District Administration > Tables > District Information > Reporting Contact
This tab is used to record 1095 contact information that is used by the Personnel > Utilities > ACA 1094/1095 Correction/Replacement page when creating 1095 ACA AIR correction and replacement files.
Under 1095B/C Contact Info:
Field | Description |
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Contact Name |
|
Phone | Type three-digit area code and the seven-digit phone number of the contact person listed in the Contact Name field. |
TCC | Type the five-digit transmitter control code (TCC) (i.e., transmitter ID). Note: The TCC is no longer validated during the creation of ACA files . |
Under 1095B SHOP Info (Coverage Type A Only):
SHOP Name | Type the Small Business Health Options Program (SHOP) name. |
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SHOP EIN | Type the nine-digit Small Business Health Options Program (SHOP) employer identification number (EIN). |
SHOP Address | Type the Small Business Health Options Program (SHOP) street address. |
SHOP City | Type the Small Business Health Options Program (SHOP) city. |
SHOP State | Select the Small Business Health Options Program (SHOP) two-character state code. |
SHOP Zip | Type the Small Business Health Options Program (SHOP) zip code and suffix. |
❏ Click Save.
Retrieve |
Click to retrieve information from the last save. If you click Retrieve, any unsaved changes will be lost. |
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Click to print the Reporting Contact report. |
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