|
Certifying
Officer Letters 2004
|
Subject |
Date |
| Report
of Contributions, 4th Quarter 2004 (October 1st
to December 31st) Autonomous State College/University/State
Employers |
December
2004 |
Report
of Contributions, 4th Quarter 2004 (October 1st
to December 31st)
Teachers' Pension and Annuity Fund, Public Employees' Retirement
System & Police and Firemen's Retirement System |
December
2004 |
Report
of Salary Change Instructions - Public
Employees' Retirement System
(Non-Boards of Education) Police and Firemen's Retirement System |
December
2004 |
| Teacher
Mentoring |
November
2004 |
| Public
Employees Retirement System - Change to Member Pension Rate
- January 2005 |
November
2004 |
| Extension
of the Employee Dental Plans to Local Government and Education
Employers |
October
2004 |
| Transmittal
Electronic Payment System (TEPS) (SHBP) |
September
2004 |
| State
Health Benefits Program - Participating Local Government Employers |
September
2004 |
| State
Health Benefits Program Participating Local Education Employers |
September
2004 |
| SHBP
Open Enrollment 2004 - State Biweekly Employers |
September
2004 |
| SHBP
Open Enrollment 2004 - State Monthly Employers |
September
2004 |
| SHBP
Open Enrollment 2004 - Part-Time Employees |
September
2004 |
Open
Enrollment For The New Jersey State Employees Tax Savings Program
(Tax$ave 2005)
State Department Human Resource Directors
State Biweekly Payroll Locations Benefits Administrators |
August
2004 |
Open
Enrollment For The New Jersey State Employees Tax Savings Program
(Tax$ave 2005)
State University and College Benefits Administrators
State Monthly Benefits Administrators |
August
2004 |
SHBP
Open Enrollment 2004
|
August
2004 |
| Employer
Liability for Annual Pension Contribution- PFRS |
August
2004 |
| Employer
Liability for Annual Pension Contribution- PERS |
August
2004 |
Employer
Liability for Early Retirement Incentive 1 & 2 Programs
- TPAF
|
August
2004 |
| Transmittal
Electronic Payment System (TEPS) |
July
2004 |
| Retirement
Applications and Other Forms Available on Our Web Site |
July
2004 |
| New
Enrollment Application for PERS and TPAF Members and
Revised Designation of Beneficiary form |
July
2004 |
| SHBP
Application for Active Employees Benefits Administrators,
SHBP Local Government Employer Group Benefits
Administrators, SHBP Local Education Employer Group |
June
2004 |
| SHBP
Application for Active Employees Benefits Administrators,
SHBP State Biweekly and Employer Group Benefits Administrators,
SHBP State Monthly Employer Group |
June
2004 |
| PERS
State Rate Increase July 2004 - Clarification - Change To
Effective Date Of Member Pension Rates - Public Employees' Retirement
System |
|
| Domestic
Partnership Act: SHBP Implications SHBP Local
Employer Group |
May
2004 |
| Domestic
Partnership Act: Health Benefits Implications - SHBP State
Monthly Employer Group |
May
2004 |
| Domestic
Partnership Act: Health Benefits Implications - SHBP State
Biweekly Employer Group |
May
2004 |
| Domestic
Partnership Act: Pension Implications - Local
Certifying Officers, Public Employees' Retirement System, Teachers'
Pension and Annuity Fund, Police and Firemen's Retirement System |
May
2004 |
| The
Domestic Partnership Act: Pension Implications - State
Certifying Officers, Public Employees' Retirement System, Teachers'
Pension and Annuity Fund, Police and Firemen's Retirement System,
State Police Retirement System, Judicial Retirement System |
May
2004 |
| Report
of Contributions, First Quarter 2004 (January 1st
to March 31st) - Local Employees |
March
2004 |
| Report
of Contributions, 1st Quarter 2004 - State Colleges
and Universities |
March
2004 |
| Postsecondary
Vocational-Technical School Instructors |
March
2004 |
| New
Contracts Awarded for the Alternate Benefit Program and the
Additional Contributions Tax-Sheltered Program |
February
2004 |
| New
State Transportation Benefit |
January
2004 |
December
2004
| TO: |
Certifying
Officer
Autonomous State College/University/State Employers |
| FROM: |
John D.
