INSURANCEAPPROVED

Egg Harbor Township School District Awards Insurance Contract to Horizon Blue Cross Blue Shield of New Jersey (July 2026)

Egg Harbor Township Board of Education entered into a 2026–2027 Administrative Services Agreement Schedule A with Horizon Blue Cross Blue Shield of New Jersey for health plan administration, network access, and related ancillary services. The agreement sets detailed per-contract and percentage-based fees, including medical administrative fees, BlueCard program access fees, out-of-network repricing, NSA IDR processing, and broker compensation, supported by a $716,833 medical working capital amount.

Status
APPROVED
Document date
July 1, 2026
Contract type
INSURANCE
Vendor
Horizon Blue Cross Blue Shield of New Jersey
Agency
Egg Harbor Township School District · NJ

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Derivita logo
Comcate logo
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Scope & details

The full contract record, as filed.

Contract amount
Administrative fee $44.68 per contract per month; Claims Fiduciary Charge $1.27 per contract per month; Network Access Fee $15.95 per OMNIA contract per month; A-4 BOE Surcharge 1.7% of paid claims; Payment Integrity Solution up to 25% of savings identified; Radiology/Cardiology $2.55 per contract per month; Spine Management $0.83 per contract per month; Pain Management $0.44 per contract per month; Molecular Genomic Testing $0.65 per OMNIA contract per month; Working Capital Amount $716,833; External appeals up to $450 per appeal; Claims re-pricing fee 40% of out-of-network savings; NSA IDR $50 per eligible claim; Producer Compensation $10.00 per contract per month
Contract type
INSURANCE
Contract term
July 1, 2026 through June 30, 2027
Renewal date
2027-06-30
Renewal
Term runs July 1, 2026 through June 30, 2027 under this Schedule A, which supersedes prior Schedules A where conflicting; BlueCard Program Access Fee percentages may be adjusted with 30 days’ notice and working capital may be adjusted annually or upon payment method changes. Future renewals or updated Schedules A would be required for periods after June 30, 2027.
Document type
Agreement
Source document
Egg Harbor Township BOE Administrative Service Agreement 2026-07-01

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Frequently asked questions

Common questions about this contract, answered from the record.

Who was awarded the insurance contract by Egg Harbor Township School District?

Horizon Blue Cross Blue Shield of New Jersey was awarded this insurance contract by Egg Harbor Township School District, as recorded on July 1, 2026. The contract value is Administrative fee $44.68 per contract per month; Claims Fiduciary Charge $1.27 per contract per month; Network Access Fee $15.95 per OMNIA contract per month; A-4 BOE Surcharge 1.7% of paid claims; Payment Integrity Solution up to 25% of savings identified; Radiology/Cardiology $2.55 per contract per month; Spine Management $0.83 per contract per month; Pain Management $0.44 per contract per month; Molecular Genomic Testing $0.65 per OMNIA contract per month; Working Capital Amount $716,833; External appeals up to $450 per appeal; Claims re-pricing fee 40% of out-of-network savings; NSA IDR $50 per eligible claim; Producer Compensation $10.00 per contract per month.

How much is the Horizon Blue Cross Blue Shield of New Jersey contract with Egg Harbor Township School District worth?

The Horizon Blue Cross Blue Shield of New Jersey contract with Egg Harbor Township School District is valued at Administrative fee $44.68 per contract per month; Claims Fiduciary Charge $1.27 per contract per month; Network Access Fee $15.95 per OMNIA contract per month; A-4 BOE Surcharge 1.7% of paid claims; Payment Integrity Solution up to 25% of savings identified; Radiology/Cardiology $2.55 per contract per month; Spine Management $0.83 per contract per month; Pain Management $0.44 per contract per month; Molecular Genomic Testing $0.65 per OMNIA contract per month; Working Capital Amount $716,833; External appeals up to $450 per appeal; Claims re-pricing fee 40% of out-of-network savings; NSA IDR $50 per eligible claim; Producer Compensation $10.00 per contract per month, covering insurance work.

What type of contract is this?

This is a Insurance contract, documented as a agreement record, structured as a not-to-exceed (ceiling) agreement.

Where was this contract approved?

This contract appears in Egg Harbor Township BOE Administrative Service Agreement 2026-07-01 (Agreement), dated July 1, 2026 from Egg Harbor Township School District. Civic IQ extracts contract records directly from agency meeting documents and solicitations.

What other contracts does Horizon Blue Cross Blue Shield of New Jersey hold?

Horizon Blue Cross Blue Shield of New Jersey may hold additional government contracts. View their full contract history, the agencies they serve, and total tracked spend on their Civic IQ vendor profile.

View Horizon Blue Cross Blue Shield of New Jersey's profile

What is Egg Harbor Township School District currently buying?

Explore Egg Harbor Township School District's vendors, signed contracts, and active RFPs on their Civic IQ agency profile.

View Egg Harbor Township School District's profile

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