Group Number definition

Group Number. [Group Number] Original Effective Date: [Original Effective Date] GC-1 MONTHLY DUES/PREMIUMS SCHEDULE Refer to PART V. of this Contract for additional information pertaining to the payment of Dues/Premiums. The Employer will pay to Covered California for Small Business (CCSB) the following monthly Premiums: [Legal Name] [Group Number] Dues - Subscriber / Member Rates Region [Region] Age Category Premiums Age Category Premiums Age Category Premiums Age Category Premiums 15-15 [15] 28-28 [28] 41-41 [41] 54-54 [54] 16-16 [16] 29-29 [29] 42-42 [42] 55-55 [55] 17-17 [17] 30-30 [30] 43-43 [43] 56-56 [56] 18-18 [18] 31-31 [31] 44-44 [44] 57-57 [57] 19-19 [19] 32-32 [32] 45-45 [45] 58-58 [58] 21-21 [21] 34-34 [34] 47-47 [47] 60-60 [60] 22-22 [22] 35-35 [35] 48-48 [48] 61-61 [61] 23-23 [23] 36-36 [36] 49-49 [49] 62-62 [62] 24-24 [24] 37-37 [37] 50-50 [50] 63-63 [63] 25-25 [25] 38-38 [38] 51-51 [51] 64-plus [64-120] 26-26 [26] 39-39 [39] 52-52 [52] HEALTH DUES/PREMIUMS An Employee’s Premiums will automatically increase the first day of the plan year following the plan year in which an age change that moves the Employee into the next higher age category occurs. Dependent age changes will similarly affect the portion of the premium attributed to them, if any. The Premiums set forth above do not include coverage for dental (other than pediatric dental benefits), vision (other than pediatric vision benefits), or life insurance when applicable. The Employer must be located in, and the Employee and all Dependents must live, reside, or work in, the Service Area to be eligible for this health plan.
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Group Number means the group number for the insured. The label for this number is “RxGRP.”
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Group Number. Employer: Policy Holder’s Name: Policy Xxxxxx’s date of birth: Policy Holder’s Address: Customer Service Phone Number on Insurance Card: PLEASE REVIEW FEE AGREEMENT CAREFULLY: I understand that payment is due in full at the beginning of the evaluation process. I understand that my insurance may not pay for Xx. Xxxxxx’ services and I agree to pay for the services, regardless of what insurance pays. I authorize the release of any information necessary to process the claim with my insurance. I agree to notify Xx. Xxxxxx of any changes in my insurance coverage.
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Examples of Group Number in a sentence

  • All Bids must have a label on the outside of the package or shipping container outlining the following information: “BID ENCLOSED (bold print, all capitals) • Group Number • IFB or RFP Number • Bid Submission date and time” In the event that a Bidder fails to provide such information on the return Bid envelope or shipping material, the receiving entity reserves the right to open the shipping package or envelope to determine the proper Bid number or Product group, and the date and time of Bid opening.

  • The report is to be submitted electronically via e-mail in Microsoft Excel to OGS Procurement Services, to the attention of the individual listed on the front page of the Contract Award Notification and shall reference the Contract Group Number, Award Number, Contract Number, Sales Period, and Contractor's name.

  • If every Policy that bears the same Group Number, is not renewed or if Blue Cross and Blue Shield ceases to offer a particular type of coverage in the individual market.

  • The report is to be submitted electronically via electronic mail utilizing the template provided in Microsoft Excel 2003, or newer (or as otherwise directed by OGS), to the attention of the individual shown on the front page of the Contract Award Notification and shall reference the Group Number, Award Number, Contract Number, Sales Period, and Contractor's (or other authorized agent) Name, and all other fields required.

  • The report is to be submitted electronically in Microsoft Excel 2007 or 2003 (or as otherwise directed by OGS), via electronic mail to the attention of the individual identified on the front page of the Contract Award Notification and shall reference the Group Number, the Award Number, Contract Number, sales period, and Contractor’s (or other authorized agent) name, and all other fields required, using the report template provided.

