Authorization Forms
Authorization Form - Spending-Savings Accounts - Flexible Spending Account - Direct Deposit
This form authorizes Horizon BCBSNJ to make a bank account deposit for a Flexible Spending Account (FSA). ID: 8314
Third Party Designee Appointment / Acceptance
This form allows members who are enrolled in a Horizon BCBSNJ commercial product, and are age 62 years or older, to designate an additional person to receive a copy of certain notices. ID: 32316
