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After two weeks of debating the Virginia Plan, a counterproposal was put forth by William Patterson, which has become known as the New Jersey Plan (or the Small State Plan or the Patterson Plan). Patterson's ideas amounted to no more than a simple reshaping of the Articles of Confederation.The plan once again offered the idea of a unicameral (one house) legislature in which all states would have an equal number of votes.Nevertheless, Patterson did advance one highly valuable idea:
"All acts of the United States in Congress made in pursuance of the powers hereby and by the articles of confederation vested in them, and all Treaties made and ratified under the authority of the United States shall be the supreme law of the respective States . and the Judiciary of the several States shall be bound thereby in their decisions, anything in the respective laws of the individual States to the contrary notwithstanding."
This was an expression of the supremacy of federal law; those state laws which ran counter to federal statutes were to be voided.
The New Jersey Plan
The New Jersey Plan (also known as the Small State or Paterson Plan) was a proposal for the structure of the United States Government proposed by William Paterson at the Constitutional Convention on June 15, 1787.  The plan was created in response to the Virginia Plan's call for two houses of Congress, both elected with apportionment according to population or direct taxes paid.  The less populous states were adamantly opposed to giving most of the control of the national government to the larger states, and so proposed an alternate plan that would have given one vote per state for equal representation under one legislative body (i.e., a Unicameral Legislature). This was a compromise for the issue of the houses. This plan was opposed by James Madison and Edmund Randolph.
When the Connecticut Compromise (or "Great Compromise") was constructed, the New Jersey Plan's legislative body was used as the model for the United States Senate. 
Under the New Jersey Plan, the organization of the legislature was similar to that of the modern day United Nations and other like institutions. This position reflected the belief that the states were independent entities, and, as they entered the United States of America freely and individually, so they remained. The New Jersey plan also gave power to regulate trade and to raise money by taxing foreign goods.
Ultimately, the New Jersey Plan was rejected as a basis for a new constitution. The Virginia Plan was used, but some ideas from the New Jersey plan were added. In the Senate each state would be represented equally while the House of Representatives votes would be distributed according to population.
New Jersey — History and Culture
There’s a lot going on in New Jersey, which has been the case since the early days of European colonization. The Revolutionary War was largely fought and won here, and great minds like Thomas Edison invented many masterpieces like the electric light bulb in New Jersey laboratories. The modern era has seen tourism rise in Atlantic City and the massive Six Flags amusement park. Throw in some pretty beaches along the Jersey Shore and you’ve got the makings of a well-rounded travel destination filled with history and diversity.
New Jersey was at the center of the early colonial struggles between rival European nations striving to get a foothold in North America. The Dutch colony of New Netherland was taken over by England in 1664, and the Province of New Jersey was given to two loyalists of King James II: Sir George Carteret and Lord Berkeley of Stratton.
Throughout the colonial era, New Jersey was agrarian and rural, attracting a diverse population of religions and ethnicities. English Quakers and Anglicans were two of the largest landowners, with much of the Delaware Valley settled by Quakers. Many historic towns like Lambertville date back to this era and have retained much of their original character.
During the American Revolution, New Jersey was the site of many battles and movements on both sides. It earned itself the nickname the "Crossroads of the Revolution," and General George Washington setup his main headquarters at Morristown, which has preserved the site as a national historic park.
General Washington led the Continental Army across the Delaware River in December 1775, winning crucial engagements against the British at the Battle of Trenton and the Battle of Princeton. Both sites are preserved as historic parks. In 1783, the Continental Congress met at Princeton University for four months, effectively making Princeton the capital of America for a short period.
No Civil War action took place in New Jersey, so the state turned its attention to the industrial sector. Thomas Edison had his first laboratory in Menlo Park and then at West Orange in 1901 where he obtained 1,093 patents. Menlo Park’s Christie Street was the first street in the world to get electric lighting. Edison’s laboratories are also a national park and popular tourist attraction.
If you’ve watched MTV’s Jersey Shore, you probably have a horribly skewed perception of New Jersey. The loud, boisterious ethnic Italian heritage is certainly one major facet of this multicultural state, but by no means is the defining characteristic. There are also large pockets of Quakers, Irish, Germans, and African Americans. Due to this rich diversity, each corner of New Jersey seems to have its own charm.
Spend a weekend on Cape May and you’ll find yourself immersed in the genteel blue-blood world of wealthy holidaymakers. Wander the streets of Newark and you’ll find a rugged urban scene. Princeton is one of the great centers of American academia, while Atlantic City is a free-for-all party for gambling and indulgence. Few states in America offer the chance to blend relaxing beach time, colonial towns, outdoor recreation, and the inhibition of Atlantic City into one destination. The pace of life is frantic in most of New Jersey, so buckle up and enjoy the ride.
New Jersey health insurance marketplace: history and news of the state’s exchange
Ventnor City Beach fishing pier, Atlantic City, New Jersey | Image: Christian Hinkle / stock.adobe.com
Latest New Jersey exchange updates
- (overlapping with the start of open enrollment for 2022 coverage). (similar to Maryland and Colorado).
- New Jersey transitioned to a fully state-run exchange in the fall of 2020, using the GetCoveredNJ platform. .
- Individual market premiums in New Jersey rose an average of 3.3% for 2021, after increasing by about 8.7 percent in 2020. , thanks to an individual mandate, reinsurance program. signed into law in 2018. .
What type of exchange does New Jersey have?
From 2014 through 2020, New Jersey used the federally run exchange, which means residents enrolled in exchange plans through HealthCare.gov. But New Jersey transitioned away from HealthCare.gov in the fall of 2020, and is now operating its own exchange platform, using the GetCoveredNJ website.
Five carriers offered plans in the New Jersey exchange in 2016, but three of them exited the exchange at the end of 2016, leaving two carriers offering plans for 2017. For 2018, Oscar Health – one of the insurers that had exited at the end of 2016 – returned to the exchange, bringing the total number of carriers to three. Oscar’s coverage area in 2018 was larger than it was when they offered exchange plans in the state previously.
All three insurers are continuing to offer coverage in New Jersey’s exchange for 2021, and although average rates increased by about 3.3% for 2021 and by 8.7% for 2020, they decreased by 9.3% in 2019 due to the state’s new individual mandate and reinsurance program. So average pre-subsidy premiums are still only slightly higher than they were in 2018. For 2022 coverage, insurers must file their proposed rates with the New Jersey Department of Banking and Insurance by July 21, 2021.
When can I enroll in 2021 health insurance in New Jersey?
In response to the ongoing COVID pandemic, GetCoveredNJ is offering an extended enrollment window for 2021, which has been extended through December 31, 2021 (it had previously been extended through November 30, 2021). Enrollment during this window is also available off-exchange (directly through insurers), but subsidies are not available off-exchange, including the subsidy enhancements made by the American Rescue Plan.
