Select if “yes” notice is Y-Notice Is notice required required for required Varchar 1 No for Pregnancy?— pregnancy, N-Notice not otherwise required select “no.” URL contains Plan Description, Plan Area, Plan Status, Enter the Plan Plan Plan Brochure Brochure Varchar 15 No Certification, URL. Plan Crosswalk, Plan Year and Plan Version Enter the Federal Tax ID Varchar 15 No federal tax ID. Enter the Associated HPID associated Varchar 15 No HPID Identify if the issuer’s SHOP QHPs will be available to employees Employee choice buying up a Varchar 15 No in SHOP single level from the employer’s choice of metal level.
Is notice required for Pregnancy?— Select “yes” if notice is required for pregnancy, otherwise select “no.” Varchar 1 No Y-Notice required N-Notice not required Plan Brochure Enter the Plan Brochure URL. Varchar 15 No URL contains Plan Description, Plan Area, Plan Status, Plan Certification, Plan Crosswalk, Plan Year and Plan Version Federal Tax ID Enter the federal tax ID. Varchar 15 No Associated HPID Enter the associated HPID Varchar 15 No Employee choice in SHOP Identify if the issuer’s SHOP QHPs will be available to employees buying up a single level from the employer’s choice of metal level. Varchar 15 No
TPA-Integration-Package07242013.docx