Reporting Contact - DA1200

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.

Set up reporting contact information:

Under 1095B/C Contact Info:

Field

Description

Contact Name

Type the following information for the contact person:

First	Type the contact person's first name.
Middle	Type the contact person's middle name.
Last	Type the contact person's last name.
Generation	Click to select the contact person's generation code.

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.
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.

Other functions and features:

Retrieve	Click to retrieve information from the last save. If you click Retrieve, any unsaved changes will be lost.
Print	Click to print the Reporting Contact report. Review the report.