Part III ALE Member Information – Monthly ALEMember InformationGrp
Publication 5258 — Guide for Affordable Care Act (ACA) Information Returns (AIR) Submission Composition and Reference Guide · 2026-10-03 edition · updated 2026-10-04 · United States
YearlyALEMemberDetail MinEssentialCvrOffrCd JanALEMonthlyInfoGrp DecALEMonthlyInfoGrp MinEssentialCvrOffrCd
JanALEMonthlyInfoGrpDecALEMonthlyInfoGrp ALEMemberFTECnt
YearlyALEMemberDetail TotalEmployeeCnt JanALEMonthlyInfoGrp DecALEMonthlyInfoGrp TotalEmployeeCnt
YearlyALEMemberDetail AggregatedGroupInd JanALEMonthlyInfoGrp DecALEMonthlyInfoGrp AggregatedGroupInd
Minimum Essential 23a-35a Coverage Offer Indicator
Full-Time Employee 23b-35b Count for ALE Member
Total Employee Count for 23c-35c ALE Member
Aggregated Group 23d-35d Indicator
Indicates if employer offered MEC under an eligible employer- sponsored plan to at least 95% of its full-time employees and their dependents for either the entire calendar year or certain calendar months.
The number of full- time employees for each month
The total number of employees (full-time and non-full-time) for each calendar month.
Indicates employer was a member of an Aggregated ALE either for the entire calendar year or certain calendar months.
Pat IV Other ALE Members of Aggregated ALE Group OtherALEMembersGrp
BusinessName BusinessNameLine1Txt BusinessNameLine2Txt
EIN
Other ALE Members of 36-65 Aggregated ALE Group Name
The names and EIN of the other Aggregated ALE Group members (up to 99), if the employer is a member of an Aggregated ALE
Group for any month of the calendar year.
Guide for Electronically Filing ACA Information Returns for Software Developers and Transmitters 101
Data Mapping for ISS-UI Services/ISS-A2A Web Services
Table 7-10: Form 1095-C
| Form Line Num | 1095-C Data Element | Definition | XML Element Name |
|---|---|---|---|
| None | Unique Record ID per submission | RecordId | |
| None | Test Scenario Id | TestScenarioId | |
| None | TIN Request Type Code | TINRequestTypeCd (EmployeeInfoGrp) |
|
| None | TIN Request Type Code | TINRequestTypeCd (CoveredIndividualGrp) |
|
| None | Corrected | Identifes the Information Return as containing corrections to the previously transmitted and accepted 1095-B. |
CorrectedInd |
| None | CorrectedRecord Recipient Grp |
Information to identify the record being corrected |
CorrectedRecordRecipientGrp choice CorrectedRecRecipientPrsnName CorrectedRecRecipientName CorrectedRecRecipientTIN |
| None | Tax Year | Identifes the tax year for which the form is fled” |
TaxYr |
| Part I Employee | Part I Employee | Part I Employee | EmployeeInfoGrp |
| 1 | Name of employee | The name of the employee | OtherCompletePersonName PersonFirstNm PersonMiddleNm PersonLastNm SuffxNm |
| 2 | Social security mnumber (SSN) |
The 9-digit SSN of the employee | SSN |
Guide for Electronically Filing ACA Information Returns for Software Developers and Transmitters 102
Data Mapping for ISS-UI Services/ISS-A2A Web Services
1095-C Data Form Line Num Definition XML Element Name Element
Street address 3 (including apartment no.)
4 City or town
5 State or province
Country and ZIP or 6 foreign postal code
The employee’s complete address IRS XML schema provides a choice between using US Address or Foreign Address. Differences are noted in individual fields on the right. If TransmitterForeignEntit yInd is true then ForeignAddressGrp will be used.
Applicable Large Employer Member (ALE Member)
MailingAddressGrp USAddressGrp AddressLine1Txt AddressLine2Txt CityNm USStateCd USZIPCd USZIPExtensionCd Or ForeignAddressGrp AddressLine1Txt AddressLine2 Txt CityNm CountryCd OR CountryNm ForeignProvinceNm ForeignPostalCd
ContactPhoneNum
StartMonthNumberCd
AgeNum
EmployeeOfferAndCoverageGrp Choice between AnnualOfferOfCoverageCd MonthlyOfferCoverageGrp JanOfferCd - DecOfferCd
EmployeeOfferAndCoverageGrp Choice between AnnlEmployeeRequiredContriAmt MonthlyEmployeeRequiredContri Grp JanuaryAmt - DecemberAmt
Contact telephone 10 number
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