| Parent path for the field | Fields that must be mapped |
|---|---|
| N1SponsorName |
Sponsor Name – N102 Sponsor Name – N104 |
|
EMPINSMembers > EMPINSMemberLevelDetailWithDOD/ EMPINSMemberLevelDetailWODOD DEPINSMembers > DEPINSMemberLevelDetail |
Qualifyingeventcode COBRAQUALIFYINGEVENTCODEWODOD Studentstatus YesNoconditionOrResponsecode |
|
EMPINSMembers > EMPREFMemberPolicyNumber DEPINSMembers > DEPREFMemberPolicyNumber |
REF1L – Referenceidentification |
|
EMPINSMembers > EMPREFMemberIdentificationNumberDX DEPINSMembers > DEPREFMemberIdentificationNumberDX |
REFDX – Referenceidentification |
|
EMPINSMembers > EMPREFMemberIdentificationNumber17 DEPINSMembers > DEPREFMemberIdentificationNumber17 |
REF17 – Referenceidentification |
|
EMPINSMembers > EMPNM1MemberName DEPINSMembers > DEPNM1MemberNameWithIDCode |
MemberName - NM106NamePrefix MemberName - NM107NameSuffix |
|
EMPINSMembers > EMPHDHealthCoverage > EMPHDHealthCoverageInfo DEPINSMembers > DEPHDHealthCoverage > DEPHDHealthCoverageInfo |
HD- MaintenanceReasonCode HD- InsuranceLineCode HD- PlanCoverageDescription |
|
EMPINSMembers > EMPHDHealthCoverage > EMPREFHealthCoveragePolicyNumber DEPINSMembers > DEPHDHealthCoverage > DEPREFHealthCoveragePolicyNumber |
HD-REF-1L- ReferenceIdentification |
|
EMPINSMembers > EMPNM1P3ProviderName/ EMPNM1QNProviderName DEPINSMembers > DEPNM1P3ProviderName/ DEPNM1QNProviderName |
NM1ProviderName(P3/QN) – NM103 NM1ProviderName(P3/QN) – NM104 NM1ProviderName(P3/QN) – NM105 NM1ProviderName(P3/QN) – NM106 NM1ProviderName(P3/QN) – NM107 |
| EMPINSMembers > EMPREFAdditionalReportingCategory | Additionalreportingcategory – REF17 - Referenceidentification |