EnrollEligCOB
Class GroupCoverage

"Group Health Insurance: A health insurance plan that provides benefits for employees of a business or members of an organization, as opposed to individual and family health insurance." - eHealthInsurance.org

Attributes
String classId classId

"Identifies a style or collective of coverage issues by the underwriter, for example may be used to identify a class of coverage such as a level of deductables or co-payment." - HL7 FHIR 3, Coverage.grouping.class
FHIR 4: Coverage.class.value where Coverage.class.type = class

String className className

"A short description for the class." - HL7 FHIR 3, Coverage.grouping.classDisplay
FHIR 4: Coverage.class.name where Coverage.class.type = class

String groupId groupId

A unique identifier that the payer or information source uses to identify a specific Group OR an Identifier assigned by the health plan to be used as a key to the group's contractual benefits.
"Contains the group number of the insured’s insurance." - HL7 Version 2.8, IN1-8.
"Identifies a style or collective of coverage issued by the underwriter, for example may be used to identify an employer group. May also be referred to as a Policy or Group ID." - HL7 FHIR 3, Coverage.grouping.group
FHIR 4: Coverage.class.value where Coverage.class.type = group
"ID assigned to the cardholder group or employer group." - NCPDP Telecommunication (Field 301-C1, Data Dictionary 201104).

String groupName groupName

"Contains the group name of the insured’s insurance." - HL7 Version 2.8, IN1-9.
"A short description for the group." - HL7 FHIR 3, Coverage.grouping.groupDisplay
FHIR 4: Coverage.class.name where Coverage.class.type = group

HealthPlan healthPlan healthPlan

Pointer to the Plan (i.e., the the defined set of benefits promised by the Payer) to which the Group has subscribed, thereby defining the set of benefits available to members of the Group.

PlanSponsor planSponsor planSponsor

Pointer to the company or organization that assumes financial responsibility for the Group Coverage.

String subClassId subClassId

"Identifies a sub-style or sub-collective of coverage issues by the underwriter, for example may be used to identify a subclass of coverage such as a sub-level of deductables or co-payment." - HL7 FHIR 3, Coverage.grouping.subClass
FHIR 4: Coverage.class.value where Coverage.class.type = subclass

String subClassName subClassName

"A short description for the subclass." - HL7 FHIR 3, Coverage.grouping.subClassDisplay
FHIR 4: Coverage.class.name where Coverage.class.type = subclass

String subGroupId subGroupId

"Identifies a style or collective of coverage issued by the underwriter, for example may be used to identify a subset of an employer group." - HL7 FHIR 3, Coverage.grouping.subGroup
FHIR 4: Coverage.class.value where Coverage.class.type = subgroup

String subGroupName subGroupName

"A short description for the subgroup." - HL7 FHIR 3, Coverage.grouping.subGroupDisplay
FHIR 4: Coverage.class.name where Coverage.class.type = subgroup

Subscriber subscriber subscriber

Pointer to (a Role of) the Person who is named as a beneficiary of a Group Coverage Health Policy.


Properties:

Alias
Classifier Behavior
Is Abstractfalse
Is Activefalse
Is Leaffalse
Keywords
NameGroupCoverage
Name Expression
NamespaceEnrollEligCOB
Owned Template Signature
OwnerEnrollEligCOB
Owning Template Parameter
PackageEnrollEligCOB
Qualified NameFHIM::EnrollEligCOB::GroupCoverage
Representation
Stereotype
Template Parameter
VisibilityPublic

Attribute Details

 classId
Public String classId

"Identifies a style or collective of coverage issues by the underwriter, for example may be used to identify a class of coverage such as a level of deductables or co-payment." - HL7 FHIR 3, Coverage.grouping.class
FHIR 4: Coverage.class.value where Coverage.class.type = class

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassGroupCoverage
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameclassId
Name Expression
NamespaceGroupCoverage
Opposite
OwnerGroupCoverage
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::GroupCoverage::classId
Stereotype
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic


 className
Public String className

"A short description for the class." - HL7 FHIR 3, Coverage.grouping.classDisplay
FHIR 4: Coverage.class.name where Coverage.class.type = class

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassGroupCoverage
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameclassName
Name Expression
NamespaceGroupCoverage
Opposite
OwnerGroupCoverage
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::GroupCoverage::className
Stereotype
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic


 groupId
Public String groupId

A unique identifier that the payer or information source uses to identify a specific Group OR an Identifier assigned by the health plan to be used as a key to the group's contractual benefits.
"Contains the group number of the insured’s insurance." - HL7 Version 2.8, IN1-8.
"Identifies a style or collective of coverage issued by the underwriter, for example may be used to identify an employer group. May also be referred to as a Policy or Group ID." - HL7 FHIR 3, Coverage.grouping.group
FHIR 4: Coverage.class.value where Coverage.class.type = group
"ID assigned to the cardholder group or employer group." - NCPDP Telecommunication (Field 301-C1, Data Dictionary 201104).

