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New Jersey News

Members Health Plan

In our email last week we introduced that Affiliated Physician and Employers Health Plan (APEHP) will  now be using the Aetna platform under the name "Members Health Plan NJ" for effective date 7/1. Their new brand, which will be formally revealed over the next few weeks, will showcase a comprehensive Health Plan designed exclusively for members.  Below, please find underwriting guidelines and new business paperwork.

horizon BCBS

 

As part of their efforts to help combat the opioid crisis in New Jersey, Horizon Blue Cross Blue Shield of New Jersey is mailing free packets of DisposeRx®, a medicine disposal product, to members who have recently received one or more opioid prescription(s) for a duration of five days or less.  DisposeRx allows for the safe and effective disposal of opioids by forming a gel-like substance when mixed with water that prevents the retrieval of the medicine.  Click below for the full update from Horizon.

PDF icon2SM Click here to download the full pdf document

horizon blue cross blue shield

Please see below for Horizon BCBS SBCs, Benefit Summaries and Rate Sheets for the new OMNIA Gold and Silver plans with BlueCard. These plans are now available on the Horizon Broker Portal and HealthConnect for quoting effecting 7/1/19. 

horizon BCBS

Conversion deadline for 6/1/19 renewing groups or off anniversary conversions is Friday 5/24/19 at 12:00 noon.  Any groups that are submitted after this deadline will be moved to a 7/1/19 effective date.  Horizon has determined that if a group is accepting their existing ACA plan renewal, no paperwork is necessary.   Conversions without all required documentation or submitted after deadline face the risk of losing their requested conversion date and being moved to the next month.

 This is for ALL PRE-ACA to ACA CONVERSIONS regardless if they have sent in their certification previously to Horizon and were advised they could renew as is by Small Group certification. All paperwork should be emailed to TeamFarronNJ@fnainsurance.com or FNATeamFasanella@fnainsurance.com.  Conversion paperwork should not be send to Horizon’s certification department.

affiliated physicians

APEHP has some great news!  Their new business rates are now available and the July renewals will be deffered to October 1, 2019 in order to make the transition as seamless as possible for you and your clients.  Click below to see what this means for your  renewals and what you can expect for new business.

PDF icon2SM Click here to download the full pdf document