Initially, open enrollment for 2021 health plans in New Jersey began on November 1, 2020 and continued through January 31, 2021. This was double the length of the normal open enrollment period that was used in states that run their own health insurance exchanges the flexibility to extend open enrollment is due to the fact that New Jersey now runs its own exchange platform(GetCoveredNJ), and the exchange is likely to continue to offer extended enrollment windows in future years.
Outside of the open enrollment window, New Jersey residents would normally need a qualifying event in order to enroll or make changes to their coverage. But for New Jersey has opted to extend the enrollment window for 2021 through the end of 2021, in order to address the ongoing COVID pandemic and give people ample opportunity to take advantage of the additional premium subsidies created by the American Rescue Plan. Plans will take effect the first of the month after the enrollment is completed, and this enrollment window applies to people who are currently uninsured but also to people who already have coverage and would like to switch to a different plan for the rest of 2021.
This is important, as some people will need to switch plans in order to best take advantage of the additional premium subsidies available as a result of the American Rescue Plan. Although open enrollment for 2022 plans will start on November 1, 2021, the state’s COVID-related enrollment window continues through the end of December, in order to give people an ample opportunity to take advantage of the new subsidies for 2021 (otherwise, if a person enrolled in November during open enrollment, their coverage wouldn’t take effect until January 1, 2022 under the COVID-related enrollment period, if they apply in November their plan will take effect in December).
“Easy enrollment” legislation passes unanimously in New Jersey’s legislature
In December 2020, S.3238 was introduced in New Jersey’s Senate, calling for the state to create an “easy enrollment” program, similar to the program that Maryland began using in 2020, and that Colorado will being to use in 2022.
The legislation passed unanimously in both chambers, and was sent to Governor Phil Murphy in June 2021. It will allow New Jersey to use state tax returns to identify uninsured residents and then determine, based on data from the tax returns, whether those individuals are eligible for Medicaid or premiums assistance through the New Jersey exchange. The legislation calls for the state to implement the program starting with the 2021 tax year (ie, utilizing tax returns that people file in early 2022) or, if that’s not feasible, the 2022 tax year.
According to the text of S.3238, a tax filer will be able to check a box on their tax return indicating that they’d like the state to pass their pertinent information to the exchange (Get Covered NJ) so that their eligibility for health insurance financial assistance can be determined. Medicaid enrollment is available year-round, but the legislation notes that people who are not eligible for Medicaid will be granted a special enrollment period of at least 14 days, during which they can enroll in a private plan through the exchange. Most people will be eligible for premium subsidies, and that information will be communicated to the tax filer by the exchange.
Lawmakers in Pennsylvania are also considering legislation in 2021 that would create an “easy enrollment” program. A similar bill was considered in the 2021 legislative session in New Mexico, and although it passed the House, it did not advance in the Senate before the end of the 2021 session.
New Jersey now has a fully state-run health insurance exchange
From the fall of 2013 through the 2020 plan year, New Jersey used HealthCare.gov, like the majority of the rest of the states. But in March 2019, Governor Phil Murphy notified CMS that New Jersey planned to begin running its own health insurance exchange by the 2021 plan year (ie, operational by November 2020).
But New Jersey also requested CMS approval to have the NJ Department of Banking and Insurance oversee the exchange starting in the fall of 2019, when people were purchasing coverage for 2020. That request was approved just a few weeks before the start of open enrollment for 2020 health plans, so New Jersey had a state-based exchange using the federal platform (HealthCare.gov) for the 2020 plan year. The state transitioned to a fully state-run exchange in the fall of 2020, utilizing their own enrollment platform instead of HealthCare.gov.
The state is using its existing GetCoveredNJ website as the exchange enrollment site. Navigator training and beta testing for the website began in August 2020, and people were able to window shop on the new state-run exchange as of mid-October. Open enrollment began on November 1, 2020, and will continue through January 31, 2021 (enrollments completed by December 31, 2020 will have coverage effective January 1, 2021).
States that rely fully on the federally run exchange currently have to pay 3 percent of premiums to the federal government for the use of HealthCare.gov, the federally-run call center, and things like tech support, marketing, and enrollment assistance. This is a reduction from the 3.5 percent fee that was charged prior to 2020 (and CMS has proposed a further reduction, to 2.25 percent, for 2022), although federal funding for outreach and enrollment assistance have been drastically cut under the Trump administration, and premiums have increased drastically since 2014.
State-run exchanges that use the HealthCare.gov enrollment platform are charged a fee equal to 2.5 percent of premiums in 2020, down from 3 percent in 2019 (and CMS has proposed a reduction to 1.75 percent in 2022). So New Jersey paid that 2.5 percent fee in 2020. But even now that the state has its own exchange, they plan to continue to collect the same 3.5 percent fee that was collected by the federal government in 2019. But instead of sending it to the federal government, New Jersey will use the money — estimated at $50 million per year — to operate a state-run exchange.
By running its own exchange, New Jersey has gained significantly more control. The state has the flexibility to extend open enrollment (which they’re using right out of the gates, doubling the length of open enrollment for 2021 coverage so that it will last for three full months), target the state’s enrollment and outreach efforts in the most useful fashion, design the enrollment website and customer service center, and have more regulatory control over the plans for sale in the market.
What is the New Jersey Health Insurer Assessment and how does it make coverage more affordable?
In July 2020, New Jersey enacted A4389 (Senate version was S2676) in an effort to decrease the state’s uninsured rate, close the racial health care disparity gap, and make individual health insurance more affordable. The legislation, which was signed into law by Governor Murphy on July 31, is expected to generate $224 million in annual funding by replacing the ACA’s health insurance tax (which was eliminated after the end of 2020), with a new state-based assessment on individual and fully-insured large group health plans in New Jersey, starting in 2021.
About a third of the money generated by the assessment is being used to provide ongoing funding for the state’s existing reinsurance program. The other two-thirds is being used to make health insurance more affordable for people with low and modest incomes. Maura Collinsgru, Health Care Program Director for New Jersey Citizen Action, explained that the money would be used to provide state-funded premium subsidies to go along with the federal subsidies provided by the ACA.
Initially, the state-funded subsidies were available to households earning up to 400% of the poverty level, which was the same as the eligibility limit for federal subsidies. But the American Rescue Plan eliminated the income cap for federal subsidy eligibility for 2021 and 2022 (ie, there is no longer a “subsidy cliff” for those two years), and New Jersey subsequently announced that as of May 2021, the state-funded subsidies would be available to households with income up to 600% of the poverty level.
New Jersey’s state-funded subsidies are designed to address the fac that even with federal subsidies, health insurance — particularly robust coverage with lower out-of-pocket costs — can often still be unaffordable, even with the subsidies. The American Rescue Plan has made coverage more affordable at almost all income levels, and New Jersey is also expanding the reach of the state-funded subsidies in an effort to continue to make coverage as affordable as possible.
