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INTERMITTENT EMPLOYEES GROUP -- NEW JERSEY STATE HEALTH BENEFITS PROGRAM APPLICATION Division of Pensions and Benefits, P.O. Box 299, Trenton, NJ 08625-0299 HA-0803-1010p DIVISION USE ONLY Effective
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Gather all necessary documents and information, such as personal identification, proof of eligibility, and any supporting documentation.
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Access the official website for nj state health benefits or obtain a physical copy of the application form.
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Who needs nj state health benefits:

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Employees of the State of New Jersey and eligible local employers who meet the qualifications for participation.
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Retired state employees and their eligible dependents.
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Certain individuals who meet the eligibility criteria under specific circumstances, such as disabled individuals, non-state employees who are eligible for continued coverage, and certain survivors of state employees.
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NJ State Health Benefits is a program that provides comprehensive healthcare coverage to eligible employees and retirees of the State of New Jersey and their eligible dependents.
Employees of the State of New Jersey and retirees are required to file for NJ State Health Benefits if they wish to receive healthcare coverage through the program.
To fill out the NJ State Health Benefits application, you need to provide personal information, such as your name, address, social security number, and employment details. You also need to provide information about your eligible dependents, if applicable. The application can be filled out online or submitted in person.
The purpose of NJ State Health Benefits is to ensure that eligible employees and retirees of the State of New Jersey have access to comprehensive healthcare coverage. It aims to promote the health and well-being of individuals and their families.
The NJ State Health Benefits application requires individuals to report personal information, employment details, and information about eligible dependents, if applicable. This may include names, addresses, social security numbers, and other relevant information.
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Related Links

NJDOBI Insurance Licensing and Education - State of New Jersey
Health Insurance Programs - IHC/SEH · Licensing and Education · Life and Health Bureaus .... not able to renew online may submit a paper renewal application form to the .... If the PDF is fillable, a notice will appear at the top of the form.
DS1_6-19.pdf - NJ.gov
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