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ENROLLMENT/CHANGE REQUEST Attn: Small Group Enrollment Horizon Blue Cross Blue Shield of NJ PO Box 607, Dept. A Newark, NJ 07101-0607 www.horizonblue.com Horizon Blue Cross Blue Shield of New Jersey

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What is enrollmentchange request group information?

Enrollmentchange request group information refers to the details and data regarding changes in enrollment for a specific group of individuals or employees. It includes information such as added members, dropped members, and any other modifications related to group enrollment.

Who is required to file enrollmentchange request group information?

The entity responsible for administering the group insurance or benefits plan is typically required to file the enrollmentchange request group information. This could be an employer, insurance company, or a third-party administrator.

How to fill out enrollmentchange request group information?

The process of filling out enrollmentchange request group information may vary depending on the specific system or platform being used. Generally, it involves providing accurate and up-to-date details related to changes in enrollment for the group. This can be done through an online portal, forms provided by the entity administering the group plan, or by submitting the information electronically.

What is the purpose of enrollmentchange request group information?

The purpose of enrollmentchange request group information is to facilitate the management and administration of group insurance or benefits plans. It allows for accurate record-keeping and ensures that the necessary adjustments are made to the coverage and benefits provided based on changes in the group's enrollment.

What information must be reported on enrollmentchange request group information?

The specific information required to be reported on enrollmentchange request group information may vary depending on the policies and requirements of the entity administering the group plan. However, it typically includes details such as the names of individuals added or dropped from the group, effective dates of enrollment changes, and any other relevant information needed for the administration of the plan.

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