Group of faculty

Medical Plans

2020 Open Enrollment

The State Health Benefits Program (SHBP) Open Enrollment period for employees begins on October 1, 2019, and ends on October 31, 2019.

 

Open Enrollment is your opportunity to revise your medical, dental, and flexible spending account. All changes made during Open Enrollment will be effective January 1, 2020.

Visit the 2020 Open Enrollment page for more information

All covered employees must have access to prescription drug coverage. The type of prescription coverage provided and costs are determined by the option offered by your employer and the medical plan you select.

Medical Plan Eligibility for Dependents

Dependents of Employees may be eligible for medical coverage if they fall into one of the following categories:

  • Legal spouse
  • Same-sex domestic partner or civil union partner
  • Eligible children under age 26 (including stepchildren, foster children, adopted children or children an employee is legally required to support)

When Medical Plan Coverage Begins

Employee Type Coverage Example
10-Month Faculty hired 9/1 Benefits (medical, prescription, dental) effective 9/1 Ex: Faculty hired 9/1, benefits effective 9/1
12-Month Faculty hired 9/1 or after,
Regular Full-Time Staff
Benefits (medical, prescription, dental) effective 60 days from hire date Ex: Faculty/Staff hired 10/1, benefits effective 12/1
10/12-Month, Temporary, Part-Time Staff

*ACA eligible – working 30 hours per week within the first 2 months of employment

*Benefits (medical, prescription) if eligible, effective 60 days from hire/eligibility date Ex: 10/12-Month, Temporary, Part-Time Staff hired 8/5, benefits effective 10/5 (if eligible)

Available Medical Plans

Health Maintenance Organizations (HMO)
Health Maintenance Organization plans administered by Aetna and Horizon
Preferred Provider Organization (PPO)
Preferred provider organization plans administered by Aetna and Horizon
Tiered Network (TN)
Tiered network plans administered by Aetna and Horizon. Members have the flexibility to visit practitioners in the carrier’s managed care network as well as significant premium share reductions, with no referrals required. Learn more about the Tiered Network Incentive Program.
High Deductible Health Plans (HDHP)
Preferred provider organization plans administered by Aetna and Horizon

Medical Plan Fact Sheets

View Glossary of Benefits Terms to see definitions of commonly used benefits terms.

How to Apply

  1. Complete the appropriate enrollment form:
  2. Return the completed form via Workday. (See instructions on How to Enroll or Request a Change in Benefits in Workday.)

Medical Plan Contacts

For more information about any participating plan, speak with a plan representative. Contact information can be found on the New Jersey Division of Pensions and Benefits Plan Contacts page.