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Pensions and Benefits

Civil Union Partner / Domestic Partner Coverage

TAXABLE IMPUTED INCOME

Retired Group Medical Plan Rates
Effective 1/1/2009 to 12/31/2009


New Jersey State Health Benefits Program
STATE RETIRED GROUP — NEW CONTRACT MODEL
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 $641.16 $641.16 $352.93 $352.93 $641.16 $641.16 $352.93 $352.93
NJ DIRECT10* $673.12 $673.12 $370.52 $370.52 $673.12 $673.12 $370.52 $370.52
NJ DIRECT10**
with 25%
premium share		 $474.56 $504.84 $277.89 $277.89 $491.38 $508.39 $281.44 $205.79
Aetna HMO $569.27 $569.27 $420.86 $420.86 $569.27 $569.27 $420.86 $420.86
CIGNA HMO $574.97 $574.97 $425.06 $425.06 $574.97 $574.97 $425.06 $425.06
Partner means a Civil Union Partner or eligible same-sex Domestic Partner as recognized under New Jersey State Law.
*Imputed income where retiree is not subject to premium share
**Imputed income where retiree contributes 25% premium share


New Jersey State Health Benefits Program
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 $679.80 $679.80 $377.67 $377.67 $679.80 $679.80 $377.67 $377.67
NJ DIRECT10 $713.67 $713.67 $396.49 $396.49 $713.67 $713.67 $396.49 $396.49
Aetna HMO $529.45 $529.45 $389.99 $389.99 $529.45 $529.45 $389.99 $389.99
CIGNA HMO $534.74 $534.74 $393.90 $393.90 $534.74 $534.74 $393.90 $393.90
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
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 $570.00 $570.00 $342.00 $342.00 $570.00 $570.00 $342.00 $342.00
NJ DIRECT10 $598.41 $598.41 $359.05 $359.05 $598.41 $598.41 $359.05 $359.05
Aetna HMO
$458.33
$458.33
$337.61
$337.61
$458.33
$458.33
$337.61
$337.61
CIGNA HMO
$462.91
$462.91
$340.99
$340.99
$462.91
$462.91
$340.99
$340.99
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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