Megariotis
Deputy Director, Finance |
| SUBJECT: |
Report
of Contributions, 4th Quarter 2004
(October 1st to December 31st) |
Chapter 113
Salary Limits
Under Chapter
113, P.L. 1997, the amount of compensation (salary) used to determine
member contributions and benefits,for
the State-administered pension systems listed below, may not
exceed the compensation limitation of section 401(a)(17) of the
federal Internal Revenue Code. This compensation (salary) limitation
is adjusted annually, based upon cost of living increases. The
compensation limitation for 2005 will be $210,000.
In other words,
under the provisions of the Internal Revenue Code, Section 401(a)(17),
for the "qualified" defined benefit plans listed below
[401(a)(2)], the current federal ceiling on pensionable salary ($205,000
in 2004) applies to the base salaries of members of these pension
plans. Salary earned by a member in excess of this amount is not
pensionable; that is, it may not be used in determining member contributions
and benefits.
Change To
Member Contribution Pension Rates - Teachers' Pension And Annuity
Fund
Effective
the first payday on or after January 1, 2005, the Teachers' Pension
and Annuity Fund (TPAF) member contribution rate will return to
the normal rate of 5%.
Retroactive
increases paid on or after January 1, 2005 should be deducted at
5% including any portion of the retroactive salary that covered
a period prior to January 1, 2005.
Change To
Member Contribution Pension Rates - Public Employees' Retirement
System
Chapter 415,
P.L. 1999 reduced the pension rate for members of the Public Employees'
Retirement System from 4.5% to 3%. Effective the first payday on
or after July 1, 2004, the Public Employees' Retirement System (State
Employees) member contribution rate returned to the normal rate
of 5%.
The previous
reduction in the member rate for the PERS was authorized by statute
and was based on the existence of surplus pension assets in the
retirement system. However, also per statute when there are no longer
surplus pension assets, the member rate for PERS will return to
the normal rate of 5%
Retroactive
increases paid on or after July 1, 2004, should be deducted at 5%,
including any portion of the retroactive salary that covered a period
prior to July 1, 2004.
Your 4th
quarter 2004 Report of Contributions file, applicable to the Teachers'
Pension and Annuity Fund, Public Employees' Retirement System, and
Police and Firemen's Retirement System, is due on or before January
10, 2005. Your final December 2004 contribution remittance, which
represents the pension and contributory insurance deductions due
for the balance of the quarter, should be made through the Transmittal
Electronic Payments System (TEPS). The portion of the remittance
for total pension deductions should reflect the sum of normal pension
contributions, back deductions, loan payments, and arrears/purchase
deductions. Your TEPS remittance is also due by
January 10, 2005.
With the Report
of Contributions file, you must complete and return the Transmittal
Summary form for the 4th quarter 2004. This document
is used to assist your office and this Division in reconciling your
transmittal remittances to the quarterly Report. The Control and
Certification form must also accompany your quarterly tape Report.
This is essential as it attests to the accuracy and validity of
the submitted documentation.
If your quarterly
Report and total contributions are not received in a timely manner,
we cannot update the pension accounts of your employees. This may
adversely affect any claim for benefits, including loan applications,
filed by your employees. Also, any delay affects our scheduling
in posting contributions to all members' accounts as well as the
mailing of Reports of Contributions for the following quarter.
A tape Report of Contributions will be considered received when
it is submitted in an acceptable format, passes all data processing
edits, and can be used to update members' accounts. Interest will
be assessed, as prescribed by statute and administrative code, when
monthly transmittal remittances and the quarterly Report of Contributions
are not received within fifteen days of the due dates.
SACT Tax-Sheltered
Annuity - Remittance Of 403(b) Contributions
Chapter 247,
P.L. 1999 requires 403(b) salary reductions on behalf of an employee
to be transmitted and credited within five business days from the
pay date.
Members of
the Public Employees' Retirement System, Teachers' Pension and Annuity
Fund and Police and Firemen's Retirement System in the Supplemental
Annuity (SACT) Tax Sheltered Annuity Program are required to have
403(b) salary reductions remitted to the Division of Pensions and
Benefits within the timeframes prescribed by law. Contributions
for these members will be made through the Transmittal Electronic
Payments System (TEPS).
Please note
that the full quarterly SUPPLEMENTAL ANNUITY contribution must be
submitted prior to the processing of your report of contributions.
