| Column | Field | Description | Data Type | Edit Type | Length | Decimals | SQL Create Statement |
---|
| 1 | HVPAN8 | Participant Address Number | Numeric | Generic Edit | 8 | 0 | Allow NULL? |
| 2 | HVQE1 | COBRA Qualifying Event 1 | String | UDC (08 QE) | 2 | 0 | Allow NULL? |
| 3 | HVQD1 | Date - Qualifying Event 1 | Date | Generic Edit | 6 | 0 | |
| 4 | HVAN8 | Address Number | Numeric | UDC | 8 | 0 | Allow NULL? |
| 5 | HVRPA8 | Responsible Party Address Number | Numeric | Generic Edit | 8 | 0 | Allow NULL? |
| 6 | HVREL | Dependent Relationship | Character | UDC (06 RL) | 1 | 0 | Allow NULL? |
| 7 | HVSTSP | Status - COBRA Qualified Beneficiary | String | UDC (08 BS) | 3 | 0 | Allow NULL? |
| 8 | HVDCLS | Date - Regular Coverage Lost | Date | Generic Edit | 6 | 0 | |
| 9 | HVQDM1 | Date - Election Mailed Qual Event 1 | Date | Generic Edit | 6 | 0 | |
| 10 | HVDCE | Date - COBRA Elected or Rejected | Date | Generic Edit | 6 | 0 | |
| 11 | HVDEXP | Date - Election Period Expires | Date | Generic Edit | 6 | 0 | |
| 12 | HVDCST | Date - COBRA Coverage Starts | Date | Generic Edit | 6 | 0 | |
| 13 | HVDCX | Date - COBRA Expires | Date | Generic Edit | 6 | 0 | |
| 14 | HVDWV | Date - COBRA Coverage Waived | Date | Generic Edit | 6 | 0 | |
| 15 | HVDTC | Date - COBRA Terminated | Date | Generic Edit | 6 | 0 | |
| 16 | HVTRSC | COBRA Termination Reason | String | UDC (08 TM) | 2 | 0 | Allow NULL? |
| 17 | HVCVP | COBRA Coverage Period | Numeric | Generic Edit | 3 | 0 | Allow NULL? |