|
A |
M or Fmale female |
Primary Claimant |
|
B |
Ffemale |
Aged Wife, Age 62 or Over (First Claimant) |
|
B1 |
Mmale |
Aged Husband, Age 62 or Over (First Claimant) |
|
B2 |
Ffemale |
Young Wife, With a Child in Her Care (First Claimant) |
|
B3 |
Ffemale |
Aged Wife (Second Claimant) |
|
B4 |
Mmale |
Aged Husband (Second Claimant) |
|
B5 |
Ffemale |
Young Wife (Second Claimant) |
|
B6 |
Ffemale |
Divorced Wife, Age 62 or Over (First Claimant) |
|
B7 |
Ffemale |
Young Wife (Third Claimant) |
|
B8 |
Ffemale |
Aged Wife (Third Claimant) |
|
B9 |
Ffemale |
Divorced Wife (Second Claimant) |
|
BA |
Ffemale |
Aged Wife (Fourth Claimant) |
|
BD |
Ffemale |
Aged Wife (Fifth Claimant) |
|
BG |
Mmale |
Aged Husband (Third Claimant) |
|
BH |
Mmale |
Aged Husband (Fourth Claimant) |
|
BJ |
Mmale |
Aged Husband (Fifth Claimant) |
|
BK |
Ffemale |
Young Wife (Fourth Claimant) |
|
BL |
Ffemale |
Young Wife (Fifth Claimant) |
|
BN |
Ffemale |
Divorced Wife (Third Claimant) |
|
BP |
Ffemale |
Divorced Wife ((Fourth Claimant) |
|
BQ |
Ffemale |
Divorced Wife (Fifth Claimant) |
|
BR |
Mmale |
Divorced Husband (First Claimant) |
|
BT |
Mmale |
Divorced Husband (Second Claimant) |
|
BW |
Mmale |
Young Husband (Second Claimant) |
|
BY |
Mmale |
Young Husband (First Claimant) |
|
C1-C9, CA-CZ |
M or Fmale female |
Child (Includes Minor, Student or Disabled Child) |
|
D |
Ffemale |
Aged Widow, 60 or Over (First Claimant) |
|
D1 |
Mmale |
Aged Widower, 60 or Over (First Claimant) |
|
D2 |
Ffemale |
Aged Widow (Second Claimant) |
|
D3 |
Mmale |
Aged Widower (Second Claimant) |
|
D4 |
Ffemale |
Widow (Remarried after Attainment of Age 60) (First Claimant) |
|
D5 |
Mmale |
Widower (Remarried after Attainment of Age 60) (First Claimant) |
|
D6 |
Ffemale |
Surviving Divorced Wife, Age 60 or Over (First Claimant) |
|
D7 |
Ffemale |
Surviving Divorced Wife (Second Claimant) |
|
D8 |
Ffemale |
Aged Widow (Third Claimant) |
|
D9 |
Ffemale |
Remarried Widow (Second Claimant) |
|
DA |
Ffemale |
Remarried Widow (Third Claimant) |
|
DC |
Mmale |
Surviving Divorced Husband (First Claimant) |
|
DD |
Ffemale |
Aged Widow (Fourth Claimant) |
|
DG |
Ffemale |
Aged Widow (Fifth Claimant) |
|
DH |
Mmale |
Aged Widower (Third Claimant) |
|
DJ |
Mmale |
Aged Widower (Fourth Claimant)) |
|
DK |
Mmale |
Aged Widower ((Fifth Claimant) |
|
DL |
Ffemale |
Remarried Widow (Fourth Claimant) |
|
DM |
Mmale |
Surviving Divorced Husband (Second Claimant) |
|
DN |
Ffemale |
Remarried Widow (Fifth Claimant) |
|
DP |
Mmale |
Remarried Widower (Second Claimant) |
|
DQ |
Mmale |
Remarried Widower (Third Claimant) |
|
DR |
Mmale |
Remarried Widower (Fourth Claimant) |
|
DS |
Mmale |
Surviving Divorced Husband (Third Claimant) |
|
DT |
Mmale |
Remarried Widower (Fifth Claimant) |
|
DV |
Ffemale |
Surviving Divorced Wife (Third Claimant) |
|
DW |
Ffemale |
Surviving Divorced Wife (Fourth Claimant) |
|
DX |
Mmale |
Surviving Divorced Husband (Fourth Claimant) |
|
DY |
Ffemale |
Surviving Divorced Wife (Fifth Claimant) |
|
DZ |
Mmale |
Surviving Divorced Husband (Fifth Claimant) |
|
E |
Ffemale |
Mother (Widow) (First Claimant) |
|
E1 |
Ffemale |
Surviving Divorced Mother (First Claimant) |
|
E2 |
Ffemale |
Mother (Widow) (Second Claimant) |
