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The first record of a statement data submission file consists of the character string "[HEADER]". The following shows a sample HEADER record.

Sample HEADER RecordImage RemovedSample HEADER RecordImage Added

Header Record – Submission File Header

The second record of a statement data submission file is the Submission File Header record. The following shows a sample submission file header record.

Sample Submission Header RecordImage RemovedSample Submission Header RecordImage Added

The following table describes each field in the Submission File Header record, as copied from the section, "General Instructions For The Electronic Filing" in the NAIC Electronic Filing Submission Directive for 2012.

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