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Pensions and Benefits

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

Health Benefits Rates and Information
FOR PLAN YEAR 2014

Active Employees | Retired Members| COBRA Members

Over Age Dependents | Employer Information


The SHBP/SEHBP committees approved new plan designs that will be available during the open enrollment period.

  • New 2035 Plan Design— included in the plan offerings for active employees for this Open Enrollment are new 2035 medical plan designs. The new 2035 plans feature a $20 copayment for a primary care visit, $35 copayment for a specialist visit, and a new prescription drug plan: all designed to reduce premium costs and lower employee contributions.
  • Wellness Program — Beginning with the 2014 plan year, NJWELL is open to active employees who are enrolled in the SEHBP and SHBP. Spouses and eligible partners can also participate, as long as they are covered by the SEHBP or SHBP plans. Through NJWELL, employees receive incentives for participating in simple screenings, health assessments, and participating in other wellness and healthy lifestyle activities. Information about NJWELL will also be posted on the Division’s Web site through links at: www.state.nj.us/treasury/pensions/health-benefits.shtml

The current plans available through the State Health Benefits Program (SHBP) and the School Employees' Health Benefits Program (SEHBP) will still be available in plan year 2014.

Additional information on the new plans, including premium rates, is posted below. 

 


Links

ACTIVE EMPLOYEES

Summary of Benefits and Coverage — SHBP and SEHPB — Plan Year 2014

Plan Design Comparison Charts for Active Employees — Plan Year 2014

State Active Employee Medical Plan Rates — Plan Year 2014

Local Government and Education Employee Medical Plan Rates — Plan Year 2014


Percentage of Premium Calculators and Worksheets — Revised for the new medical plans and rates effective in Plan Year 2014.


Health Benefits Applications (medical/prescription plans) for

State Employee Applications
Application for PPO and HMO Plans Adobe PDF (54K)
PPO and HMO Plans Fill-in application now available! Adobe PDF (54K)
High Deductible Health Plans Adobe PDF (54K)
     and HSA Contribution Forms for Centralized Payroll | Other State Employees Adobe PDF (23K)

State Part-Time Employees
PPO and HMO Plans Adobe PDF (43K)
High Deductible Health Plans Adobe PDF (45K)
     and HSA Contribution Forms for Centralized Payroll | Other State Employees Adobe PDF (23K)

State Intermittent Employees
PPO and HMO Plans Adobe PDF (41K)
Hign Deductible Health Plans Adobe PDF (45K)
     and HSA Contribution Forms for Centralized Payroll Adobe PDF (23K)

New Jersey National Guard
PPO and HMO Plans Adobe PDF (62K)

Local Government Employee Applications
Application for PPO and HMO Plans Adobe PDF (54K)
PPO and HMO Plans Fill-in application now available! Adobe PDF (143K)
Application for High Deductible Health Plans Adobe PDF (54K)
    and HSA Contribution Form Adobe PDF (23K)

Local Education Employee Applications
Application for PPO and HMO Plans Adobe PDF (52K)
PPO and HMO Plans Fill-in application now available! Adobe PDF (577K)
Application for High Deductible Health Plans Adobe PDF (54K)
     and HSA Contribution Form Adobe PDF (23K)

Education Part-Time Employees
PPO and HMO Plans Adobe PDF (43K)

PLEASE NOTE: Completed applications must be returned to your human resources representative or benefits administrator for certification. Do not submit your application directly to the Division of Pensions and Benefits.


EMPLOYEE DENTAL PLANS

State Active Employee Dental Plan Rates — Plan Year 2014

Local Government and Education Employee Dental Plan Rates — Plan Year 2014

Employee Dental Plans Application


RETIRED MEMBERS

Summary of Benefits and Coverage — SHBP and SEHPB — Plan Year 2014

Plan Design Comparison Charts for Retired Employees — Plan Year 2014

Retiree Medical Plan Rates — Plan Year 2014

Retirees under Chapter 330 — Plan Year 2014

Retiree Dental Rates

Retired Group Health Benefits Applications

For Plan Year 2013:

For Plan Year 2014:


COBRA MEMBERS

COBRA Rates

COBRA Applications — Plan Year 2014

State and Local Employees
PPO and HMO Plans Adobe PDF (96K)
High Deductible Health Plans Adobe PDF (96K)

Part-time State and Education Employees
PPO and HMO Plans Adobe PDF (97K)
High Deductible Health Plans Adobe PDF (96K)

Intermittent State Employees
PPO and HMO Plans for Adobe PDF (111K)
High Deductible Health Plans Adobe PDF (96K)

NOTE: COBRA Applications must be certified by the employer before sending it to the Division of Pensions and Benefits.


OVER AGE DEPENDENTS

Over Age Dependents to Age 31 under Chapter 375 — Plan Year 2014

State Employees and Retirees Adobe PDF (16K)

Local Government Employees and Retirees Adobe PDF (19K)

Local Education Employees and Retirees Adobe PDF (19K)

Chapter 375 Application

Application for Chapter 375 Coverage Adobe PDF (27K)


EMPLOYER INFORMATION

Presentation Slides for Open Enrollment for Plan Year 2014

State Employers Adobe PDF (1.9M)

Local Government Employers Adobe PDF (2.1M)

Local Education Employers Adobe PDF (2.3M)

Presentation Slides for NJ WELL for Plan Year 2014

NJWELL - for SHBP State Employers Adobe PDF (795K)

NJWELL - for SEHBP Employers Adobe PDF (494K)

NJWELL - for SHBP Local Government Employers Adobe PDF (823K)


Percentage of Premium Calculators and Worksheets — Revised for the new medical plans and rates effective in Plan Year 2014.


Certifying Officers' Letters regarding Open Enrollment for Plan Year 2014:

State Biweekly Employers

State Monthly Employers

Local Government Employers

Local Education Employers

Employer Resolutions to Limit Medical Plans Offered under the SHBP/SEHBP

Resolution Forms for Local Government Employers or Local Education Employers

SHBP and SEHBP Rate Renewal Reports — Plan Year 2014

 
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