| Parent path for the field | Fields that must be mapped |
|---|---|
| N1SponsorName |
Sponsor Name – N102 Sponsor Name – N104 |
|
EMPINSMembers > EMPINSMemberLevelDetail DEPINSMembers > DEPINSMemberLevelDetail |
COBRAQUALIFYINGEVENTCODE |
|
EMPINSMembers > EMPREFMemberPolicyNumber DEPINSMembers > DEPREFMemberPolicyNumber |
REF1L – Referenceidentification |
|
EMPINSMembers > EMPREFMemberIdentificationNumberDX DEPINSMembers > DEPREFMemberIdentificationNumberDX |
REFDX – Referenceidentification |
|
EMPINSMembers > EMPREFMemberIdentificationNumberZZ DEPINSMembers > DEPREFMemberIdentificationNumberZZ |
REFZZ – Referenceidentification |
|
EMPINSMembers > EMPNM1MemberName DEPINSMembers > DEPNM1MemberNameWithSSN/ DEPNM1MemberNameWithoutSSN |
MemberName - NM106NamePrefix MemberName - NM107NameSuffix |
|
EMPINSMembers > EMPHDHealthCoverage > EMPHDHealthCoverageInfo DEPINSMembers > DEPHDHealthCoverage > DEPHDHealthCoverageInfo |
HD- MaintenanceReasonCode HD- InsuranceLineCode HD- PlanCoverageDescription |