Skip to main content
Horizon Blue Cross Blue Shield of New Jersey
RWJBarnabas Health

For Member Services call 844-209-4715

Sign in
Horizon Blue Cross Blue Shield of New Jersey RWJBarnabas Health

Desktop Navigation

Show — Desktop Navigation Hide — Desktop Navigation
  • Plans
      • RWJBarnabas Health Benefits Guide
      • Medical Plans
      • Dental Plans
      • Horizon Pharmacy
      • Annual Member Notifications
      • Summaries of Benefits and Coverage
        • A photo of a woman kissing her son on his cheek. Horizon Behavioral Health

        We are focused on making sure our members get the right care when you need it.
  • Tools & Services
      • Durable Medical Equipment (DME)
      • Member ID Cards
      • Find a RWJBarnabas Provider
      • ID Protection Services
      • ERISA Update
        • A photo of a woman kissing her son on his cheek. Horizon Behavioral Health

        We are focused on making sure our members get the right care when you need it.
  • Forms
      • Medical
      • Dental
      • Manage Private Information
  • Health Programs
      • Horizon Behavioral Health
      • Employee Health Plan Clinical Team
      • HorizonbFit
      • Blue365 Discounts
  • Your Health
      • Aging
      • Asthma & Allergies
      • Children & Teens
      • Diabetes
      • Digestive Health
      • Emotional Health
      • Fitness
      • Flu Prevention and Care
      • Heart Health
      • Lifestyle
      • Nutrition
      • Pain Management
      • Prenatal and Newborn Care
      • Substance Abuse
      • Vision
      • Preventive Health
Medical
Dental
Manage Private Information
Breadcrumb
  1. Home
  2. Forms
  3. 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.

I Agree link
The Horizon Blue Cross Blue Shield Logo
  • ‌
  • ‌
  • ‌
  • ‌
  • ‌
  • ‌

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
  • Careers
  • Claims Payment Policies and Other Information
  • Notice of Non-Discrimination
  • Contact Us
  • FAQs

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