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Centralized Enrollment Clearinghouse System (CLER) for Agencies

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Code - (Form 2809 Part A Continued) Field Instruction

Code

Optional

Select the drop-down menu and choose the code used to identify the family member's relation to the enrollee.

The relationship codes are as follows:

01 - Spouse

09 - Adopted Child

10 - Foster Child

17 - Stepchild

19 - Unmarried dependent child under age 22

99 - Eligible unmarried disabled child over age 22

See Also

Embedded Topics

% (Matching Records) - Field Description

Accepted - Field Description

Action - Field Description

Action Code - Field Instruction

Address - Carrier Field Description

Address - Payroll Office Field Description

Address Line 1 - Carrier Contact Field Description

Address Line 1 - Carrier Field Description

Address Line 1 - Carrier Plan Contact Field Description

Address Line 1 - Coordinator Field Description

Address Line 1 - Enrollee Field Description

Address Line 1 - Enrollee/Survivor Field Description

Address Line 1 - Form 2809 Add (Part A) Field Instruction

Address Line 1 - Form 2809 Add (Part I) Field Instruction

Address Line 1 - Form 2810 Add (Part A) Field Instruction

Address Line 1 - Form 2810 Add (Parts B through F) Field Instruction

Address Line 1 - Payroll Office Contact Field Description

Address Line 1 - Payroll Office Contacts Add Field Instruction

Address Line 1 - Payroll Office Field Description

Address Line 1 - Personnel Office Contact Field Description

Address Line 2 - Carrier Contact Field Description

Address Line 2 - Carrier Field Description

Address Line 2 - Carrier Plan Contact Field Description

Address Line 2 - Coordinator Field Description

Address Line 2 - Enrollee Field Description

Address Line 2 - Enrollee/Survivor Field Description

Address Line 2 - Form 2809 Add (Part A) Field Instruction

Address Line 2 - Form 2809 Add (Part I) Field Instruction

Address Line 2 - Form 2810 Add (Part A) Field Instruction

Address Line 2 - Form 2810 Add (Parts B through F) Field Instruction

Address Line 2 - Payroll Office Contact Field Description

Address Line 2 - Payroll Office Contacts Add Field Instruction

Address Line 2 - Payroll Office Field Description

Address Line 2 - Personnel Office Contact Field Description

Address Line 2 - Personnel Office Contacts Add Field Instruction

Address Line 3 - Carrier Contact Field Description

Address Line 3 - Carrier Field Description

Address Line 3 - Carrier Plan Contact Field Description

Address Line 3 - Coordinator Field Description

Address Line 3 - Enrollee Field Description

Address Line 3 - Enrollee/Survivor Field Description

Address Line 3 - Form 2809 Add (Part A) Field Instruction

Address Line 3 - Form 2809 Add (Part I) Field Instruction

Address Line 3 - Form 2810 Add (Part A) Field Instruction

Address Line 3 - Form 2810 Add (Parts B through F) Field Instruction

Address Line 3 - Payroll Office Contact Field Description

Address Line 3 - Payroll Office Contacts Add Field Instruction

Address Line 3 - Payroll Office Field Description

Address Line 3 - Personnel Office Contact Field Description

Affects Payroll - Field Description

Agcy Field Description

Agency - Enrollee Field Description

Agency - Enrollee Field Instruction

Agency - Field Instruction

Agency - with Note (No Example) Field Description

Agency ID - Field Description

Agency ID - Field Instruction

Agency Name - Field Description

Agency Name - Form 2809 Add (Part I) Field Instruction

Agency Use - Field Description

Agency Use - Field Instruction

Amount - Field Description

Amount - Field Description

Amount - Pay Period Field Description

Amount Received - Field Description

Amount Sent - Field Description

Annuitant Indicator - Field Description

Annuity Claim # - Form 2810 Add (Part A) Field Instruction

Annuity Claim # - Form 2810 View (Part A) Field Description

As of Date - (Required) Field Instruction

As of Date - Carrier Transmissions Field Description

As of Date - Field Description

