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CHAPTER 172 PART-TIME STATE MONTHLY ACTIVE GROUP
DEPARTMENT OF THE TREASURY-DIVISION OF PENSIONS AND BENEFITS
NEW JERSEY STATE HEALTH BENEFITS PROGRAM
RATES EFFECTIVE 1/1/2005 TO 12/31/2005

PLAN/COVERAGE DESCRIPTION

PART-TIME
EMPLOYEE MONTHLY RATE

NJ PLUS-#101

Single

$324.18

Member & Spouse/Domestic Partner

$706.61

Family

$841.04

Parent & Child

$487.71

PRESCRIPTION DRUG PROGRAM-#202

Single

$113.70

Member & Spouse/Domestic Partner

$259.89

Family

$272.97

Parent & Child

$151.76

NJ PLUS office visit copayment $10
Prescription Drug Plan copayments: $3 for generic drugs and $10 for name brand prescription drugs

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Copyright State of New Jersey, 1996-2003
Division of Pensions and Benefits
PO Box 295
Trenton, NJ 08625-0295

All Technical issues regarding this Web site should be sent to the Division of Pensions and Benefits Webmaster.

Last Updated: September 24, 2004