MLR 2011 state refund
Sample notice sent to members regarding AHNJ's MLR for small employer groups with SEH HMO plans being under the 80% required by state law. As such, AHNJ will provide refunds to small employer groups that offered SEH HMO in 2011.
Sample Nexavar letter
Sample member letter to be sent to those who recently folled a Nexavar prescription. As of 11/30/12, manufacturer is only offering through select pharmacies (Accredo or CuraScript), so members must take steps to assure no interuption in service.
Sample Member letter for Adderall XR coverage
Sample member letter to be sent to all fully insured and self-insured members who may be taking Adderall XR. Due to low supply of generic equivalent of Adderall, AHNJ is allow the brand drug to remain at tier 1 from 11/1/12 through 12/31/13.