Tax1095C_V100

OFX / Types / Tax1095C_V100

Tax1095C_V100"

#TagDescriptionType
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 ALECONTACTPHONE Contact telephone number PhoneType
6 EMPLOYER Employer information Employer
7 EMPLOYEEINFO Employee information EmployeeInfo
8 EMPLOYEEAGE Employee's Age on January 1. New TY20 AgeType
9 PLANSTARTMONTH Optional for TY15. Enter the 2 digit month 01-12 anonymous simple type
10 ANNUALCOVERAGE Use if Covered for ALL 12 Months anonymous complex type
11 MONTHLYCOVERAGE Use if NOT covered for ALL 12 months PartIIGrpType
12 SELFINSURED Checked if employer provided self-insured coverage BooleanType
13 COVEREDINDIVIDUAL Covered individual(s) CoveredIndivGrpType
Usages:
  1. Tax1095Response TAX1095C_V100
https://storage.googleapis.com/taxdochub-forms-png-trimmed/2026/Tax1095C.recipient.png

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