Division of Pensions and Benefits

Governor Chris Christie • Lt.Governor Kim Guadagno



	Disclaimer

Civil Union Partner / Domestic Partner Coverage

TAXABLE IMPUTED INCOME

Chapter 330 Medical Plan Group Rates
Effective 1/1/2009 to 12/31/2009

Chapter 330
Local Retired Government Employers

Chapter 330
Local Retired Education Employers

New Jersey State Health Benefits Program CHAPTER 330 RETIREES LOCAL RETIRED GROUP — LOCAL GOVERNMENT EMPLOYERS Medicare and Non-Medicare Imputed Income Effective 1/1/2009 to 12/31/2009
	Member/Partner Coverage				Family Coverage
	Both Member & Partner Non- Medicare	Member with Medicare/ Partner Non-Medicare	Both Member & Partner with Medicare	Member Non- Medicare/ Partner with Medicare	Both Member & Partner Non- Medicare	Member with Medicare/ Partner Non- Medicare	Both Member & Partner with Medicare	Member Non- Medicare/ Partner with Medicare
NJ DIRECT15	$377.42	$433.41	$302.13	$311.99	$403.06	$421.40	$309.84	$337.63
NJ DIRECT10	$371.30	$433.41	$302.12	$311.99	$400.33	$422.21	$310.65	$341.02
Aetna HMO	$404.50	$433.41	$302.11	$311.99	$415.09	$428.19	$316.62	$322.58
CIGNA HMO	$403.53	$433.41	$302.13	$311.99	$414.66	$428.42	$319.73	$323.12
Partner means a Civil Union Partner or eligible same-sex Domestic Partner as recognized under New Jersey State Law.

New Jersey School Employees' Health Benefits Program CHAPTER 330 RETIREES LOCAL RETIRED GROUP — EDUCATION EMPLOYERS Medicare and Non-Medicare Imputed Income Effective 1/1/2009 to 12/31/2009
	Member/Partner Coverage				Family Coverage
	Both Member & Partner Non- Medicare	Member with Medicare/ Partner Non-Medicare	Both Member & Partner with Medicare	Member Non- Medicare/ Partner with Medicare	Both Member & Partner Non- Medicare	Member with Medicare/ Partner Non- Medicare	Both Member & Partner with Medicare	Member Non- Medicare/ Partner with Medicare
NJ DIRECT15	$330.06	$366.66	$270.08	$270.09	$350.39	$379.13	$282.56	$290.42
NJ DIRECT10	$324.95	$366.66	$270.09	$270.09	$348.12	$380.55	$283.99	$293.26
Aetna HMO	$350.17	$366.66	$270.09	$270.09	$359.33	$370.67	$274.10	$279.25
CIGNA HMO	$349.33	$366.66	$270.09	$270.09	$358.96	$370.89	$276.80	$279.72
Partner means a Civil Union Partner or eligible same-sex Domestic Partner as recognized under New Jersey State Law.

Last update: November 9, 2009

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