If the full contribution is not submitted, it may be necessary to
refund any supplemental annuity contributions sent in for the quarter.
This could adversely affect your employees' retirement savings.
Reporting
Actual Salaries For Part-Time Employees (Rule Change N.J.A.C. 17:2-4.7)
The Public
Employees' Retirement System's Board of Trustees adopted a rule
change for N.J.A.C. 17:2-4.7, that became effective on January 1,
2000. The amendment requires reporting districts to use the actual
creditable salary earned by employees, and not estimated salary,
for part-time hourly, on-call and per diem employees.
The enrollment
criteria for part-time hourly, on-call, and per diem employees remains
unchanged. However, once membership is established, an employee
must only meet the $1,500 minimum salary regulation to continue
membership; the number of hours worked in a month or a year is no
longer applicable. This provides greater equity in granting service
credit. A member is entitled to a month of service as long as the
actual creditable salary being reported exceeds the monthly minimum
for enrollment.
In other words,
when a 10-month member has a monthly reportable salary exceeding
$150 (one tenth of $1,500), the member should be reported for that
month. Similarly, $125 (one twelfth of $1,500) is the minimum monthly
reportable salary for a 12-month member. If the member does not
make $1,500 in the current calendar year, and is not expected to
make $1,500 in the following year, that employee is no longer eligible
for the retirement system.
TEPS - Transmittal
Shortage Payments
The Division
sends transmittal shortage statements when the sum of the transmittal
remittances does not equal the due figure on the quarterly Report
of Contributions. Transmittal shortage statement payments can only
be paid through TEPS. Checks received for payment of transmittal
shortages will be returned. If you have questions related to TEPS,
contact the TEPS Helpline at
(888) 835-3345 or FAX your inquiries to the Audit/Billing Section
at (609) 633-1708.
Changing
Banking Information For TEPS
Notice of Changes
for TEPS should be submitted to the Division of Pensions and Benefits
on or after the date that the new checking account
becomes effective. Every Notice of Change is verified to ensure
that the Division has the correct banking information. This normally
takes 12 to 15 days.
Statements
Of Overages/Shortages
Overage and
shortage statements, which affect a member's Annuity Savings Fund,
identify whether or not the pension contributions are subject to
the 414(h) provision. These statements should be reviewed to determine
when adjustments are required to your payroll records in calculating
year-to-date mandatory pension contributions under 414(h). Please
note that all member shortages are to be paid by separate check.
Do not remit through TEPS.
Should you have
any questions or need assistance in completing the Report, please
telephone Peter Groffie at (609) 984-4807.
Enclosures:
Transmittal Summary for 4th Quarter 2004
Control and Certification Form
December
2004
| TO: |
Certifying
Officer: Teachers' Pension and Annuity Fund, Public Employees'
Retirement System & Police and Firemen's Retirement System |
| FROM: |
John D.
Megariotis
Deputy Director, Finance |
| SUBJECT: |
Report
of Contributions, 4th Quarter 2004 (October 1st
to December 31st) |
This memorandum
has pertinent information concerning the completion of your Report
of Contributions (ROC). Please
read this memorandum before you make any changes to the ROC.
Chapter 113
Salary Limits
Under Chapter
113, P.L. 1997, the amount of compensation (salary) used to determine
member contributions and benefits,
for
the State-administered pension systems listed below, may not
exceed the compensation limitation of section 401(a)(17)
of the federal Internal Revenue Code. This compensation (salary)
limitation is adjusted annually, based upon cost of living increases.
The compensation limitation for 2005 will be $210,000.
In other words,
under the provisions of the Internal Revenue Code, Section 401(a)(17),
for the "qualified" defined benefit plans
listed below [401(a)(2)], the current federal ceiling on pensionable
salary ($205,000 in 2004) applies to the base salaries of members
of these pension plans. Salary earned by a member in excess of this
amount is not pensionable; that is, it may not be used in determining
member contributions and benefits.
Change
To Member Contribution Pension Rates - Public Employees' Retirement
System -
Local Government Employers
Effective
January 1, 2005, the Public Employees' Retirement System (PERS)
member contribution rate for local
government employees will return to the normal rate of 5%. As
a result employee pension contributions for retroactive
salary increases paid on or after January 1, 2005, should be calculated
at the rate of 5%, including any portion of the
retroactive salary that covered a period prior to January 1, 2005.