|
E3 |
Ffemale |
Surviving Divorced Mother (Second Claimant) |
|
E4 |
Mmale |
Father (Widower) (First Claimant) |
|
E5 |
Mmale |
Surviving Divorced Father (Widower) (First Claimant) |
|
E6 |
Mmale |
Father (Widower) (Second Claimant) |
|
E7 |
Ffemale |
Mother (Widow) (Third Claimant) |
|
E8 |
Ffemale |
Mother (Widow) (Fourth Claimant) |
|
E9 |
Mmale |
Surviving Divorced Father (Widower) (Second Claimant) |
|
EA |
Ffemale |
Mother (Widow) (Fifth Claimant) |
|
EB |
Ffemale |
Surviving Divorced Mother (Third Claimant) |
|
EC |
Ffemale |
Surviving Divorced Mother (Fourth Claimant) |
|
ED |
Ffemale |
Surviving Divorced Mother (Fifth Claimant) |
|
EF |
Mmale |
Father (Widower) (Third Claimant) |
|
EG |
Mmale |
Father (Widower) (Fourth Claimant) |
|
EH |
Mmale |
Father (Widower) (Fifth Claimant) |
|
EJ |
Mmale |
Surviving Divorced Father (Third Claimant) |
|
EK |
Mmale |
Surviving Divorced Father (Fourth Claimant) |
|
EM |
Mmale |
Surviving Divorced Father (Fifth Claimant) |
|
F1 |
Mmale |
Father |
|
F2 |
Ffemale |
Mother |
|
F3 |
Mmale |
Stepfather |
|
F4 |
Ffemale |
Stepmother |
|
F5 |
Mmale |
Adopting Father |
|
F6 |
Ffemale |
Adopting Mother |
|
F7 |
Mmale |
Second Alleged Father |
|
F8 |
Ffemale |
Second Alleged Mother |
|
J1 |
M or Fmale female |
Primary Prouty Entitled to HIB (Less than 3 Q.C.) (Genteral Fund) |
|
J2 |
M or Fmale female |
Primary Prouty Entitled to HIB (Over 2 Q.C.) (RSI Trust Fund) |
|
J3 |
M or Fmale female |
Primary Prouty Not Entitled to HIB (Less than 3 Q.C.) (Genteral Fund) |
|
J4 |
M or Fmale female |
Primary Prouty Not Entitled to HIB (Over 2 Q.C.) (RSI Trust Fund) |
|
K1 |
Ffemale |
Primary Prouty Entitled to HIB (Less than 3 Q.C.) (Genteral Fund) (First Claimant) |
|
K2 |
Ffemale |
Primary Prouty Entitled to HIB (Over 2 Q.C.) (RSI Trust Fund) (First Claimant) |
|
K3 |
Ffemale |
Primary Prouty Not Entitled to HIB (Less than 3 Q.C.) (Genteral Fund) (First Claimant) |
|
K4 |
Ffemale |
Primary Prouty Not Entitled to HIB (Over 2 Q.C.) (RSI Trust Fund) (First Claimant) |
|
K5 |
Ffemale |
Primary Prouty Entitled to HIB (Less than 3 Q.C.) (Genteral Fund) (Second Claimant) |
|
K6 |
Ffemale |
Primary Prouty Entitled to HIB (Over 2 Q.C.) (RSI Trust Fund) (Second Claimant) |
|
K7 |
Ffemale |
Primary Prouty Not Entitled to HIB (Less than 3 Q.C.) (Genteral Fund) (Second Claimant) |
|
K8 |
Ffemale |
Primary Prouty Not Entitled to HIB (Over 2 Q.C.) (RSI Trust Fund) (Second Claimant) |
|
K9 |
Ffemale |
Primary Prouty Entitled to HIB (Less than 3 Q.C.) (Genteral Fund) (Third Claimant) |
|
KA |
Ffemale |
Primary Prouty Entitled to HIB (Over 2 Q.C.) (RSI Trust Fund) (Third Claimant) |
|
KB |
Ffemale |
Primary Prouty Not Entitled to HIB (Less than 3 Q.C.) (Genteral Fund) (Third Claimant) |
|
KC |
Ffemale |
Primary Prouty Not Entitled to HIB (Over 2 Q.C.) (RSI Trust Fund) (Third Claimant) |
|
KD |
Ffemale |
Primary Prouty Entitled to HIB (Less than 3 Q.C.) (Genteral Fund) (Fourth Claimant) |
|
KE |
Ffemale |
Primary Prouty Entitled to HIB (Over2 Q.C (Fourth Claimant) |
|
KF |
Ffemale |
Primary Prouty Not Entitled to HIB (Less than 3 Q.C.) (Fourth Claimant) |
|
KG |
Ffemale |
Primary Prouty Not Entitled to HIB (Over 2 Q.C.) (Fourth Claimant) |
|
KH |