As of Date for Pay Period Transmission From - Field Instruction

As of Date for Pay Period Transmission To - Field Instruction

As of Date From - (Required) Field Instruction

As of Date From - Field Instruction

As of Date To - (Required) Field Instruction

As of Date To - Field Instruction

Authorized Official - First Name (SF 2809) Field Description

Authorized Official - Initial (SF 2809) Field Description

Authorized Official - Last Name (SF 2809) Field Description

Authorized Official Date Signed - Form 2810 Add (Part H) Field Instruction

Authorized Official Date Signed - Form 2810 View (Part H) Field Description

Authorized Official First Name - Form 2809 Add (Part I) Field Instruction

Authorized Official Initial - Form 2809 Add (Part I) Field Instruction

Authorized Official Last Name - Form 2809 Add (Part I) Field Instruction

Carr - Field Description

Carrier - (Drop-down - Required) Field Instruction

Carrier - (Drop-down) Field Instruction

Carrier - Field Description

Carrier - Field Instruction

Carrier Code - Field Description

Carrier Comments - Field Description

Carrier Comments - Field Instruction

Carrier Eff. Date - Field Description

Carrier Errors - Field Description

Carrier ID - (Carrier Enrollees) Field Instruction

Carrier ID - (Select - Required) Field Instruction

Carrier ID - Field Description

Carrier ID - Field Instruction

Carrier Name - Field Description

Carrier SSN - Field Description

Change (#) - Field Description

Change (%) - Field Description

Change Actual - Field Description

Change Password - Field Instruction

Change Percent - Field Description

Check Box to Create Report Without Totals - Field Instruction

City - Carrier Contact Field Description

City - Carrier Field Description

City - Carrier Field Instruction

City - Carrier Plan Contact Field Description

City - Coordinator Field Description

City - Enrollee Field Description

City - Enrollee/Survivor Field Description

City - Form 2809 Add (Part I) Field Instruction

City - Form 2809/2810 Add (Part A) Field Instruction

City - Form 2810 Add (Parts B thru F) Field Instruction

City - Payroll Office Field Description

City - Payroll Office Field Instruction

City - Personnel Office Contact Field Description

City - Personnel Office Contacts Add Field Instruction

Code - Carrier Enrollment Code Field Description

Code - Carrier Transmissions Search Results Field Description

Code - Carrier Transmissions View Field Description

Code - Enrollment Payroll Field Description

Code - Field Description

Code - Form 2809 View (Part A Continued) Field Description

Code - Number Field Description

Code - Payroll Office Transmission Search Results Field Description

Confirmed Errors - Field Description

Contact (Payroll) First Name - Field Description

Contact (Payroll) First Name - Form 2809 Add (Part I) Field Instruction

Contact (Payroll) Initial - Field Description

Contact (Payroll) Initial - Form 2809 Add (Part I) Field Instruction

Contact (Payroll) Last Name - Field Description

Contact (Payroll) Last Name - Form 2809 Add (Part I) Field Instruction

Contact (Payroll) Phone - Field Description

Contact (Payroll) Phone - Form 2809 Add (Part I) Field Instruction

Contact (Personnel) First Name - Field Description

Contact (Personnel) First Name - Form 2809 Add (Part I) Field Instruction

Contact (Personnel) Initial - Field Description

Contact (Personnel) Initial - Form 2809 Add (Part I) Field Instruction

Contact (Personnel) Last Name - Field Description

Contact (Personnel) Last Name - Form 2809 Add (Part I) Field Instruction

Contact (Personnel) Phone - Field Description

Contact (Personnel) Phone - Form 2809 Add (Part I) Field Instruction

Corrective Action (Code) - Field Description

Corrective Action - Field Description

Corrective Action - Field Instruction

Corrective Actions % - Field Description

Corrective Actions Unvalidated - Field Description

Corrective Actions Validated - Field Description

Country - (Payroll Office Contacts Add) Field Instruction

Country - Personnel Office Contacts Add Field Instruction

Cut Off Date - Field Description

