Service & Client Administration
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Changes to Small Group Billing Frequency
In an effort to streamline its business, all small groups (2-50) will be billed on a monthly basis. This change will made prior to the group's renewal date and before group is converted to an ACA compliant plan. Sample letter is included.
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SBC Distribution Guide
This guide reviews the rules regarding SBC distribution for both employers and brokers. Horizon will distribute SBC's to all fully insured groups 2-50 (one time in 11/2012) and 51+ (at renewal). It is up to broker or employer to distribute.
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MA Reform Law - Minimum Coverage Level Attestation Form
Massachusetts reform law requires all adult residents have a minimum level of creditable health insurance. Carriers are required to provide a 1099-HC form to MA residents. Affected members MUST complete & return attestation form by 11/1/12.
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Q&A about SBC’s for 51+ Groups
Horizon advises that they will provide SBC's to all 51+ size clients at initial install or at anniversary upon request. It is still up to employer to distribute.
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Flu Program (2012-2013)
Horizon and CVS Caremark are offering a free flu shot from 9/15/12 through 2/28/13 to all members at CVS Pharmacies ONLY. Members with medical & Rx, just show your ID; members with just medical, will receive a coupon in mail.
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Dependent to 30 HINT Flyer (Florida)
Information and rules regarding dependent coverage to 30 for Florida residing dependents, with Horizon. Specific rules apply, so please check before having application completed.
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Eligibility Rules
Comprehensive listing of eligibility rules for Horizon BCBS of NJ. This file includes benefit waiting period definitions, new hire vs rehire rules, employees on termporary leave, termination scenarios, and more...
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Influenza Vaccine 2011-12 - What you need to know
CDC released Q&A answering questions like: Why get vaccinated? Difference between in-active and active vaccination? Who should get vaccinated?
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