Because New Jersey is newly operating its own state-run exchange for 2021, the state did not have a mechanism in place for targeting the additional state-funded subsidies based on need during the first year. So the money was initially simply being divided equally across all of the state’s exchange enrollees with income up to 400% of the poverty level. According to a statement from Governor Murphy’s office, the subsidy amount was expected to be at least $564 per enrollee in 2021. During the first five weeks of open enrollment, it had averaged $556 in total annual savings, on top of the federal premium subsidies for which people were eligible the specifics changed later in 2021 when the state opted to provide subsidies at higher income levels.
The legislation initially called for the new assessment to be set at 2.75% of premiums, but that was later amended to 2.5% (this is less than insurers were paying under the ACA’s health insurance tax, according to an analysis conducted by New Mexico when a similar bill was being considered there earlier this year).
The assessment only applies to individual market plans and fully insured large group plans (ie, not self-insured large group plans). Collinsgru clarified that the bill originally included small group plans, dental plans, and multiple employer welfare plans among the entities that would be subject to the assessment. But the amended version of the bill eliminated those entities and focused the assessment only on individual plans and fully insured large group plans. Medicaid managed care plans were not included in either version of the bill, due in part to uncertainty surrounding the Medicaid program under the Trump administration. But Collinsgru noted that advocates hope to introduce additional legislation in a future session that could add the assessment to Medicaid managed care plans in order to generate more funding for the state’s health insurance affordability program, part of which would come from the federal government (Medicaid is jointly funded by the state and federal government).
How did individual health insurance premiums change in New Jersey for 2021?
Three insurers offer plans in the New Jersey exchange. For 2021, they implemented the following average rate changes:
- AmeriHealth: roughly 6.5 percent increase (slightly different for AmeriHealth HMO and AmeriHealth Insurance Company of NJ)
- Horizon Healthcare Services (BCBS): 1.1 percent increase
- Oscar Health: 6.1 percent increase
Oxford (UnitedHealthcare) offers off-exchange-only plans in New Jersey. Their average rates increased by 10.4 percent for 2021.
Overall, across the whole individual market in New Jersey, the average premium increase was 3.3 percent for 2021.
2020: Average premiums increased by 8.7 percent
Average premiums increased by 8.7 percent in New Jersey’s individual market in 2020, with an increase of roughly 11 percent for AmeriHealth, 6.5 percent for Horizon, and 16.8 percent for Oscar. Oxford, which only sells off-exchange plans, increased their average premiums by 10.4 percent for 2021. The average rate changes for 2021 were considerably larger than the average nationwide average premiums across all states actually dropped slightly for 2020. However, New Jersey’s average pre-subsidy premium in 2019 was $511/month, versus an average of $612/month across all states that use HealthCare.gov. And premiums decreased by an average of 9.3 percent in New Jersey in 2019, versus a national average increase of just under 3 percent.[/hio_question]
Rates decreased for 2019, thanks to state individual mandate and reinsurance program
New Jersey regulators announced in July 2018 that the average proposed 2019 rate increase for individual market plans was 5.8 percent. At that point, the proposed rate increase would have been more than twice that much (12.6 percent) if the state hadn’t enacted legislation to create its own individual mandate starting in 2019.
The loss of the federal individual mandate penalty drove premiums up all across the country for 2019, but New Jersey insulated itself from that by implementing its own mandate (when there’s no mandate, healthy people are less likely to maintain coverage, which results in a less healthy risk pool and higher premiums for everyone who remains insured).
In addition, New Jersey had submitted a 1332 waiver proposal, seeking federal pass-through funding for a reinsurance program. CMS was still reviewing that proposal when rates were being filed, so the 5.8 percent average proposed rate increase for New Jersey plans did not account for the reinsurance program. Federal approval for the state’s 1332 waiver came in August 2018. State regulators had already noted that the rates would be revised if and when the reinsurance program was approved, and they expected the 2019 rates to be 15 percent lower with reinsurance than they would otherwise have been.
Sure enough, Governor Murphy’s office announced in early September that average rates in the individual market would decline by 9.3 percent in 2019, after accounting for the impact of the reinsurance program. So if New Jersey hadn’t done anything at all, rates would have increased by an average of nearly 13 percent. But instead, because the state implemented an individual mandate and a reinsurance program, the average rates decreased by more than 9 percent.
The approved base rates for each plan, as well as the applicable age-based multipliers, are available here.
For perspective, here’s a summary of how average rates have changed in New Jersey in prior years:
- ACA-compliant plans debuted for 2014, and the rates were essentially educated guesses.
- For 2015, across all plans and metal levels in the New Jersey exchange, an analysis from the Commonwealth Fund found an average 2015 premium increase of just 2 percent for a 40-year-old non-smoker.
- For 2016, average pre-subsidy premiums increased by 10.2 percent in New Jersey.
- For 2017, exchange participation had dropped to just AmeriHealth and Horizon, and the average rate increase was 8.8 percent.
- For 2018, exchange participation grew to three insurers, with Oscar’s re-entry to the exchange. The average rate increase was 22 percent, due in large part to the uncertainty caused by federal GOP efforts to repeal the ACA in 2017, and the market instability that caused, as well as the fact that silver plan rates began to include the cost of cost-sharing reductions (CSR) as of 2018 (details below).
Cost of CSR is added to silver exchange plans in New Jersey
Throughout 2017, the uncertainty surrounding CSR funding loomed large in the rate-setting process for 2018 plans. States and insurers took varying approaches to dealing with the uncertainty, and some changed their approach in last-minute rate revisions after the Trump Administration announced on October 12 that CSR funding would end immediately.
In mid-October, the New Jersey Department of Banking and Insurance confirmed by phone that the cost of CSR had been incorporated in the on-exchange silver plan rates for 2018, leading to an overall average rate increase of 22 percent.
For 2019, insurers in New Jersey again added the cost of CSR to on-exchange silver plans, and state regulators in New Jersey encouraged insurers to offer separate off-exchange-only plans that didn’t have the cost of CSR added to their premiums.
Adding the cost of CSR to silver plan premiums ends up protecting the majority of enrollees, particularly if the cost of CSR is only added to on-exchange plans an insurers offer separate (cheaper) off-exchange silver plans. Premium subsidies end up being larger than they would otherwise have been, since the subsidies are based on the cost of the second-lowest-cost silver plan. 78 percent of New Jersey exchange enrollees receive premium subsidies. Those enrollees were protected from the brunt of the rate increases in 2018 (as noted above, average rates decreased for 2019). Premium subsidy recipients who picked bronze or gold plans likely found that their net premiums decreased for 2018, as the larger subsidies based on higher silver plan premiums can be applied to plans at other metal levels, despite the fact that the other metal levels don’t have the cost of CSR added to their premiums.
Off-exchange enrollees and unsubsidized exchange enrollees have to pay close attention to their plan choices, however. If they want a silver plan, the best bet may be an off-exchange-only silver plan, in order to avoid the CSR cost that has been added to on-exchange silver plans. Otherwise, bronze and gold plans could also be a good choice.