Date - Form 2809 Add (Part D) Field Instruction

Date - Form 2809 Update (Part D) Field Instruction

Date - Form 2809 View (Parts C and D) Field Description

Date Due - Field Description

Date of Action - Field Description

Date of Action - Form 2809 Add (Part H) Field Instruction

Date of Birth (Enrollee) - Field Description

Date of Birth (Enrollee/Survivor) - Field Description

Date of Birth - (Form 2809 Part A Continued) Field Instruction

Date of Birth - Form 2809 View (Part A Continued) Field Description

Date of Birth - Form 2809/2810 Add (Part A) Field Instruction

Date of Birth - Form 2810 Add (Parts B thru F) Field Instruction

Date of Death - Field Description

Date of Death - Form 2810 Add (Parts G and H) Field Instruction

Date Processed - (Processed Run) Field Description

Date Processed - Field Description

Date Received - Form 2809 Add (Part I) Field Instruction

Date Received - Form 2809 View (Part I) Field Description

Deceased Annuitant SSN - Field Description

Deceased Annuitant SSN - Field Instruction

Description - (Enrollment) Field Description

Discrepancies # - Field Description

Discrepancies % - Field Description

Discrepancies - Field Description

Discrepancies Recon - Field Description

Discrepancy - (Explain/Duplicate - Code 166) Field Description

Discrepancy - (No Note) Field Description

Display - (All Records) Field Instruction

Display - (All) Field Instruction

Display - (Carrier Code) Field Instruction

Display - (Payroll Office Contact) Field Instruction

Display - (Personnel Office Contact) Field Instruction

Display - Field Instruction

Display - Payroll Office Contact Field Instruction

Display Total Payment Amounts - (Report 13) Field Instruction

Disputed Errors - Field Description

Eff. Date - (Carrier) Field Description

Eff. Date - (Payroll) Field Description

Effective Date - (Action) Field Description

Effective Date - Field Description

Effective Date - Form 2809 View (Part I) Field Instruction

Effective Date - Form 2810 Add Field Instruction

Effective Date of Coverage - Field Description

Effective Date of Coverage - Field Instruction

Email - (Carrier Contact) Field Description

Email - (Carrier Plan Contact) Field Description

Email Address - (Carrier Contact) Field Description

Email Address - (Carrier Plan Contact) Field Description

Email Address - (Payroll Office Contact) Field Description

Email Address - (Payroll Office Contacts Add) Field Instruction

Email Address - (Personnel Office Contact) Field Description

Email Address - (Personnel Office Contact) Field Description

Email Address - (Personnel Office Contacts Add) Field Instruction

Email Date - Field Description

Email Time - Field Description

Employee/Annuitant Indicator - Field Description

Employee/Annuitant Indicator - Field Instruction

End Date - (Carrier Enrollment Code) Field Description

End Date - (Carrier Plan) Field Description

End Date - (Carrier) Field Description

End Date - (Payroll Office) Field Description

Enrollee - (Carrier) Field Description

Enrollee SSN - Field Description

Enrollees (Left/Drop) - Field Description

Enrollees (New/Add) - Field Description

Enrollees - Field Description

Enrollment Changes % - (Added) Field Description

Enrollment Changes % - (Dropped) Field Description

Enrollment Changes Added - Field Description

Enrollment Changes Dropped - Field Description

Enrollment Code - (Drop-down) Field Instruction

Enrollment Code - (Optional) Field Instruction

Enrollment Code - (Required) Field Instruction

Enrollment Code - Field Description

Enrollment Code - Field Instruction

Enrollment ID - Field Description

Error Code - (Select) Field Instruction

Error Threshold - (Carrier) Field Description

Error Threshold - (Payroll Office) Field Description

Errors - Field Description

Errors Reconciled - Field Description

Event That Permits Change - Field Description

Event That Permits Change - Form 2809 (Part D) Field Instruction

Event That Permits Change - Form 2809 Update (Part D) Field Instruction

Explanation - Field Description

Fail Count - Field Description

Fail Count From - Field Instruction

Fail Count To - Field Instruction

Fax Number - (Carrier Contact) Field Description

Fax Number - (Carrier Plan Contact) Field Description

Fax Number - (Payroll Office Contact) Field Description

Fax Number - (Payroll Office Contacts Add) Field Instruction

Fax Number - (Personnel Office Contact) Field Description

Fax Number - (Personnel Office Contacts Add) Field Instruction

First Name - (Enrollee New/Survivor) Field Description

First Name - (Form 2809 Part A Continued) Field Instruction

First Name - (Required) Enrollee Field Instruction

First Name - Enrollee Field Description

First Name - Enrollee Field Instruction

First Name - Form 2809 View (Part A Continued) Field Description

First Name - Form 2810 Add (Part E) Field Instruction

Foreign Country (Carrier Plan Contact) - Field Description

Foreign Country - (Carrier Contact) Field Description

Foreign Country - (Carrier) Field Description

Foreign Country - (Enrollee Point of Contact) Field Description

Foreign Country - (Enrollee) Field Description

Foreign Country - (Enrollee/Survivor) Field Description

Foreign Country - (Payroll Office) Field Description

Foreign Country - (Personnel Office) Field Description

Foreign Country - Form 2809 Add (Part I) Field Instruction

Foreign Country - Form 2809 View (Part A) Field Description

Foreign Country - Form 2809/2810 Add (Part A) Field Instruction

Foreign Country - Form 2810 Add (Parts B thru F) Field Instruction

From (Quarter/Year - Carrier) - Field Description

From (Quarter/Year - Code) - Field Description

From (Quarter/Year) - Field Description

ID - (Payroll Office) Field Description

ID - Field Description

Indicator - Field Description

Initial - (Enrollee New/Survivor) Field Description

Initial - (Form 2809 Part A Continued) Field Instruction

Initial - Field Description

Initial - Field Instruction

Initial - Form 2809 View (Part A Continued) Field Description

Initial - Form 2810 Add (Part E) Field Instruction

Last Carrier Update Date - Field Description

Last Carrier Update ID - Field Description

Last Carrier Update Time - Field Description

Last Changed Date - (Payroll Office) Field Description

Last Changed Date - Field Description

Last Changed ID - (Payroll Office) Field Description

Last Changed ID - Field Description

Last Changed Time - (Payroll Office) Field Description

Last Changed Time - Field Description

Last CL10 Date - Field Description

Last CL10 Time - Field Description

Last CL20 Date - Field Description

Last CL20 Time - Field Description

Last CL30 Date - Field Description

Last CL30 Time - Field Description

Last CL40 Date (System Generated) Field Instructions

Last CL40 Time - Field Description

Last CL50 Date - Field Description

Last CL50 Time - Field Description

Last CL60 Date - Field Description

Last CL60 Time - Field Description

Last CL70 Date Field Instructions

Last CL70 Time - Field Description

Last CL80 Date - Field Description

Last CL80 Time - Field Description

Last CL90 Date - Field Description

Last CL90 Time - Field Description

Last Name - (Enrollee/Survivor) Field Description

Last Name - (Form 2809 Part A Continued) Field Instruction

Last Name - (Required) Field Instruction

Last Name - Enrollee Field Description

Last Name - Enrollee Field Instruction

Last Name - Form 2809 View (Part A Continued) Field Description

Last Name - Form 2810 Add (Part E) Field Instruction

Last Payroll Update Date - Field Description

Last Payroll Update ID - Field Description

Last Payroll Update Time - Field Description

Last Validate Date - Field Description

Last Validate ID - Field Description

Last Validate Time - Field Description

Married - (Enrollee - Required) Field Instruction

Married - (Enrollee) Field Description

Match - Field Description

Medicare Spouse - (Enrollee) Field Instruction

Medicare Spouse - Field Description

Medicare You - (Enrollee) Field Instruction

Medicare You - Field Description

Middle Name - Enrollee Field Description

Middle Name - Enrollee Field Instruction

Middle Name - Field Instruction

Name - (Carrier Contact) Field Description

Name - (Carrier) Field Instruction

Name - (Payroll Office) Field Description

Name - (Payroll Office) Field Instruction

Name - Carrier Field Description

Name - Carrier Plan Contact Field Description

Name - Enrollee Carrier Field Description

Name - Enrollee Field Description

Name - Enrollee Payroll Field Description

Name - Payroll Office Contact Field Description

Name - Personnel Office Contact Field Description

Name - Personnel Office Contacts Add Field Instruction

Nature of Action - Field Description

Nature of Action - Field Instruction

New Enrollment Code - Field Description

New Enrollment Code - Form 2809 Add (Part C) Field Instruction

New Enrollment Code - Form 2809 Update (Part C) Field Instruction

New Enrollment Code Number - (Survivor Annuitant) Field Description

New Enrollment Code Number - Form 2810 Add (Part F) Field Instruction

New Plan Name - Field Description

New Plan Name - Form 2809 Add (Part C) Field Instruction

New Plan Name - Form 2809 Update (Part C) Field Instruction

Not Received - Field Description

Options - (View Only) Field Description

Options - (View, Activate, Update) Field Description

Options - (View, Activate, Update, Delete) Field Description

Options - (View, List, Add) Field Description

Options - (View, Reconcile) Field Description

Options - (View, Update, Cancel) Field Description

Options - (View, Update, Delete) Field Description

Options - (View, Update, Release) Field Description

Options - (View, Validate) Field Description

Order By - (Agency ID) Field Instruction

Order By - (Carrier - Code Sort) Field Instruction

Order By - (Carrier - Plan Sort) Field Instruction

Order By - (Carrier ID - Type Sort) Field Instruction

Order By - (Carrier, Name, City, State Sorts) Field Instruction

Order By - (ID - Year/Quarter - Pay Cycle) Field Instruction

Order By - (Payroll Office Contact) Field Instruction

Order By - (Payroll Office Contact) Field Instruction

Order By - (Payroll Office Information) Field Instruction

Order By - (Personnel Office Contact) Field Instruction

Order By - (Transmission) Field Instruction

Order By 1st - (Carrier - Action Code) Field Instruction

Order By 1st - (Carrier - Agency) Field Instruction

Order By 1st - (Carrier - Reason Code) Field Instruction

Order By 1st - (Carrier ID) Field Instruction

Order By 1st - (Enrollee) Field Instruction

Order By 1st - (Payroll Office) Field Instruction

Order By 1st - (Report - Name Enrollment Code) Field Instruction

Order By 1st - (Report 12) Field Instruction

Order By 1st - (Report 13) Field Instruction

Order By 2nd - (Carrier - Action Code) Field Instruction

Order By 2nd - (Carrier - Agency) Field Instruction

Order By 2nd - (Carrier ID) Field Instruction

Order By 2nd - (Carrier) Field Instruction

Order By 2nd - (Enrollee) Field Instruction

Order By 2nd - (Payroll Office) Field Instruction

Order By 2nd - (Report - SSNO Enrollment Code) Field Instruction

Order By 2nd - (Report 13) Field Instruction

Order By 2nd - Field Instruction

Order By 3rd - (Carrier - Action Code) Field Instruction

Order By 3rd - (Carrier - Agency) Field Instruction

Order By 3rd - (Carrier ID) Field Instruction

Order By 3rd - (Carrier) Field Instruction

Order By 3rd - (Enrollee) Field Instruction

Order By 3rd - (Payroll Office) Field Instruction

Order By 3rd - (Report - Enrollment Code) Field Instruction

Order By 3rd - (Report 13) Field Instruction

Order By 3rd - Field Instruction

Order By 4th - (Carrier - Action Code) Field Instruction

Order By 4th - (Carrier - Agency) Field Instruction

Order By 4th - (Carrier) Field Instruction

Order By 4th - (Enrollee) Field Instruction

Order By 4th - (Report - Enrollment Code) Field Instruction

Order By 4th - (Report 13) Field Instruction

Order By 4th - Field Instruction

Order By 5th - (Carrier - Action Code) Field Instruction

Order By 5th - (Carrier) Field Instruction

Order By 5th - (Enrollee) Field Instruction

Order By 5th - (Report - Enrollment Code) Field Instruction

Order By 5th - (Report 13) Field Instruction

Order By 5th - Field Instruction

Order By 6th - (Carrier - Action Code) Field Instruction

Order By 6th - (Carrier) Field Instruction

Order By 6th - (Enrollee) Field Instruction

Order By 6th - (Report - Enrollment Code) Field Instruction

Order By 6th - Field Instruction

Order By 7th - Agency Field Instruction

Order By 8th - Agency Field Instruction

Order by 9th - Agency Field Instruction

Other (Name) - Field Description

Other - (Enrollee) Field Instruction

Other - Field Description

Other Carrier ID - Field Description

Other Carrier ID - Field Description

Other ID - Field Description

Other ID From - Field Instruction

Other ID To - Field Instruction

Other Insurance - (Enrollee - Required) Field Instruction

Other Insurance - Field Description

Other Payroll ID - Field Description

Other Payroll ID - Field Description

Part B - Termination - Field Description

Part B - Termination - Field Instruction

Part C - Transfer In - Field Description

Part C - Transfer In - Field Instruction

Part D - Reinstatement - Field Description

Part D - Reinstatement - Field Instruction

Part E - Change of Enrollee Information - Field Description

Part E - Change of Enrollee Information - Field Instruction

Part F - Change in Enrollment/Survivor Annuitant - Field Description

Part F - Change in Enrollment/Survivor Annuitant - Field Instruction

Password - Field Instruction

Pay Cycle - (Biweekly, Monthly, Other) Field Description

Pay Cycle - (Optional) Field Instruction

Pay Cycle - (Required) Field Instruction

Pay Cycle - Field Description

Pay Ofc - Field Description

Payroll Office - Field Description

Payroll Office - Field Instruction

Payroll Office Code - Field Description

Payroll Office Comments - Field Description

Payroll Office Comments - Field Instruction

Payroll Office Discrepancy - Field Description

Payroll Office Eff. Date - Field Description

Payroll Office Fail Count - Field Description

Payroll Office ID - (Optional) Field Instruction

Payroll Office ID - (Select - Optional) Field Instruction

Payroll Office ID - (Select - Required) Field Instruction

Payroll Office ID - Field Description

Payroll Office Name - Field Description

Payroll Office Number - Field Description

Payroll Office Payroll ID - Field Description

Percent Discrepancies Reconciled - Field Description

Personnel Office ID - (Optional) Field Instruction

Personnel Office ID - (Required) Field Instruction

Personnel Office ID - Enrollee Field Description

Personnel Office ID - Field Description

Phone - (Carrier Contact) Field Description

Phone - (Enrollee) Field Description

Phone - (Payroll Office Contact) Field Description

Phone - (Personnel Office Contact) Field Description

Phone - Form 2809 (Part H) Field Instruction

Phone Number - (Carrier Plan Contact) Field Description

Phone Number - (Payroll Office Contact) Field Description

Phone Number - (Payroll Office Contacts Add) Field Instruction

Phone Number - (Personnel Office Contact) Field Description

Phone Number - Personnel Office Contacts Add Field Instruction

Plan - (Carrier) Field Description

Plan - Field Instruction

POI - (Personnel Office Contact) Field Description

POI - (Required) Field Instruction

POI - Field Description

POI - Payroll Office Enrollee Field Instruction

POI - With Note Field Description

Policyholder First Name - (Enrollee) Field Instruction

Policyholder First Name - Field Description

Policyholder Initial - (Enrollee) Field Instruction

Policyholder Initial - Field Description

Policyholder Last Name - (Enrollee) Field Instruction

Policyholder Last Name - Field Description

Present Enrollment Code - (Enrollee) Field Description

Present Enrollment Code - Form 2809 Add (Part B) Field Instruction

Present Enrollment Code - Form 2809 Update (Part B) Field Instruction

Present Plan Name - Field Description

Present Plan Name - Form 2809 Add (Part B) Field Instruction

Present Plan Name - Form 2809 Update (Part B) Field Instruction

Processed Date - Field Description

Processed Time - Field Description

Processing Code - Field Description

Processing Code - Field Instruction

Pseudo SSN - Field Description

Pseudo SSN - Field Description

Qtr - Field Description

Quarter - (Error Statistics) Field Description

Quarter - (Quarter Transmission Record) Field Description

Quarter - (Reconciliation 2810 Form) Field Description

Quarter - (Reconciliation Quarter) Field Description

Quarter - (Select - Reconciliation) Field Instruction

Quarter - (Select) Field Instruction

Quarter - Field Description

Quarter - Field Instruction

Quarter - Payroll Office Transmissions Search Results Field Description

Quarter From - Field Instruction

Quarter To - Field Instruction

Reason - Field Description

Reason Code - Field Description

Reason Code - Field Instruction

Reconciliation Action - Field Description

Reconciliation Action - Field Instruction

Reconciliation Date - Field Description

Reconciliation Date From - Field Instruction

Reconciliation Date To - Field Instruction

Reconciliation Fail Count - Field Description

Reconciliation Reason - Field Description

Reconciliation Reason - Field Instruction

Reconciliation Total Records - Field Description

Reconciliation User ID - Field Description

Reconciliation With Errors - Field Description

Reconciliation Without Errors - Field Description

Records - Field Description

Records Processed - Field Description

Records Received - Field Description

Records Reconciled - Field Description

Records Sent - Field Description

Records With Errors - (Payroll Office) Field Description

Records With Warnings - (Payroll Office) Field Description

Region - Field Description

Rejected - Field Description

Release Date - (Form 2809 Search Results) Field Description

Release Date - (Online Entries) Field Description

Released By - Field Description

Released Date - Field Description

Released ID - Field Description

Released Time - Field Description

Remarks - (400 Max) Field Instruction

Remarks - Field Description

Remarks - Field Instruction

Report # - Field Description

Report # - Field Instruction

Response Reminder Date - Field Description

Role - (Carrier Contact) Field Description

Role - (Carrier Plan Contact) Field Description

Role - (Payroll Office Contact) Field Description

Role - (Payroll Office Contacts Add) Field Instruction

Role - (Personnel Office Contact) Field Description

Role - (Personnel Office Contacts Add) Field Instruction

Sex - (Enrollee - Required) Field Instruction

Sex - (Enrollee) Field Description

Sex - (Enrollee/Survivor) Field Description

Sex - (Form 2809 Part A Continued) Field Instruction

Sex - Form 2809 View (Part A Continued) Field Description

Sex - Form 2810 Add (Part E) Field Instruction

Source - Field Description

SSN - (Enrollee) Field Description

SSN - (Enrollee/Survivor) Field Description

SSN - (Form 2809 Part A Continued) Field Instruction

SSN - (Required) Field Instruction

SSN - Field Instruction

SSN - Form 2809 View (Part A Continued) Field Description

SSN - Form 2810 Add (Part E) Field Instruction

SSN From - Field Instruction

SSN To - Field Instruction

Start Date - (Carrier Enrollment Code) Field Description

Start Date - (Carrier Plan) Field Description

Start Date - (Carrier) Field Description

Start Date - (Processed) Field Description

Start Date - Payroll Office Field Description

State - (Carrier Contact) Field Description

State - (Carrier Plan Contact) Field Description

State - (Carrier) Field Description

State - (Carrier) Field Instruction

State - (Coordinator) Field Description

State - (Enrollee) Field Description

State - (Enrollee) Field Description

State - (Enrollee/Survivor) Field Description

State - (Payroll Office) Field Instruction

State - (Personnel Office Contact) Field Description

State - Payroll Office Field Description

State - Personnel Office Contacts Add Field Instruction

Status - (Active/Inactive) Field Description

Status - (Payroll Office Contacts) Search Results Field Description

Status - (Payroll Office Errors) View Field Description

Status - (Processed, Canceled, Released, Not Released) Field Description

Status - (Transmission Carrier) Field Description

Status - (Transmission Payroll Office) Field Description

Submission - (Number) Field Description

Submission - (Payroll Office Enrollees) Reconcile Field Description

Submission - Field Description

Submission Date - (Carrier Transmissions) Search Results Field Description

Submission Date - (Carrier) Field Description

Submission Date - (Payroll) Field Description

Submission Date - Field Description

Submission Reminder Date - Field Description

Submitter Use #1 - Field Description

Submitter Use #1 - Field Description

Submitter Use #2 - Field Description

Submitter Use #2 - Field Instruction

Submitter Use #3 - Field Description

Submitter Use #3 - Field Instruction

Survivor Annuity Claim # - Field Description

Survivor Annuity Claim # - Field Instruction

Threshold Type - (Payroll Office) Field Description

Threshold Type - Field Description

Time Processed - (Process Run) Field Description

Time Processed - Field Description

To (Quarter/Year - Carrier) - Field Description

To (Quarter/Year - Code) - Field Description

To (Quarter/Year) - Field Description

Total - (Reconciliation Action Codes) Field Description

Total - (Reconciliation Reason Codes) Field Description

Total - (Transmission Records) Field Description

Total Discrepancies Found - Field Description

Total Discrepancies Reconciled - Field Description

Total Enrollee Records - Field Description

Total Errors - (Total Field) Field Description

Total Errors - Field Description

Total Matches Found - Field Description

Total Records - (Enrollee) Field Description

Total Records - (Records) Field Description

Total Warnings - Field Description

Transmission File Name - (Payroll Office) Field Description

Transmission Type - (Optional) Field Instruction

Transmission Type - (Required) Field Instruction

Transmission Type - Field Description

Transmissions - Field Instruction

TRICARE/CHAMPUS - (Enrollee) Field Instruction

TRICARE/CHAMPUS - Field Description

Type - (Carrier Contact) Field Description

Type - (Carrier Contact) Field Instruction

Type - (Carrier Plan Contact) Field Instruction

Type - (Payroll Office Contact) Field Description

Type - (Payroll Office Contact) Field Instruction

Type - (Payroll Office Contacts Add) Field Instruction

Type - (Personnel Office Contact - Optional) Field Instruction

Type - (Personnel Office Contact) Field Description

Type - Personnel Office Contacts Field Instruction

Type - Personnel Office Contacts Search Results Field Description

Unrecon - Field Description

User ID - (Form) Field Instruction

User ID - (Reconciliation) Field Description

User ID - (Report) Field Instruction

Validation - Field Description

Validation Date - Field Description

Validation Date From - Field Instruction

Validation Date To - Field Instructions

Warning Code - (Select) Field Instruction

Warnings - Field Description

Whld Amt - Field Description

Year - (Error Statistics) Field Description

Year - (Payroll Office Enrollees) Search Results Field Description

Year - (Reconciliation Year for Transmission Record) Field Instruction

Year - (Reconciliation Year) Field Description

Year - (Reconciliation) 2810 Form Field Description

Year - (Required) Field Instruction

Year - (Transmission Year Record) Field Description

Year - Field Description

Year - Field Instruction

Year From - (Range - Required) Field Instruction

Year To - (Range - Required) Field Instruction

Year/Quarter - Field Description

Year/Quarter From - Field Description

Year/Quarter To - Field Description

ZIP - (Carrier Contact) Field Description

ZIP - (Carrier Plan Contact) Field Description

ZIP - (Carrier) Field Description

ZIP - (Coordinator) Field Description

ZIP - (Coordinator) Field Instruction

ZIP - (Enrollee) Field Description

ZIP - (Enrollee) Field Description

ZIP - (Enrollee/Survivor) Field Description

Zip - (Form 2809 Part A Continued) Field Instruction

ZIP - (Payroll Office Contacts Add) Field Instruction

ZIP - (Personnel Office Contact) Field Description

ZIP - Form 2809 View (Part A Continued) Field Description

ZIP - Payroll Office Field Description