Address Change

If you fall into the following categories, a Change of Address form should be completed:

• Active employees and retirees enrolled in the ABP or DCRP
• Active employees and retirees enrolled in the SHBP/SEHBP
• Retirees of the PERS, TPAF, PFRS, SPRS, and JRS

Active employees enrolled in the PERS, TPAF, PFRS, SPRS, or JRS should notify their Human Resources representative of their name or address change. The NJDPB does not retain addresses for these employees.

Name Change

Active members and retirees can complete an Affidavit of Name Change form and submit it to the NJDPB along with required documentation.

Active Employees

• It is your responsibility to add a dependent to your health plan coverage within 60 days of the qualifying event. You also must submit proof of dependency documentation along with your application to your employer. If you miss the deadline, you will have to wait until the annual open enrollment period to add your dependent to your plan. There may be a change in the amount deducted from your pay due to your coverage-level change.
• Employees can easily review and change life insurance/pension beneficiary designations online using MBOS. Look for "Access myNewJersey" above.
• State Active Employees Only: Add your spouse/partner or dependent to your Tax$ave Medical Flexible Spending Account and/or Tax$ave Dependent Care Flexible Spending Account.

Retirees

• It is your responsibility to add a dependent to your health plan coverage. You must enroll your child within 60 days of the date of the qualifying event. You also must submit proof of dependency documentation along with your application to the NJDPB. If you miss the deadline, your dependent will be enrolled on the first of the month following a 60-day waiting period. There may be a change in the amount deducted from your retirement allowance (if self-paid) due to your coverage-level change.
• Retirees can easily review life insurance/pension beneficiary designations online using MBOS.

To register or log on to MBOS, look for "Access myNewJersey" above.

When removing a dependent child from your coverage (for any reason) there may be a change in the amount deducted from your paycheck or retirement check (if self-paid) due to your coverage-level change.

• To remove a child from your health coverage, Active Employees should submit an application to their Human Resources representative. Retirees and COBRA recipients must submit an application directly to the NJDPB.
• Dependent children's coverage will be terminated at the end of the year in which they turn age 26. It is your responsibility to apply for continued coverage under Chapter 375 or COBRA for the dependent child, if desired.
• A child who has reached age 26 and is disabled due to a mental or physical disability and dependent upon you for support can remain covered as a dependent if the child's disabled status is approved.
• A child who has reached age 26 and a COBRA recipient may continue coverage under COBRA for a period of 36 months.

If your spouse’s employment status changes (e.g., starts or leaves a job), you can enroll/disenroll him or her in your health plan. Proof of new coverage or proof of loss of coverage is required. There will be a change in the amount deducted from your paycheck or retirement check (if self-paid) due to your coverage-level change. Active Employees should submit an application and proof of coverage documentation to their Human Resources department. Retirees and COBRA recipients should submit an application and proof of coverage documentation to the NJDPB.

If you divorce or dissolve your civil union or domestic partnership, you must remove your former spouse or partner from your health plan when the event occurs. There will be a change in the amount deducted from your paycheck or retirement check (if self-paid) due to your coverage-level change.

• Active Employees must notify their Human Resources department.
• Retirees and COBRA recipients must submit an application to change status to the NJDPB.

Other Considerations:

• Review your life insurance and pension beneficiary designations via MBOS. Look for "Access myNewJersey” above.
• Review the NJDPB Divorce and Qualified Domestic Relations Order (QDRO) Fact Sheets.
• State Active Employees Only: Disenroll your spouse/partner from your Tax$ave Medical Flexible Spending Account.

Leave of Absence: Taking a Leave of Absence without pay for illness or family leave can have an impact your service credit, retirement, and health benefits coverage. Upon returning to employment from a leave of absence, you may be eligible to purchase service credit .

PERS, TPAF, and PFRS members are eligible to purchase service credit for official leaves of absence without pay.

Disability: If you have general questions regarding temporary or permanent disability benefits, you must contact your employer’s human resources representative or benefits administrator.

Workers' Compensation can impact pension contributions, life insurance, and health benefits.

Other considerations:

• Disability Retirement: PERS & TPAF
• Disability Retirement: PFRS
• Disability Retirement: SPRS

Active Employees

• It is your responsibility to add a new spouse/partner to your health plan coverage within 60 days of the date of marriage or partnership. You also must submit proof of dependency documentation along with your application to your employer. If you miss the deadline, you will have to wait until the annual open enrollment period to add him or her to your plan. There will be a change in the amount deducted from your paycheck due to your coverage-level change.
• Employees can easily review and change life insurance/pension beneficiary designations online using MBOS. Look for "Access myNewJersey" above.
• State Active Employees Only: Enroll your spouse/partner in your Tax$ave Medical Flexible Spending Account.

Retirees

• It is your responsibility to add a new spouse/partner to your health plan coverage within 60 days of the date of marriage or partnership. You also must submit proof of dependency documentation along with your application to the NJDPB. If you miss the deadline, your spouse/partner will be enrolled on the first of the month following a 60-day waiting period. There may be a change in the amount deducted from your retirement check (if self-paid) due to your coverage-level change.
• Retirees can easily review and change their tax withholdings and life insurance/pension beneficiary designations online using MBOS. To register or log on to MBOS, look for "Access myNewJersey" above.

The NJDPB should be notified of the death of an employee or retiree as soon as possible. Beneficiaries of pension and/or life insurance payments and surviving spouse/partner/dependents on the member's health insurance coverage will be notified by mail. Required forms and documentation should be returned to the NJDBP immediately in order to process payments and/or provide insurance.

Death of Spouse/Partner/Dependent: If your spouse/partner or dependent child passes away, he or she must be removed from your health plan. There may be a change in the amount deducted from your paycheck or retirement check (if self-paid) due to the coverage-level change.

• Active Employees must notify their Human Resources department.
• Retirees and COBRA recipients must submit an application to change coverage level to the NJDPB.

Other Considerations:

• Review your life insurance and pension beneficiary designations via MBOS and make changes as necessary.
• State Active Employees Only: Disenroll your spouse/partner/dependent from your Tax$ave Medical Flexible Spending Account or Dependent Care Spending Account.