1095-C Offer and Coverage Report (P08519)

Processing Option	Description
BENEFITS SETUP:
1. Enter the source of the beginning Effective Date for processing Employee Enrollment (F08330) records. Blank/EF = Effective Date DB = DBA Begin Date ED = Eligibility Date PD = Participation Date UD = User Defined Date
PLAN SELF-INSURED:
2a. Enter the Benefits Plan Master (F08320) Category Code (PH01 - PH10) data item that identifies a plan as a self-insured plan. If left blank, or no match is made using the value in 2b, the plan will be considered NOT self-insured.
2b. Enter the value of the Plan Master Category Code that indicates a plan is a self-insured plan.
DBA REPORTABLE:
3a. Enter the Payroll Transactions (F069116) Report Code (PR01 - PR10) data item that identifies a DBA as reportable for health coverage reporting. If left blank, the DBA will be considered NOT reportable.
3b. Enter the value of the Payroll Transactions Report Code that indicates a DBA is reportable for health coverage reporting.
DBA SELF-INSURED:
4a. Enter the Payroll Transactions (F069116) Report Code (PR01 - PR10) data item that identifies a DBA as employer sponsored self-insured health coverage. If left blank, or no match is made with the value in 4b, the DBA will be considered NOT self-insured.
4b. Enter the value of the Payroll Transactions Report Code that indicates a DBA is employer sponsored self-insured health coverage.
WAIVED COVERAGE:
5a. Enter the Employee Master (F060116) Eligibility Code (E001 - E010) data item that identifies that an employee was offered health coverage but waived coverage. If left blank, or no match is made with the value in 5b, we assume the employee has NOT waived coverage.
5b. Enter the value of the Employee Master Eligibility Code that indicates the employee has waived coverage.
5c. Enter the Employee Master (F060116) User Defined Date (ED01 - ED20) data item that identifies the start date of the employee's waive of an offer of health coverage for the reporting year.
5d. Enter the Employee Master (F060116) User Defined Date (ED01 - ED20) data item that identifies the end date of the employee's waive of an offer of health coverage for the reporting year.
PROCESSING
6. Choose which date will be used when retrieving DBA Detail History(F0619) for each month when determining offer and coverage based on DBA history. Blank/WD = Work Date PE = Pay Period Ending Date CD = Check Date
7. Enter '1' to Submit the 1095-C Covered Individual Workfile Build (P08520).
8. Enter '1' to assign Safe Harbor Codes values (Form 1095-C Line 16). If left blank, no Safe Harbor values will be written to Offer of Coverage records.
9. Enter '1' to assign the month of January on Form 1095-C Line 16 with '2B' if January start date of coverage is not the 1st. If value entered is blank, then do not fill with '2B', even if start day is not the 1st.
10. Enter '1' to assign Code Series 2 (Form 1095-C, Line 16) a value of '2D' if employee's Date Started is other than the first day of the calendar month.
11. Choose the Review Status value to be written on each Offer and Coverage (F08119) Summary Record. You can use this code to filter records for review in Offer of Coverage Inquiry (P08219).
12. Enter description text used to identify when a Benefit Plan or Plan Option is the employee's waive of an offer of health coverage for the reporting year. Verification will begin at the first character of the Benefit Plan or Plan Option description.
13. Plan Start Month Valid Values are: Blank or 00: No plan offered with eligible coverage 01-12: Default Plan Start Month 99: System calculates plan Start Month (based on first month an eligible code appears on line 14)