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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 Local Government Employees

Printable Worksheet Adobe PDF (120K)

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 PAYROLL SCHEDULE

Monthly (12 pay periods)
Bi-monthly (24 pay periods)
Bi-weekly (26 pay periods)
STEP THREE — 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 Freedom10 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
NJ DIRECT10 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 FOUR — SELECT YOUR EMPLOYER'S PRESCRIPTION PLAN DESIGN

 

 

 SHBP Employee Prescription Drug Plan — Select Level of Coverage.
Select Level of Coverage
Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
Separate Non-SHBP Prescription Drug Plan — Select Level of Coverage and enter Monthly Premium.
Select Level of Coverage
Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage

$ .00 Enter monthly drug plan premium amount to the nearest dollar.
Numbers only - No commas.
High Deductible Health Plan (HDHP) — SHBP Prescription Drug Coverage is included in High Deductible Health Plan costs
Prescription Drug coverage included with your SHBP Medical Plan — Plans other than High Deductible Health Plans.
No Prescription Plan — Check here if not covered by a 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 FIVE — 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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