  • Chris DoerrChief Executive OfficerFor Customer Service Assistance: 800-FLA-BLUE Contractholder Name: <Inserted Here>Contract Number: <Inserted Here> Group Number: <Inserted Here> Contract Type: <Inserted Here> Effective Date: <Inserted Here> Monthly Rate: <Inserted Here>4800 Deerwood Campus Parkway Jacksonville, Florida 32246 IMPORTANT NOTICE In deciding to issue this Contract to you, we relied on the truthfulness and accuracy of the information provided on the application.

  • All Bids must have a label on the outside of the package or shipping container outlining the following information: “BID ENCLOSED (bold print, all capitals) • Group Number • IFB or RFP Number • Bid Submission date and time” In the event that a Bidder fails to provide such information on the return Bid envelope or shipping material, the receiving entity reserves the right to open the shipping package or envelope to determine the proper Bid number or Group Number, and the date and time of Bid opening.

  • The computerized seniority list provided to the PWU will contain the following data: Last Name, Initials, ECD, Occupational Code, Job Title, Schedule, Base Occupational Group Number, Grade, Location, Building Code, Payroll Number, Business Unit, Division, Department, Hours of Work, Date of Notice of Termination/Layoff, Date of Expiry of Recall, End Rate of Classification.

  • The report shall be in the following format: Purchaser Name Product or Catalog Number Product/ Service Description Total Quantity Shipped Total $ Value (List) Total $ Value (Invoiced) The report is to be submitted to OGS in accordance with the notice provisions of this Piggyback Contract and shall reference the Group Number, New York State Contract Number, sales period, and Contractor’s name.

  • If everyPolicy that bears the same Group Number, is not renewed or if Blue Cross and Blue Shield ceases to offer a particular type of coverage in the individual market.


