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business:1095c_offers_of_coverage

1095-C Offers of Coverage File Layout

This file record layout is used when importing a file to insert 1095-C insurance data records to the Human Resources > Maintenance > ACA 1095 YTD Data > 1095-C page.

SequenceField Length Type Description/Example
1Employee Number or Social Security NumberEmp # - 6 or SSN - 9Numeric001511 or 123456789
2Offer of Coverage for All Months2AlphanumericSee notes section for code descriptions.
3January Offer of Coverage2AlphanumericSee notes section for code descriptions.
4February Offer of Coverage2AlphanumericSee notes section for code descriptions.
5March Offer of Coverage2AlphanumericSee notes section for code descriptions.
6April Offer of Coverage2AlphanumericSee notes section for code descriptions.
7May Offer of Coverage2AlphanumericSee notes section for code descriptions.
8June Offer of Coverage2AlphanumericSee notes section for code descriptions.
9July Offer of Coverage2AlphanumericSee notes section for code descriptions.
10August Offer of Coverage2AlphanumericSee notes section for code descriptions.
11September Offer of Coverage2AlphanumericSee notes section for code descriptions.
12October Offer of Coverage2AlphanumericSee notes section for code descriptions.
13November Offer of Coverage2AlphanumericSee notes section for code descriptions.
14December Offer of Coverage2AlphanumericSee notes section for code descriptions.
15Employee Share for All Months5.2NumericCannot be less than zero or greater than 99999.99
16January Employee Share5.2NumericCannot be less than zero or greater than 99999.99
17February Employee Share5.2NumericCannot be less than zero or greater than 99999.99
18March Employee Share5.2NumericCannot be less than zero or greater than 99999.99
19April Employee Share5.2NumericCannot be less than zero or greater than 99999.99
20May Employee Share5.2NumericCannot be less than zero or greater than 99999.99
21June Employee Share5.2NumericCannot be less than zero or greater than 99999.99
22July Employee Share5.2NumericCannot be less than zero or greater than 99999.99
23August Employee Share5.2NumericCannot be less than zero or greater than 99999.99
24September Employee Share5.2NumericCannot be less than zero or greater than 99999.99
25October Employee Share5.2NumericCannot be less than zero or greater than 99999.99
26November Employee Share5.2NumericCannot be less than zero or greater than 99999.99
27December Employee Share5.2NumericCannot be less than zero or greater than 99999.99
28Safe Harbor for All Months2AlphanumericSee notes section for code descriptions.
29January Safe Harbor2AlphanumericSee notes section for code descriptions.
30February Safe Harbor2AlphanumericSee notes section for code descriptions.
31March Safe Harbor2AlphanumericSee notes section for code descriptions.
32April Safe Harbor2AlphanumericSee notes section for code descriptions.
33May Safe Harbor2AlphanumericSee notes section for code descriptions.
34June Safe Harbor2AlphanumericSee notes section for code descriptions.
35July Safe Harbor2AlphanumericSee notes section for code descriptions.
36August Safe Harbor2AlphanumericSee notes section for code descriptions.
37September Safe Harbor2AlphanumericSee notes section for code descriptions.
38October Safe Harbor2AlphanumericSee notes section for code descriptions.
39November Safe Harbor2AlphanumericSee notes section for code descriptions.
40December Safe Harbor2AlphanumericSee notes section for code descriptions.

The uploaded file type must be in the comma-delimited text (.txt) or comma-separated values (.csv) format. Only the employee number is required.

The Length field provides the maximum number of allowed characters.

Offer of Coverage codes (columns 2-14):

1A - Qualifying Offer
1B - Offer to employee only
1C - Offer to employee and dependents
1D - Offer to employee and spouse
1E - Offer to employee, spouse, and dependents
1F - Offer of coverage not providing minimum value
1G - Employee not full-time and enrolled in self-insured coverage
1H - No offers
1I - Qualifying offer transition relief

Section 4980H Safe Harbor codes (columns 28-40):

2A - Employee not employed on any day of the month
2B - Employee not a full-time employee for the month and did not enroll in coverage
2C - Employee enrolled in coverage offered
2D - Employee was in a Limited Non-Assessment Period
2E - Multiemployer interim rule relief
2F - W-2 Safe Harbor
2G - Federal poverty line safe harbor
2H - Rate of pay safe harbor
2I - Non-calendar year transition relief

business/1095c_offers_of_coverage.txt ยท Last modified: 2018/07/24 12:21 (external edit)

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