Setup Form definition

Setup Form means a form, and any amendment thereto, on which Customer designates specific accounts, balances, callback parties, authorized signers, authorized representatives, or such other information as Provident may require to set up and maintain Customer’s use of a Service.
Setup Form means the Small Business Online Banking Registration Form, as may be modified from time to time, you previously completed.

Examples of Setup Form in a sentence

  • When you elect to use Blue Cross and Blue Shield’s designated vendor(s) to provide certain services for your Account-Based Offerings, you will provide Blue Cross and Blue Shield with a completed Group Setup Form that designates certain aspects of the Account-Based Offerings that you will make available to your eligible employees.

  • Your General Responsibilities Under this Account-Based Offerings Administrative Services Agreement, your general responsibilities are: • Group Setup Form (when applicable to your arrangement with Blue Cross and Blue Shield).

  • Within 45 calendar days prior to your policy year under this Account-Based Offerings Administrative Services Agreement, and then for each subsequent renewal date, you must confirm or revise these designations by submitting (or resubmitting) your completed Group Setup Form to Blue Cross and Blue Shield.

  • When Blue Cross and Blue Shield Administers Your HSA Using its Designated Vendor When you designate HSA Account-Based Offerings in your Group Setup Form, Blue Cross and Blue Shield will provide administrative services consistent with the provisions described in this Section 5 and your Group Setup Form.

  • Blue Cross and Blue Shield through its designated vendor(s) will process and adjudicate requests for disbursements for qualified medical expenses in accordance with your Group Setup Form to the extent the Plan design is consistent with Blue Cross and Blue Shield’s designated vendor(s) existing reimbursement platform, and its internal claims review processing standards, which have been established in accordance with industry standards and in compliance with applicable rules and regulations.

  • Blue Cross and Blue Shield General Responsibilities When you elect to have Blue Cross and Blue Shield administer your Account-Based Offerings, Blue Cross and Blue Shield will provide administrative and financial services, either directly or through its designated vendor(s) as described in this Account-Based Offerings Administrative Services Agreement and in the following sections of your Group Setup Form: Customer Service, Covered Person and Account Owner Online Services, and Account Online Services.

  • Blue Cross and Blue Shield through its designated vendor(s) will provide the services described in this Section 6 and in the following sections of your Group Setup Form: Claim Files, Online Reimbursement, Explanation of Benefits, Overpayments, FSA Grace Period or FSA Rollover, and Debit Card.

  • Blue Cross and Blue Shield will administer these services in accordance with the terms and conditions of this Account-Based Offerings Administrative Services Agreement, your Group Setup Form and Fee Schedule or, when applicable, your Claim Reimbursement Request Form and Fee Schedule, and the Business Associate Agreement which is included as Attachment 3 to the Premium Account Agreement.

  • When you elect to have Blue Cross and Blue Shield administer your Account-Based Offerings, Blue Cross and Blue Shield will provide, either directly or through its designated vendor, administrative and financial services in accordance with the Group Setup Form you provide to Blue Cross and Blue Shield for services under this Account-Based Offerings Administrative Services Agreement.

  • This Account-Based Offerings Administrative Services Agreement will be considered accepted and binding by the parties when you sign your Group Setup Form or, when applicable, your Claim Reimbursement Request Form, or you pay your first month’s service fees for Account-Based Offerings.


More Definitions of Setup Form

Setup Form means a written agreement between and executed by Fixe and Client, whether titled “Setup Form” or otherwise, that expressly incorporates this Agreement and provides additional detail regarding the nature of the Services to be provided hereunder.
Setup Form means the setup form for Digital Banking for business customers only. Setup Form” means the Setup requirements for the Digital Banking system.  “Supporting Documents” refers to supporting materials made available by us and includes any schedules, and exhibits, user guides, user manuals, set-up or enrollment forms and other user materials, including online terms and information.

Related to Setup Form

  • Bid Application Form means the form as specified in Annexure II of this E-Auction Process Information Document;

  • Application Form means any application form to be completed by subscribers for Shares as prescribed by the Company from time to time.

  • Opt-Out Form means the form through which Eligible Employees may note their decision to opt out of participation in the Program.

  • Case Report Form means a printed, optical or electronic document or database designed to record all of the information, which is required by the Protocol to be reported to the Sponsor on each Study Participant.

  • Enrollment Form means an agreement pursuant to which an Eligible Employee may elect to enroll in the Plan, to authorize a new level of payroll deductions, or to stop payroll deductions and withdraw from an Offering Period.

  • Electrostatic application means the application to a substrate of charged atomized paint droplets that are deposited by electrostatic attraction.

  • Client Application means an application developed by Customer that a) utilizes the Runtime Product, b) is installed fully on an end user’s machine, with all report processing local to that machine, and c) adds significant and primary functionality to the Runtime Product.

  • Authorization Form means a form specified in s. 440.73.

  • Bid Form means the bid form required to be submitted by an Interested Bidder, as per Annexure I;

  • Election Form means the form established from time to time by the Committee that a Participant completes, signs and returns to the Committee to make an election under the Plan.

  • Special Instruction Form means a standardized form prescribed by the Management Company to be duly filled by the investor to change his/her particulars and will be stated in this Offering Document.

  • Policy form means the form on which the policy is delivered or issued for delivery by the issuer.

  • Type designation means a combination of letters and numerals assigned by the Government to a major end item, assembly or subassembly, as appropriate, to provide a convenient means of differentiating between items having the same basic name and to indicate modifications and changes thereto.

  • Claim Form or “Proof of Claim Form” means the form, substantially in the form attached hereto as Exhibit 2 to Exhibit A, that a Claimant must complete and submit should that Claimant seek to share in a distribution of the Net Settlement Fund.