Form 1095-C Non-Covered Contact Listed Incorrectly as Covered Individual in Part III Section

(Doc ID 2122750.1)

Last updated on JANUARY 05, 2017

Applies to:

Oracle Advanced Benefits - Version 12.1 HRMS RUP8 and later
Information in this document applies to any platform.


The parent of an employee is listed incorrectly on the 1095C as a covered individual.

However, the contact is a covered individual of another employee and is listed correctly on her 1095C.

The issue can be reproduced at will with the following steps:
1. Go to responsibility US Super HRMS Manager.
2. Navigate to Processes and Reports > Submit Processes and Reports > Single Request.
3. Submit request name "Benefits ACA 1095C Print Report".


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