LEGACY HCFA-1500 (521) IB FORM SKELETON DEFINITION (364.6)

Name	Value
BILL FORM	LEGACY HCFA-1500
SECURITY LEVEL	NATIONAL,NO EDIT
PAGE OR SEQUENCE	1
FIRST LINE NUMBER	21
LOCAL OVERRIDE ALLOWED	YES
STARTING COLUMN OR PIECE	68
LENGTH	1
SHORT DESCRIPTION	INSUREDS SEX=MALE (BX-11A/2A)