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Get the free RETIREE SHBP/SEHBP MANUAL OVERRIDE FORM - NJ.gov

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HB11660624State of New Jersey Department of the TreasuryDIVISION OF PENSIONS & BENEFITS HEALTH BENEFITS BUREAU P.O. Box 299, Trenton, NJ 086250299RETIREE SHIP/SE HBP MANUAL OVERRIDE FORM Note: Override
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The retiree SHBPSEHBP manual override is a process allowing retirees to adjust or correct their health benefits enrollment or payment due to special circumstances.
Retirees who need to make corrections or adjustments to their health benefits coverage or premium payments are required to file the retiree SHBPSEHBP manual override.
To fill out the retiree SHBPSEHBP manual override, retirees must provide their personal information, details of the required adjustments, and any supporting documentation as specified in the form instructions.
The purpose of the retiree SHBPSEHBP manual override is to ensure that retirees can correct any inaccuracies or update their health benefits plan effectively.
The information that must be reported includes the retiree's identification details, the nature of the override request, and any relevant changes to coverage or payment details.
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