Skip to main content

Bancroft

For Member Services call 1-800-355-2583

Bancroft

Desktop Navigation

Show — Desktop Navigation Hide — Desktop Navigation

Plans
Tools & Services
Forms
Health Programs
Your Health

Medical
Manage Private Information

24/7 Care and Support

Register now so you’re ready whenever you need care.

Text GETAPP to 422-272 to download.

Breadcrumb

Home
Forms
Manage Private Information

Manage Private Information

Pdf Image

Request for Appointment of Limited Personal Representative

Pdf Image

Request for Appointment of Limited Personal Representative - Spanish

Disclaimer for Third Party Web Sites

Please be aware you have clicked on a link to a visit another site operated by a third party. Horizon Blue Cross Blue Shield provides such links for your convenience and reference only. Horizon Blue Cross Blue Shield, and its subsidiary companies do not control these sites, and are not responsible for their content or the products and services offered therein.

Please be aware when you travel from the Horizon Blue Cross Blue Shield site to another site, whether through links we provide or otherwise, you will be subject to the privacy policies (or lack thereof) of those sites. Horizon Blue Cross Blue Shield cautions you to use good judgment and to determine the privacy policy of such sites before you provide any personal information.

Click "I Agree" to continue to the third party site. If you do not wish to visit this site, click "Cancel" to close this window.

Horizon Blue Cross Blue Shield of New Jersey is an independent licensee of the Blue Cross Blue Shield Association.

Information in Other Languages

Español
Polski
عربي
中文
Italiano
اردو
한국어
Русский язык
Português
Tagalog
हिंदी
Kreyòl ayisyen
ગુજરાતી
Français
Tiếng Việt

Additional Links

About Us
Privacy Center
Notice of Non-Discrimination
Terms & Conditions
FAQs
Contact Us
Claims Payment Policies & Other Information

Disclaimer for Short Bio

Short Bio Sample Body Description

NCQA opens in a new window

Applicable Products:
Commercial PPO/EPO &
Exchange POS/EPO

NCQA opens in a new window

Applicable Products:
Commercial HMO & POS

CAQH opens in a new window