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tables:districtinformation:reportingcontact

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Reporting Contact - DA1200

District Administration > Tables > District Information > Reporting Contact

This tab is used to record 1095 contact information that is used by the Utilities > ACA 1094/1095 Correction/Replacement utility in Human Resources 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:

FirstType the contact person's first name.
MiddleType the contact person's middle name.
LastType the contact person's last name.
GenerationClick Drop-down Arrow to select the contact person's generation code.
PhoneType three-digit area code and the seven-digit phone number of the contact person listed in the Contact Name field.
TCCType the five-digit transmitter control code (TCC) (i.e., transmitter ID).

Under 1095B SHOP Info (Coverage Type A Only):

SHOP NameType the Small Business Health Options Program (SHOP) name.
SHOP EINType the nine-digit Small Business Health Options Program (SHOP) employer identification number (EIN).
SHOP AddressType the Small Business Health Options Program (SHOP) street address.
SHOP CityType the Small Business Health Options Program (SHOP) city.
SHOP StateSelect the Small Business Health Options Program (SHOP) two-character state code.
SHOP ZipType the Small Business Health Options Program (SHOP) zip code and suffix.

Click Save.

Other functions and features:

RetrieveRetrieve data.
PrintPrint the report.
tables/districtinformation/reportingcontact.1532456488.txt.gz · Last modified: 2018/07/24 13:21 (external edit)