The schema that is used for Health Care Reform data.
EnrollmentDetails
| Data Member | Type | Description |
| enrollmentID | Long | The enrollment key. |
EligibilityAndDemographicDetails
| Data Member | Type | Description |
| eligibilityDetails | eligibilityDetails | |
| persons | persons | |
| previousEnrollments | previousEnrollments | |
| assistors | assistors | |
| employerDetails | employerDetails |
eligibilityDetails
| Data Member | Type | Description |
| program | String | Values are as follows: EP1 Insurance Assistance EP2 CHIP EP3 Medicaid EP4 State Basic Plan EP5 None (for when the household is just shopping for plans) |
| maxPremiumTaxCredit | Double | |
| maxPremiumTaxCreditAnnual | Double | The amount of premium tax credit remaining for the year. |
| monthsRemaining | Int | The number of months remaining in the plan year. |
| costSharingSubsidy | Double | |
| premiumPayment | Double | |
| maximumCoPay | Double | |
| stateSubsidy | Double | |
| enrollmentPeriod | String | Values are as follows: EPD1 Open EPD2 Special |
| coverageStartDate | Date | |
| coverageEndDate | Date |
persons
| Data Member | Type | Description |
| person | List of person |
person
| Data Member | Type | Description |
| personID | Long | Unique identifier for a person within the exchange |
| ssn | String | |
| firstName | String | |
| middleName | String | |
| lastName | String | |
| dateOfBirth | Date | |
| gender | String | Values are as follows: SX1 Male SX2 Female |
| tobaccoUser | Boolean | |
| coverageCategory | String | Values are as follows: CC1 Parent/Caretaker CC2 Pregnant Woman CC3 Adult CC4 Child |
| address | Address | |
| phoneNumber | PhoneNumber | |
| emailAddress | String | |
| nativeAmerican | Boolean | Indicates whether the person is an American Indian / Alaskan Native |
| isPrimaryContact | Boolean | Indicates whether the person is the primary contact for the group being enrolled |
| costSharingEliminated | Boolean | True for AI/NA individual with household income less than or equal to 300% of FPL |
| subscriberID | Long | Unique identifier of the primary client assigned to each member. |
| taxFilerRelationshipList | TaxFilerRelationshipList |
Address
| Data Member | Type | Description |
| addressLine1 | String | |
| addressLine2 | String | |
| city | String | |
| county | String | |
| state | String | |
| zip | String |
TaxFilerRelationshipList
| Data Member | Type | Description |
| taxFilerRelationships | List of TaxFilerRelationship |
TaxFilerRelationship
| Data Member | Type | Description |
| relatedPersonID | Long | |
| taxFilerRelationshipType | String | Values are as follows: TFRT26001 Dependent TFRT26002 Spouse TFRT26003 Tax Filer |
previousEnrollments
| Data Member | Type | Description |
| enrollment | List of enrollment objects |
enrollment
| Data Member | Type | Description |
| enrollmentID | Long | |
| planID | String | |
| policyID | String | |
| coverageEndDate | Date | |
| previousPremium | Double | |
| previousTaxCredit | Double | |
| previousEnrollees | previousEnrollees |
previousEnrollees
| Data Member | Type | Description |
| enrollee | List of enrollee objects |
enrollee
| Data Member | Type | Description |
| personID | Long |
assistors
| Data Member | Type | Description |
| assistor | List of assistor objects |
assistor
| Data Member | Type | Description |
| firstName | String | |
| lastName | String | |
| address | Address | |
| phoneNumber | PhoneNumber | |
| certificationNumber | String | |
| assistorType | String | |
| assistorID | Long | |
| agencyOrganisationID | Long |
PhoneNumber
| Data Member | Type | Description |
| countryCode | String | |
| areaCode | String | |
| phoneNumber | String | |
| Extension | String |
EmployerDetails
| Data Member | Type | Description |
| employerID | Long | |
| coverageStartDate | Date |
EntitlementUpdateDetails
| Data Member | Type | Description |
| enrollmentID | Long | |
| updatedPremiumTaxCredit | Double |
HouseholdSummaryDetails
| Data Member | Type | Description |
| effectiveDate | String | |
| zipCode | String | |
| personList | PersonList |
PersonList
| Data Member | Type | Description |
| persons | List of Person |
person
| Data Member | Type | Description |
| dateOfBirth | Date | |
| tobaccoUser | Boolean | |
| isPrimaryContact | Boolean | Indicates whether the person is the primary contact for the group being enrolled |
EmployerEnrollment
| Data Member | Type | Description |
| employerEnrollmentID | String | The employer enrollment identifier. |
EmployerEnrollmentReceived
| Data Member | Type | Description |
| employerEnrollmentReceived | Boolean | Indicates the employer enrollment identifier has been successfully received and stored. |