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IRS Release Status: FINAL

Sample Excel Import File: 1095-B 2016.xlsx 

What's New for 2016

  • Small Business Health Options Program (SHOP). Box 9 is now a reserved box.
  • Part IV Covered Individuals. Verbiage Change: Column B "SSN or Other TIN", Column C "DOB (if SSN or other TIN is not available)"

 

Import Form Fields:

Field NameSizeType DescriptionNotes
See Form Filer Common Fields    
See Recipient Common Fields    
Rcp Email65Text  
Rcp IMB65Text  
Tax State2Text  
Emp TIN11NumericPart II: Employer EIN 
Emp TIN Type1NumericPart II: Employer TIN TypeEIN=1, SSN=2, Unknown type=0 or blank
Emp Address Type1TextPart II: Employer Address Type 
Emp Country Code2TextPart II: Country Code 
Emp Country Key1NumericPart II: Country Key 
Emp Name 140TextPart II: Employer Name 1 
Emp Name 240TextPart II: Employer Name 2 
Emp Address 140TextPart II: Employer Street Address 
Emp Address 240TextPart II: Employer Suite/Apt 
Emp City40TextPart II: City 
Emp State23TextPart II: Employer State/Province 
Emp Zip15TextPart II: Employer Zip/Postal Code 
Rcp Date of Birth8DateRecipient date of birthMM/DD/YYYY or M/D/YYYY
Policy Origin Code2TextLetter identifying the origin of the policy 
Ind All Coverage Chk1CheckboxIndividual: Covered all 12 months checkboxX / Y / T / 1 = Checked
Ind Apr Coverage Chk1CheckboxIndividual: Covered for April checkboxX / Y / T / 1 = Checked
Ind Aug Coverage Chk1CheckboxIndividual: Covered for August checkboxX / Y / T / 1 = Checked
Ind Dec Coverage Chk1CheckboxIndividual: Covered for December checkboxX / Y / T / 1 = Checked
Ind Feb Coverage Chk1CheckboxIndividual: Covered for February checkboxX / Y / T / 1 = Checked
Ind Jan Coverage Chk1CheckboxIndividual: Covered for January checkboxX / Y / T / 1 = Checked
Ind Jul Coverage Chk1CheckboxIndividual: Covered for July checkboxX / Y / T / 1 = Checked
Ind Jun Coverage Chk1CheckboxIndividual: Covered for June checkboxX / Y / T / 1 = Checked
Ind Mar Coverage Chk1CheckboxIndividual: Covered for March checkboxX / Y / T / 1 = Checked
Ind May Coverage Chk1CheckboxIndividual: Covered for May checkboxX / Y / T / 1 = Checked
Ind Nov Coverage Chk1CheckboxIndividual: Covered for November checkboxX / Y / T / 1 = Checked
Ind Oct Coverage Chk1CheckboxIndividual: Covered for October checkboxX / Y / T / 1 = Checked
Ind Sep Coverage Chk1CheckboxIndividual: Covered for September checkboxX / Y / T / 1 = Checked
     
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