Member Rates
Remain Unchanged For 4th Quarter 2004 - Chapter 415,
P.L. 1999 reduced the pension rate for members of the Public Employees'
Retirement System (PERS) from 4.5% to 3%. The pension rate for
calendar year 2004 will remain at 3% for PERS local government employees.
Change
To Member Contribution Pension Rates - Teachers' Pension And Annuity
Fund -
Local Government Employers
Effective
January 1, 2004, the Teachers' Pension and Annuity Fund (TPAF)
member contribution rate for local
government employees returned to the normal rate of 5%. As
a result employee pension contributions for retroactive
salary increases paid on or after January 1, 2004, should be calculated
at the rate of 5%, including any portion of the
retroactive salary that covered a period prior to January 1, 2004.
TEPS
Please note
that the only payments that should be submitted through TEPS are
for monthly transmittal and appropriation payments. Employee
shortages are not to be submitted through TEPS.
Effective July
30, 2004, you were able to access TEPS through the Internet instead
of calling in your payments.
In addition to making payments on-line, you can cancel payments
on-line providing that you make the cancellation
before the 5:30 pm cut off time. On-line inquiries in which you
can view and print a history of your payments are also
available. Log on to www.payments-govonesolutions.com/njpen.
Once you have logged on to TEPS, enter your location
number and current password, the same password you are using with
the telephone application. You will find a user
friendly program that will guide you through the payment, inquiry
or payment cancellation processes. The Division will
still receive your payments the next business day, as long as you
enter your payment on-line before the 5:30 pm cut off
time.
The fax number
and address that you use to submit the Employer Authorization Forms
to the Division of Pensions and
Benefits has been changed. The Employer Authorization Form must
be faxed to (720) 332-0039 or mailed to State of
New Jersey, Department of Treasury, Division of Pensions and Benefits,
P.O. Box 9581, Trenton, NJ 08650-9581.
Deadline
For Filing
All ROCs must
be postmarked by January 10, 2005, to be considered timely filed.
It must be
noted that these deadlines are established to provide for the timely
updating of member accounts each quarter.
In order to accomplish this goal for the over 300,000 members of
the retirement plans, we rely on you, our participating
employers, to report pension information to us by the 10th
calendar day of the month following the end of the calendar
quarter. In return, your employees' accounts are updated with the
most recent pension information, which in turn may
be used to process benefit claims by those same employees or their
beneficiaries.
In recent years
more and more employers have been delivering their ROCs to us later
and later. However, we have extended
the courtesy of holding open the reporting period to accommodate
this late receipt of information so as to not adversely
impact the employees. We must now notify you that this courtesy
may no longer be extended because it conflicts with our
goal to provide timely benefit processing to other retirement plan
members whose employers submit their ROCs by the prescribed due
date. We will continue to accept your ROCs beyond the 10th
of each calendar quarter but we will not guarantee that
your employees' pension accounts will be updated or benefits processed
within the time period they would expect.
That may result in your employees not receiving service credit as
earned, loans when submitted or retirement benefits
immediately following termination of employment.
When you receive
your quarterly ROC, you should review it immediately. If
you think you will have a problem in meeting
the filing deadline, or if there is anything you do not understand,
contact the Audit/Billing Section at (609) 292-3630.
Normally, reporting inquiries can be resolved with a telephone call.
If other arrangements need to be made to assist you
in the completion of your ROC, the sooner you communicate that fact
to the Division the better for everyone involved.
TOP 5 REPORTING
AND PAYMENT ERRORS
- Number 5
- Changing Banking Information for TEPS
Banking changes for TEPS should be submitted to the Division of
Pensions and Benefits through the Employer
Authorization Form on or after the date that the new checking
account becomes effective. Please note that the
fax number and address previously used has changed. The Employer
Authorization form must be faxed to
(720) 332-0039 or mailed to State of New Jersey, Department of
Treasury, Division of Pensions and Benefits,
P.O. Box 9581, Trenton, NJ 08650-9581.
- Number 4
- Explain all changes
Please make all necessary corrections to the ROC before you return
it to the Division of Pensions and Benefits.
Verify that all changes are explained, the ROC is added correctly,
and the totals agree with the sum of the transmittal remittances.
