Medicare Advantage and Prescription Drug Plans December 28 ...

Plan Communications User Guide Appendices, Version 6.3
Field Size Position Format Valid Values Description
Part D
Enrollment
Effective Date
/Employer
Subsidy Start
Date
(Occurrence 1)
Part D
Disenrollment
Date/ Employer
Subsidy End
Date
(Occurrence 1)
Part D
Enrollment
Effective Date/
Employer
Subsidy Start
Date
(Occurrence 2)
Part D
Disenrollment
Date/ Employer
Subsidy End
Date
(Occurrence 2)
Part D
Enrollment
Effective Date/
Employer
Subsidy Start
Date
(Occurrence 3)
Part D
Disenrollment
Date/ Employer
Subsidy End
Date
(Occurrence 3)
Part D
Enrollment
Effective Date/
Employer
Subsidy Start
Date
(Occurrence 4)
Part D
Disenrollment
Date / Employer
coverage;
"1" = Beneficiary
has current or active
Medicaid coverage.
8 81-88 X(8) CCYYMMDD
Spaces = No Drug
coverage period for
this occurrence or
Data Not Found.
8 89-96 X(8) CCYYMMDD
Spaces = No Drug
Coverage Period for
this occurrence or
Data Not Found.
8 97-104 X(8) CCYYMMDD
Spaces = No Drug
Coverage Period for
this occurrence or
Data Not Found.
8 105-112 X(8) CCYYMMDD
Spaces = No Drug
Coverage Period for
this occurrence or
Data Not Found.
8 113-120 X(8) CCYYMMDD
Spaces = No Drug
Coverage Period for
this occurrence or
Data Not Found.
8 121-128 X(8) CCYYMMDD
Spaces = No Drug
Coverage Period for
this occurrence or
Data Not Found.
8 129-136 X(8) CCYYMMDD
Spaces = No Drug
Coverage Period for
this occurrence or
Data Not Found.
8 137-144 X(8) CCYYMMDD
Spaces = No Drug
Coverage Period for
presence of Medicaid reported for the
beneficiary by states in the previous calendar
month via the MMA State Files.
Effective start date of the Part D Plan or the
Start Date of the Employer Subsidy coverage
for the beneficiary;(most recent or presently
active.
Effective disenrollment date of the Part D
Plan or the End Date of the Employer
Subsidy coverage for the beneficiary;(most
recent or presently active.
Effective start date of the Part D Plan or the
Start Date of the Employer Subsidy coverage
for the beneficiary; second most recent.
Effective disenrollment date of the Part D
Plan or the End Date of the Employer
Subsidy coverage for the beneficiary; second
most recent.
Effective start date of the Part D Plan or the
Start Date of the Employer Subsidy coverage
for the beneficiary; third most recent.
Effective disenrollment date of the Part D
Plan or the End Date of the Employer
Subsidy coverage for the beneficiary; third
most recent.
Effective start date of the Part D Plan or the
Start Date of the Employer Subsidy coverage
for the beneficiary; fourth most recent.
Effective disenrollment date of the Part D
Plan or the End Date of the Employer
Subsidy coverage for the beneficiary (fourth
December 28, 2012 F-111 BEQ Response File