Top Banner
Data Dictionary and Standards Reporting Only Updated: September 28, 2016
34

ACA-Track Data Groups - Login Dictionary and... · Web viewEach data element occurs one time per employee. Employee Benefits: Knowing if and for what time periods employees were covered

Apr 01, 2018

Download

Documents

vuongthu
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: ACA-Track Data Groups - Login Dictionary and... · Web viewEach data element occurs one time per employee. Employee Benefits: Knowing if and for what time periods employees were covered

Data Dictionary and StandardsReporting Only

Updated: September 28, 2016

Page 2: ACA-Track Data Groups - Login Dictionary and... · Web viewEach data element occurs one time per employee. Employee Benefits: Knowing if and for what time periods employees were covered

Page intentionally left blank.

Page 2 of 26

Page 3: ACA-Track Data Groups - Login Dictionary and... · Web viewEach data element occurs one time per employee. Employee Benefits: Knowing if and for what time periods employees were covered

TABLE OF CONTENTS

ACA-Track Data Groups................................................................................................................7

ACA Required Data status descriptions........................................................................................8ACA Data Type definitions............................................................................................................8

Employee Data..............................................................................................................................9EmpNo.......................................................................................................................................9

SSN...........................................................................................................................................9LastName..................................................................................................................................9

FirstName..................................................................................................................................9MiddleInit...................................................................................................................................9

SuffixName................................................................................................................................9PrimeBUDesc..........................................................................................................................10

PrimeJobDesc.........................................................................................................................10PrimeLocDesc.........................................................................................................................10

EmploymentStatus...................................................................................................................10Active.......................................................................................................................................10

OrigHireDate............................................................................................................................10HireDate...................................................................................................................................10

TermDate.................................................................................................................................10Addr1.......................................................................................................................................11

Addr2.......................................................................................................................................11City...........................................................................................................................................11

State........................................................................................................................................11CountryCode............................................................................................................................11

Postal.......................................................................................................................................11EffectiveDate...........................................................................................................................11

Coverage Data.............................................................................................................................12EmpNo.....................................................................................................................................12

DedDesc..................................................................................................................................12StartDate..................................................................................................................................12

EndDate...................................................................................................................................12Waived Data................................................................................................................................13

EmpNo.....................................................................................................................................13Effective...................................................................................................................................13

Expiration.................................................................................................................................13

Page 3 of 26

Page 4: ACA-Track Data Groups - Login Dictionary and... · Web viewEach data element occurs one time per employee. Employee Benefits: Knowing if and for what time periods employees were covered

IRS Employee Offer of Coverage................................................................................................14

EmpSSN..................................................................................................................................14AllMonths.................................................................................................................................14

Jan...........................................................................................................................................14Feb...........................................................................................................................................14

Mar...........................................................................................................................................14Apr...........................................................................................................................................15

May..........................................................................................................................................15Jun...........................................................................................................................................15

Jul............................................................................................................................................15Aug..........................................................................................................................................15

Sep..........................................................................................................................................15Oct...........................................................................................................................................15

Nov..........................................................................................................................................16Dec..........................................................................................................................................16

IRS Employee Share Lowest Coverage......................................................................................17EmpSSN..................................................................................................................................17

AllMonths.................................................................................................................................17Jan...........................................................................................................................................17

Feb...........................................................................................................................................17Mar...........................................................................................................................................17

Apr...........................................................................................................................................17May..........................................................................................................................................18

Jun...........................................................................................................................................18Jul............................................................................................................................................18

Aug..........................................................................................................................................18Sep..........................................................................................................................................18

Oct...........................................................................................................................................18Nov..........................................................................................................................................18

Dec..........................................................................................................................................18IRS Section 4980H Safe Harbor..................................................................................................19

EmpSSN..................................................................................................................................19AllMonths.................................................................................................................................19

Jan...........................................................................................................................................19Feb...........................................................................................................................................19

