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

HEALTH BENEFITS INFORMATION FOR EMPLOYERS

LINKS FOR EMPLOYERS | ADMINISTRATIVE RESOURCES
APPLICATIONS AND PUBLICATIONS | PLAN RATES | EMPLOYER BILLS | OTHER RESOURCES

HEALTH BENEFITS HOME | EMPLOYEES | RETIREES | DEPENDENTS |COBRA

HEALTH BENEFITS LINKS FOR EMPLOYERS

ADMINISTRATIVE RESOURCES

• The Employer Pensions and Benefits Administration Manual (EPBAM) SHBP/SEHBP sections contain information about member eligibility, enrollment, termination, and other employer administrative duties.
  
  
• The Employer Pensions and Benefits Information Connection (EPIC) has online information about member accounts, membership reports, employer billing, and the Transmittal of Deletions application.   Log on to EPIC or find out more about using EPIC.
  
  
• 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
  
  
• Available Plans — Medical Plans — Prescription Drug Plans for Employees or Retirees — Dental Plans for Employees or Retirees
  
  
• Plan Rates and Percentage of Premium Calculators
  
  
• General Information for Active Employees — Retirees — COBRA Enrollees — Eligible Dependents
  
  
• Employer Training Slideshows for State Employers — Local Government Employers — Local Education Employers — from the Division's Health Benefits Training Classes - Adobe PDF (758K)

FORMS AND PUBLICATIONS

• SHBP/SEHBP Enrollment Applications for Active Employees — Retirees — COBRA Enrollees
  
  
• SHBP/SEHBP Publications — Plan Member Handbooks — SHBP/SEHBP Fact Sheets
  
  
• Medical Plan Comparison Charts — side-by-side comparisons of medical plan copayments and out-of-pocket costs
  
  
• Summaries of Benefits and Coverage — detailed benefit summaries listed by individual medical plan
  
  
• The EPBAM Index to All SHBP/SEHBP Forms

HEALTH BENEFITS PLAN RATES

• Medical Plan Rates for Active Employee Groups — State, Local Government/Education, Part-time
  
  

  Percentage of Premium Calculators — Updated and Revised for Plan Year 2013. Most employees pay a percentage of the medical/prescription plan premium or 1.5% of salary, whichever is greater.

• Medical Plan Rates for Retired Group Members — State, Local Government/Education, Chapter 330
  
  
• Dental Plan Rates for Employees — State and participating Local Government/Education
  
  
• Dental Plan Rates for Retirees — All Retireees
  
  
• COBRA Rates — All COBRA groups
  
  
• Over Age Children until Age 31 - Chapter 375, P.L. 2005
  

HEALTH BENEFITS BILLS

• Employer Bill Sample
  
  
• Employer billing and payment information through the Transmittal Electronic Payment System (TEPS) is available on EPIC. Log on to EPIC or find out more about EPIC.
  
  
• Administrative information can be found in the SHBP/SEHBP sections of the EPBAM and the EPIC Users' Guide.

OTHER RESOURCES

• SHBP/SEHBP Required Notices to Enrollees Adobe PDF (184K) — HIPAA and COBRA information for new enrollees and members who terminate coverage — Revised for Plan Year 2013
  
  
• SHBP and SEHBP Rate Renewal Reports — Plan Year 2013

• SHBP and SEHBP Rate Renewal Reports — Plan Year 2012
  
  
• Pension and Health Benefit Reform - Chapter 78, P.L. 2011
  
  
• NJ DIRECT Managed Network Summary (May 18, 2009)
  
  
• NJ Hospital Performance Report — NJ Department of Health
  
  
• SHBP and Consultant Review Adobe PDF (1.2MB)

• About the SHBP/SEHBP

HEALTH BENEFITS HOME | EMPLOYEES | RETIREES | DEPENDENTS |COBRA

Last update: June 17, 2013