- Number 3
- Reporting partial months of service
- Number 2
- Incorrect page and grand totals
- And, the
number 1, most common reporting error is - Changes to employee
contribution amounts for penny
differences resulting from rounding
Should you
have any questions or need assistance in completing the ROC, please
telephone us at (609) 292-3630.
Enclosures:
Quarterly Report of Contributions
Transmittal Summary for 4th Quarter 2004
Return Envelope
December
2004
| To: |
Certifying
Officer
Public Employees' Retirement System (Non-Boards of Education)
Police and Firemen's Retirement System |
| From: |
John D.
Megariotis
Assistant Director, Finance |
| Subject: |
Report
of Salary Change Instructions |
The enclosed
Report of Salary Change lists those members projected on your fourth
quarter 2004 Report of Contributions.
The list shows the membership number, member's name, payment plan
(10/12 month), and provides space to insert the
base salary to be projected on the quarterly Report of Contributions
for the first calendar quarter of 2005.
Do not add any
members (i.e., new enrollments, transfers, employees returning from
leave of absence) or reflect any
name changes to this report.
You should insert
only the member's quarterly base salary, rounded to
the nearest dollar for January, February, and
March of 2005; this amount will be projected on the quarterly Report
of Contributions for the first quarter of 2005. For
example, if a member is paid over 12 months and has an annual salary
of $25,642, you should show a salary of
$6,411 to be projected for the first quarter 2005.
Project
only three full months of contractual base salary even if an employee
will be on leave of absence
or terminating employment. It has been our experience that employers
reporting one or two months of salary
on the Report of Salary Change have the correct base salary and
contributions on the next quarterly Report of Contributions, but
the months of service column is not changed to reflect the correct
service credit. (A projection for the 3rd quarter to a 10 month member is the only
situation when the salary projection would not be for 3 full months of base salary.)
There is sometimes
a delay in a municipality adopting its new budget, and although
salary changes are effective
January 1st, the retroactive increase is not paid until
the second quarter. Under these circumstances, it is suggested
that you forward the Report of Salary Change for the second quarter
to this Division before May 15th with the new quarterly
base salary for the second quarter plus the retroactive increase
covering the first quarter. This should be one combined
figure. In this case, you must denote on the first page of
the projection sheet that this is a second quarter salary projection.
In addition, you should request a Report of Salary Change for
the third quarter to insert the quarterly base salaries for the
third quarter Report of Contributions. If you follow this procedure,
it will avoid numerous changes on your Report of
Contributions, because the Division will project salaries and deductions
for each quarter.
The Division
will furnish a Report of Salary Change for any quarter upon request.
To avoid delays in submitting your
Report of Contributions, it is recommended that you use the Report
of Salary Change, rather than column 1 of the Report,
whenever you have numerous salary projections. To process a Report
of Salary Change, it must be returned to the Division
of Pensions and Benefits by the 15th of the second month
of a calendar quarter for the salaries to be projected for that
quarter.
To project the
salaries on your first quarter 2005 Report of Contributions, the
changes must be received no later than
February 15th.
In Summary
- Project
only 3 months of base salary (plus retroactive salary adjustments,
if applicable)
- Do not
add members
- Do not
make name changes
- Make
no entry if the member's salary did not change from last quarter's
reported salary
- Return
the report of salary change by February 15th
| TO:
|
Local
Government Certifying Officer
Public Employee’s Retirement System |
| FROM:
|
John
D. Megariotis
Deputy Director, Finance |
| SUBJECT: |
PUBLIC
EMPLOYEES’ RETIREMENT SYSTEM - Change to Member Pension
Rate - January 2005 |
Effective January
1, 2005, the member contribution rate will return to the normal
rate of 5% for local government employees enrolled in the PERS.
The previous
reduction in the member rate for the PERS was authorized by statute
and was based on the existence of surplus pension assets in the
retirement system. However, also per statute, when there are no
longer surplus pension assets, the member rate for PERS w ill return
to the normal rate of 5%. Since excess assets no longer exist
in the PERS for local government members, please be sure to deduct
the 5% rate for base salary reported on or after January 1, 2005.
Retroactive
increases in base salary paid on or after January 1, 2005, must
have corresponding pension contributions deducted at the 5% rate;
including any portion of the retroac tive salary that covered a
period prior to January 1, 2005.
