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Will conduct the CAHPS 4.0H Adult Commercial Survey Health Plan will conduct the CAHPS 3.0H Child Commercial Survey Health Plan will conduct the CAHPS 3.0H Child Commercial Survey (with Children with Chronic Conditions Measurements) Health Plan has fewer than 500 FEHB Subscribers/Contracts and will not conduct CAHPS Surveys in 2007 for any reasons Name of NCQA Certified Survey Vendor that will be conducting the survey (s) Survey Vendor Contact Information.

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IRS 1120-F - Schedule M-1 & M-2 2021 IRS 8801 2021 PR Formulario 480.2 (CPT) 2021 IRS 8898 2021

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The FEP membership cards are identified by coverage codes 104, 105, and 106 for the Standard Option and 111, 112, and 113 for the Basic Option. FEP Blue Focus enrollment codes are 131, 132 and 133. Basic Option members must use preferred providers for all medical care (with some exceptions, such as emergency care).

With FEP Blue Basic, you can enjoy no deductible with care from in-network providers. FEP Blue Standard gives you the flexibility to receive care both in and out-of-network.

Enrollment codes are found on the front cover of each plan's brochure.

Federal Employees Health Benefits (FEHB) Program FEP Blue Focus®FEP Blue Basic™ Self 131 111 Self + 1 133 113 Self & Family 132 112

For 60 years, the Blue Cross and Blue Shield Service Benefit Plan, also known as the Federal Employee Program—or simply FEP—has provided health insurance to the federal employee workforce. We are proud to have been part of the Federal Employees Health Benefits (FEHB) Program since its inception in 1960.

FEDERAL EMPLOYEES' GROUP LIFE INSURANCE CodeExplanation F4 BASIC PLUS STANDARD OPTION AND FAMILY OPTION WITH 4 TIMES MULTIPLE F5 BASIC PLUS STANDARD OPTION AND FAMILY OPTION WITH 5 TIMES MULTIPLE G0 BASIC PLUS ADDITIONAL OPTION WITH 1 TIMES PAY H0 BASIC PLUS ADDITIONAL OPTION WITH 1 TIMES PAY AND STANDARD OPTION46 more rows

A 3-digit code, reflecting the combination of the 2-character Plan Code and the 1-digit enrollment code. Enrollment codes reflect: Self Only (1,4), Self Plus One (3, 6), and/or Self and Family (2, 5).

Enrollment codes are found on the front cover of each plan's brochure.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232