More Definitions of Group Number

Group Number. 970743 & 970744 Original Effective Date: July 1, 2013 GC-1 IMPORTANT No Member has the right to receive the Benefits of this Contract for Services or supplies furnished following termination of coverage, except as specifically provided in the Group Continuation Coverage and Extension of Benefits sections of the Evidence of Coverage and Disclosure Form. Benefits of this Contract are available only for Services and supplies as included in the applicable sections of the Evidence of Coverage and Disclosure Form, furnished during the term the Contract is in effect and while the individual claiming Benefits is actually covered by this Contract. Benefits may be modified during the term of this Contract under the applicable section in Part V. Dues, Part VIII. General Provisions, D. Changes: Entire Contract, or upon renewal. If Benefits are modified, the revised Benefits (including any reduction in Benefits or the elimination of Benefits) apply for Services or supplies furnished on or after the effective date of the modification. There is no vested right to receive the Benefits of this Contract. SHIELD SPECTRUM PPO SAVINGS PLAN
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Group Number. Group Name: Sub-Group Names (if applicable): Requested Effective Date: Renewal Date: Amount Paid By Employer For: Employee Coverage: Dependent Coverage: Definition Of Subscriber (for example: “all full-time employees, all full-time and part-time employees.”): Can Employees Opt-out-of Dental/Vision Plan?: ☐ Yes ☐ No Is There A Section 125 Plan In Place?: ☐ Yes ☐ No Is This A Management Carve-Out? ☐ Yes ☐ No Number of Eligible Employees: Estimated Number of Employees Enrolling: Benefit Year: ☐ Calendar Year ☐ Policy Year ☐ Other: New Employee Waiting Period (check one): Waived At Initial Enrollment?: ☐ Yes ☐ No ☐ First of the Month Following: Days Or ☐ First Day Following Days Or ☐ Date Of Hire Tax Identification Number: Group Address: City: State: Zip Code: County: Telephone: Fax Number: Billing Contact: Title: E-Mail Address: Billing Address (if different from above): City: State: Zip Code: Group Administrator: Title: E-Mail Address: Previous Carrier: ☐ No ☐ Yes If Yes, Please Indicate Carrier: Enrollment By: ☐ Form ☐ Electronic Media If Electronic Media, Please Specify Type: Delivery Method For The Group Policy, Individual Subscriber Certificate And Summary: ☐ Electronic ☐ Paper If Paper Method Is Selected, Send Materials To: By checking the electronic box, you are agreeing to receive such materials electronically pursuant to the terms for paperless delivery attached to this application form. If none selected, all materials will be sent by hard copy. Enrollee ID Cards Sent To: ☐ Group ☐ Member Home
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Group Number means the health benefit plan group number for the insured.
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Group Number. Z1281 Plan ID: CTYGM Effective Date: August 1, 2012 City of Xxxxxxx BENEFIT COPAYMENT Annual Maximum No Annual Maximum Deductible No Deductible General Office Visit $4 per Visit DIAGNOSTIC AND PREVENTIVE SERVICES Routine and Emergency Exams Covered at 100% All X-rays Covered at 100% Teeth Cleaning Covered at 100% Fluoride Treatment Covered at 100% Sealants Covered at 100% Head and Neck Cancer Screening Covered at 100% Oral Hygiene Instruction Covered at 100% Periodontal Charting Covered at 100% Periodontal Evaluation Covered at 100% RESTORATIVE DENTISTRY Fillings (Amalgam) Covered at 100% Stainless Steel Crown Covered at 100% Porcelain-Metal Crown $45 PROSTHODONTICS Complete Upper or Lower Denture $50 Bridge (per Tooth) $45 Root Canal Therapy – Anterior $30 Root Canal Therapy – Bicuspid $60 Root Canal Therapy – Molar $80 Osseous Surgery (per Quadrant) $50 Root Planing (per Quadrant) $25 ORAL SURGERY Routine Extraction (Single Tooth) Covered at 100% Surgical Extraction $50 ORTHODONTIC SERVICES Pre-Orthodontic Service $150* Comprehensive Orthodontic Service $800 MISCELLANEOUS Local Anesthesia Covered at 100% Dental Lab Fees Covered at 100% Nitrous Oxide $10 per Visit Specialty Office Visit $30 per Visit Emergency Office Visit $50 per Visit Out of Area Emergency Care Reimbursement Up to $100 Form No. 028-OR (9/11) Contract No. 001-OR (1/10R) *Fee credited towards the Comprehensive Orthodontic Service copayment if patient accepts treatment plan. Underwritten by Willamette Dental Insurance, Inc. This plan provides extensive coverage of services and supplies to prevent, diagnose, and treat diseases or conditions of the teeth and supporting tissues. Presented are just some of the most common procedures covered in your plan. Please see the Certificate of Coverage for a complete plan description, limitations, and exclusions.
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Group Number. Phone: Group Benefits Administrator Name: For Federal COBRA and New York State Continuation of Coverage (mini-COBRA) billing, please place a check xxxx in the sections provided immediately below: Group is electing to have BlueCross BlueShield of Western New York (“BlueCross BlueShield”) directly xxxx individuals that Group identifies to BlueCross BlueShield as subscribers in Group’s COBRA/mini-COBRA coverage. (NOTE: Page 2 of this form must be completed upon selecting this option). Effective Date: Authorized by: (Authorized Group Representative Signature) Print Name: Title: If Group is exempt from Federal COBRA provisions, please explain: If Group is exempt from NYS mini-COBRA provisions, please explain: - over, please - A division of HealthNow New York Inc., an independent licensee of the BlueCross BlueShield Association. R13264-B This Federal COBRA and NYS Continuation of Coverage Premium Billing Agreement (“Agreement”) is entered into as of the day of 20 (“Effective Date”) by and between BlueCross BlueShield of Western New York1, (“BlueCross BlueShield”) and (“Employer”). (Employer name) (Principal office location) In consideration of the terms and conditions hereof and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, Employer and BlueCross BlueShield hereby agree as follows:
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Group Number means [To be completed when the Agreement is drafted.] “Group Physician” means:
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Related to Group Number

  • CAS number means the Chemical Abstract Service registry number identifying a particular substance.

