Horizon Blue Cross (website)

• Employee Enrollment
• Employee Verification
• Pre-Existing Condition Exclusion
• Prescription Reimbursement Claim Form
• Small Employer Certification
• Small Employer Waiver of Coverage
• Direct Access - PPO Health Insurance Claim
• HMO-POS Health Insurance Claim
• HIPAA Certification
• Mail Order Prescription Application
• Sample Employee Letter Dependent to Age 30
• Dependent to Age 30 Guidelines
• Dependent to Age 30 Enrollment Form

Aetna Health Inc. (website)

• Employee Enrollment/Change
• Waiver of Coverage
• Dependent Questionare
• HIPAA Member Notification
• Employer Verification
• Health Insurance Claim
• Sample Employee Letter Dependent to Age 30
• Dependent to Age 30 Guidelines

Oxford Liberty (website)

• Student Verification
• Waiver of Coverage
• NJ Member Enrollment/Change Form - OHI
• NJ Member Enrollment/Change Form - OHP (HMO Only)
• HIPAA Authorization
• Mail Order Prescription
• Prescription Claim
• Health Insurance Claim
• Small Employer Certification
• Small Group Employee Enrollment and Pre-Existing
• Sample Employee Letter Dependent to Age 30
• Dependent to Age 30 Guidelines
• HINT Supplemental Enrollment Form

General Forms

• New Jersey Continuation Letter
• Cobra Letter
• Sample Employee Letter Dependent to Age 30
• Dependent to Age 30 Guidelines

Cigna (website)

• Employee Enrollment/Change
• Pre-Existing Condition
• HIPAA Certification
• Health Insurance Claim
• Employer Certification
• Sample Employee Letter Dependent to Age 30
• Dependent to Age 30 Guidelines

Oxford Freedom (website)

• Student Verification
• Waiver of Coverage
• NJ Member Enrollment/Change Form - OHI
• NJ Member Enrollment/Change Form - OHP (HMO Only)
• HIPAA Authorization
• Mail Order Prescription
• Prescription Claim
• Health Insurance Claim
• Small Employer Certification
• Sample Employee Letter Dependent to Age 30
• Dependent to Age 30 Guidelines
• HINT Supplemental Enrollment Form

Guardian Healthnet (website)

• Employee Enrollment/Change
• Waiver of Coverage
• Health Insurance Claim
• HIPAA Disclosure
• Small Employer Certification
• Sample Employee Letter Dependent to Age 30
• Dependent to Age 30 Guidelines
• HINT Supplemental Enrollment Form

United Healthcare (website)

• Employee Enrollment/Change
• Waiver of Coverage
• Health Insurance Claim
• Employer Certification
• HIPAA Privacy Notice

Amerihealth Healthcare (website)

**Amerihealth requires that most forms be individually barcoded so you must obtain original copies. Please contact our staff for the appropriate form.

• HINT Supplemental Enrollment Form