New Jersey rolled out its state-based health insurance exchange for the plan year 2021. The state established its reinsurance program as well as an individual mandate in 2019. Horizon BCBS of New Jersey, the state's largest insurer, has won an exclusive contract for the New Jersey active employees and retirees Horizon BCBS of New Jersey. Low- and no-premium Medicare Advantage plans continue to be the most popular choice among seniors in the state, but competition will grow for 2021 with addition of Braven Health Plan, which is a partnership of two health systems and Horizon BCBS. On the commercial insurance front, tiered-network plans have caught fire with individuals and employers. The state is taking measures to battle the COVID-19 pandemic

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