Resource Center

email download

05.08.2012

Horizon 2012 Cutoff Dates

Listing of possible effective dates for all of 2012 for new business and conversion business, and their respective cutoff dates. Please be advised Horizon will hold firm to these dates, as exceptions are rarely granted.

email download

03.29.2012

HINT Q&A - NJ Dependent to 31 law

Q&A regarding the NJ law, requirements, how to enroll, etc.

email download

03.29.2012

HINT information - NJ Dependent to 31 law

General information regarding the NJ law, requirements, how to enroll, etc.

email download

03.28.2012

Small Employer Employee Application (SEH)

Horizon branded Employee enrollment form needed for new business or existing member changes/terminations. Also used for NJ HINT - Dependent to 31 enrollments.

email download

02.15.2012

Horizon 2Q 2012 Cutoff Dates

Listing of possible effective dates thru 2Q 2012 for new business and conversion business, and their respective cutoff dates. Please be advised Horizon will hold firm to these dates, as exceptions are rarely granted.

email download

01.06.2012

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...

email download

12.14.2011

Horizon 1Q 2012 Cutoff Dates

Listing of possible effective dates in 1Q 2012 for new business and conversion business, and their respective cutoff dates. Please be advised Horizon will hold firm to these dates, as exceptions are rarely granted.

email download

03.23.2011

Auto Pay Application form (SEH)

Horizon branded form needed if group wishes to sign up for automatic debit withdrawl for premium payments

email download

03.23.2011

Small Employer Waiver form (SEH)

Horizon branded Waiver form for new business and conversions

email download

Horizon Small Group Participation Form

email download

Horizon Group Disabled Dependent Form