More than 269,000 enrolled during open enrollment for 2021 plans, including more than 75,000 new enrollees
Enrollment in New Jersey’s exchange peaked in 2017, when 295,000 people enrolled. It then declined each year through 2020 — when 247,543 people enrolled — but increased to 269,560 during the open enrollment period for 2021 coverage, including 75,749 new enrollees. Enrollment is likely to continue to increase throughout 2021, as New Jersey has extended its COVID-related enrollment period through November 30, 2021, essentially keeping open enrollment open throughout the entire year (open enrollment for 2022 coverage begins November 1, 2021).
Across all states that use HealthCare.gov, enrollment peaked in 2016, and has been declining each year since then. The declines have been caused by a variety of factors, including uncertainty about the GOP efforts to repeal the ACA, and the Trump administration’s decision to sharply reduce funding for Navigators and exchange marketing, and increasing premiums (particularly for people who don’t get premium subsidies).
But some factors that caused enrollment to drop in other states were not a factor (or not as much of a factor) in New Jersey. That includes the elimination of the ACA’s individual mandate penalty (New Jersey implemented its own mandate and penalty as of 2019, but didn’t start heavily marketing it until late in 2019) and the expansion of short-term plans (long-standing New Jersey laws prohibit the sale of short-term plans).
For perspective, here’s a look at enrollment in prior years in New Jersey’s exchange:
- 2014: 161,775 people enrolled in plans through the New Jersey exchange during the first open enrollment period, for 2014 coverage. This enrollment period lasted for six months, as it was the first time that individual market coverage had been limited to an enrollment window (prior to 2014, people could apply for individual market plans anytime they wanted, but coverage was medically underwritten).
- 2015: 254,316 people enrolled
- 2016: 288,573 people enrolled
- 2017: 295,067 people enrolled
- 2018: 274,782 people enrolled
- 2019: 255,246 people enrolled
- 2020: 247,543 people enrolled
- 2021: 269,560 people enrolled
2018 health care legislation in New Jersey: Reinsurance, individual mandate, and surprise billing protections
Lawmakers in New Jersey considered a variety of health care reform bills in the 2018 session. Two vitally important bills – to create an individual mandate and a reinsurance program — passed and were signed into law by Governor Murphy in 2018.
New Jersey joined Massachusetts in having an individual mandate in 2019 (as did DC), and was one of several states that implemented a reinsurance program in 2019. Vermont has also enacted an individual mandate, but it won’t take effect until 2020.
In addition, Governor Murphy signed legislation to protect consumers from surprise balance billing. Here’s a summary of the health care reform legislation New Jersey enacted in 2018:
- : The legislation implemented a state-based individual mandate in New Jersey, effective in 2019. It passed 23-13 in the Senate, and 50-23 in the Assembly, and Gov. Murphy signed it into law in late May, 2018. The ACA’s individual mandate penalty was eliminated after the end of 2018, under the terms of the GOP tax bill that was enacted in late 2017. New Jersey’s mandate took effect seamlessly, as of 2019. It is structured in much the same way as the ACA’s individual mandate penalty, although the maximum penalty is tied to the average cost of a bronze plan in NJ, rather than the national average cost. The penalty will be assessed on state tax returns (starting in early 2020, for 2019 returns), rather than federal tax returns. For reference, the ACA’s individual mandate penalty was assessed on 188,750 federal tax returns filed by New Jersey residents for the 2015 tax year, with total penalties of $93.3 million. The revenue collected by the state under the mandate penalty will be used to provide state funding for the reinsurance program called for in S.1878 (discussed below). : The legislation directed the state to apply for a 1332 waiver in order to obtain federal funding for a state-based reinsurance program. It passed 22-14 in the Senate, and 46-22 in the Assembly, and Governor Murphy signed it into law in late May, 2018. New Jersey submitted a 1332 waiver proposal for the reinsurance program to CMS on July 2, 2018, and it was approved by CMS the following month, granting federal pass-through funding that the state will use to operate the reinsurance program. Before the reinsurance program had received federal approval, insurers in the state had proposed an average rate increase of 5.8 percent for 2019. But rates were revised once the reinsurance program waiver was approved, resulting in an average decrease of more than 9 percent. New Jersey’s reinsurance program will reimburse insurers for 60 percent of the cost of claims that exceed $40,000, until the claims reach $215,000. States that have implemented reinsurance programs are showing improved market stability and premiums that have either declined or been limited to very modest increases. Alaska established a reinsurance program in 2016, and it has been credited with keeping premiums increases much lower than most states in 2017, and sharp premium decreases for 2018. Minnesota and Oregon implemented reinsurance programs for 2018, with average premiums declining in Minnesota and increasing by only single-digit percentages in Oregon. : This legislation protects consumers from surprise balance bills from out-of-network providers who perform services at in-network facilities. It also requires medical facilities to clearly explain to patients whether the facility is in or out of network with the patient’s insurer, and requires insurers and out-of-network providers to enter binding arbitration when billing disputes arise. Self-insured health plans are not subject to state law (they’re governed instead by federal law, under ERISA), but self-insured plans can opt in to the provisions of the state’s surprise billing protections. Several states have addressed the surprise billing issue, but New Jersey’s new legislation is considered the strongest in the country. A.2039 passed 21-13 in the Senate, and 48-21 in the Assembly, and was signed into law on June 1, 2018. Similar measures have been debated in New Jersey for the last decade.
Insurer participation in New Jersey’s exchange
As is the case in most states, insurer participation in the exchange has varied over the years in New Jersey. In 2014, there were only three insurers offering plans: Horizon Blue Cross Blue Shield, AmeriHealth, and Health Republic of New Jersey (Freelancer’s CO-OP). But for 2015, Oscar and Oxford joined the exchange. There have been several additional changes since then:
Oscar Health offered coverage in the New Jersey exchange in 2015 and 2016, but did not offer coverage for 2017. They rejoined the exchange in 2018, and are continuing to offer plans for 2019.
In 2015 and 2016, Oscar offered coverage in nine of New Jersey’s 21 counties. For 2018, they offered coverage in 14 counties: Bergen, Essex, Hudson, Hunterdon, Mercer, Middlesex, Monmouth, Morris, Ocean, Passaic, Somerset, Sussex, Warren, and Union.
UnitedHealthcare discontinued their individual market HMO plans in New Jersey (sold under the name Oxford) at the end of 2016. According to a Kaiser Family Foundation analysis, Oxford offered exchange plans in all 21 counties in New Jersey in 2016, but did not have either of the two lowest-cost silver plans in any area of New Jersey.
Health Republic (CO-OP)
Health Republic Insurance of New Jersey was one of the ACA-created CO-OPs, most of which have not survived. In September 2016, Health Republic was placed into rehabilitation by the NJ Department of Banking and Securities. As a result, the CO-OP stopped selling new policies, and existing policies terminated at the end of 2016.