  • DUNS Number means a unique nine digit identification number provided by Dun & Bradstreet for each physical location of Grantee’s organization. Assignment of a DUNS Number is mandatory for all organizations seeking an Award from the state of Illinois.

  • Identifying number means a symbol or address that identifies only one unit in a common interest community.

  • Group 4 All of the Group 4 Certificates.

  • Data Universal Numbering System+4 (DUNS+4) number means the DUNS number means the number assigned by D&B plus a 4-character suffix that may be assigned by a business concern. (D&B has no affiliation with this 4-character suffix.) This 4- character suffix may be assigned at the discretion of the business concern to establish additional SAM records for identifying alternative Electronic Funds Transfer (EFT) accounts (see the FAR at Subpart 32.11) for the same concern.

  • Data Universal Numbering System +4 (DUNS+4) number means the DUNS number assigned by D&B plus a 4- character suffix that may be assigned by a business concern. (D&B has no affiliation with this 4-character suffix.) This 4-character suffix may be assigned at the discretion of the business concern to establish additional SAM records for identifying alternative Electronic Funds Transfer (EFT) accounts for the same parent concern.

  • Group 3 All of the Group 3 Certificates.

  • Fax Number Email Address: Credentialing Contact: Telephone Number: Fax Number: Email Address: Address Information Federal Tax ID Number: National Provider Identification: Attach a completed W9 form for each Federal Tax ID number. Physical Address – physical location of the Facility THIS ADDRESS AND PHONE NUMBER WILL APPEAR ON THE WEBSITE PROVIDER DIRECTORY. Physical Address: Mailing Address Mailing Address: City State ZIP Phone: Fax: Contact Person: Email Address: Mailing contact information, if listed, will be utilized for all legal, contractual notices as defined in section 11.2 or 12.2 of the facility contracts. An email address must be included for this contact in order to access the online fee schedules. All notices will be sent electronically. Billing/Remit Address – for claims payments and remittance statements ALL BILLING INFORMATION BELOW MUST MATCH THE INFORMATION REFLECTED ON THE CLAIMS SUBMITTED. Name Submitted on Claims: Billing Office Name (if applicable): Billing Address: City State ZIP Phone: Fax: Contact Person: Email Address: Additional Location Federal Tax ID Number: National Provider Identification: Attach a completed W9 form for each Federal Tax ID number. Physical Address – physical location of the Facility THIS ADDRESS AND PHONE NUMBER WILL APPEAR ON THE WEBSITE PROVIDER DIRECTORY. Physical Address: Mailing Address- for correspondence/credentialing Mailing Address: City State ZIP Phone: Fax: Contact Person: Email Address: Billing/Remit Address – for claims payments and remittance statements ALL BILLING INFORMATION BELOW MUST MATCH THE INFORMATION REFLECTED ON THE CLAIMS SUBMITTED. Name Submitted on Claims: Billing Office Name (if applicable): Billing Address: City State ZIP Phone: Fax: Contact Person: Email Address: Please use copies of these pages to report any additional locations. Revised 04/13/2018 Network Provider Home Health Care Agency Contract Signature Page The Office of Management and Enterprise Services Employees Group Insurance Division (EGID), and the Facility incorporated by reference the terms and conditions of the HealthChoice Network Facility Contract (Contract) located in HCHHCv2.1 at xxxx://xxxx.xx.xxx/services/healthchoice/providers/contracts-and- applications into this Signature Page and acknowledge the Contract is an electronic record created according to 12A O.S. § 15-011 et seq. EGID and the Facility further agree that the effective date of the Contract is the effective date denoted on the copy of the executed Signature Page returned to the Facility. The original of the signed document will remain on file in the office of EGID. FOR THE FACILITY: FOR EGID: Legal Name of Owner (Typed or Printed) Xxxxx X’Xxxx Deputy Administrator Employees Group Insurance Division Trade Name/DBA (Typed or Printed) Federal Tax ID Number Address of the Facility: Authorized Officer or Representative (Typed or Printed) Title Signature Signature Date Please return the completed Application, Signature Page and required attachments to: Office of Management Enterprise Services Employees Group Insurance Division ATTN: Network Management 3545 N.W. 00xx Xx., Xxx. 000 Oklahoma City, OK 73112 Phone: 000-000-0000 or 000-000-0000 Fax: 000-000-0000 XXXX.XxxxxxxXxxxxxxxxx@xxxx.xx.xxx