Mar...........................................................................................................................................19

Page 4 of 26

Page 5: ACA-Track Data Groups - Login Dictionary and... · Web viewEach data element occurs one time per employee. Employee Benefits: Knowing if and for what time periods employees were covered

Apr...........................................................................................................................................20

May..........................................................................................................................................20Jun...........................................................................................................................................20

Jul............................................................................................................................................20Aug..........................................................................................................................................20

Sep..........................................................................................................................................20Oct...........................................................................................................................................20

Nov..........................................................................................................................................21Dec..........................................................................................................................................21

IRS Covered Individuals..............................................................................................................22EmpSSN..................................................................................................................................22

CoveredLastName...................................................................................................................22CoveredFirstName...................................................................................................................22

CoveredMiddleName...............................................................................................................22CoveredSuffixName.................................................................................................................22

CoveredSSN............................................................................................................................23CoveredDOB...........................................................................................................................23

StartDate..................................................................................................................................23EndDate...................................................................................................................................23

AllMonths.................................................................................................................................23Jan...........................................................................................................................................23

Feb...........................................................................................................................................23Mar...........................................................................................................................................23

Apr...........................................................................................................................................24May..........................................................................................................................................24

Jun...........................................................................................................................................24Jul............................................................................................................................................24

Aug..........................................................................................................................................24Sep..........................................................................................................................................24

Oct...........................................................................................................................................24Nov..........................................................................................................................................25

Dec..........................................................................................................................................25TaxYear...................................................................................................................................25

Page 5 of 26

Page 6: ACA-Track Data Groups - Login Dictionary and... · Web viewEach data element occurs one time per employee. Employee Benefits: Knowing if and for what time periods employees were covered

Page intentionally left blank.

Page 6 of 26

Page 7: ACA-Track Data Groups - Login Dictionary and... · Web viewEach data element occurs one time per employee. Employee Benefits: Knowing if and for what time periods employees were covered

ACA-TRACK DATA GROUPS

Within ACA-Track, there are seven data groups, shown below, which are necessary to fulfill IRS reporting requirements. Each group is defined below, with a field-by-field explanation contained later in this document.

Employee Data: Current demographic or employee/employer related data is stored in the employee data. Each data element occurs one time per employee.

Employee Benefits (Coverage): Knowing if and for what time periods employees were covered by employer-provided health insurance, when it began and when it is scheduled to end (i.e. coverage period) is important for employers and required for IRS reporting. ACA-Track takes full advantage of this required data.

Employee Health Insurance Waivers (Waivers): Employees, when offered health benefits, can choose to waive health insurance coverage when they are covered outside the employer’s benefit plan. Waiver information may be imported via this data group or employee waiver events can be entered, into the ACA-Track Event Tracking feature.

IRS Employee Offer of Coverage (IRS 1095 Part II Line 14): This data is used to populate to IRS Form 1095 Part II Line 14. It describes the coverage that the employer offered to the employee and the employee’s spouse and dependent(s), if any.

IRS Employee Share Lowest Coverage (IRS 1095 Part II Line 15): This data is used to populate to IRS Form 1095 Part II Line 15. This line reports the employee share of the lowest-cost monthly premium for self-only minimum essential coverage providing minimum value that the employer offered the employee. Line 15 will show an amount only if the minimum essential coverage the employer offered provided minimum value.

IRS 4980 Safe Harbor (IRS 1095 Part II Line 16): This data is used to populate to IRS Form 1095 Part II Line 15. This line provides the IRS information to administer the employer shared responsibility provisions.

IRS Covered Individuals (IRS 1095 Part III): This data is used to populate to IRS Form 1095 Part III. Part III reports the name, social security number, and coverage information about everyone covered under the employer's health plan, if the plan is "self-insured." A date of birth will be entered in column (c) only if an SSN is not entered in column (b). Column (d) will be checked if the individual was covered for at least one day in every month of the year. For individuals who were covered for some but not all months, information will be entered in column (e) indicating the months for which these individuals were covered. If there are more than 6 covered individuals, you will receive one or more additional Forms 1095-C that continue Part III.