November
29, 2004
| TO: |
Chief
School Administrators
Charter School Lead Persons
County Superintendents |
| FROM: |
Richard
C. Ten Eyck, Assistant Commissioner
Division of Educational Programs and Assessment |
| SUBJECT: |
Teacher
Mentoring |
Recent changes
in the state licensing regulations allowed districts to use retired
teachers and administrators to serve as mentors for new teachers.
We have recently received information from the Division of Pensions
and Benefits that such employment could violate the earnings threshold
established in statute for the Teachers' Pensions and Annuity Fund
(TPAF). This violation could jeopardize either their earnings or
benefits and result in a requirement to make restitution to the
state for any pension payments made during the employment period.
The following
are the statutory citations that govern the TPAF enrollment:
N.J.S.A. 18A:66-4
- Membership
No person
in employment, office or position, for which the annual salary
or remuneration is fixed at less that $500 shall be eligible
to become a member of the retirement systems. This means anyone
making $500 or more must become a member.
N.J.S.A. 17:3-2.1
- Enrollment Eligibility
(a) Any person
appointed by the State, local board of education, or charter school
to a position listed in the definition of "teacher"
found in N.J.S.A. 18A:66-2(p) or as a regular full-time or part-time
employee in position that meets the following conditions shall
be required to become a member of the Fund effective as of the
date of their employment:
- The position
requires a valid certificate issued by the State Board of Education
and the person employed holds this valid certificate;
- The position
is covered by Social Security; and
- The salary
for the position is $500 or more within a year.
The stipend
for mentoring is $550 for traditional route provisional teacher
mentors and $1000 for alternate route provisional teacher mentors.
The Division of Pensions and Benefits has advised the Department
of Education that all retired mentor teachers making more that $499
would fall under the definition in the statute.
If you have further questions on the mentoring pension issues, please
contact Dr. Jay Doolan, Director, Office of Academic and Professional
Standards at 609-984-5322. For all other questions involving the
use of retired teachers and administrators in schools, please contact:
Mindy
Smith-Sopko
Legislative/Legal Affairs Unit
Division of Pensions and Benefits
Department of the Treasury
P.O. Box 295
Trenton, NJ 08625-0295
October 2004
| TO: |
State
Health Benefits Program Local Government and Education Employers |
| FROM: |
Florence
J. Sheppard
Deputy Director, Benefits Operations |
| SUBJECT: |
Extension
of the Employee Dental Plans to Local Government and Education
Employers |
The State
Health Benefits Commission has authorized the extension of the Employee
Dental Plans to State Health Benefits Program (SHBP) participating
employers effective January 1, 2005. Local government and education
employers that offer SHBP medical plan coverage to their employees
may now offer the same dental plans to their employees that are
currently offered to active State employees. Participating SHBP
employers may adopt the Employee Dental Plans for their active employees
and their dependents by filing the attached resolution with the
Division of Pensions and Benefits, State Health Benefits Bureau.
Employers
with less than 250 employees must file a completed resolution to
participate in the Employee Dental Plans at least 75 days prior
to the effective date of coverage. Employers with 250 or more employees
must file at least 90 days prior to the desired effective date of
coverage. Employers electing to participate must remain in the
Employee Dental Plans for at least 12 consecutive months.
If you elect
to participate in the Employee Dental Plans, your employees will
have a choice between two types of dental plans:
- the Dental
Expense Plan; or
- a Dental
Plan Organization (DPO).
Dental Expense
Plan
The Dental
Expense Plan is a traditional indemnity, fee-for-service plan administered
by Aetna Dental that reimburses covered services provided by any
dental provider licensed to practice at a percentage of reasonable
and customary fees. There is a $50 per person annual deductible,
maximum of $150 per family, which must be met before reimbursements
are made. The deductible is waived for diagnostic, preventive, and
orthodontic services. The plan covers preventive, basic restorative,
and major restorative services at different levels and orthodontic
services are eligible only up to a limited amount. The Dental Expense
Plan has a passive network of dentists who have agreed to accept
a discounted fee for services. If an employee uses a network provider,
the fee for the service will generally be lower than that charged
by an out-of-network dentist so the employee's costs will be lower.
The plan is described in greater detail in the enclosed Fact
Sheet #37, SHBP Employee Dental Plans.
