MA 1099-HC OUTPUT VALIDATION CHECKLIST
Reporting Year:
Filing Entity:
Analyst:

DATA EXTRACTION & FILTERING
[ ] Apply primary-subscriber mailing rules to the furnishing queue; retain required dependent state records.
[ ] Suppress separate dependent mailings where appropriate, not dependent information on required outputs.
[ ] Document Medicare subscriber mailing exceptions, including Supplemental and Replacement plans.
[ ] Confirm non-MCC subscribers are generated (statements required to show noncompliance).

MONTHLY STATUS DERIVATION
[ ] Test logic: Month with 14 or fewer covered days = Blank output.
[ ] Test logic: Month with 15 or more covered days = MCC Marked.
[ ] Verify retroactive reinstatements are captured in final derivation.

MULTI-VENDOR COMPLIANCE
[ ] Collect signed combined-benefit MCC attestations from plan sponsors.
[ ] Archive attestations for DOR audit availability.
[ ] Preserve each reporting company identity and its supported coverage when packaging transmission files.

FILE VALIDATION & TRANSMISSION
[ ] Compare Company FID on XML payload to Company FID on printed statement (Must Match).
[ ] Validate XML against the current DOR-linked XSD; record its actual version instead of inferring validity from the handbook date.
[ ] Verify total MTC file size does not exceed 250MB, or arrange the documented bulk portal process.
[ ] Confirm statement reprint queue does not trigger XML resubmission unless data changed.