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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

Phase 1 Calculator for State Monthly Employees
Not Paid through State Centralized Payroll

State Monthly employees hired on or after June 28, 2011 - use the Full Rate Calculator

Printable Worksheet Adobe PDF (114K)

Use this calculator to estimate your Health Benefit Contribution during Year 1 of the 4-Year Phase-in
(As determined by contract — most State employees no longer contribute at this level.)

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

NOTE: Health benefit contribution percentages increase as of July 2013.
State employees paying phased-in contribution amounts should compare calculations
for both Phase 2 and Phase 3 contribution levels.

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


To see your Full Health Benefit Contribution
click the "Calculate Contributon" button

Note: this calculator is for informational purposes only. All calculations are estimates
and may differ from the actual amounts deducted from payroll.

Return to Percentage Calculator Home Page

Last update: September 17, 2012
 
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