Page 7 of 26

Page 8: ACA-Track Data Groups - Login Dictionary and... · Web viewEach data element occurs one time per employee. Employee Benefits: Knowing if and for what time periods employees were covered

ACA REQUIRED DATA STATUS DESCRIPTIONS

Required = Yes: The data for the respective field is required for minimal operations of ACA Track.

Required = Conditional: The data for the respective field is conditionally required, usually dependent on another field in the system.

Required = Functionality: The data for the respective field is not required, however not supplying the data may reduce certain functionality within ACA–Track.

Required = Optional: The data should be provided if available, but is not required for ACA compliance.

ACA DATA TYPE DEFINITIONS

Char – Character string which may contain different types of characters, i.e. numeric, alpha, or special characters. These data elements have a predefined structure, such as a social security number format of ###-##-####.

Date – format will be MM/DD/YYYY. VarChar – Variable Character string which can accept any combination of any type of

character. Decimal – Numeric character string with specified number of decimal places.

Page 8 of 26

Page 9: ACA-Track Data Groups - Login Dictionary and... · Web viewEach data element occurs one time per employee. Employee Benefits: Knowing if and for what time periods employees were covered

EMPLOYEE DATA

Purpose: Employee data is used to store all employees that are being reported for the current reporting year.

If more than one record in a submission batch has the same EmpNo, then each entry must have a different Effective Date. (see page 13 for Effective Date rules)

EmpNo Data Type: VarChar (50)Required: YesPurpose: Unique identifier for an employee. Only one value can be used per employee. SSN cannot be used since this field is not encrypted.

SSN Data Type: Char (11)Required: YesPurpose: Unique Social Security Number for an employee. SSN is used for reporting purposes and does not appear in the grid or spreadsheet output. It is encrypted in ACA-Track database.Format: XXX-XX-XXXX

LastName Data Type: VarChar (100)Required: YesPurpose: Employee’s last name. Appears in reporting and is available in the grid. It is encrypted in ACA-Track database.

FirstName Data Type: VarChar (100)Required: YesPurpose: Employee’s first name. Appears in reporting and is available in the grid. It is encrypted in ACA-Track database.

MiddleInit Data Type: VarChar (1)Required: Conditional (If exists, supply)Purpose: Documents employees’ middle initial. Appears in reporting and is available in the grid. It is encrypted in ACA-Track database.

SuffixName Data Type: VarChar (10)Required: Conditional (If exists, supply)Purpose: Documents employees’ suffix (Jr., Sr., III). Appears in reporting and is available in the grid. It is encrypted in ACA-Track database.

Page 9 of 26

Page 10: ACA-Track Data Groups - Login Dictionary and... · Web viewEach data element occurs one time per employee. Employee Benefits: Knowing if and for what time periods employees were covered

PrimeBUDesc Data Type: VarChar (100)Required: FunctionalityPurpose: Primary Bargaining Unit descriptions are used in identifying specific agency or labor organizations. If an employee has multiple Bargain Units assigned to them, PrimeBUDesc is the one with the highest FTE if identifiable.

PrimeJobDesc Data Type: VarChar (100)Required: Functionality Purpose: PrimeJobDesc describe the Prime Job code provided.

PrimeLocDesc Data Type: VarChar (100)Required: FunctionalityPurpose: PrimeLocDesc describe the PrimeLoc code provided.