The CO-OP noted that their financial collapse stemmed in large part from the risk adjustment program, under which they had to pay $46.3 million ($38.6 million for individual market plans, and $7.7 million for small group plans). The CO-OP had been told by CMS at the end of 2015 that their projected liability was about $17 million. But when the final numbers came out in June, the carrier owed more than two and a half times that much.
Unlike the other CO-OPs that had already closed around the country, state regulators were initially working under the assumption that it might have been possible to stabilize the company enough for it to return to the marketplace in 2018. But that hope was short-lived. In December 2016, the NJ Commissioner of Banking and Insurance submitted a recommendation that Health Republic Insurance of New Jersey be liquidated.
And on February 3, 2017, the order of liquidation was filed. Health Republic assets were liquidated to repay creditors as much as possible.
Horizon BCBS offering tiered network plans: Controversial, but with lower premiums
Horizon Blue Cross Blue Shield — New Jersey’s largest health insurer — began offering new health plans in 2016 that had premiums about 15 percent lower than the carrier’s 2015 rates, in addition to lower copays and deductibles in exchange for using specified hospitals and providers (as was the case with most plans, premiums for Horizon’s OMNIA plans increased in 2017 and 2018, but continued to be about 10 percent lower than other similar Horizon plans). Not surprisingly, residents who were polled about the plans expressed support for the concept.
By early 2017, after two years of open enrollment windows in which OMNIA plans were available, Horizon reported that 238,000 people had enrolled in the plans, representing a large majority of the nearly 276,000 individual market Horizon enrollees at that point.
Horizon’s new plans were created under the OMNIA Alliance partnership with 22 hospitals, plus an additional 14 hospitals that are designated “Tier 1.” These 36 hospitals (39 hospitals as of 2018) agreed to accept lower reimbursements in trade for higher volume (since insureds have to use one of those hospitals in order to get the lower copays and deductibles), and also agreed to reimbursement based on quality of care and patient outcomes, rather than fee-for-service reimbursement (it was later confirmed that Horizon favored larger hospitals over smaller hospitals, and that price didn’t play a role in the selection of Tier 1 hospitals).
The other 36 hospitals in New Jersey were designated “Tier 2” under the new plans, and insureds who use those hospitals pay higher copays and deductibles (although insureds still have access to those hospitals, and the hospitals continue to be reimbursed by Horizon if insureds choose to use them). Those hospitals were upset that they were left out, and say they were caught off guard by the new Horizon plans.
A group of 17 Tier 2 hospitals filed a lawsuit in November to stop the OMNIA Alliance, and asked the New Jersey Department of Banking and Insurance (DOBI) to intervene. But the DOBI refused, noting that shuttering the new Horizon plans in the middle of open enrollment – once plans had already been purchased by consumers – would potentially “create significant upheaval and disruption to the New Jersey marketplace and its consumers.” In June 2016, an appeals court ruled against the hospitals, upholding the state’s decision to allow the tiered network plans to be sold. Another lawsuit, brought by seven Tier 2 hospitals, continued until 2018. The case was scheduled to go to trial in October 2018, but Horizon settled with the last plaintiff before the trial began.
Horizon’s approach in New Jersey is a compromise between truly narrow network HMO plans (where enrollees only have coverage at designated facilities) and the broad network PPO plans that dominated the pre-ACA market. Horizon’s CEO has defended the new plans, and noted that in a state where healthcare costs were the second-highest in the country, innovation to lower them is necessary.
History of the New Jersey exchange
The New Jersey Assembly passed two bills authorizing a state-run exchange in 2012, but both were vetoed by then-Gov. Chris Christie. Those vetoes left the federal government to operate the health insurance marketplace in New Jersey, although that is poised to change under the Murphy Administration. Governor Christie took a very hands-off approach to the ACA, and the state did little to promote the HHS-run exchange under his Administration, leaving most of the heavy lifting to brokers, navigators and HHS.
The state did opt to expand Medicaid however, making health insurance available to hundreds of thousands of low-income residents.
New Jersey Senator Nia Gill introduced the legislation again in 2015 to create a state-run exchange. But her bill, S540, didn’t advance out of committee during the 2015 session. Gill was critical of Gov. Christie’s vetoes of the prior exchange-creation legislation, noting that New Jersey subsidies wouldn’t have been dependent on the outcome of the King v. Burwell case if the state had created its own exchange (subsidies ended up being safe when the Supreme Court ruled that subsidies were legal in every state, not just those that ran their own exchanges).
In January 2014, U.S. Rep Bill Pascrell (D, NJ) introduced a bill that would allow HHS to recoup ACA outreach funding that remains unused by Republican governors like Chris Christie who refused to use the money in their states to promote the ACA and educate residents about its benefits. New Jersey officials were involved in lengthy discussions with HHS over the use of $7.67 million in federal funds that had been granted to NJ in 2012 to use for promoting the state’s health insurance exchange.
The money was intended for outreach, advertising and general promotion of the ACA and the exchange, although NJ officials wanted to use it to staff a call center for the state’s expanded Medicaid program. But HHS had made it clear last year that such a use was not permitted.
Ultimately, the state and HHS were not able to come to a compromise on the issue. New Jersey forfeited the money in February 2015 when the deadline passed, and HHS officially rescinded the funds in May 2015.
New Jersey health insurance exchange links
New Jersey’s Official Health Insurance Marketplace
State Exchange Profile: New Jersey
The Henry J. Kaiser Family Foundation overview of New Jersey’s progress toward creating a state health insurance exchange.
By 1830, two-thirds of the remaining slaves in northern states were held by New Jersey masters. Throughout the 1830s and ‘40s, African Americans in New Jersey petitioned the legislature to confirm their freedom and proceeded to build a thriving free black community. An 1837 act attempted to protect freedpeople from fraudulent claims that they were in fact slaves by granting them trials by jury and stipulating that judges overseeing these claims must call in two other judges to assist. In 1844, the legislature further eased restrictions on manumission by reducing the number of witnesses required from two to one.
But proslavery sentiment remained strong in the state, as evidenced by an 1834 mob attack on a minister in Newark when he delivered a lecture titled “The Sin of Slavery.” Race riots continued to plague New Jersey&mdashincluding the town of Princeton&mdashthroughout the 1830s and 1840s as the free black population expanded by natural increase and manumission. These violent riots and ongoing debates between pro- and antislavery advocates help to explain why Chief Justice Hornblower of the New Jersey Supreme Court failed to win support for a clause in the 1844 state constitution that would have made slavery illegal.
