State Health Benefits Plan

Reminder

Always verify that your physician(s) and pharmacy have your current health coverage information.

  • Please note that change forms must be submitted for the following events:

  • Address Change

  • Name Change

  • Addition of Dependent (Spouse, Child)

  • Deletion of Dependent

  • Change of Benefit Plan

If you wish to waive coverage, you must submit an enrollment waiver, along with a waiver of coverage form. If you previously waived coverage and wish to be reinstated, you must also complete an enrollment form and provide required documentation.

Open Enrollment

The open enrollment period begins on October 1st for any changes that will become effective on January 1st. (All change requests must be submitted during the month of October and are due into the State on November 1st) While you have the option to switch to another plan please note that equal to or better than will only apply to NJ Direct 10. This is most closely associated with our previous coverage.

Horizon Blue Cross/Blue Shield Customer Service

1-800-414-7427

State Health Benefits Program

We currently participate in the State Health Benefits Program.

Visit the Horizon Blue Cross Link to set up an account and search for providers: CLICK HERE

When you set up your account, you will be able to:

  • Request additional ID Cards

  • Print temporary cards

  • Download forms

  • Elect to have your EOB's (Explanation of Benefits) sent to you electronically and not to your home.

We currently participate in the New Jersey Educators Health Plan, NJ Direct 10, and NJ Direct 15 Blue Cross Blue Shield Plans. Our prescription coverage is managed through Optum Rx. (You should have two separate ID cards).

Please click here for a copy of the claim form. (This is to be used for out of network reimbursement). It is more efficient if you are able to print this form to a color printer. Claims submitted on black and white copies have to be entered manually, thus delaying the processing.