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This handbook provides an overview of the New Jersey State Health Benefits Program and School Employees’ Health Benefits Program, including eligibility, enrollment, coverage options, recent benefit
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How to fill out New Jersey State Health Benefits Program Summary Program Description

01
Obtain the New Jersey State Health Benefits Program Summary Program Description form from the official website or your HR department.
02
Read the form carefully to familiarize yourself with the sections and information required.
03
Fill out your personal details such as name, address, and contact information in the designated fields.
04
Provide information about your employment status and designation to clarify your eligibility.
05
List any dependents that will be covered under the health plan, ensuring their information is accurate.
06
Review the available health benefit options and select those that apply to you and your dependents.
07
Sign and date the form to certify that the information provided is complete and accurate.
08
Submit the completed form to the specified department or personnel as instructed.

Who needs New Jersey State Health Benefits Program Summary Program Description?

01
Employees of the State of New Jersey and their dependents who are eligible for health benefits.
02
Individuals who are applying for or maintaining enrollment in the New Jersey State Health Benefits Program.
03
HR personnel managing employee benefits and health insurance options.
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Who is Eligible? Children under 19 are eligible with higher incomes up to 355% of the Federal Poverty Level (FPL) ($9,512/month for a family of four). Adults age 19-64 with income up to 138% FPL ($1,800/month for a single person and $2,433/month for a couple).
Who is eligible: Anyone having both a financial and a functional need. Financial Need - Must have Medicaid under NJ FamilyCare Plan A. Functional Need - Must have a need for assistance with their ADLS. Examples of ADLs include bathing, grooming, dressing, eating and transfer/mobility.
Collectable at age 65, at least 10 years of service required. Annual Benefit = Years of Service ÷ 60 X Final Average (5 yrs.) Salary.
The SHBP Retiree Wellness Program, administered by the state of New Jersey, helps eligible retirees get and stay healthy by understanding their health risks and getting yearly physical exams. The program is voluntary, but your retirement health benefit contribution will be waived if you participate in the program.
The Small Employer Health Benefits (SEH) Program became operational in 1994 to ensure small employers: (1) have access to small group health benefits plans without regard to the occupation of the group, or the health status of any of the group's members; and (2) have the ability to renew the coverage from year to year
NJ Wellness Program Eligibility You are eligible to register for the NJ Wellness Program if you meet one of the following criteria: Actively employed members of a NJ state administered health benefits program. Covered legal spouse. Covered same sex domestic or Civil Union partner.
SHIP is a statewide program administered by the New Jersey Department of Human Services and funded in part by a grant from the U.S. Administration for Community Living. Medicare beneficiaries frequently have questions about benefits, claims and supplement policies (known as Medigaps).
State Health Benefits Program State Employees — To be eligible, you must be a full-time employee of the State of New Jersey or be a full-time appointed or elected officer of the State (this includes employees of a State agency or authority and employees of a State college or university).

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The New Jersey State Health Benefits Program (SHBP) Summary Program Description outlines the health benefits, coverage options, and eligibility criteria for employees and their dependents participating in the program.
Employers participating in the New Jersey State Health Benefits Program, including state agencies, local governments, and certain school districts, are required to file the Summary Program Description.
To fill out the Summary Program Description, employers must provide detailed information regarding the health benefits offered, eligibility requirements, coverage options, and any relevant participant information in accordance with the guidelines provided by the SHBP.
The purpose of the Summary Program Description is to inform participants about their health benefits, ensuring transparency and compliance with state and federal regulations, as well as to assist employees in making informed healthcare decisions.
The Summary Program Description must report information such as types of health plans offered, eligibility criteria, enrollment instructions, coverage details, co-pays, deductibles, and beneficiary rights under the program.
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