EmploymentStatus Data Type: VarChar (30)Required: YesPurpose: EmploymentStatus identifies the status of the employee’s employment. ACA Track configuration must identify which employees are considered full-time for calculation purposes.Example Data: (FT, PT, Retired, Cobra)

Active Data Type: VarChar (1)Required: YesPurpose: Identifies if the employee is currently actively employed on the Effective Date of the record. If employee is not currently receiving pay, for example a seasonal employee, they should still be tracked in the event they were to return during the current measurement period. ACA-Track allows the user to map their internally used status code to Active or Inactive for snapshots and reporting.Example Data: A: Active/ I: Inactive

OrigHireDate Data Type: DateRequired: Yes, but when not provided, ACA-Track uses HireDate.Purpose: If employee was previously employed and then rehired, use this field to supply their original hire date. If employee was not previously employed, then use HireDate for this value.

HireDate Data Type: DateRequired: YesPurpose: HireDate is the date an employee was hired.

TermDate Data Type: DateRequired: Conditional, if exists

Page 10 of 26

Page 11: ACA-Track Data Groups - Login Dictionary and... · Web viewEach data element occurs one time per employee. Employee Benefits: Knowing if and for what time periods employees were covered

Purpose: TermDate is the date an employee’s employment was terminated. NOTE: If a person has a TermDate, their Active value would be expected to be “I” – Inactive.

Addr1 Data Type: VarChar (100)Required: YesPurpose: Employee’s mailing address line 1. Required for 1095 Reporting.

Addr2 Data Type: VarChar (100)Required: Conditional, if exists.Purpose: Employee’s mailing address line 2. Used for 1095 Reporting.

City Data Type: VarChar (100)Required: YesPurpose: Employee’s city mailing address. Required for 1095 Reporting.

State Data Type: VarChar (2)Required: YesPurpose: Employee’s 2-character state or province code for mailing address. Required for 1095 Reporting.

CountryCode Data Type: VarChar (2)Required: YesPurpose: Employee’s 2-character country code for mailing address. Required for 1095 Reporting.

Postal Data Type: VarChar (10)Required: YesPurpose: Employee’s postal (zip) mailing address. Required for 1095 Reporting.

EffectiveDate Data Type: DateRequired: YesPurpose: Effective Date indicates when the most recent change to a record occurred. Format: MM/DD/YYYY

Effective Date Rules: The submitted effective date carries through to the employee master table. If the Employee record is new to ACA-Track™, then a record will be created with the

Effective Date = Hire/Start Date If the Employee record includes a Term Date, then a record will be created with the

Effective Date = Term Date unless the start date is greater than the Term Date, then the start date will be used

Page 11 of 26

Page 12: ACA-Track Data Groups - Login Dictionary and... · Web viewEach data element occurs one time per employee. Employee Benefits: Knowing if and for what time periods employees were covered

If the Employee record exists in ACA-Track™, then a full comparison is done to determine if any field value is different from the most recent (based on Effective Date) Employee record loaded into ACA-Track™.

If the only change is the addition of the Term Date, then the Effective Date = Term Date

COVERAGE DATA

Purpose: Coverage Data or Deduction data, is used to determine if an employee had health insurance coverage during any part of the measurement period. An Employee can have multiple Coverage records as long as the date ranges for a single DedDesc do not overlap.

EmpNo Data Type: VarChar (50)Required: YesPurpose: Unique identifier for an employee.

DedDesc Data Type: VarChar (100)Required: Functionality Purpose: Identifies health insurance coverage deduction description for the deduction code used.

StartDate Data Type: DateRequired: YesPurpose: The date health insurance coverage starts.

EndDate Data Type: DateRequired: YesPurpose: The date health insurance coverage ends.

Page 12 of 26

Page 13: ACA-Track Data Groups - Login Dictionary and... · Web viewEach data element occurs one time per employee. Employee Benefits: Knowing if and for what time periods employees were covered

WAIVED DATA

Purpose: Waived data indicates the employee declined health coverage.

Unique combinations: EmpNo, StartDate

EmpNo Data Type: VarChar (50)Required: YesPurpose: Unique identifier for an employee.

EffectiveData Type: DateRequired: YesPurpose: The start date of the waiver on file for the employee.

Expiration Data Type: DateRequired: YesPurpose: The expiration date of the waiver on file for the employee.

