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Guides for New Jersey and Pennsylvania employers

Straight answers on group health benefits.

No jargon, no sales pitch. These are the things your current broker probably never explained - written for New Jersey and Pennsylvania employers of 25-1,000+ who want to understand what they're actually paying for.

Funding

Level-funded health plans in New Jersey and Pennsylvania, explained plainly

How level-funded plans work, how they compare to fully insured and self-funded, who they fit, and the honest tradeoffs. The structure worth modeling first for a healthy group.

Switching

How to switch your group health broker in New Jersey

What a Broker of Record letter does, what it doesn't change, the four steps, and why switching is easier than most employers assume.

Renewals

What's actually inside your health insurance renewal

What a fully insured renewal letter says versus what it hides, how community rating works, and the questions to ask before you accept the number.

Renewals

Why New Jersey small-group renewals keep going up

Community rating plus a one-way ratchet: healthy groups leave the ACA pool, and the next letter follows.

Funding

Level-funded surplus refunds: who actually keeps the money?

The honest answer depends on your plan document and how employees contribute. We explain the rules, and why some carriers avoid showing you the math.

Funding

New Jersey stop-loss floors and level-funded

For NJ small employers: $20,000 specific / 125% aggregate. Why NJ still permits small-group level-funded, and why open-state percentages do not copy-paste.

Funding

Fully insured vs level-funded vs self-funded

Three monthly-payment structures, who keeps surplus, and when level-funded is not a fit.

Carriers

NJ group health carriers compared by size lane

2-50 community-rated versus 51+ underwritten. Horizon is a carrier, not the broker.

Switching

The BOR letter, timing, and what changes

A step-by-step on the Broker of Record process, notice rules for NJ groups, and how to move mid-cycle without disrupting your team's coverage.

Getting licensed

How to get your insurance producer license in New Jersey

Want to earn from the introductions you already make? The full step-by-step to a NJ Accident & Health producer license - course, exam, fingerprinting, and the NIPR application - with every official state link.

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