1095-B File Schema
Sample File = Schema\2022\TEXT\T1095B.txt
String fields are displayed within quotations
CRLF=Carriage Return Line Feed (Hex 0D0A)
"Control number"
"First name"
"Middle initial"
"Last name"
"Suffix"
"Social Security Number"
"Date of birth" ²
"Street address line 1"
"Street address line 2"
"City"
"State"
"Zip code"
"Zip code extension"
"Foreign address indicator" ¹
"Foreign city"
"Foreign state or province"
"Foreign postal code"
"Foreign country code (2 characters)"
"Origin of Health Coverage code"
12 months coverage indicator ¹
January coverage indicator ¹
February coverage indicator ¹
March coverage indicator ¹
April coverage indicator ¹
May coverage indicator ¹
June coverage indicator ¹
July coverage indicator ¹
August coverage indicator ¹
September coverage indicator ¹
October coverage indicator ¹
November coverage indicator ¹
December coverage indicator ¹
"E-Mail address"
CRLF
¹ "X" if applicable, otherwise, enter a null string ""
² Use format MMDDYYYY or MMDDYY