity code of the insured. |
| Other | Indicates the legal entity code of the insured. |
| LLC No of Members | The number of members and managers of the limited liability corporation. |
| Business Type Other | The description of the other type of legal entity. |
| Field | Description |
|---|
| Contact Type | The customer’s identification number assigned by the producer (for example, an agency or brokerage firm). |
| Contact Name | The full name of the contact. |
| Primary Phone | |
| Phone | The primary phone number of the contact. |
| Home | Indicates that the primary phone number is for a home phone. |
| Business | Indicates that the primary phone number is for a business phone. |
| Cell | Indicates that the primary phone number is for a cell phone. |
| Secondary Phone | |
| Phone | The secondary phone number of the contact. |
| Home | Indicates that the secondary phone number is for a home phone. |
| Business | Indicates that the secondary phone number is for a business phone. |
| Cell | Indicates that the secondary phone number is for a cell phone. |
| Primary E-mail Address | The primary email address of the contact. |
| Secondary E-mail Address | The secondary email address of the contact. |
| Field | Description |
|---|
| Location Number | The address of the premises. |
| Building Number | The address of the premises. |
| Street | The address of the premises. |
| City | The address of the premises. |
| County | The address of the premises. |
| State | The address of the premises. |
| ZIP | The address of the premises. |
| City Limits | |
| Inside | Indicates that the building is within the city limits. |
| Outside | Indicates that the building is outside the city limits. |
| Other | Indicates that neither of the above applies. For example, for buildings in unincorporated areas. |
| City Limits Other | The description of the risk location if not inside or outside the city limits. |
| Interest | |
| Owner | Indicates that the insured’s interest in the building is as its owner. |
| Tenant | Indicates that the insured’s interest in the building is as its tenant. |
| Other | Indicates that the insured’s interest in the building is other than those listed. |
| Interest Other | The description of the insured’s interest in the building when it is other than those listed. |
| Number of Full Time Employees | Specifies the number of full time employees. |
| Number of Part Time Employees | Specifies the number of part time employees. |
| Annual Revenues USD | The annual revenue amount for this location. |
| Occupied Area SQ FT | The area, in square feet, of the space in the building that is occupied by the insured. |
| Open to Public Area SQ FT | The area, in square feet, of the building that is open to the public |
| Total Building Area SQ FT | The number of square feet of the building or area occupied at this location for which insurance is being requested. |
| Any Area Leased to Others | The field indicates whether the insured has any area that is leased to others. Possible values: Yes, No |
| Yes | Indicates that the insured has area leased to others. |
| No | Indicates that the insured does not have area leased to others. |
| Description of Operations | The description of the business operations each applicant performs and the way they are conducted by premises. |
Nature of Business
| Field | Description |
|---|
| Date Business Started | The date on which the business was started. |
| Nature of Business | Indicates the nature of the business. |
| Apartments | Indicates the nature of the business. |
| Condominiums | Indicates the nature of the business. |
| Contractor | Indicates the nature of the business. |
| Institutional | Indicates the nature of the business. |
| Manufacturing | Indicates the nature of the business. |
| Office | Indicates the nature of the business. |
| Restaurant | Indicates the nature of the business. |
| Retail | Indicates the nature of the business. |
| Service | Indicates the nature of the business. |
| Wholesale | Indicates the nature of the business. |
| Other | Indicates the nature of the business. |
| Nature of Business Other | The description of the other nature of the business. |
| Description of Primary Operations | The description of the primary operations of the business. |
| Retail Stores or Service Operations of Total Sales | |
| Installation or Service or Repair Work | The percentage of total sales of a retail store or service operation attributed to installation, service, or repair work. |
| Off Premises Installation or Service or Repair Work | The percentage of total sales of a retail store or service operation attributed to installation, service, or repair work completed off premises. |
| Description of Operations of Other Named Insureds | The description of the operations of the other insureds. |
Additional Interest
| Field | Description |
|---|
| Interest | Indicates the additional interest type. |
| Additional Insured | Indicates the additional interest type. |
| Breach of Warranty | Indicates the additional interest type. |
| Co-owner | Indicates the additional interest type. |
| Employee as Lessor | Indicates the additional interest type. |
| Leaseback Owner | Indicates the additional interest type. |
| Lien Holder | Indicates the additional interest type. |
| Loss Payee | Indicates the additional interest type. |
| Morgagee | Indicates the additional interest type. |
| Owner | Indicates the additional interest type. |
| Registrant | Indicates the additional interest type. |
| Trustee | Indicates the additional interest type. |
| Other | Indicates the additional interest type. |
| Interest Other | The description of the other type of additional interest. |
| Reason for Interest | The reason for including the additional interest. |
| Name | The additional interest’s full name. |
| Address | The additional interest’s mailing address. |
| Rank | The ranking of “this” additional interest when multiple additional interests are associated with the same item. |
| Evidence Document | |
| Evidence | Indicates whether the additional interest requires evidence of insurance. |
| Certificate | Indicates whether the additional interest requires a Certificate of Insurance. |
| Policy | Indicates whether additional interest requires a copy of the policy. |
| Reference or Loan Number | The loan number, account number or other controlling number that the additional interest may have assigned the insured. |
| Lien Amount | The amount of the loan. |
| Interest End Date | The date the interest holder’s interest terminates. |
| Phone | The primary phone number of the additional interest. |
| Fax | The primary fax number of the additional interest. |
| E-Mail | The primary email address for the additional interest. |
Key Fields
- Date
- Agency/Name
- Carrier/Name
- Carrier/Underwriter
- Policy Information/Proposed Effective Date
- First Applicant/Name
Validation Rules
| Rule | Description |
|---|
| Business Type Checkmark Check | Checks that only one field from the Business Type group is filled in. If more than one field is filled in, displays an error message. |
| Nature of Business Checkmark Check | Checks that only one field from the Nature of Business group is filled in. If more than one field is filled in, displays an error message. |