  • Specified Number means the number of Public Sources specified in the applicable Final Terms (or, if a number is not so specified, two).

  • Data Universal Numbering System (DUNS) number means the 9-digit number assigned by Dun and Bradstreet, Inc. (D&B) to identify unique business entities.

  • Charge Number means the CCS signaling parameter that refers to the number transmitted through the network identifying the billing number of the calling Party.

  • Data Universal Number System (DUNS) Number means the 9-digit number assigned by Dun and Bradstreet, Inc. (D&B) to identify unique business entities.

  • Mobile Number means a Telephone Number, from a range of numbers in the National Telephone Numbering Plan, that is Adopted or otherwise used to identify Apparatus designed or adapted to be capable of being used while in motion;

  • Group A means educational programs for career exploration, a

  • Loan Number Orig Term: Prop Type: Sr Lien: Orig Amount: P&&I: Cr. Score: Sevicer Loan Prod Code: Rem Term: Occp Code: Appr Value: Note Date: Debt Ratio: City Stat Zip Purpose: Curr Rate: CLTV: Prin Bal: Maturity Date: Lien Pos: 7107405 121 14 $207,879.00 $51,300.00 $739.72 685 0301020343 5 117 1 $210,000.00 01/30/2002 36 Lock Haven PA 17745 02 12.130 124 $50,608.35 02/04/2012 2 7107631 180 14 $210,000.00 $50,000.00 $640.87 673 0301032835 6 178 1 $218,000.00 03/18/2002 41 GRAHAM WA 98338 01 13.250 120 $49,812.31 03/22/2017 2 7107823 181 14 $72,598.00 $63,600.00 $768.43 765 0301020525 6 178 1 $109,000.00 02/15/2002 36 WOODWARD IA 50276 02 12.130 125 $63,347.12 03/01/2017 2 7108503 180 14 $193,489.00 $55,000.00 $695.88 685 0301020608 6 178 1 $204,000.00 03/20/2002 31 GASTONIA NC 28052 02 13.000 122 $54,798.82 03/25/2017 2 7108519 300 04 $79,863.00 $28,500.00 $345.80 674 0301020533 8 295 1 $94,000.00 12/12/2001 45 North Olmsted OH 44070 02 14.130 116 $28,447.10 12/16/2026 2 7108617 181 14 $83,534.00 $30,000.00 $348.08 731 0301020624 6 177 1 $105,000.00 01/19/2002 24 Newport News VA 23602 02 11.380 109 $29,710.42 02/02/2017 2 7108919 180 14 $155,000.00 $38,700.00 $468.21 706 0301039459 6 178 1 $155,000.00 03/19/2002 39 LAKE IN THE HILLS IL 60156 01 12.150 125 $38,546.48 03/25/2017 2 7108943 300 RFC01 $125,593.00 $55,000.00 $584.36 714 0301033882 8 298 1 $145,500.00 03/08/2002 41 Maple Grove MN 55311 02 12.130 125 $54,575.73 03/29/2027 2 7108993 180 14 $77,500.00 $38,000.00 $462.19 703 0301020665 6 178 1 $93,000.00 03/25/2002 24 KNOXVILLE TN 37922 02 12.250 125 $37,850.70 03/29/2017 2 7109199 300 14 $120,299.00 $35,000.00 $413.30 732 0301026837 8 298 1 $134,000.00 03/05/2002 49 Cape Coral FL 33904 02 13.700 116 $34,972.41 03/11/2027 2 7109379 181 14 $54,013.00 $30,000.00 $373.68 718 0301026746 6 179 1 $68,000.00 03/05/2002 40 Claysville PA 15323 02 12.700 124 $29,887.05 04/01/2017 2 7109515 181 14 $96,245.00 $75,000.00 $833.71 743 0301026639 6 179 1 $144,000.00 03/15/2002 42 Coatesville PA 19320 02 10.600 119 $74,656.07 