1203 Maintenance Reason Code

Code identifying the reason for the maintenance change

Identifier (ID)
Min 2 / Max 3
4ABusiness Name Change
4BBusiness Name Correction
4CPhysical or Mailing Address Correction
07Termination of Benefits
08Termination of Employment
09Consolidation Omnibus Budget Reconciliation Act (COBRA)
A federal act that enables an insured, spouse, or dependent to continue benefits after a qualifying event which would otherwise cause them to lose their benefits
10Consolidation Omnibus Budget Reconciliation Act (COBRA) Premium Paid
11Surviving Spouse
12Lay Off
13Leave of Absence
14Voluntary Withdrawal
15Primary Care Provider (PCP) Change
A physical or mental condition that makes an insured incapable of performing one or more duties of his or her own occupation
22Plan Change
25Change in Identifying Data Elements
A change has been made to the primary elements that identify a specific person; such elements are first name, last name, social security number, date of birth, and identification number
26Declined Coverage
28Initial Enrollment
29Benefit Selection
30Discrimination Test
A deferral-percentage test, defined by the Internal Revenue Code, to ensure a defined contribution retirement plan complies with limitations on contributions made by highly compensated employees as compared to all other employees covered by the plan
31Legal Separation
33Personnel Data
General information about the participant
34Investment Elections and Contribution Rates
Percentage of contributions to be invested in specified funds and percentage of salary which the participant has elected to contribute to specified sources (or categories)
35Loan Repayment
Financial information for repayment of the participant's loan
36Contribution or Plan Allocation
Financial information for contributions made to the plan
37Leave of Absence with Benefits
38Leave of Absence without Benefits
39Lay Off with Benefits
40Lay Off without Benefits
42New Entity
43Change of Location
44Change of Telephone Number
45Went Out of Business
46Current Customer Information File in Error
47Account Balance Reporting
48Fees Processing
49Interfund Transfer
50Loan Request
51Enrollment in Subsequent Benefit Plan
52Health Care Facility Change
53Name Synonym Add
54Sub Location Add
55Sub Location Change
56Sub Location Expire
59Non Payment
60Coverage Placed Elsewhere
61Duplicate Coverage
62Change in Ownership
63Business Sold
64Underwriting Reason
65No Employees, Exposure or Operations
66Revocation of Voluntary Market Acceptance
67Include Primary Business Management
Primary Business Management includes corporate officer, partner or sole proprietor
68Exclude Primary Business Management
Primary Business Management includes corporate officer, partner or sole proprietor
69Failure to Pay Deductible
70Misrepresented Information
72Adding a Jurisdiction
73Deleting a Jurisdiction
75Occupational Illness
76Change Insured Federal Employer Identification Number (FEIN)
77Change Employer Federal Employer Identification Number (FEIN)
78Change Employer Unemployment Insurance (UI) Code
79Change Policy Number
80Modification without a Specific Operating Unit Location in Jurisdiction
81Change Policy Effective Date
82Change Policy Expiration Date
83Change Insurer Federal Employer Identification Number (FEIN)
84No Eligible Employees
85Reinstatement - Canceled in Error
86Change in Insured Information
87Change in Employer Information
88Parent Identification Change
89Change to Expiration Date
90Phone Verify Only
91Name Synonym Delete
92Duplicate Entry on Customer Identification File
93Removal of the Customer Identification File Merge ID
94Removal of the Customer Identification File Buyout ID
95Removal of the Customer Identification File in Error ID
96Re-activation of an Out-of-Business Customer
97Sub-location Reinstatement
AADissatisfaction with Office Staff
ABDissatisfaction with Medical Care/Services Rendered
ACInconvenient Office Location
ADDissatisfaction with Office Hours
AEUnable to Schedule Appointments in a Timely Manner
AFDissatisfaction with Physician's Referral Policy
AGLess Respect and Attention Time Given than to Other Patients
AHPatient Moved to a New Location
AINo Reason Given
AJAppointment Times not Met in a Timely Manner
ALAlgorithm Assigned Benefit Selection
ECMember Benefit Selection
XBBecame Medical Only
XLBecame Lost Time
XMMedical Only
XNNotification Only
ZZMutually Defined

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