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The 'Amt' element is invalid.


One or more of the following errors may arise:

The 'JanuaryAmt' element is invalid - The value is invalid according to its datatype 'AmountType' - The Pattern constraint failed.
The 'FebruaryAmt' element is invalid - The value is invalid according to its datatype 'AmountType' - The Pattern constraint failed.
The 'MarchAmt' element is invalid - The value is invalid according to its datatype 'AmountType' - The Pattern constraint failed.
The 'AprilAmt' element is invalid - The value is invalid according to its datatype 'AmountType' - The Pattern constraint failed.
The 'MayAmt' element is invalid - The value is invalid according to its datatype 'AmountType' - The Pattern constraint failed.
The 'JuneAmt' element is invalid - The value is invalid according to its datatype 'AmountType' - The Pattern constraint failed.
The 'JulyAmt' element is invalid - The value is invalid according to its datatype 'AmountType' - The Pattern constraint failed.
The 'AugustAmt' element is invalid - The value is invalid according to its datatype 'AmountType' - The Pattern constraint failed.
The 'SeptemberAmt' element is invalid - The value is invalid according to its datatype 'AmountType' - The Pattern constraint failed.
The 'OctoberAmt' element is invalid - The value is invalid according to its datatype 'AmountType' - The Pattern constraint failed.
The 'NovemberAmt' element is invalid - The value is invalid according to its datatype 'AmountType' - The Pattern constraint failed.
The 'DecemberAmt' element is invalid - The value is invalid according to its datatype 'AmountType' - The Pattern constraint failed.

Our Explanation: Complete only if code 1B, 1C, 1D or 1E is entered on line 14. If the employee is offered coverage but is not required to contribute any amount towards the premium, enter 0.00, cannot leave blank. Values must be entered as dollars and any cents. Enter premium amount in each month separately if not the same for all 12 months.