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horizon blue cross blue shield

Conversion deadline for 5/1/18 renewing groups or off anniversary conversions is Tuesday 4/24/18 at 12:00 noon. Any groups that are submitted after this deadline will be moved to a 6/1/18 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.