Page 13 of 26

Page 14: ACA-Track Data Groups - Login Dictionary and... · Web viewEach data element occurs one time per employee. Employee Benefits: Knowing if and for what time periods employees were covered

IRS EMPLOYEE OFFER OF COVERAGE

Purpose: IRS_1095C_II_Line14 provides placeholder to collect needed data for IRS Report 1095C, Section II, Line 14, Offer of Coverage.

Process Method: (Replace – all existing data records are removed from the database and then incoming records are added creating an entirely new data set).

Special Note: Either “All Months” must be completed or “All Months” left blank and columns Jan through Dec must be completed.

EmpSSN Data Type: Char (11)Required: YesPurpose: Unique Social Security Number for an employee. SSN is used for reporting purposes and does not appear in the grid or spreadsheet output. It is encrypted in ACA-Track database.Format: XXX-XX-XXXX

AllMonths Data Type: Char (2) Required: ConditionalPurpose: If same code value applies for all 12 calendar months, supply Code Series in this field. Example Data: (1A, 1B, 1C, 1D, 1E, 1F, 1G, 1H)

JanData Type: Char (2) Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply Code Series in this field. Example Data: (1A, 1B, 1C, 1D, 1E, 1F, 1G, 1H)

FebData Type: Char (2) Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply Code Series in this field. Example Data: (1A, 1B, 1C, 1D, 1E, 1F, 1G, 1H)

MarData Type: Char (2) Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply Code Series in this field. Example Data: (1A, 1B, 1C, 1D, 1E, 1F, 1G, 1H)

Page 14 of 26

Page 15: ACA-Track Data Groups - Login Dictionary and... · Web viewEach data element occurs one time per employee. Employee Benefits: Knowing if and for what time periods employees were covered

AprData Type: Char (2) Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply Code Series in this field. Example Data: (1A, 1B, 1C, 1D, 1E, 1F, 1G, 1H)

MayData Type: Char (2) Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply Code Series in this field. Example Data: (1A, 1B, 1C, 1D, 1E, 1F, 1G, 1H)

JunData Type: Char (2) Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply Code Series in this field. Example Data: (1A, 1B, 1C, 1D, 1E, 1F, 1G, 1H)

JulData Type: Char (2) Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply Code Series in this field. Example Data: (1A, 1B, 1C, 1D, 1E, 1F, 1G, 1H)

AugData Type: Char (2) Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply Code Series in this field. Example Data: (1A, 1B, 1C, 1D, 1E, 1F, 1G, 1H)

SepData Type: Char (2) Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply Code Series in this field. Example Data: (1A, 1B, 1C, 1D, 1E, 1F, 1G, 1H)

OctData Type: Char (2) Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply Code Series in this field. Example Data: (1A, 1B, 1C, 1D, 1E, 1F, 1G, 1H)

Page 15 of 26

Page 16: ACA-Track Data Groups - Login Dictionary and... · Web viewEach data element occurs one time per employee. Employee Benefits: Knowing if and for what time periods employees were covered

NovData Type: Char (2) Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply Code Series in this field. Example Data: (1A, 1B, 1C, 1D, 1E, 1F, 1G, 1H)

DecData Type: Char (2) Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply Code Series in this field. Example Data: (1A, 1B, 1C, 1D, 1E, 1F, 1G, 1H)

Page 16 of 26

Page 17: ACA-Track Data Groups - Login Dictionary and... · Web viewEach data element occurs one time per employee. Employee Benefits: Knowing if and for what time periods employees were covered

IRS EMPLOYEE SHARE LOWEST COVERAGE

Purpose: IRS_1095C_II_Line15 provides placeholder to collect needed data for IRS Report 1095C, Section II, Line 15, Employee Share. Only supply if Section II Line 14 codes were 1B,1C,1D or 1E.

Process Method: (Replace – all existing data records are removed from the database and then incoming records are added creating an entirely new data set).

