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Download the COVID-19 Resource Guide (as of March 27, 2023), created especially for our valued customers.

Individual & Family

PDF  ACS/Mellon Health Savings Account Employer Discovery Document / Set-up Form

Use this form to set up your employer group's account for ACS/Mellon Health Savings Accounts.

PDF  Confirmation of HSA Selection

Use this form to confirm your employer group's selection of a Horizon Blue Cross Blue Shield of New Jersey MyWay Health Savings Account for tax-free saving and health care spending. ID: HOR5890

PDF  Horizon Healthcare Services, Inc. Declaration of Understanding

New Jersey law required that contract holders that apply for or renew a high deductible health plan which qualified medical expenses are paid using a health savings account receive a "Declaration of Understanding" that describes certain features of the plan.