The Affordable Care Act - Self Insured - Partial Year Coverage report is a variation of the Affordable Care Act - Year End Self Insured Individuals report. It uses the Affordable Care Act - Year End topic to display monthly details for covered individuals where either the employee or dependent had partial year coverage for the selected filing year using data from the 1095-C forms.
| Field Name | Group by | Sort Order | Totals |
|---|---|---|---|
| Coverage | Yes | A to Z | |
| Name Number | Yes | A to Z | |
| Dependent Birth Date | Oldest to Newest | ||
| Hire Date | |||
| Termination Date | |||
| Dependent Name | |||
| Relationship | |||
| Is Covered Jan-Is Covered Dec |