Special Note: Either “All Months” must be completed or “All Months” left blank and columns Jan through Dec must be completed.

EmpSSN Data Type: Char (11)Required: YesPurpose: Unique Social Security Number for an employee. SSN is used for reporting purposes and does not appear in the grid or spreadsheet output. It is encrypted in ACA-Track database.Format: XXX-XX-XXXX

AllMonths Data Type: Decimal (19,2) Required: ConditionalPurpose: If same amount of the employee share of the lowest-cost monthly premium applies for all 12 calendar months, enter monthly amount only in this box, leave all others blank.

JanData Type: Decimal (19,2) Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply employee share of the lowest-cost monthly premium in this field.

FebData Type: Decimal (19,2)Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply employee share of the lowest-cost monthly premium in this field.

MarData Type: Decimal (19,2)Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply employee share of the lowest-cost monthly premium in this field.

AprData Type: Decimal (19,2) Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply employee share of the lowest-cost monthly premium in this field.

Page 17 of 26

Page 18: ACA-Track Data Groups - Login Dictionary and... · Web viewEach data element occurs one time per employee. Employee Benefits: Knowing if and for what time periods employees were covered

MayData Type: Decimal (19,2)Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply employee share of the lowest-cost monthly premium in this field.

JunData Type: Decimal (19,2)Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply employee share of the lowest-cost monthly premium in this field.

JulData Type: Decimal (19,2) Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply employee share of the lowest-cost monthly premium in this field.

AugData Type: Decimal (19,2)Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply employee share of the lowest-cost monthly premium in this field.

SepData Type: Decimal (19,2)Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply employee share of the lowest-cost monthly premium in this field.

OctData Type: Decimal (19,2)Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply employee share of the lowest-cost monthly premium in this field.

NovData Type: Decimal (19,2)Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply employee share of the lowest-cost monthly premium in this field.

DecData Type: Decimal (19,2) Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply employee share of the lowest-cost monthly premium in this field.

Page 18 of 26

Page 19: ACA-Track Data Groups - Login Dictionary and... · Web viewEach data element occurs one time per employee. Employee Benefits: Knowing if and for what time periods employees were covered

IRS SECTION 4980H SAFE HARBOR

Purpose: IRS_1095C_II_Line16 provides placeholder to collect needed data for IRS Report 1095C, Section II, Line 16, Safe Harbor Codes.

Process Method: (Replace – all existing data records are removed from the database and then incoming records are added creating an entirely new data set).

Special Note: Either “All Months” must be completed or “All Months” left blank and columns Jan through Dec must be completed.

EmpSSN Data Type: Char (11)Required: YesPurpose: Unique Social Security Number for an employee. SSN is used for reporting purposes and does not appear in the grid or spreadsheet output. It is encrypted in ACA-Track database.Format: XXX-XX-XXXX

AllMonths Data Type: Char (2) Required: ConditionalPurpose: If same code value applies for all 12 calendar months, supply Code Series in this field. Example Data: (2A, 2B, 2C, 2D, 2E, 2F, 2G, 2H)

JanData Type: Char (2) Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply Code Series in this field. Example Data: (2A, 2B, 2C, 2D, 2E, 2F, 2G, 2H)

FebData Type: Char (2) Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply Code Series in this field. Example Data: (2A, 2B, 2C, 2D, 2E, 2F, 2G, 2H)

MarData Type: Char (2) Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply Code Series in this field. Example Data: (2A, 2B, 2C, 2D, 2E, 2F, 2G, 2H)

Page 19 of 26

Page 20: ACA-Track Data Groups - Login Dictionary and... · Web viewEach data element occurs one time per employee. Employee Benefits: Knowing if and for what time periods employees were covered

AprData Type: Char (2) Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply Code Series in this field. Example Data: (2A, 2B, 2C, 2D, 2E, 2F, 2G, 2H)

