Tax1095B_V100
OFX / Types / Tax1095B_V100
Tax1095B_V100"
| # | Tag | Description | Type |
|---|---|---|---|
| 1 | SRVRTID | ID of document assigned by server | ServerIdType |
| 2 | TAXYEAR | Tax year | YearType |
| 3 | VOID | Voided tax document | BooleanType |
| 4 | CORRECTED | Corrected tax document | BooleanType |
| 5 | RESPONSIBLEINDIV | The name of the responsible individual on the health plan | anonymous complex type |
| 6 | ORIGINOFPOLICYCD | Origin of Policy code from instructions. One of the following: A,B,C,D,E,F | anonymous simple type |
| 7 | SHOPIDENTIFIER | The ID of the Small Business Health Options Program (SHOP). If applicable. | GenericNameType |
| 8 | EMPLOYERSPONSORED | Present if Insurance company provides employer-sponsored health coverage. Will be blank if NOT insured employer coverage. | Employer |
| 9 | ISSUERORPROVIDER | Provider Information | Employer |
| 10 | CONTACTPERSONPHONE | Contact phone number for the Coverage Provider who can answer questions regarding the form. | PhoneType |
| 11 | COVEREDINDIVIDUAL | Covered individual info | CoveredIndivGrpType |
Usages:
- Tax1095Response TAX1095B_V100