Dental Plan
Organizations (DPOs)
DPOs contract
with a network of providers for dental services and employees enrolling
in these plans must use providers participating with the DPO to
receive coverage. As long as the employee uses a DPO dentist, diagnostic
and preventive services are covered in full. Most other eligible
expenses require a copayment. Orthodontic treatment is covered
for both children and adults. For more information on DPOs, refer
to the enclosed Fact Sheet #37, SHBP
Employee Dental Plans.
The State Health
Benefits Commission currently contracts with 10 DPOs as follows:
|
Aetna
DMO |
Flagship
Health Systems, Inc. |
|
Atlantic
Southern Dental (Benecare) |
Fortis
Benefits DentalCare |
|
CIGNA
Dental Health |
Group
Dental Health Administrators |
|
Community
Dental Associates |
Healthplex
|
|
Dental
Group of New Jersey, Inc. |
Horizon
Dental Choice |
Employee
Dental Plans Member Handbook
The SHBP publishes
a handbook detailing the dental plan benefits. A newly revised
SHBP Employee Dental Plans Member Handbook
- that includes benefits to local government and education employees
- will be available to enrolled members in January 2005. Prior
to publication, employers and employees may consult the current
State Group Dental Program Member Handbook which describes
benefits that are identical to the 2005 plan year benefits with
the following exceptions:
- Procedures
for oral evaluations and cleanings for the SHBP Dental Plans will
change. Diagnostic oral evaluations can be performed up to two
times per calendar year; X-rays can be made for two series of
up to four films per calendar year; preventative dental cleanings
can be performed two times in a calendar year; and two fluoride
treatments can be performed per calendar year for eligible dependent
children under 19 years of age.
- Effective
for the 2005 plan year, Unity Dental Plan Organization will no
longer be offered under the SHBP Employee Dental Plans.
The member
handbook is available for viewing online from a link at the SHBP
home page: www.state.nj.us/treasury/pensions/shbp.htm
Employer
Participation in the Employee Dental Plans
The rules established
by the State Health Benefits Commission for participation in the
Employee Dental Plans are generally the same as for the SHBP medical
plans with the following exceptions.
- An employee
who terminates dental coverage does not have a right of conversion
to non-group coverage.
- Duplicate
coverage within the Employee Dental Plans is not permitted; an
individual may be covered as an employee or as a dependent but
not as both an employee and a dependent. Dependent children may
only be covered by one parent.
- An employee
must participate in their chosen dental plan for a minimum of
12 consecutive months.
- There is
no premium delay of 30 or 60 days of the employer premium charges
for the Employee Dental Plans.
Employee
Dental Plans Cost
The Employee
Dental Plans are being offered to local employers at the same rates
the State pays. If over the next few years there appears to be
a significant difference in the utilization of the State group verses
the local employer group, separate rates will be developed. A rate
chart for calendar year 2005 is attached.
If a participating
local employer does not pay 100 percent of the cost of coverage
in the Employee Dental Plans, the employee's share of the cost may
be determined by a formula different from that used to determine
their cost for medical coverage, provided that the employee's share
of the cost for dental coverage is not more than 50 percent. For
employee contribution purposes only, the DPO rates are calculated
in aggregate, that is, the employee contribution for DPO coverage
is the same regardless of the DPO selected. The State Health Benefits
Commission determines DPO premium rates based upon the value of
services provided. Plans of higher value receive higher premiums.
The use of a DPO composite rate prevents adverse selection by employees
against the better performing (and more expensive) plans. The 50
percent maximum employee contribution and the DPO composite rate
are provided in the attached rate chart.
Retiree Dental
Expense Plan
The State
Health Benefits Commission will also offer a Retiree Dental Expense
Plan to State and Local SHBP retirees effective January 1, 2005.
All retirees eligible for enrollment in the SHBP will be offered
an opportunity to enroll in this new dental coverage. Generally,
retirees will be enrolled on a retiree-pay-all basis, although participating
employers may elect to pay all or a portion of the cost of post-retirement
dental coverage for eligible retirees. Information about this plan
is available in Fact Sheet #73, Retiree
Dental Expense Plan, which is available on our Web site at:
www.state.nj.us/treasury/pensions
For More
Information
General information
about the SHBP Dental Plans can be found on the SHBP Web site at:
www.state.nj.us/treasury/pensions/shbp.htm
If you have specific questions about the plans, employers can
call the Employer Hotline at (609) 292-5353 (select option 1 when
prompted for the D
ental Plan mailbox), or e-mail the Division of
Pensions and Benefits at: pensions.nj@treas.state.nj.us
Enclosures
September 2004
| TO: |
Certifying
Officers
NJ State Health Benefits Program |
| FROM:
|
John
D. Megariotis
Deputy Director of Finance |
| SUBJECT: |
Transmittal
Electronic Payment System (TEPS) |
We
are very pleased to announce that we have enhanced the Transmittal
Electronic Payment System (TEPS) so you may remit your State Health
Benefits (SHBP) payments electronically. The Active Employer and
Retired Employer Group payments, if applicable, can be processed
by using the Internet or placing a toll free telephone call.
