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New Jersey News

horizon blue cross blue shield

Horizon would like to remind IHC brokers of the commission policy they put in place back in January 2017.  The policy changes for individual insurance are attached in the document below.

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Aetna

Starting with 9/1 effective dates, groups in New Jersey with 10 or more enrolled subscribers can get GRX medical underwriting for AFA new business.

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AmeriHealth Logo2012sm

In their continued efforts to enhance the tools and systems you use to do business with AmeriHealth New Jersey, they are streamlining access to ROAM and enhancing system security with changes that will be effective Monday, July 2, 2018. The annoucement below outlines the following changes that should be noted by our brokers partners.

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horizon blue cross blue shield


Conversion deadline for 7/15/18 renewing groups or off anniversary conversions is Monday 7/9/18 at 12:00 noon. Any groups that are submitted after this deadline will be moved to a 8/15/18 effective date.  Horizon has determined that if a group is accepting their existing ACA plan renewal, no paperwork is necessary.  Only if a group is converting to a completely different ACA plan alternative or if they are moving from a pre-ACA plan to an ACA plan would conversion paperwork be necessary. It is imperative that complete paperwork as mandated above be submitted in as timely a manner as possible.  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.


It is important to review the paperwork requirements and process for groups that are converting from a pre-ACA plan to an ACA plan.  All groups converting from a pre-ACA to an ACA plan are required to send in, with the conversion form, new 2018 certification paperwork including applicable tax documentation as noted below and waivers.   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 nlevinson@fnanj.com.

AmeriHealth Logo2012sm

Spending accounts continue to play an integral role in health care coverage, and we're pleased to offer customers and members, with spending accounts through AmeriHealth New Jersey, access to a new, market-leading spending account solution.  Following the introduction of this solution for new business on July 1, 2018, AmeriHealth will transition renewing customers on each customer's renewal date beginning with September 1, 2018, effective dates. Customers will continue to use our current solution until their renewal date, and through run-out, if applicable.

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