MayData Type: Char (2) Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply Code Series in this field. Example Data: (2A, 2B, 2C, 2D, 2E, 2F, 2G, 2H)

JunData Type: Char (2) Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply Code Series in this field. Example Data: (2A, 2B, 2C, 2D, 2E, 2F, 2G, 2H)

JulData Type: Char (2) Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply Code Series in this field. Example Data: (2A, 2B, 2C, 2D, 2E, 2F, 2G, 2H)

AugData Type: Char (2) Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply Code Series in this field. Example Data: (2A, 2B, 2C, 2D, 2E, 2F, 2G, 2H)

SepData Type: Char (2) Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply Code Series in this field. Example Data: (2A, 2B, 2C, 2D, 2E, 2F, 2G, 2H)

OctData Type: Char (2) Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply Code Series in this field. Example Data: (2A, 2B, 2C, 2D, 2E, 2F, 2G, 2H)

Page 20 of 26

Page 21: ACA-Track Data Groups - Login Dictionary and... · Web viewEach data element occurs one time per employee. Employee Benefits: Knowing if and for what time periods employees were covered

NovData Type: Char (2) Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply Code Series in this field. Example Data: (2A, 2B, 2C, 2D, 2E, 2F, 2G, 2H)

DecData Type: Char (2) Required: ConditionalPurpose: If type of coverage applied to this month only or was different from other months, supply Code Series in this field. Example Data: (2A, 2B, 2C, 2D, 2E, 2F, 2G, 2H)

Page 21 of 26

Page 22: ACA-Track Data Groups - Login Dictionary and... · Web viewEach data element occurs one time per employee. Employee Benefits: Knowing if and for what time periods employees were covered

IRS COVERED INDIVIDUALS

Purpose: IRS_1095C_III provides placeholder to collect needed data for IRS Report 1095C, Section III, Covered Individuals.

Process Method: (Replace – all existing data records are removed from the database and then incoming records are added creating an entirely new data set).

Please Note: If the covered member exists in the Employee Data Table, then do not add the Covered

Member’s data in this section. Additionally, if the Covered Individual is the primary enrollee, who should be listed in Section I of IRS form 1095-C, then the employee data must be present in the Employee Data table.

Either “All Months” must be completed or “All Months” left blank and columns Jan through Dec must be completed. SSN or DOB must be supplied.

EmpSSN Data Type: Char (11)Required: YesPurpose: Unique Social Security Number for an employee. SSN is used for reporting purposes and does not appear in the grid or spreadsheet output. It is encrypted in ACA-Track database.Format: XXX-XX-XXXX

CoveredLastName Data Type: Char (50) Required: YesPurpose: Unique Name Field for a Covered Individual. Required, when applicable, for reporting of Covered Individuals in Section III of 1095-C.

CoveredFirstName Data Type: Char (50) Required: YesPurpose: Unique Name Field for a Covered Individual. Required, when applicable, for reporting of Covered Individuals in Section III of 1095-C.

CoveredMiddleName Data Type: Char (50) Required: Conditional, if exists.Purpose: Unique Name Field for a Covered Individual. Required, when applicable, for reporting of Covered Individuals in Section III of 1095-C. Exact match with Social Security Administration is required for IRS TIN match.

CoveredSuffixName Data Type: Char (50) Required: Conditional, if exists.Purpose: Unique Name Field for a Covered Individual. Required, when applicable, for reporting of Covered Individuals in Section III of 1095-C. Exact match with Social Security Administration is required for IRS TIN match.

Page 22 of 26

Page 23: ACA-Track Data Groups - Login Dictionary and... · Web viewEach data element occurs one time per employee. Employee Benefits: Knowing if and for what time periods employees were covered

CoveredSSN Data Type: Char (11)Required: YesPurpose: Unique Social Security Number for an employee. SSN is used for reporting purposes and does not appear in the grid or spreadsheet output. It is encrypted in ACA-Track database.Format: XXX-XX-XXXX

CoveredDOB Data Type: Date (10) Required: Conditional – Required when SSN is not available.Purpose: If covered SSN is not available, then Covered DOB is required.

