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Help Import Covered Individuals Data File Layout
The Import ACA 1095-B/1095-C Data utility uses this file record layout when importing a file to insert covered individual data records to the Personnel > Maintenance > ACA 1095 YTD Data > 1095-B and 1095-C pages.
| Sequence | Field | Length | Type | Description |
|---|---|---|---|---|
| 1 | Employee Number or Social Security Number | Emp # - 6 SSN - 9 | Numeric | 001511 or 123456789 |
| 2 | Covered Individual First Name | 17 | Alphanumeric | William |
| 3 | Covered Individual Middle Name | 14 | Alphanumeric | Michael |
| 4 | Covered Individual Last Name | 25 | Alphanumeric | Anderson |
| 5 | Covered Individual Generation | 1 | Alphanumeric | See notes section for code descriptions. |
| 6 | Covered Individual Social Security Number | 9 | Numeric | 123456789 |
| 7 | Covered Individual Date of Birth | 8 | Numeric | YYYYMMDD; Ex: 19691016 |
| 8 | Covered All Months (January - December) | 1 | Alpha | Y, N |
| 9 | January Coverage | 1 | Alpha | Y, N |
| 10 | February Coverage | 1 | Alpha | Y, N |
| 11 | March Coverage | 1 | Alpha | Y, N |
| 12 | April Coverage | 1 | Alpha | Y, N |
| 13 | May Coverage | 1 | Alpha | Y, N |
| 14 | June Coverage | 1 | Alpha | Y, N |
| 15 | July Coverage | 1 | Alpha | Y, N |
| 16 | August Coverage | 1 | Alpha | Y, N |
| 17 | September Coverage | 1 | Alpha | Y, N |
| 18 | October Coverage | 1 | Alpha | Y, N |
| 19 | November Coverage | 1 | Alpha | Y, N |
| 20 | December Coverage | 1 | Alpha | Y, N |
1095-B Coverage Types (columns 8-20):
A - Small business health options program (SHOP)
B - Employer-sponsored coverage
C - Government-sponsored program
D - Individual market insurance
E - Multiemployer plan
F - Miscellaneous minimum essential coverage
G - Individual coverage health reimbursement arrangement (HRA)
Notes:
The uploaded file type must be in the comma-delimited text (.txt) or comma-separated values (.csv) format.
The covered individual’s first and last name are required, and either the date of birth or social security number.
The Length field provides the maximum number of allowed characters.
If the Covered All Months field is populated, the individual month (January - December) coverage fields should not be populated, and vice versa.
Generation codes:
1 - JR
2 - SR
3 - II
4 - III
5 - IV
6 - V
7 - VI
8 - VII
9 - VIII
A - I
B - IX
C - X