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. 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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Group Number means the group number for the insured. The label for this number is “RxGRP.”
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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 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 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.

  • 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.

  • 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.

  • The report is to be submitted electronically in Microsoft Excel 2010 or lower format unprotected, via e-mail to the attention of the designated OGS NYSPro contract administrator and shall reference the Group Number, Award Number, Contract Number, Sales Period, and Contractor's Name, and all other fields required.

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

  • Member Name: Group Number: Member ID: Address: City: State ZIP: Phone #: Account Holder Name(s): Phone #: Account Holder Address: ____________________________________________________________ Full Name of Bank or Financial Institution: Bank Account Number: 🞎 Checking OR 🞎 Savings Routing Number: I have read and accept the above agreement.


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 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. 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 means [To be completed when the Agreement is drafted.] “Group Physician” means:
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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 the health benefit plan group number for the insured.
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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.

  • 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.

  • 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: City State ZIP Phone: Fax: Contact Person: Email Address: Mailing Address- for correspondence/credentialing 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 MUST MATCH THE INFORMATION REFLECTED ON SUBMITTED CLAIMS 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: City State ZIP Phone: Fax: Contact Person: Email Address: Mailing Address- for correspondence/credentialing 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 MUST MATCH THE INFORMATION REFLECTED ON SUBMITTED CLAIMS 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 Department Of Rehabilitation Services Network Infusion Therapy Contract Signature Page When signed by both parties below, this constitutes agreement and acceptance of all terms and conditions contained in the Infusion Therapy Contract to be effective the date denoted on the copy of the executed Signature Page returned to the facility. The original of this signed document will remain on file in the office of the Department of Rehabilitation. By signing, both parties agree that this document shall become a part of the Contract.

  • Specified Number means the number of Public Sources specified in the applicable 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;

