Tax1099LTC_V100

OFX / Types / Tax1099LTC_V100
#TagType
1 SRVRTID ServerIdType
2 TAXYEAR YearType
3 VOID BooleanType
4 CORRECTED BooleanType
5 POLICYHOLDERADDR PolicyholderAddressType
6 INSUREDADDR InsuredAddressType
7 PAYERADDR PayerAddressType
8 PAYERID GenericNameType
9 POLICYHOLDERID IdType
10 RECACCT GenericNameType
11 LONGTERMBEN AmountType
12 DEATHBEN AmountType
13 PERDIEM BooleanType
14 REIMB BooleanType
15 INSUREDID IdType
16 QUALCONTRACT BooleanType
17 CHRONIC BooleanType
18 TERMINAL BooleanType
19 DATECERT DateTimeType
Usages:

FDX JSON

{
  "tax1099Ltc" : {
    "taxYear" : 2020,
    "payerNameAddress" : {
      "line1" : "12020 Sunrise Valley Dr",
      "line2" : "Suite 230",
      "city" : "Reston",
      "state" : "VA",
      "postalCode" : "20191",
      "country" : "US",
      "name1" : "Financial Data Exchange",
      "phone" : {
        "number" : "8885551212"
      }
    },
    "payerTin" : "12-3456789",
    "policyholderTin" : "xxx-xx-1234",
    "policyHolderNameAddress" : {
      "line1" : "1 Main St",
      "city" : "Melrose",
      "state" : "NY",
      "postalCode" : "12121",
      "name1" : "Kris Q Public"
    },
    "accountNumber" : "111-55555555",
    "ltcBenefits" : 1000.0,
    "deathBenefits" : 2000.0,
    "perDiem" : true,
    "reimbursedAmount" : true,
    "insuredId" : "555-55-5555",
    "insuredNameAddress" : {
      "line1" : "1 Main St",
      "city" : "Melrose",
      "state" : "NY",
      "postalCode" : "12121",
      "name1" : "Taylor Public"
    },
    "qualifiedContract" : true,
    "chronicallyIll" : true,
    "dateCertified" : "2020-04-01"
  }
}

OFX XML

<?xml version="1.0" encoding="UTF-8" standalone="no"?>
<?OFX OFXHEADER="200" VERSION="202" SECURITY="NONE" OLDFILEUID="NONE" NEWFILEUID="NONE"?>

<OFX>
    <SIGNONMSGSRSV1>
        <SONRS>
            <STATUS>
                <CODE>0</CODE>
                <SEVERITY>INFO</SEVERITY>
                <MESSAGE>Successful Login</MESSAGE>
            </STATUS>
            <DTSERVER>39210131000000</DTSERVER>
            <LANGUAGE>ENG</LANGUAGE>
            <FI>
                <ORG>fiName</ORG>
                <FID>fiId</FID>
            </FI>
        </SONRS>
    </SIGNONMSGSRSV1>
    <TAX1099MSGSRSV1>
        <TAX1099TRNRS>
            <TRNUID>_GUID_</TRNUID>
            <STATUS>
                <CODE>0</CODE>
                <SEVERITY>INFO</SEVERITY>
                <MESSAGE>SUCCESS</MESSAGE>
            </STATUS>
            <TAX1099RS>
                <TAX1099LTC_V100>
                    <TAXYEAR>2020</TAXYEAR>
                    <CORRECTED>Y</CORRECTED>
                    <POLICYHOLDERADDR>
                        <ADDR1>835 Bonita Ave</ADDR1>
                        <CITY>La Verne</CITY>
                        <STATE>CA</STATE>
                        <POSTALCODE>91750</POSTALCODE>
                        <POLICYHOLDERNAME1>Policyholder Name</POLICYHOLDERNAME1>
                    </POLICYHOLDERADDR>
                    <INSUREDADDR>
                        <ADDR1>454 French Lane</ADDR1>
                        <CITY>Pomona</CITY>
                        <STATE>CA</STATE>
                        <POSTALCODE>91767</POSTALCODE>
                    </INSUREDADDR>
                    <PAYERADDR>
                        <ADDR1>4515 Eagle Rock Blvd</ADDR1>
                        <CITY>Los Angeles</CITY>
                        <STATE>CA</STATE>
                        <POSTALCODE>90041</POSTALCODE>
                        <PHONE>888-555-1212 x. 123</PHONE>
                        <PAYERNAME1>Payer Name</PAYERNAME1>
                    </PAYERADDR>
                    <PAYERID>55-1234567</PAYERID>
                    <POLICYHOLDERID>888-88-8888</POLICYHOLDERID>
                    <RECACCT>Account Number</RECACCT>
                    <LONGTERMBEN>1000.00</LONGTERMBEN>
                    <DEATHBEN>2000.00</DEATHBEN>
                    <PERDIEM>Y</PERDIEM>
                    <REIMB>Y</REIMB>
                    <INSUREDID>555-55-5555</INSUREDID>
                    <QUALCONTRACT>Y</QUALCONTRACT>
                    <CHRONIC>Y</CHRONIC>
                    <TERMINAL>Y</TERMINAL>
                    <DATECERT>20190401</DATECERT>
                </TAX1099LTC_V100>
            </TAX1099RS>
        </TAX1099TRNRS>
    </TAX1099MSGSRSV1>
</OFX>

© Copyright 2020. All Rights Reserved.