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X12 003060 Release
Transaction Set
Segments
Elements
Reference
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X12 Release 003060
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Elements
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1219 Consolidated Omnibus Budget Reconciliation Act (COBRA) Qualifying Event Code
1219 Consolidated Omnibus Budget Reconciliation Act (COBRA) Qualifying Event Code
A Qualifying Event is any of the following which results in loss of coverage for a Qualified Beneficiary
Type
ID
Length
Max 2 / Min 1
Codes
<> 1
Termination of Employment
<> 2
Reduction of work hours
<> 3
Medicare
<> 4
Death
<> 5
Divorce
<> 6
Separation
<> 7
Ineligible Child
<> 8
Bankruptcy of a Retired Employee
<> ZZ
Mutually Defined