It was not until April 18, 1846 that the state legislature passed “An Act to Abolish Slavery,” declaring:
This act, like the Gradual Abolition Act of 1804, did not actually emancipate enslaved people in the state. It instead turned the remaining enslaved peoples into “apprentices for life.” Thus, "New Jersey retained slaveholding without technically remaining a slave state." At the outbreak of the Civil War, New Jersey slaveholders owned eighteen apprentices for life&mdashor, as the federal census more accurately classified them, “slaves.” A Princeton professor, Albert B. Dod owned a slave as late as 1840, one of the last men in the state to do so.
Because of these limitations on emancipation, it was not until the passage of the Thirteenth Amendment in 1865&mdashwhich New Jersey reluctantly ratified in January of 1866&mdashthat the remaining sixteen slaves in the state were forever freed.
About the Author
My current research focuses on slavery, race, illicit sex and the law in in the early Atlantic World. I received my Bachelor of Arts from Columbia University in 2014. My undergraduate thesis looked at illicit liaisons between white women and black men as well as the freedom suits of their children in colonial Virginia and Maryland. I also worked at the New-York Historical Society, where I helped produce curricula for students and teachers and worked closely with the curatorial team on the new Center for Women’s History, which opened in March 2017. My other interests include gradual emancipation and it’s legal ramifications, public history, women’s history, and African American history more broadly.
Paul Axel-Lute, “The Law of Slavery in New Jersey: An Annotated Bibliography,” A1, accessed 7 June 2017, http://njlegallib.rutgers.edu/slavery/bibliog.html#III.
Marion Thompson Wright, “Early History,” The Journal of Negro History 28, no. 2 (1943): 159.
Axel-Lute, “The Law of Slavery in New Jersey,” A3.
Marion Thompson Wright, “Laws Passed From 1675 to 1776,” The Journal of Negro History 28, no. 2 (1943): 164.
The Revised Virginia Plan June 13
. . . Mr. GORHAM  made a report, which was postponed till to-morrow, to give an opportunity for other plans to be proposed – the Report was in the words following:
- Resolved, that it is the opinion of this Committee, that a national Government ought to be established, consisting of a supreme Legislative, Executive and Judiciary.
- Resolved, that the National Legislature ought to consist of two branches.
- Resolved, that the members of the first branch of the National Legislature ought to be elected by the people of the several States for the term of three years to receive fixed stipends by which they may be compensated for the devotion of their time to the public service, to be paid out of the National Treasury to be ineligible to any office established by a particular State, or under the authority of the United States (except those peculiarly belonging to the functions of the first branch) during the term of service, and under the national Government for the space of one year after its expiration.
- Resolved, that the members of the second branch of the National Legislature ought to be chosen by the individual Legislatures to be of the age of thirty years at least to hold their offices for a term sufficient to insure their independence, namely, seven years to receive fixed stipends by which they may be compensated for the devotion of their time to the public service, to be paid out of the National Treasury to be ineligible to any office established by a particular State, or under the authority of the United States (except those peculiarly belonging to the functions of the second branch) during the term of service, and under the national Government, for the space of one year after its expiration.
- Resolved, that each branch ought to possess the right of originating acts.
- Resolved, that the National Legislature ought to be empowered to enjoy the legislative rights vested in Congress by the Confederation and moreover to legislate in all cases to which the separate States are incompetent, or in which the harmony of the United States may be interrupted by the exercise of individual legislation to negative all laws passed by the several States contravening, in the opinion of the National Legislature, the Articles of Union, or any treaties subsisting under the authority of the Union.
- Resolved, that the rights of suffrage in the first branch of the National Legislature, ought not to be according to the rule established in the Articles of Confederation, but according to some equitable ratio of representation, namely, in proportion to the whole number of white and other free citizens and inhabitants, of every age, sex and condition, including those bound to servitude for a term of years, and three-fifths of all other persons, not comprehended in the foregoing description, except Indians not paying taxes, in each State.
- Resolved, that the right of suffrage in the second branch of the National Legislature, ought to be according to the rule established for the first.
- Resolved, that a National Executive be instituted, to consist of a single person to be chosen by the National Legislature, for the term of seven years with power to carry into execution the national laws to appoint to offices in cases not otherwise provided for to be ineligible a second time and to be removable on impeachment and conviction of malpractices or neglect of duty to receive a fixed stipend by which he may be compensated for the devotion of his time to the public service, to be paid out of the National Treasury.
- Resolved, that the national Executive shall have a right to negative any legislative act which shall not be afterwards passed by two-thirds of each branch of the national Legislature.
- Resolved, that a national Judiciary be established, to consist of one supreme tribunal, the Judges of which shall be appointed by the second branch of the national Legislature, to hold their offices during good behavior, and to receive punctually, at stated times, a fixed compensation for their services, in which no increase or diminution shall be made, so as to affect the persons actually in office at the time of such increase or diminution.
- Resolved, that the national Legislature be empowered to appoint inferior tribunals.
- Resolved, that the jurisdiction of the national Judiciary shall extend to all cases which respect the collection of the national revenue, impeachments of any national officers, and questions which involve the national peace and harmony.
- Resolved, that provision ought to be made for the admission of States lawfully arising within the limits of the United States, whether from a voluntary junction of government and territory, or otherwise, with the consent of a number of voices in the national Legislature less than the whole.
- Resolved, that provision ought to be made for the continuance of Congress and their authorities and privileges, until a given day, after the reform of the Articles of Union shall be adopted, and for the completion of all their engagements.
- Resolved, that a republican constitution, and its existing laws, ought to be guaranteed to each State, by the United States.
- Resolved, that provision ought to be made for the amendment of the Articles of Union, whensoever it shall seem necessary.
- Resolved, that the Legislative, Executive and Judiciary powers within the several States, ought to be bound by oath to support the Articles of Union.
- Resolved, that the amendments which shall be offered to the Confederation by the Convention ought, at a proper time or times after the approbation of Congress, to be submitted to an assembly or assemblies recommended by the several Legislatures, to be expressly chosen by the people to consider and decide thereon.
New Jersey Plan - History
In New Jersey, consumers who are unsuccessful in obtaining coverage through a standard company may apply to the New Jersey Insurance Underwriting Association, known as the FAIR Plan. When a property is rejected by a standard company, the owner is advised of the FAIR Plan. A property owner may apply to the FAIR Plan directly or through any licensed agent. The plan insures homes, mobile homes, rental units, most commercial buildings and business property. The FAIR Plan provides basic property coverage, but does not provide theft or personal liability coverage. However, in 2009, optional theft coverage became available as an attachment to the policy.
Consider the FAIR Plan only if you cannot obtain insurance from any other source.
For more information about the FAIR Plan, contact:
New Jersey Insurance Underwriting Association
570 Broad Street, Suite 500
PO Box 32609
Newark, NJ 07102
Telephone: (973) 622-3838
Fax: (973) 622-6357
Claims Fax: (973) 297-5033
Underwriting Fax: (973) 297-5032
What Was the New Jersey Plan?
