EDI 153 Unemployment Insurance Tax Claim or Charge Information

Functional Group CB

X12F Finance Subcommittee

This Draft Standard for Trial Use contains the format and establishes the data contents of the Unemployment Insurance Tax Claim or Charge Information Transaction Set (153) for use within the context of an Electronic Data Interchange (EDI) environment. This bi-directional transaction set can be used by employment security agencies to notify employers or other agencies of a possible charge to their employers' unemployment insurance tax account and by employers responding to the notice with supplemental information that might affect the chargeability of the claim. This transaction set can also be used by employers to notify claimant(s)' representative, e.g., union, to protest a claim.

Heading

Position
Segment
Name
Max use
  1. To indicate the start of a transaction set and to assign a control number

  2. To indicate the type of tax information

  3. N1 Loop Mandatory
    Repeat >1
    1. To identify a party by type of organization, name, and code

      This N1 segment must identify the employer and may also identify the issuing agency, the employer's representative or the claimant's(s') representative.
    2. To specify additional names

    3. To specify the location of the named party

    4. To specify the geographic place of the named party

    5. To specify identifying information

      This REF segment identifies an employer's successor/predecessor account identification.
    6. To indicate the total monetary amount

    7. To qualify percent amounts and supply percent amounts

    8. To define elements associated with a charge to unemployment insurance tax account

    9. To specify pertinent dates and times

    10. To identify a person or office to whom administrative communications should be directed

Detail

Position
Segment
Name
Max use
  1. NM1 Loop Mandatory
    Repeat >1
    1. To supply the full name of an individual or organizational entity

      This NM1 loop identifies a claimant.
    2. To provide dependent information

    3. To specify identifying information

      This REF segment is used for the claim number or change to the Social Security Number.
    4. To indicate the total monetary amount

    5. To qualify percent amounts and supply percent amounts

    6. To define elements associated with a charge to unemployment insurance tax account

    7. To specify pertinent dates and times

    8. To provide a free-form format that allows the transmission of text information

    9. PAM Loop Optional
      Repeat >1
      1. To indicate a quantity, and/or amount for an identified period

        This PAM loop reflects wages and/or compensation paid.
      2. To specify identifying information

        This REF segment further identifies this wage item.
      3. To define elements associated with a charge to unemployment insurance tax account

  2. To indicate the end of the transaction set and provide the count of the transmitted segments (including the beginning (ST) and ending (SE) segments)

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