41 Injured Plaintiff Child Where Insured Has No Financial 43 Responsibility 53 Life Partner 76 Dependent Report member gender as reported on Lookup Member Member's enrollment form in alpha format. Used ME 13 6/24/10 Table - tlkpGender char[1] All 100% A0 Gender Gender to create Unique Member ID. Text EXAMPLE: F = Female Code Description F Female M Male O Other U Unknown Member Full Century Year Report the date the member was born in Member's ME 14 Date of 6/24/10 Date - Month Day - int[8] CCYYMMDD Format. Used to create All 99% A0 date of Birth Integer CCYYMMDD Unique Member ID. Report the city name of members Member Address City City name of ME 15 Text varchar[30] residence. Used to create Unique All 99% A0 City Name Member the Member Member ID. Address Report the state of the members / Member Code External residence as defined by the US Postal ME 16 char[2] Province of All 99% A0 State 4 Source Code Source Service. Report Province when Country the Member 2 - 2 - States Code does not = USA. Text Report the 5 or 9 digit Zip Code of the Address Zip member’s residence as defined by the Member Code External Zip Code of ME 17 varchar[9] United States Postal Service. When All 99% A0 ZIP Code 4 Source Code Source the Member submitting the 9-digit Zip Code do not 2 - 2 - Zip Codes include hyphen. Text Lookup Indicator - Report the value that defines the Medical ME 18 11/8/12 Table - int[1] Medical element. EXAMPLE: 1 = Yes there is All 100% A0 Coverage Integer Option Medical Coverage. Value Description 1 Yes 2 No
41 Injured Plaintiff 43 Child Where Insured Has No Financial Responsibility 53 Life Partner 76 Dependent ME 13 Member Gender 6/24/10 Lookup Table - Text tlkpGender char[1] Member's Gender Report member gender as reported on enrollment form in alpha format. Used to create Unique Member ID. EXAMPLE: F = Female All 100% A0 Code Description F Female M Male O Other U Unknown ME 14 Member Date of Birth 6/24/10 Full Date - Integer Century Year Month Day - CCYYMMDD int[8] Member's date of Report the date the member was born in CCYYMMDD Format. Used to create Unique Member ID. All 99% A0 ME 15 Member City Name Text Address City Member varchar[30] City name of the Member Report the city name of members residence. Used to create Unique Member ID. All 99% A0 ME 16 Member State Code Source 2 - Text Address External Code Source 2 - States char[2] / Province of the Member Report the state of the members residence as defined by the US Postal Service. Report Province when Country Code does not = USA. All 99% A0 ME 17 Member ZIP Code Code Source 2 - Text Address Zip External Code Source 2 - Zip Codes varchar[9] Zip Code of the Member Report the 5 or 9 digit Zip Code of the member’s residence as defined by the United States Postal Service. When submitting the 9-digit Zip Code do not include hyphen. All 99% A0 ME 18 Medical Coverage 11/8/12 Lookup Table - Integer int[1] Indicator - Medical Option Report the value that defines the element. EXAMPLE: 1 = Yes there is Medical Coverage. All 100% A0 Value Description 1 Yes 2 No 4 4