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Required Notice of No Rebate Mailings -  In 2011, Horizon Blue Cross Blue Shield of New Jersey and Horizon Healthcare of New Jersey, Inc. (collectively, Horizon) met the medical loss ratio (MLR) requirement set by the federal Affordable Care Act (ACA). This means Horizon will not issue a federal rebate for premiums paid in 2011. Instead, as required by federal law, Horizon will issue the Notice of No Rebate to insured customers subject to the MLR rules of the ACA.