04/01/2017 2 7109595 301 14 $94,000.00 $56,000.00 $654.89 684 0301026274 8 299 1 $120,000.00 03/14/2002 50 New Kensington PA 15068 02 13.550 125 $55,954.63 04/01/2027 2 7109669 180 14 $132,223.00 $25,000.00 $282.59 728 0301026126 6 178 1 $140,000.00 03/07/2002 47 Akron OH 44305 02 10.900 113 $24,888.48 03/15/2017 2 7109773 181 14 $87,000.00 $21,750.00 $272.34 711 0301025573 6 179 1 $87,000.00 03/15/2002 47 Fort Wayne IN 46806 02 12.800 125 $21,709.66 04/01/2017 2 7109857 181 14 $83,829.00 $29,900.00 $421.56 642 0301025953 6 179 1 $91,000.00 03/13/2002 39 McKeesport PA 15133 02 15.150 125 $29,703.75 04/01/2017 2 7109951 181 14 $47,452.00 $32,600.00 $412.47 664 0301025847 6 179 1 $70,000.00 03/08/2002 34 Woodward OK 73801 02 13.000 115 $32,443.22 04/01/2017 2 7110049 181 14 $184,941.00 $33,800.00 $471.91 656 0301025771 6 179 1 $210,000.00 03/06/2002 45 Sandy UT 84092 02 14.950 105 $33,749.18 04/01/2017 2 7110077 180 14 $192,899.00 $41,640.00 $466.76 690 0301069092 6 179 1 $187,634.00 04/01/2002 44 OWENSBORO KY 42303 02 10.750 125 $41,546.27 04/05/2017 2 7110119 301 14 $80,516.00 $50,000.00 $634.61 666 0301025623 8 299 1 $118,000.00 03/06/2002 50 Lewiston ME 04240 02 14.850 111 $49,884.14 04/01/2027 2 7110135 180 14 $53,532.08 $44,500.00 $577.75 671 0301027207 6 178 1 $78,500.00 03/16/2002 41 Twentynine Pines CA 92277 02 13.500 125 $44,344.89 03/25/2017 2

  • Group 1 All of the Group 1 Certificates.

  • Group B means educational improvements for pupils in

  • Reference Number means ninety-eight million, one-hundred eighty-one thousand, eight hundred eighteen (98,181,818) shares of DHI Common Stock (as adjusted for any stock split, stock dividend, reverse stock split or similar event occurring after the Merger).

  • CUSIP number means the alphanumeric designation assigned to a Security by Standard & Poor’s Ratings Service, CUSIP Service Bureau.

  • Conversion Number means the number, or formula for determining the number, of ordinary Shares into which a Converting Preference Share will convert upon conversion.

  • Item number means the unique number attached to each professional service contained in the Medicare Benefits Schedule (MBS). Each item number has a set benefit. For more information see MBS Online.

  • Loan Group 4 The Group 4 Mortgage Loans.

  • Batch number means a unique numeric or alphanumeric identifier assigned prior to any testing to allow for inventory tracking and traceability.

  • Unit number means the number, letter, or combination of numbers and

  • Group size means the number of children in a group.

  • Applicable Number means a number (rounded up to the nearest whole number) equal to the product of (i) the quotient determined by dividing (A) the aggregate number of shares owned by Blackstone to be included in the contemplated Transfer by (B) the aggregate number of shares owned by Blackstone immediately prior to the contemplated Transfer and (ii) the total number of Executive Shares.