1095-B COVERAGE DATA DICTIONARY
Reporting provider / arrangement / year / reviewed form determination:
Dictionary version / source snapshot / reporting reviewer:
FIELD ROW
Internal concept | form part/line | source system/field | meaning | format | transformation | required condition | blank behavior | reviewer
Separate responsible individual, covered people, coverage origin, employer context and provider identity.
DATE CONTRACT
Start date meaning / end date meaning / event timestamp / extraction timestamp / internal format:
MONTH DERIVATION
Confirmed periods / retroactive changes / person-specific month result:
FICTIONAL G-17
R-1 recipient, not covered; P-1 Jan-Dec 12; P-2 Apr 16-Sep 2, Apr-Sep 6.
Two covered people; 12 + 6 = 18 person-months.
CONDITIONALITY
Responsible individual not covered / identity treatment:
Part II applicability / covered-person identity or DOB treatment:
Sample source / expected output / unresolved field / owner / dictionary change: