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Field Descriptions/Instructions # - Field Description % (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 1 - Personnel Office Contacts Add Field Instruction 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 Address Line 3 - Personnel Office Contacts Add Field Instruction Affects - Field Description Affects Carrier - 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 Instruction 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 Social Security Number (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 - (Form 2809 Part A Continued) 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 Description - (System Codes) 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 - (System Codes) 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 Enrollment ID - Field Instruction 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 Contacts Add) Field Instruction Fax Number - (Personnel Office Contact) Field Description 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 - Field Instruction 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 Instruction Last CL70 Time - Field Description Last CL70 Date Field Instruction 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 - 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 Instruction 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 Description 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 Instruction 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 Instruction State - (Enrollee/Survivor) Field Description State - (Payroll Office) Field Instruction State - (Personnel Office Contact) Field Description State - Form 2809 Add (Part I) Field Instruction 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 Description 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 Instruction 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 - Personnel Office Contacts Add Field Instruction ZIP - Form 2809 View (Part A Continued) Field Description ZIP - Payroll Office Field Description |
