Non-group Enrollment / Change Request - New Jersey

Non-group Enrollment/Change Request is a legal document that was released by the New Jersey Department of Banking and Insurance - a government authority operating within New Jersey.

FAQ

Q: What is a non-group Enrollment/Change Request?A: A non-group Enrollment/Change Request is a form used by individuals in New Jersey to apply for or make changes to their healthcare coverage outside of a group plan.

Q: Who can use the non-group Enrollment/Change Request form?A: Any individual in New Jersey who is not covered under a group health insurance plan can use the non-group Enrollment/Change Request form.

Q: What types of changes can be made using the non-group Enrollment/Change Request form?A: The non-group Enrollment/Change Request form can be used to apply for new healthcare coverage, make changes to existing coverage, or cancel coverage altogether.

Q: What information do I need to provide on the non-group Enrollment/Change Request form?A: You will need to provide personal information, including your name, address, date of birth, social security number, and information about your current healthcare coverage.

Q: Is there a deadline for submitting the non-group Enrollment/Change Request form?A: Yes, there are specific enrollment periods for non-group healthcare coverage in New Jersey. It is important to submit your form within these designated periods.

Q: Can I make changes to my healthcare coverage anytime?A: No, there are specific enrollment periods for making changes to non-group healthcare coverage in New Jersey. Outside of these periods, you may not be able to make changes.

Q: How long does it take for changes to take effect?A: The time it takes for changes to take effect may vary. It is best to contact your healthcare provider or insurance agent for specific information on the timeline for your changes.

Q: Can I use the non-group Enrollment/Change Request form for dental or vision coverage?A: No, the non-group Enrollment/Change Request form is specifically for health insurance coverage. You will need to contact your dental or vision insurance provider for information on enrollment or changes for those types of coverage.

Q: What happens after I submit the non-group Enrollment/Change Request form?A: After you submit the form, your information will be reviewed by the insurance company. They will then send you a notification of their decision or provide further instructions if necessary.