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassGroupCoverage
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower1
Lower Value(1)
Multiplicity1
NamegroupId
Name Expression
NamespaceGroupCoverage
Opposite
OwnerGroupCoverage
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::GroupCoverage::groupId
Stereotype
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic


 groupName
Public String groupName

"Contains the group name of the insured’s insurance." - HL7 Version 2.8, IN1-9.
"A short description for the group." - HL7 FHIR 3, Coverage.grouping.groupDisplay
FHIR 4: Coverage.class.name where Coverage.class.type = group

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassGroupCoverage
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamegroupName
Name Expression
NamespaceGroupCoverage
Opposite
OwnerGroupCoverage
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::GroupCoverage::groupName
Stereotype
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic


 healthPlan
Public HealthPlan healthPlan

Pointer to the Plan (i.e., the the defined set of benefits promised by the Payer) to which the Group has subscribed, thereby defining the set of benefits available to members of the Group.

Constraints:
Properties:

AggregationNone
Alias
Associationgroup_healthPlan
Association End
ClassGroupCoverage
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower1
Lower Value(1)
Multiplicity1
NamehealthPlan
Name Expression
NamespaceGroupCoverage
Oppositegroup
OwnerGroupCoverage
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::GroupCoverage::healthPlan
Stereotype
Template Parameter
TypeHealthPlan
Upper1
Upper Value(1)
VisibilityPublic


 planSponsor
Public PlanSponsor planSponsor

Pointer to the company or organization that assumes financial responsibility for the Group Coverage.

Constraints:
Properties:

AggregationNone
Alias
AssociationplanSponsor_group
Association End
ClassGroupCoverage
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower1
Lower Value(1)
Multiplicity1
NameplanSponsor
Name Expression
NamespaceGroupCoverage
Oppositegroup
OwnerGroupCoverage
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::GroupCoverage::planSponsor
Stereotype
Template Parameter
TypePlanSponsor
Upper1
Upper Value(1)
VisibilityPublic


 subClassId
Public String subClassId

"Identifies a sub-style or sub-collective of coverage issues by the underwriter, for example may be used to identify a subclass of coverage such as a sub-level of deductables or co-payment." - HL7 FHIR 3, Coverage.grouping.subClass
FHIR 4: Coverage.class.value where Coverage.class.type = subclass

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassGroupCoverage
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamesubClassId
Name Expression
NamespaceGroupCoverage
Opposite
OwnerGroupCoverage
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::GroupCoverage::subClassId
Stereotype
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic


 subClassName
Public String subClassName

"A short description for the subclass." - HL7 FHIR 3, Coverage.grouping.subClassDisplay
FHIR 4: Coverage.class.name where Coverage.class.type = subclass

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassGroupCoverage
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamesubClassName
Name Expression
NamespaceGroupCoverage
Opposite
OwnerGroupCoverage
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::GroupCoverage::subClassName
Stereotype
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic


 subGroupId
Public String subGroupId

"Identifies a style or collective of coverage issued by the underwriter, for example may be used to identify a subset of an employer group." - HL7 FHIR 3, Coverage.grouping.subGroup
FHIR 4: Coverage.class.value where Coverage.class.type = subgroup

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassGroupCoverage
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamesubGroupId
Name Expression
NamespaceGroupCoverage
Opposite
OwnerGroupCoverage
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::GroupCoverage::subGroupId
Stereotype
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic


 subGroupName
Public String subGroupName

"A short description for the subgroup." - HL7 FHIR 3, Coverage.grouping.subGroupDisplay
FHIR 4: Coverage.class.name where Coverage.class.type = subgroup

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassGroupCoverage
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamesubGroupName
Name Expression
NamespaceGroupCoverage
Opposite
OwnerGroupCoverage
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::GroupCoverage::subGroupName
Stereotype
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic


 subscriber
Public Subscriber subscriber

Pointer to (a Role of) the Person who is named as a beneficiary of a Group Coverage Health Policy.

Constraints:
Properties:

AggregationNone
Alias
Associationsubscriber_group
Association End
ClassGroupCoverage
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower1
Lower Value(1)
Multiplicity1..*
Namesubscriber
Name Expression
NamespaceGroupCoverage
Oppositegroup
OwnerGroupCoverage
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::GroupCoverage::subscriber
Stereotype
Template Parameter
TypeSubscriber
Upper*
Upper Value(*)
VisibilityPublic