The New Jersey Plan was a proposed government for the United States developed by William Paterson in 1787. The smaller states opposed the Virginia Plan presented by James Madison because they feared that it would allow the more populous states to dominate the government. The New Jersey Plan was rejected by the Constitutional Convention, though some of its ideas were incorporated into the Constitution.
Under the New Jersey Plan, the federal government had a unicameral legislature, rather than the bicameral legislature proposed by Madison. Each state had a single vote in the Congress to prevent larger states from gaining too much power. Congress was given the power to raise taxes and levy tariffs, and federal laws were supreme over state laws.
Instead of electing a single person to serve as head of the executive branch, Congress elected an executive council to a single four-year term. The governors of the states could petition Congress to recall members of the council. Judges were appointed to lifetime terms by the executive council.
The Constitutional Convention rejected the New Jersey Plan but used some of its ideas in the final draft of the Constitution. While the members of the House of Representatives were allocated by population, each state had equal representation in the Senate.
Associated Hospitals, Inc., the first multi-hospital service plan, provides pre-paid hospital coverage.
The Plan goes statewide as the Hospital Service Plan of New Jersey.
The Enabling Act providing for the organization of non-profit medical service corporations was passed by the Legislature and signed into law in May.
The Medical-Surgical Plan of New Jersey was incorporated.
Legislation is passed, empowering the State Employees’ Health Benefits Commission to purchase basic health insurance from BCBS.
Legislation is enacted, permitting participation by New Jersey Blue Cross and Blue Shield in national accounts, joint Blue Cross Blue Shield subscriber contracts, and master group contracts.
Medicare goes into effect, with 80 out of 120 hospitals in New Jersey electing Blue Cross to administer their claims under Part A.
Hospital Service Plan goes on the market with a freestanding benefit for prescribed drugs.
New Jersey’s Medicaid bill preserves a role for Blue Cross in the administration of this new benefits program for welfare categories.
Marketing Major Medical benefits to local experience-rated groups is approved. To reduce duplicate payments, Coordination of Benefits with other carriers for group subscribers is instituted.
New Jersey’s first Health Maintenance Organization (HMO) opens in Trenton.
Blue Cross and Blue Shield announced year-round Open Enrollment. Blue Shield is able to underwrite Dental coverage.
Major Medical is made available to individual subscribers, regardless of health history.
Medigroup, Inc. is formed to develop a statewide network of HMOs.
Cost containment programs, such as Pre-Admission Review, Mandatory Second Surgical Opinion Program, and Incentive Ambulatory Surgery Program are made available to groups.
Blue Cross of New Jersey and Blue Shield of New Jersey merge to become Blue Cross and Blue Shield of New Jersey, Inc.
The Plan takes a lead role in the New Jersey Cesarean Section Task Force to examine why NJ’s rate of cesarean births is one of the highest in the nation.
The Plan began implementation of its sophisticated “single stream” claims processing system.
Landmark legislation ends BCBSNJ’s role as the state’s insurer of last resort by spreading the risk among all carriers who underwrite individual health insurance in NJ.
BCBSNJ expands its managed care operations, creating managed care hospital and dental networks. The Plan enters the Medicaid HMO market. Horizon NJ Health is formed to serve the Medicaid population.
Membership in managed care programs rises to 25% of total membership.
BCBSNJ retains its role as administrator of the hospital portion of the state of New Jersey’s indemnity plan, and regains the medical/surgical and major medical portions of the State Health Benefits Program. BCBSNJ is awarded the State’s New Jersey Plus program. Five hundred new jobs and 103,000 members were added to BCBSNJ’s managed care rolls.
The Health Insurance Portability and Accountability Act (HIPAA) is signed into law protecting patients’ privacy rights.
The Plan enters the Medicare HMO market.
BCBSNJ abandons plans to acquire Blue Cross Blue Shield of Delaware, and to convert to a mutual insurance company.
The company begins doing business as Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ). Membership exceeds 2 million in NJ.
Horizon BCBSNJ announces that Horizon Healthcare of New York was licensed to operate as an HMO in New York City and surrounding counties. Horizon Mercy pursues acquisitions, making it the largest provider of Medicaid HMO services in NJ and in the U.S.
Horizon BCBSNJ renews its commitment to South Jersey, while scaling back Pennsylvania and Delaware operations.
Horizon BCBSNJ opens its Mt. Laurel, NJ office.
Horizon BCBSNJ introduces the World Class Clinical Quality health care initiative to improve the overall health of residents, provide greater information to doctors and consumers, and promote evidence-based medicine through effective preventive health and disease management programs.
Horizon BCBSNJ launches’s the Health Care Dollars & Sense campaign, a multi-year, multimedia initiative, to provide health education to the public. The Company creates The Horizon Foundation for New Jersey, a charitable organization dedicated to promoting health, well-being and quality of life in New Jersey’s communities.
Health Savings Accounts (HSAs) become available.
With over 3 million members and nearly a $1 billion in surplus, Horizon BCBSNJ solidifies its position as New Jersey’s largest health insurer. Over 1 million dental members enroll by year end.
Horizon BCBSNJ commits to the Medicare Part D program by building the necessary infrastructure and helping seniors better understand their health care choices.
Medicare’s Part D drug benefit becomes effective.
Horizon BCBSNJ withdraws its health insurance products in New York.
The National Committee for Quality Assurance upgrades Horizon BCBSNJ’s HMO accreditation to "Excellent with Distinction" for providing members with important information about doctors and hospitals in the Horizon BCBSNJ network.
Horizon BCBSNJ invests in a groundbreaking Patient Centered Medical Home pilot program for patients with diabetes.
Horizon NJ Health receives the highest score among the state’s Medicaid HMO plans.
Horizon BCBSNJ was recognized as one of The Nation’s 100 Best Companies by Working Mother Magazine.
Diversity MBA Magazine ranked Horizon BCBSN #11 in the nation as “Best Place for Diverse Managers.”
Horizon BCBSNJ is the only health plan in New Jersey to administer the NJ Protect Plan for uninsured residents with pre-existing conditions.
Horizon BCBSNJ launches NJ’s first comprehensive, state-wide Patient Centered Medical Home.
Horizon BCBSNJ recognized as one “The Best Insurance Companies in 2012” by Insure.com.
Horizon BCBSNJ opens state’s first health insurance retail center so residents can get helpful information about their coverage and options.
Standard & Poor’s upgrades Horizon BCBSNJ’s financial rating from “A-” to “A.”
Affordable Care Act’s Health Insurance Marketplaces open. Horizon BCBSNJ, one of only three health insurers in New Jersey, begins offering five products on the Marketplace.
Horizon BCBSNJ creates the first Patient-Centered Pregnancy and Delivery Episode of Care (EOC) Program, to better coordinate care for pregnant women.
Horizon NJ Health launches a Managed Long-Term Services and Supports (MLTSS) program.
Celebrating a decade of community support, The Horizon Foundation for New Jersey awards Wheaton Arts — its 1,000th grant recipient — a special anniversary grant of $10,000.
