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HorizonBlue-Logo-Updated-Jan15 2013
Horizon Brief Notes Group Size Determination

Group Size Determination. Effective for coverage beginning January 1, 2017, the New Jersey Small Employer Health Coverage Program (SEH Program) has aligned its definition of Small Employer for health insurance coverage purposes with the federal definition. This means that the methodology used to determine the small employer’s group size will now look only to the total number of full-time and full-time equivalent employees (FTEs). Horizon Blue Cross Blue Shield of New Jersey is issuing this Brief Notes to clarify the counting methodology and the appropriate market segmentation.