  • 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: 8190665 180 14 $137,523.00 $35,000.00 $437.09 654 0301491668 6 176 1 $145,750.00 10/22/2002 28 Xxxxxxx Xxxxx XX 00000 02 12.750 119 $34,799.35 10/28/2017 2 8361689 301 14 $203,764.00 $62,500.00 $556.96 739 0301608014 8 297 1 $236,500.00 10/22/2002 35 XXXXXXX XX 00000 02 9.750 113 $62,351.35 11/01/2027 2 8149943 181 14 $87,349.00 $30,000.00 $290.17 744 0301432209 6 177 1 $120,000.00 10/22/2002 44 XXXXXX XX 00000 02 8.200 98 $29,210.31 11/01/2017 2 8238317 181 14 $167,258.00 $50,000.00 $595.43 724 0301504049 6 177 1 $195,000.00 10/23/2002 00 Xxxx Xxxxx XX 00000 02 11.860 112 $49,687.91 11/06/2017 2 8341426 181 14 $82,800.00 $10,800.00 $114.41 788 0301558771 6 177 1 $92,000.00 10/23/2002 19 Xxxxxxxx XX 00000 02 9.750 102 $10,719.36 11/01/2017 2 8338270 180 14 $104,833.00 $30,000.00 $321.46 710 0301515102 6 176 1 $125,000.00 10/23/2002 31 XXXXXXX XX 00000 02 9.950 108 $29,663.88 10/28/2017 2 8333186 300 14 $127,049.39 $60,475.01 $707.00 721 0301576187 8 296 1 $153,979.00 10/23/2002 48 Xxxxxxxx XX 00000 02 13.550 122 $60,448.09 10/28/2027 2 8332878 240 14 $80,465.79 $33,704.77 $398.00 720 0301576088 9 236 1 $92,000.00 10/23/2002 45 Xxxxxx XX 00000 02 13.130 125 $33,344.67 10/28/2022 2 8337976 180 14 $117,583.00 $57,500.00 $626.72 704 0301515003 6 176 1 $150,000.00 10/23/2002 34 XXXXXXX XX 00000 02 10.250 117 $57,089.80 10/28/2017 2 8226119 300 14 $208,458.00 $40,000.00 $418.34 709 0301490959 8 296 1 $212,592.00 10/23/2002 46 Xxxxxxxxxxx XX 00000 02 11.900 117 $39,934.33 10/29/2027 2 8197829 180 14 $54,483.00 $30,000.00 $313.63 680 0301466439 6 176 1 $114,000.00 10/23/2002 35 Xxxxxx Xxxx XX 00000 02 9.520 75 $29,693.87 10/30/2017 2 8337404 180 14 $93,000.00 $44,000.00 $546.61 670 0301515623 6 176 1 $110,000.00 10/23/2002 36 XXXXX XX 00000 02 12.650 125 $43,663.62 10/28/2017 2 8337354 181 14 $101,694.00 $22,000.00 $283.80 693 0301490538 6 177 1 $110,000.00 10/23/2002 33 Xxxxxxxxxxx XX 00000 02 13.380 113 $21,833.79 11/01/2017 2 8333256 180 14 $47,463.23 $34,999.79 $440.30 703 0301575189 6 176 1 $68,000.00 10/23/2002 36 Xxxxx XX 00000 02 12.890 122 $34,764.12 10/28/2017 2 8238367 180 14 $159,991.00 $25,000.00 $315.98 660 0301523023 6 176 1 $161,452.00 10/23/2002 45 Xxxxxxxx XX 00000 02 12.980 115 $24,814.77 10/29/2017 2 8333454 180 16 $150,516.07 $59,663.74 $760.00 686 0301574836 6 176 1 $205,000.00 10/23/2002 50 Xx Xxxx MN 55117 02 13.130 103 $59,160.48 10/28/2017 2 8238307 181 09 $142,988.00 $69,300.00 $807.57 703 0301522892 6 177 1 $170,000.00 10/23/2002 48 Xxxx Xxxx Xxxx XX 00000 02 11.460 125 $68,857.97 11/08/2017 2 8334766 121 14 $71,364.00 $15,000.00 $221.76 647 0301590329 5 117 1 $81,902.00 10/23/2002 25 XXX XXXXXX XX 00000 02 12.750 106 $14,810.85 11/07/2012 2 8334636 180 14 $139,701.65 $74,861.52 $930.00 720 0301575171 6 176 1 $175,000.00 10/23/2002 42 Xxxxxxx XX 00000 02 12.650 123 $74,570.32 10/28/2017 2 8334422 180 14 $144,826.22 $74,631.77 $871.84 738 0301575296 6 176 1 $179,931.00 10/23/2002 38 Xxxxxxxx XX 00000 02 11.500 122 $73,922.63 10/28/2017 2 8238315 181 14 $148,090.00 $40,000.00 $476.35 730 0301523965 6 177 1 $155,400.00 10/23/2002 50 Xxxxxxxxxx XX 00000 02 11.860 122 $39,754.03 11/01/2017 2

  • 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, 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.

  • 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

  • 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.

  • Winning Numbers means the game results selected during a Drawing which shall be used to determine winning Plays contained on game ticket or ticketless transaction.

  • Location Routing Number (LRN means the ten (10) digit number that is assigned to the network switching elements (Central Office–Host and Remotes as required) for the routing of calls in the network. The first six (6) digits of the LRN will be one of the assigned NPA NXX of the switching element. The purpose and functionality of the last four (4) digits of the LRN have not yet been defined but are passed across the network to the terminating switch.

  • Location Routing Number or "LRN" means a unique ten- (10)-digit number assigned to a Central Office Switch in a defined geographic area for call routing purposes. This ten- (10)-digit number serves as a network address and the routing information is stored in a database. Switches routing calls to subscribers whose telephone numbers are in portable NXXs perform a database query to obtain the Location Routing Number that corresponds with the Switch serving the dialed telephone number. Based on the Location Routing Number, the querying Carrier then routes the call to the Switch serving the ported number. The term "LRN" may also be used to refer to a method of LNP. "Long Distance Service" (see "Interexchange Service").

  • Lot number or “batch number” means a distinctive group of numbers, letters, or symbols or any combination of these that is unique to a group of cannabis goods.

  • Registration number means the number allocated to the registered person for the purpose of this Act;

  • Serial number within the enterprise identifier means a combination of numbers, letters, or symbols assigned by the enterprise to an item that provides for the differentiation of that item from any other like and unlike item and is never used again within the enterprise.

  • Automatic Number Identification or "ANI" means a Feature Group D signaling parameter which refers to the number transmitted through a network identifying the billing number of the calling party.