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ACAR - 1095C

Base Configuration for 1095-C
This common code is used for the base configuration for the 1095-C data.
Code Category: ACAR
Code Value: 1095C
Short Description: Used to describe the common code.
Medium Description: Used to describe the common code.
Long Description: Used to describe the common code.
Associated Numeric Values
1: Enter the Plan Start Month (0-12).
2-5: Reserved for future use.
Associated Codes
1: Enter "Y" if Self-Insured and Part III must be completed for all employees.
2: Enter the field from hr_beneinfo / hr_benetble where the Offer of Coverage code is stored.
CD1-CD4GR – Group (hr_benetble only)SG – Sub Group (hr_benetble only)
3: Enter the field from hr_beneinfo / hr_benetble where Section 4980H Safe Harbor code is stored.CD1-CD4GR – Group (hr_benetble only)SG – Sub Group (hr_benetble only)
4: Enter "MISC" if the MISCDATE1 and MISCDATE2 from hr_beneinfo should be used to determine coverage periods instead of BENE_BEG and BENE_END.
5: Reserved for future use:
Associated Descriptions
1-3: Enter Benefit Sort values that identify medical plans (example: MED, MDL, HLT, etc.). If no benefit sort types are identified the process will abort.
4-5: Enter Member Types that should be included in Dependent Info, separated by commas. If no member types are identified then all family entries will be included.

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