Patient-Centered Medical Home Program results show higher percentages of compliance with medical screenings and diabetes control, and lower rates of emergency room visits, hospital admissions and total cost of care.
Horizon BCBSNJ announces investment in COTA, Inc., an oncology-management technology company whose real-time data platform supports personalized and optimal care and transition to value-based care models.
New Episode of Care program launched with Regional Cancer Care Associates (RCCA) — one of the nation’s largest oncologist physician groups “ to deliver highly specialized care for breast cancer patients.
More than 800,000 Horizon BCBSNJ members benefit from the company’s patient-centered programs.
2014 results from Horizon BCBSNJ’s patient-centered program showed a 6 percent higher rate of diabetes control, 8 percent higher rate in colorectal cancer screenings, 5 percent lower rate in emergency room visits, and 9 percent lower total cost of care.
Unique OMNIA Health Alliance, formed by Horizon BCBSNJ with several leading New Jersey health systems and a major multispecialty physician group, are committed to transforming how health care is financed and delivered in New Jersey.
Horizon BCBSNJ builds on its patient-centered programs and introduces a new suite of OMNIA℠ Health Plans providing high quality, affordable coverage to consumers, families, small businesses and large employers.
New division — Corporate and Regulatory Affairs — created to pursue changes that help address rising cost of health care in New Jersey.
Over 41,000 previously uninsured consumers in the individual market choose an OMNIA Health Plan for their health insurance coverage.
Standard & Poor’s affirms Horizon BCBSNJ’s credit rating of “A” and notes Horizon BCBSNJ is also “at the forefront of various innovating payment models (that) have been successful in improving health and lowering health care costs.”
Horizon BCBSNJ ranks #3 in the 2016 InformationWeek Elite 100 Users of Business Technology.
U.S. Department of Health and Human Services spotlights Horizon BCBSNJ as one of the nation’s Affordable Care Act (ACA) success stories as it boosts its membership to record levels, particularly among previously uninsured consumers.
More than 1 million members benefit from patient-centered programs.
Horizon BCBSNJ introduces a Dual Special Needs Plan for the 2017 plan year for members eligible for both Medicare and Medicaid.
Horizon BCBSNJ offers retired Medicare-eligible State Health Benefits Program members Medicare Advantage NJ DIRECT (PPO) plans.
Horizon BCBSNJ offers seven competitively-priced plans for 2017 on the Federally Facilitated Marketplace, led by four OMNIA Health Plans and three broad network Advantage plans.
Horizon BCBSNJ and NantHealth launch study in which Horizon BCBSNJ will provide coverage for GPS Cancer test, enabling doctors to provide more personalized treatments based on the patient’s DNA and a unique biology of a patient’s tumor.
Horizon BCBSNJ is the most recommended health insurer in America according to Insure.com’s 2016 national survey results.
Horizon BCBSNJ holds a commemorative ceremony at its Newark headquarters to celebrate its 85th anniversary. The company’s employees and officers were joined by local, state and congressional leaders in paying tribute to Horizon’s commitment to New Jersey and serving millions of Garden State residents over several generations.
Horizon BCBSNJ is honored with a 2017 CSO50 Award from IDG’s CSO (Chief Security Officer). This prestigious honor pays tribute to a select group of 50 organizations that have demonstrated that their security projects and initiatives have created outstanding business value and thought leadership for their companies
Horizon BCBSNJ applauds a legislative agreement modifying the Health Service Corporation statutes and ending the State Budget impasse and New Jersey State government shutdown.
Horizon BCBSNJ and Sanitas Medical Centers announce a collaboration to open a new multicultural health care facility in Union City. The medical center is independently owned and operated by Sanitas and will provide family primary care services, comprehensive urgent care, laboratory and diagnostic imaging services, as well as educational programs in wellness and disease management.
Horizon collaborates with Quartet to better integrate mental and physical care and improve total patient health. Quartet provides a suite of tools to help primary care physicians identify patients with behavioral health needs and connect them to the specialists best suited to address those needs.
Horizon BCBSNJ announces plan to use federal tax refunds to provide $150 million to customers in 2018 and for $125 million multi-year investment to improve care.
Sanitas opens its second medical center in New Jersey, in Bellville, bringing its family centered, culturally relevant and preventive focused primary care model to members of Horizon BCBSNJ.
Horizon BCBSNJ enters a multi-year agreement with Rutgers University in which it becomes the “Official Health Insurance Partner of the Scarlet Knights.”
Horizon BCBSNJ held a grand opening of a new Horizon Connect Retail Center inside the Sanitas Medical Center in Union City. The retail center is the latest addition to Horizon’s ongoing effort to help New Jersey’s Hispanic residents obtain health insurance and access high quality, affordable health care.
Horizon NJ Health celebrates its 25th Anniversary of serving the Medicaid population.
Ramapo College of New Jersey, Mahwah, NJ
$832,926 to support a project to edit the Papers of Jane Addams, which aims to provide print and digital access to the post-1901 papers of this leading social reformer and activist. (2015-21)
Rutgers, The State University of New Jersey, New Brunswick, NJ
Princeton University, Princeton, NJ
Rutgers, The State University of New Jersey, New Brunswick, NJ
New Jersey Historical Commission, Trenton, NJ
Fairleigh Dickinson University, Madison, NJ
Princeton University, Princeton, NJ
Princeton Theological Seminary, Princeton, NJ
New Jersey Historical Society, Newark, NJ
Morristown National Historical Park, Morristown, NJ
Rutgers University Press, New Brunswick, NJ
$60,000 for subvention support for the Papers of Elizabeth Cady Stanton and Susan B. Anthony. (through 2011)
Princeton University Press, Princeton, NJ
New Jersey Historical Commission, Trenton, NJ
$20,000 for subvention support for the Papers of William Livingston. (1980-81)
Rutgers, The State University of New Jersey, New Brunswick, NJ
$55,000 for a fellowship in historical editing at the Papers of Elizabeth Cady Stanton and Susan B. Anthony project. (DF10006-08)
Rutgers, The State University of New Jersey, New Brunswick, NJ
$55,000 for a fellowship in historical editing at the Papers of Elizabeth Cady Stanton and Susan B. Anthony project. (DF10002-07)
Rutgers, The State University of New Jersey, New Brunswick, NJ
$1,000 for travel funds for its fellowship in historical editing of the Papers of Elizabeth Cady Stanton and Susan B. Anthony. (2000)
Mary K. Trigg (Ph.D., Brown University, Providence, RI), Bernardsville, NJ
$38,400 for a fellowship in historical editing at the Papers of Elizabeth Cady Stanton and Susan B. Anthony. (95-107)
Joseph Bedford (Ph.D. candidate, Rutgers University), Atlantic Highlands, NJ
$25,000 for a fellowship in historical editing at the Papers of Samuel Gompers, University of Maryland. (1992)