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Text Numeric - Covered California

Covered CaliforniaCertification Application for Plan Year 2019 Appendix P CCSB Group XML Schema Element - Transfers employer group information to the issuers system11Y FileInformationContains the elements required to identify the group file MessageIDRandomly assigned Message Id # for XML file Text250Y FileNameName of XML File sentText3939N EnrollmentActionGroup's enrollment action typeCodeY SenderIDPinnacle Tax id assigned as the Sender's Exchange ReceiverIDIssuer's 5 digit assigned by the Employer This element is used to collect the required information about the employer/group1NY NameName of the Employer (Group) Text160Y EmployerIDUnique Identification number for the employerText415Y EmployerTypeCodeClassification of Business Type that the Employer involved in (like Corporation, Church, Tax-Emempt, Partnership etc.)

Covered California Certification Application for Plan Year 2019 Appendix P CCSB Group XML Schema v2.1a Revision Author Date Notes 2.1 Ford Hanson 9/29/2014

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