and Rudmose & Noller Advisors, LLC to assist the department in evaluating Horizon’s application, as permitted under the law. The department engaged Manatt, Phelps & Phillips, LLP and Manatt Health Oliver Wyman Actuarial Consulting, Inc. “It is important to note that under the law, the company must maintain its mission as a charitable and benevolent institution, and the state Attorney General has confirmed that any nonprofit mutual holding company formed under the law remains subject to its oversight,” Commissioner Caride said in a statement announcing the decision. DOBI based its decision on a review of the application, supporting documentation submitted by Horizon (also known as Horizon Healthcare Services, Inc.), as well as the public testimony from three public hearings, written public comments, and the entire record of the proceedings and analyses by consultants engaged by the department. The department determined that the reorganization and mutualization of Horizon met the criteria under state law for approval. The application was approved under criteria outlined in state law, which says the commissioner shall approve a plan of mutualization and reorganization unless that plan is contrary to law would be detrimental to the safety or soundness of the proposed reorganized insurer and insurance company subsidiaries of the proposed mutual holding company or does not benefit the interests of the policyholders of the health service corporation or treats them inequitably. “We appreciate the complete effort that the department invested in evaluating the application and are excited to turn our focus to delivering the benefits that this reorganization will deliver to our members, customers and New Jersey’s healthcare system,” the Horizon statement said. In a statement issued after the DOBI decision was announced on Tuesday evening, Horizon said the decision by State Commissioner of Banking and Insurance Marlene Caride “preserves Horizon’s historic not-for-profit mission while giving the company added flexibility to adapt and better serve our members by improving healthcare quality, convenience and affordability.” 1, is subject to 11 conditions imposed by the department to ensure that Horizon operates prospectively in a manner consistent with the objectives of state law, including that Horizon act in the interest of policyholders and maintain financially safe and sound insurance subsidiaries. Three Penn Plaza East, Newark, New Jersey 07105.The New Jersey Department of Banking and Insurance (DOBI) has approved an application by Horizon Blue Cross Blue Shield of New Jersey to reorganize its corporate structure as a nonprofit mutual holding company. © 2023 Horizon Blue Cross Blue Shield of New Jersey. The Horizon® name and symbols are registered marks of Horizon Blue Cross Blue Shield of New Jersey. The Blue Cross® and Blue Shield® names and symbols are registered marks of the Blue Cross Blue Shield Association. Both are independent licensees of the Blue Cross Blue Shield Association. Communications are issued by Horizon Blue Cross Blue Shield of New Jersey in its capacity as administrator of programs and provider relations for all its companies. Medicare Supplement plans are provided by Horizon Insurance Company. Products are provided by Horizon NJ Health. Enrollment in Horizon NJ TotalCare (HMO D-SNP) depends on contract renewal. Horizon NJ Health has a Medicare contract and a contract with the State of New Jersey Medicaid Program to offer Horizon NJ TotalCare (HMO D-SNP) an HMO Medicare Advantage Dual Eligible Special Needs plan. Enrollment in HIC Medicare products depends on contract renewal. Horizon Insurance Company ("HIC") has a Medicare contract to offer Part D Medicare plans, including group Part D Prescription Drug Plans. ![]() You will get a response from a Member Services Representative within two business days. Sign in to use our secure email to ask a question about your health coverage, enrollment, claims, premium bill and more. (TTY call 711) Horizon NJ TotalCare (HMO D-SNP) Members (TTY call 711) Horizon Blue Medicare Supplement Plan Members Horizon Blue Cross Blue Shield of New Jersey (TTY call 711) Medicare Prescription Drug Plan Members ![]() ![]() Contact Usīlue Shield of New Jersey Three Penn Plaza East There are several ways to contact us so we can help you resolve your question or issue. Eligibility Information & Enrollment Instructions
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