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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.,) CodeY TaxPayerIdentificationNumberEmployer Federal Tax Payer Identification Number Numeric99Y GroupSizeNumber of employees qualified to receive healthcare benefit Numeric16N GroupTerminationGroup's Termination Information N GroupTerminationDateTermination date for the groupDateN GroupTerminationReasonCodeReason code value as to why Group is being terminatedText911N OriginalEffectiveDateOriginal enrollment date of the Employer DateY RenewalEffectiveDateEmployer

Covered California Certification Application for Plan Year 2019 Appendix P CCSB Group XML Schema v2.1a EnrollmentAction Open Enrollment For enrolling a new Group

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Transcription of Text Numeric - Covered California