Ffemale |
Primary Prouty Entitled to HIB (Less than 3 Q.C.) (Fifth Claimant) |
|
KJ |
Ffemale |
Primary Prouty Entitled to HIB (Over 2 Q.C.) (Fifth Claimant) |
|
KL |
Ffemale |
Primary Prouty Not Entitled to HIB (Less than 3 Q.C.) (Fifth Claimant) |
|
KM |
Ffemale |
Primary Prouty Not Entitled to HIB (Over 2 Q.C.) (Fifth Claimant) |
|
M |
M or F |
Uninsured-Premium Health Insurance Benefits (Part A) |
|
M1 |
M or F |
Uninsured-Qualified for but refused Health Insurance Benefits (Part A) |
|
T |
M or Fmale female |
Uninsured-Entitled to HIB Under Deemed or Renal Provisions |
|
TA |
M or Fmale female |
MQGE (Primary Claimant) |
|
TB |
M or Fmale female |
MQGE Aged Spouse (First Claimant) |
|
TC |
M or Fmale female |
MQGE Disabled Adult Child (First Claimant) |
|
TD |
M or Fmale female |
MQGE Aged Widow(er) (First Claimant) |
|
TE |
M or Fmale female |
MQGE Young Widow(er) (First Claimant) |
|
TF |
Mmale |
MQGE Parent (MALE) |
|
TG |
M or Fmale female |
MQGE Aged Spouse (Second Claimant) |
|
TH |
M or Fmale female |
MQGE Aged Spouse (Third Claimant) |
|
TJ |
M or Fmale female |
MQGE Aged Spouse (Fourth Claimant) |
|
TK |
M or Fmale female |
MQGE Aged Spouse (Fifth Claimant) |
|
TL |
M or Fmale female |
MQGE Aged Widow(er) (Second Claimant) |
|
TM |
M or Fmale female |
MQGE Aged Widow(er) (Third Claimant) |
|
TN |
M or Fmale female |
MQGE Aged Widow(er) (Fourth Claimant) |
|
TP |
M or Fmale female |
MQGE Aged Widow(er) (Fifth Claimant) |
|
TQ |
Ffemale |
MQGE Parent (Female) |
|
TR |
M or Fmale female |
MQGE Young Widow(er) (Second Claimant) |
|
TS |
M or Fmale female |
MQGE Young Widow(er) (Third Claimant) |
|
TT |
M or Fmale female |
MQGE Young Widow(er) (Fourth Claimant) |
|
TU |
M or Fmale female |
MQGE Young Widow(er) (Fifth Claimant) |
|
TV |
M or Fmale female |
MQGE Disabled Widow(er) (Fifth Claimant) |
|
TW |
M or Fmale female |
MQGE Disabled Widow(er) (First Claimant) |
|
TX |
M or Fmale female |
MQGE Disabled Widow(er) (Second Claimant) |
|
TY |
M or Fmale female |
MQGE Disabled Widow(er) (Third Claimant) |
|
TZ |
M or Fmale female |
MQGE Disabled Widow(er) (Fourth Claimant) |
|
T2-T9 |
M or Fmale female |
Disabled Child (Second to Ninth Claimant) |
|
W |
Ffemale |
Disabled Widow, Age 50 or Over (First Claimant) |
|
W1 |
Mmale |
Disabled Widower, Age 50 or Over (First Claimant) |
|
W2 |
Ffemale |
Disabled Widow (Second Claimant) |
|
W3 |
Mmale |
Disabled Widower (Second Claimant) |
|
W4 |
Ffemale |
Disabled Widow (Third Claimant) |
|
W5 |
Mmale |
Disabled Widower (Third Claimant) |
|
W6 |
Ffemale |
Disabled Surviving Divorced Wife (First Claimant) |
|
W7 |
Ffemale |
Disabled Surviving Divorced Wife (Second Claimant) |
|
W8 |
Ffemale |
Disabled Surviving Divorced Wife (Third Claimant) |
|
W9 |
Ffemale |
Disabled Widow (Fourth Claimant) |
|
WB |
Mmale |
Disabled Widower (Fourth Claimant) |
|
WC |
Ffemale |
Disabled Surviving Divorced Wife (Fourth Claimant) |
|
WF |
Ffemale |
Disabled Widow (Fifth Claimant) |
|
WG |
Mmale |
Disabled Widower (Fifth Claimant) |
|
WJ |
Ffemale |
Disabled Surviving Divorced Wife (Fifth Claimant) |
|
WR |
Mmale |
Disabled Surviving Divorced Husband (First Claimant) |
|
WT |
Mmale |
Disabled Surviving Divorced Husband (Second Claimant) |