STATE HEALTH BENEFITS PROGRAM (SHBP) and
SCHOOL EMPLOYEES' HEALTH BENEFITS PROGRAM (SEHBP)

HEALTH BENEFITS FOR COBRA ENROLLEES

ABOUT COBRA | PLAN INFORMATION | APPLICATIONS AND FORMS | COBRA RATES

HEALTH BENEFITS HOME | EMPLOYEES | RETIREES | DEPENDENTS | EMPLOYERS

ABOUT COBRA

The federal Consolidated Omnibus Budget Reconciliation Act (COBRA) of 1985 requires that most employers sponsoring group health plans offer employees and their eligible dependents the opportunity to temporarily extend their group health coverage in certain instances where coverage under the plan would otherwise end.

For SHBP and SEHBP participants, COBRA is not a separate health program; it is a continuation of SHBP or SEHBP coverage under the provisions of the federal law.

• Fact Sheet #30, Continuation of Health Benefits Under COBRA Adobe PDF (36K)
  
  — Dependent Eligibility and Documentation Requirements Adobe PDF (33K)
  
  — COBRA and Medicare - Medicare Enrollment is Required if eligible Adobe PDF (17K)
  
  
• Fact Sheet #26, Health Benefits Options When Terminating Employment Adobe PDF (31K)
  
  
• Fact Sheet #25, Employer Responsibilities Under COBRA Adobe PDF (31K)

PLAN INFORMATION AND PROGRAM DESCRIPTIONS

• Health Benefits Summary Program Description — Plan Year 2013 Adobe PDF (597K)
  An overview of SHBP/SEHBP eligibility and the medical, prescription drug, and dental plans
  
  
• Medical Plan Information, Web Addresses, and Phone Numbers — for SHBP/SEHBP Members
  
  
• Medical Plan/Prescription Plan Mobile Phone Apps
  
  
• Employee Prescription Drug Plan — (retiree prescription coverage is included with the medical plan)
  
  
• Dental Plan Information — for State and participating Local Government/Education Employees
  
  Note: COBRA Dental coverage is not available for Retirees

HANDBOOKS AND PUBLICATIONS

• SHBP/SEHBP Plan Member Handbooks — for medical, prescription drug, and dental plans
  
  
• Medical Plan Comparisons — Side-by-side comparisons of medical plan copayments and out-of-pocket costs
  
  
• Medical Plan Summaries of Benefits and Coverage — Plan Year 2013 — Detailed benefit summaries listed by individual medical plan
  
  
• SHBP/SEHBP Fact Sheets
  

PROVIDER INFORMATION — Find a participating doctor or hospital

• To find a participating doctor or hospital please contact your medical plan directly:
  NJ DIRECT/Horizon Plans or Aetna Plans/Aetna Medicare Plan (HMO)
  

Please Note that the Unified Provider Directory was discontinued as of January 2009

PRIVACY PRACTICES

• HIPAA Notice of Privacy Practices — and HIPAA Forms

OTHER RESOURCES

• Express Scripts/Medco Home Delivery Pharmacy Service Q & A

• NJ Hospital Performance Report — NJ Department of Health
  
  
• About the SHBP/SEHBP

APPLICATIONS AND FORMS

COBRA Applications

• State and Local Employees
  — PPO and HMO Plans Adobe PDF (96K)
  — High Deductible Health Plans Adobe PDF (96K)
  
  
• Part-time State and Education Employees
  — PPO and HMO Plans Adobe PDF (97K)
  — High Deductible Health Plans Adobe PDF (96K)
  
  
• Intermittent State Employees
  — PPO and HMO Plans for Adobe PDF (111K)
  — High Deductible Health Plans Adobe PDF (96K)
  
  NOTE: COBRA Applications must be certified by the employer before sending it to the Division of Pensions and Benefits.
  
  
• Dependent enrollment documentation requirements Adobe PDF (33K)
  
  
• Other Applications and Forms — commonly requested forms for SHBP/SEHBP Members

HEALTH BENEFITS BILLS — COBRA

• COBRA Bill Sample
  
  
• Billing "lockbox" payment address information for COBRA members

COBRA RATES

COBRA Active Group Rates — Plan Year 2013

• State Group Adobe PDF (15K); Local Government and Local Education Groups Adobe PDF (22K)

COBRA Dental Rates — Plan Year 2013

• State Group and Local Government/Education Group Adobe PDF (12K)

COBRA Part-Time Chapter 172 Rates — Plan Year 2013

• State Part-Time and Local Part-Time Groups Adobe PDF (151K)

COBRA Retired Group Rates — Plan Year 2013

• State Group; Local Government; and Local Education Groups Adobe PDF (14K)

HEALTH BENEFITS HOME | EMPLOYEES | RETIREES | DEPENDENTS | EMPLOYERS

Last update: May 2, 2013