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Pensions and Benefits

STATE HEALTH BENEFITS PROGRAM (SHBP) and
SCHOOL EMPLOYEES' HEALTH BENEFITS PROGRAM (SEHBP)

HEALTH BENEFITS FOR RETIRED MEMBERS

RETIRED GROUP ELIGIBILITY | PLAN INFORMATION | ENROLLMENT | APPLICATIONS AND FORMS
PRESCRIPTION DRUG PLANS | RETIREE DENTAL PLAN | PLAN RATE CHARTS | CHAPTER 330 ENROLEES

HEALTH BENEFITS HOME | DEPENDENTS | EMPLOYEES | COBRA | EMPLOYERS

 

Retired Members - Plan Year 2017

Information for Plan Year 2017 at a glance:

Medicare Advantage Plans

Summary of Benefits and Coverage — SHBP and SEHBP

Plan Design Comparison Charts for Retired Employees

Retiree Medical Plan Rates

Retirees under Chapter 330

Retiree Dental Rates


RETIRED GROUP ELIGIBILITY


PLAN INFORMATION AND PROGRAM DESCRIPTIONS

PUBLICATIONS


APPLICATIONS AND FORMS

You are not covered as a retiree until you qualify for and enroll in the Retired Group of the SHBP or SEHBP.

Retiree Enrollment Applications

State and Local Government Retiree Applications

Local Education Retiree Applications


Medicare Enrollment is Required if eligibleMedicare Requirements and Notice Adobe PDF (17K)Medicare & You Adobe PDF (3MB)

Cancel/Decline/Waive Retired Coverage Form - For retirees cancelling, declining, or waiving medical and/or dental coverage

SHBP/SEHBP Cancel/Decline/Waive Retired Coverage Adobe PDF (25K)

 


RETIREE PRESCRIPTION DRUG COVERAGE
Retiree Prescription Drug Coverage is included with retired group Medical Plan enrollment

(Medicare Eligible Retirees please also see the Express Scripts Medicare Prescription Drug Plan information below)

Express Scripts is the pharmacy benefits administrator for all Retired Group members of the SHBP and SEHBP for Plan Year 2017.

Prescription Drug Plans Member Handbook Adobe PDF (391K)

Express Scripts SHBP/SEHBP Web SiteRegistration Required


Medicare-Eligible Retirees see below

Express Scripts Mail-Order Form Adobe PDF (95K)

 

Retiree Prescription Drug Copayment and Out-of-Pocket Costs

PRESCRIPTION DRUG BENEFITS FOR ALL PLANS

Retired State Employees Adobe PDF (151K)

Retired Local Government Employees Adobe PDF (151K)

Retired Local Education Employees Adobe PDF (116K)

 

Medicare Part D Prescription Drug Coverage

SHBP/SEHBP Medicare Part D Prescription Drug Coveragefor Medicare-Eligible Retirees

Questions and Answers about the Express Scripts Medicare Prescription Drug Plan

Medicare & You — from the Social Security Administration - Adobe PDF (3MB)

Medicare Premiums: Rules for Higher-Income Beneficiaries — from the Social Security Administration - Adobe PDF (400K)

Medical Plan Rates for retirees enrolled in Private Medicare Part D Plans are available by request to the Division's Office of Client Services


RETIREE DENTAL PLANS

Retiree Dental Plans — General Information

Retiree Dental Plans Member Handbook

Retirees Dental Plan Rates

Use Retiree Enrollment Applications to apply for dental coverage.

 


RETIRED GROUP MEDICAL PLAN RATES
The cost of Retiree Prescription Drug Coverage is included with the Medical Plan Rates

RATES FOR RETIREES WHO PAY THE FULL COST OF THEIR COVERAGE

If you worked for the State, click here Adobe PDF (9K)

If you worked for a Local Government employer (county, municipal, etc.), click here Adobe PDF (12K)

If you worked for a Local Education employer, click here Adobe PDF (9K)

If you or a dependent are enrolled in a private Medicare Part D plan , click here

Premium Sharing —If you worked for the State, attained 25 years prior to July 1, 2007 (or retired on a disability retirement on or before August 1, 2007) and share the cost of Aetna Freedom10 or NJ DIRECT10 coverage with the State. For 2017 rates: click here Adobe PDF (28K)

Note: State Premium Sharing arrangements are based on these labor bargaining groups

Health Benefit Personal Billing Most retirees who pay for health benefits coverage have the premium deducted from the monthly retirement allowance. If there is no monthly retirement allowance, or it is insufficient to cover the premium, members are billed monthly.

Billing "lockbox" payment address information for retirees with personal billing.

OVER AGE CHILDREN

Rates for Over Age Children until Age 31 - under Chapter 375, P.L. 2005

 


INFORMATION and RATES FOR CHAPTER 330 ENROLEES

ABOUT CHAPTER 330, P.L. 1997 — for Retired Law Enforcement and Firefighters

Fact Sheet #47, Health Benefits Coverage Under Chapter 330 Adobe PDF (30K)

 

CHAPTER 330 RATES

If you are a former law enforcement officer/firefighter covered under Chapter 330:

Click here Adobe PDF (18K) for 2017 rates


OTHER RESOURCES

 


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