StartDate Data Type: Date (10) Required: Conditional – Required when providing a date range for coverage.Purpose: Start Date of Coverage.

EndDate Data Type: Date (10) Required: Conditional – Required when providing a date range for coverage.Purpose: End Date of Coverage.

AllMonths Data Type: Char (1) Required: Conditional – If applicablePurpose: If the individual was covered for any day of the month, during every month of the reporting year. Multiple values can be accepted.Example Data: (Y, y, X, x)

JanData Type: Char (1) Required: Conditional – When date range is not provided.Purpose: If the individual was covered for any day of the month, this field should contain a value. Multiple values can be accepted.Example Data: (Y, y, X, x)

FebData Type: Char (1) Required: Conditional – When date range is not provided.Purpose: If the individual was covered for any day of the month, this field should contain a value. Multiple values can be accepted.Example Data: (Y, y, X, x)

MarData Type: Char (1) Required: Conditional – When date range is not provided.Purpose: If the individual was covered for any day of the month, this field should contain a value. Multiple values can be accepted.Example Data: (Y, y, X, x)

Page 23 of 26

Page 24: ACA-Track Data Groups - Login Dictionary and... · Web viewEach data element occurs one time per employee. Employee Benefits: Knowing if and for what time periods employees were covered

AprData Type: Char (1) Required: Conditional – When date range is not provided.Purpose: If the individual was covered for any day of the month, this field should contain a value. Multiple values can be accepted.Example Data: (Y, y, X, x)

MayData Type: Char (1) Required: Conditional – When date range is not provided.Purpose: If the individual was covered for any day of the month, this field should contain a value. Multiple values can be accepted.Example Data: (Y, y, X, x)

JunData Type: Char (1) Required: Conditional – When date range is not provided.Purpose: If the individual was covered for any day of the month, this field should contain a value. Multiple values can be accepted.Example Data: (Y, y, X, x)

JulData Type: Char (1) Required: Conditional – When date range is not provided.Purpose: If the individual was covered for any day of the month, this field should contain a value. Multiple values can be accepted.Example Data: (Y, y, X, x)

AugData Type: Char (1) Required: Conditional – When date range is not provided.Purpose: If the individual was covered for any day of the month, this field should contain a value. Multiple values can be accepted.Example Data: (Y, y, X, x)

SepData Type: Char (1) Required: Conditional – When date range is not provided.Purpose: If the individual was covered for any day of the month, this field should contain a value. Multiple values can be accepted.Example Data: (Y, y, X, x)

OctData Type: Char (1) Required: Conditional – When date range is not provided.Purpose: If the individual was covered for any day of the month, this field should contain a value. Multiple values can be accepted.Example Data: (Y, y, X, x)

Page 24 of 26

Page 25: ACA-Track Data Groups - Login Dictionary and... · Web viewEach data element occurs one time per employee. Employee Benefits: Knowing if and for what time periods employees were covered

NovData Type: Char (1) Required: Conditional – When date range is not provided.Purpose: If the individual was covered for any day of the month, this field should contain a value. Multiple values can be accepted.Example Data: (Y, y, X, x)

DecData Type: Char (1) Required: Conditional – When date range is not provided.Purpose: If the individual was covered for any day of the month, this field should contain a value. Multiple values can be accepted.Example Data: (Y, y, X, x)

TaxYear Data Type: Char (4) Required: Conditional, if the default Tax year (current tax year) does not apply to the data.Purpose: Tax Year to which the Reporting Data should be loaded.

Page 25 of 26

Page 26: ACA-Track Data Groups - Login Dictionary and... · Web viewEach data element occurs one time per employee. Employee Benefits: Knowing if and for what time periods employees were covered

Page intentionally left blank.

Page 26 of 26