Authorization
Authorization Form - Waive Health Benefits Coverage (Small Groups)
Use this form to waive/decline health benefits coverage. ID: 2465
Authorization Form - Waive Premium Conversion Plan
Use this form to waive/decline participation in the Premium Conversion Plan. ID: 16117
Automatic Pay Plan Form (Groups)
Use this form to authorize Horizon BCBSNJ to debit the checking account of a group on a regular monthly basis. ID: 8977