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Pensions and Benefits

State Health Benefits Program

PERCENTAGE OF PREMIUM CALCULATOR FOR PLAN YEAR 2013
Health Benefit Contribution Requirement under Chapter 78, P.L. 2011

Required Health Benefit Contribution Calculator for State Employees Paid Biweekly Through Centralized Payroll

Printable Worksheet Adobe PDF (114K)

Use this calculator to find your estimated Health Benefit Contribution

All calculations use the SHBP plan rates effective January - December 2013

Internet Explorer or Firefox browsers are recommended.
Safari or Chrome users may receive error messages.

STEP ONE — ENTER YOUR ANNUAL SALARY


Annual Salary:   $ .00

Enter your annual salary to the nearest dollar.
Use numbers only - No commas. Do not include overtime, bonuses, etc.
STEP TWO — SELECT YOUR MEDICAL PLAN AND LEVEL OF COVERAGE
PPO PLANS
  Aetna Freedom15 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
NJ DIRECT15 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
Aetna Freedom1525 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
NJ DIRECT1525 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
Aetna Freedom2030 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
NJ DIRECT2030 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
HMO PLANS
  Aetna HMO Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
Horizon HMO Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
Aetna HMO 1525 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
Horizon HMO 1525 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
Aetna HMO 2030 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
Horizon HMO 2030 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
HIGH DEDUCTIBLE HEALTH PLANS
  Aetna Value HD1500 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
NJ DIRECT HD1500 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
Aetna Value HD4000 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
NJ DIRECT HD4000 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
STEP THREE — SELECT YOUR PRESCRIPTION PLAN LEVEL OF COVERAGE
  Employee Prescription Drug Plan Administered by Express Scripts (Medco) Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
No Prescription Plan Check if not covered by the Employee Prescription Drug Plan
*Partner means a Civil Union Partner or an eligible same-sex Domestic Partner as defined under Chapter 246, P.L. 2003, the Domestic Partnership Act.
STEP FOUR — CALCULATE YOUR CONTRUBUTION


Click the "Calculate Contributon" button to see your Health Benefit Contributions
Note: this calculator is for informational purposes only. All calculations are estimates
and may differ from the actual amounts deducted from payroll.

Internet Explorer or Firefox browsers are recommended.
Safari or Chrome users may receive error messages.

Return to Percentage Calculator Home Page

Last update: May 14, 2013
 
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