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Division of Pensions & Benefits

School Employees' Health Benefits Program

Eligibility for Active Group coverage is determined by the School Employees' Health Benefits Program (SEHBP). All enrollments, changes to coverage, terminations, etc. must go through your employer.

Full-time Employees

To be eligible, you must be a full-time employee or an appointed official from a local board of education employer that participates in the SEHBP. Each employer decides the minimum hours to be considered full-time by a resolution filed with the NJDPB, but it cannot be less than 25 hours per week. Employment must also be for 12 months per year, except for employees whose usual work schedule is 10 months per year (the standard school year).

Part-time Employees

Certain part-time employees are eligible for coverage. See the fact sheet below for more information.

Information for Plan Year 2024

Plan Overviews and Side-by-Side Comparison of Medical Plans

  • Local Education Employees Horizon
  • Local Education Employees Aetna

Learn More About Employee Dental Plans

Comparison of Prescription Plans

Review Your Plan Choices

Information for Plan Year 2024

Employee Medical Plan Rates

Employee Dental Plan Rates

Contribution Worksheets and Calculators

Local Education Employee Applications — All Local Education Employees MUST submit Health Benefit applications online using Benefitsolver. Navigate to mynjbenefitshub, or you may log in through myNewJersey.

All covered employees must have access to prescription drug coverage. The type of coverage provided and costs are determined by the option offered by your employer and the medical plan you select.

The New Jersey State Health Benefits Program (SHBP) and School Employees' Health Benefits Program (SEHBP) offer employees and their covered dependents the opportunity to join a Direct Primary Care doctor's office at no additional cost. Simply choose a Direct Primary Care Doctor from Everside Health (formerly Paladina Health and R-Health) or Sanitas Medical Center and get unlimited access to personalized care with no co-pays, when and where it's convenient for you. Learn more about Direct Primary Care.

NJWELL is a wellness program offered to active employees of the public sector who participate in the State Health Benefits Program (SHBP) or School Employees’ Health Benefits Program (SEHBP) and their covered spouses/partners. Learn more about NJWELL.

Eligible active and retired members and their dependents can take advantage of various physical and behavioral health programs with no additional out-of-pocket costs or copays.

  • Forge  – Active, COBRA, and non-Medicare retirees enrolled in a Horizon medical plan who are 18 years of age or older can start their recovery journey with a personalized behavior health plan to help you achieve your goal.
  • AbleTo for Horizon members and AbleTo for Aetna members – Certain active, COBRA, and non-Medicare retirees who are enrolled in a Horizon medical plan or the Aetna Garden State Health Benefits Plan can get a personalized, behavior health-focused 8-week program to learn skills to help you enjoy more out of life.

Videos

More videos are available to view in our Video Library

Retirement Types, Eligibility & Calculations

Retired Benefitsolver Guide

Solving MBOS Login Issues Part 1


Last Updated: Monday, 03/18/24