Information for Small Group Brokers
- New Jersey
For Brokers in New Jersey
Welcome to information on the health care benefits we offer to companies with 50 or fewer eligible employees. This site contains much of the general information you may need but please contact us with any questions you may have.
Follow the instructions to use our rate model quoting software for the most current rate models for New Jersey. Remember to check here often so you have the current version.
You must be a licensed producer with Cigna HealthCare of New Jersey in order to access our small group rate model. If you have not received a password, please contact us at 800.456.6575 or email us at firstname.lastname@example.org.
Use the links below to access the Cigna HealthCare Small Group Rate Model for New Jersey. You will be prompted to save the Microsoft Excel file to your hard drive. If you receive a prompt about macros, please choose "Enable Macros."
Cigna New Jersey OAP Rating Model-Version 12.05 effective 1/1/2013 to 3/30/2013 for NEW groups only (XLS)
Opening the files
Please be patient as these files may take a little longer to download than they do to open. Please right-click on the links above and choose "Save Target As" (Microsoft Internet Explorer) or "Save Link As" (Netscape Navigator) to save the rate model to your hard drive.
Your security setting in Microsoft Excel must be set to "Medium" or "Low". If they are set to "High" the macros will not work, which means that none of the features that allow rates to be run will be active.
Security Settings in Microsoft Excel
To set your security to "medium".
Close the rate model, if already open. Do not save. Open a blank spreadsheet by opening Microsoft Excel from your Start menu, and selecting "File" then "New". Go to the "Tools" menu and choose "Options".
Depending on the version you have, the security settings may be in different areas.
In Microsoft Excel'97, you'll go to the "General" tab and uncheck "Macro Virus Protection". In later versions, there should be a "Security" tab. On the security tab, look for either a choice between "Low", "Medium" and "High" security, or a button that mentions security or macro settings. If it is a button, click on it and choose "Medium". Once you've changed that setting, click "OK" or until the window goes away. Close and reopen the program to activate the change.
Once the settings have been changed, you can open up the rate model and you will be asked if you want to "Enable" macros. Click "Yes".
If you have any questions, feel free to call us at 800.456.6575 or email us at nesmallgroup@cigna.
Get the forms you need to submit new groups, Benefit Summaries for all available plans, and other useful forms.
- New Jersey Submission Guidelines
- New Jersey Small Group Health Benefits Application
- New Jersey Small Group Certification
- Membership Applications
- Small Group Health Benefits Waiver of Coverage
- Late Paperwork Form
Benefit Summaries for New & Renewing Business Effective 06/01/2010
- Important Special Enrollment Requirements
- Client & Benefit Advisor Compensation Form
- HIPAA Authorization (for claim inquiries)
- New Jersey Domestic Partner Offer Form
- New Jersey Domestic Partner Affidavit
Small Group Sales Department:
Cigna HealthCare Small Group Sales
Two College Park Dr
Hooksett, NH 03106
Claims Mailing Address:
PO Box 5200
Scranton, PA 18505
Cigna HealthCare/Employer Services
P.O. Box 2010
Concord, NH 03302
What do I need to include in a new group submission?
You will need to supply everything on the New Jersey Underwriting Guidelines (PDF). The forms required are located in the Documents.
What are the submission deadlines?
We request to have all completed paperwork in our sales office by the 15th of the month however we will accept completed paperwork along with Late Paperwork Form (PDF) up to the last day of the month preceding the effective date of coverage. Cases received after this day, will be returned to the producer or made effective for the 15th of that month or the 1st of the following month at the producers' discretion.
How do I get a preliminary rate quote?
All quotes are processed through HealthConnect. If you are a broker that does not have access to HealthConnect, please contact a General Agent that does. If you do not have a General Agent that you work with, please see our General Agent Listing (PDF).
When will renewal rates be available?
Renewal rates are mailed to the General Agent and the Employer Group at least 60 days prior to the scheduled renewal date. The General Agent is responsible for forwarding a copy of the renewal to the broker.
Who do I contact about billing issues?
You should contact Eligibility/Billing at 1.800.753.5190
Who do I contact about claims issues?
You should contact Member Inquiry at 800.291.2466. Keep in mind, you will need the member number, member's date of birth, and the member's zip code.
HIPAA Authorization(PDF)(for claims inquiries)
Please contact us first. If you need to escalate issues, contact your assigned Client Service Representative.
Learn more about Cigna
View a demo of CignaAccess.com (our online benefits management tool)
For information on Cigna's Small Group health plans available in Vermont, please call us at 1-800-456-6575, 8am - 5pm ET, Mon.-Fri.
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