Type of managed care organization (MCO) that contracts with a group of providers to give medical care to its members. The providers work out of their own office facilities. A group model may or may not give medical services exclusively for the MCO’s members. Also called network model .

Type of managed care plan (HMO) that contracts with one or more medical groups to give medical services to members. Usually all services, except hospital care, are provided under one roof and physicians share equipment, records, and personnel. Physicians are paid a predetermined per member, per month amount called capitation . From the capitation fund, the physicians’ group pays its own physician members according to a prearranged schedule such as salary plus incentives. Also known as a prepaid group practice plan . Also see staff model .

Total amount of monthly premiums billed at a specific time to cover all outstanding group insurance.

Designated title under which a group is enrolled in an insurance plan.

Number assigned to a group insurance plan that identifies the employer or specific insured group. It appears on each member’s identification card and is used when submitting an insurance claim to the insurance company for payment. Also called group insurance number, employer number, G-number, case number, file number, account number , and company code number .

Type of group permanent life insurance that has premiums based on issue age. It accumulates and builds reserves and cash surrender values.