All
employers' remittances must be made through the TEPS program beginning
December 27, 2004. After this date, paper checks will not be accepted.
TEPS is a safe and efficient system that allows you to authorize
payments from your bank account to the Division of Pension and Benefits.
- Convenient
and Easy-To-Use: You can make your SHBP payments using the
Internet or the telephone seven days a week. Each payment method
will prompt you for the required information.
- Free of
Charge: No more need to issue checks or incur mailing costs,
ultimately reducing your time and cost on this monthly task. There
is no charge by the State of New Jersey, Division of pensions
and Benefits for using TEPS. Your bank may charge you an incidental
fee to process these transactions.
- Increased
Control: A payment is made only when you authorize it through
one of the payment methods. You will have maximum use of your
funds with the added benefit of ensuring on-time payments. You
also have the capability to inquire, cancel or research a payment.
- Increased
Reliability: Once you have completed the payment through one
of the payment methods, you will receive a reference number as
your proof of payment. The Division will receive your payment
the next business day, as long as you enter your payment before
the 5:30 p.m. cut off time.
To
implement this system for SHBP, employer must complete the attached
Employer Authorization Form for each employer identification number.
Be sure to follow the instructions and attach an original voided
blank bank check and return the completed document in the enclosed
envelope. The Employer Authorization Form is also available on the
Division's Web site. If you have Acrobat Reader version 4.0 or higher,
the form can be completed on line an printed. All forms must be
signed by the Certifying Officer and dated. You must submit your
form with a voided check to P.O. Box 9581, Trenton, NJ 08650-9581
or you may fax the form and voided check to (720) 332-0039. Please
allow fourteen to twenty-one days for the enrollment process. When
this is complete, you will receive a Welcome Packet that contains
a welcome letter, a temporary password, and easy instructions on
how to use the TEPS System. For the Internet payment method, the
TEPS Web site has a user friendly program that will guide you through
the payment, inquiry, or payment cancellation processes.
If
you have any questions about the enrollment process, please contact
Customer Service at the TEPS Helpline at (888)-835-3345 between
9:00 a.m. and 7:00 p.m. We appreciate your cooperation in complying
with the new procedure. Thank you for your participation.
September 14, 2004
| TO: |
State
Health Benefits Program Participating Local Government Employers |
| FROM: |
Florence
J. Sheppard
Deputy Director, Benefits Operations |
| SUBJECT: |
SHBP
Open Enrollment 2004 - Local Government Employers |
The State Health
Benefits Program (SHBP) Open Enrollment Period for local government
employees will begin on October 1, 2004 and end on November 1,
2004. All changes to coverage made during this open enrollment
will be effective on January 1, 2005.
Completed employer-certified
health benefit and/or dental applications should be forwarded to
the Health Benefits Bureau as soon as they are received from employees.
The last day that certified applications may arrive at the Health
Benefits Bureau to be effective for the start of the new plan year
is November 8, 2004.
In keeping
with its current policy, the SHBP will not provide health fairs
during this year's open enrollment period.
RATES
FOR 2005
The State Health
Benefits Commission has approved new health and prescription drug
plan rates for the 2005 plan year. These rates are based upon the
recommendation of the Commission's actuarial consultant, Milliman
USA. Since the SHBP self-funds most of its plans, the claims experience
used in projecting 2005 costs are based upon the actual claims experience
of the group.
Health benefit
costs for many employer-sponsored plans continued to experience
double digit increases in 2004, although there are signs of moderation.
For the SHBP, we are pleased to report that favorable claims experience
for 2003 and 2004 has helped to produce medical plan rate increases
for the 2005 plan year that are somewhat lower than emerging trends.
For the Employee Prescription Drug Plan, although emerging trends
continue in the double digits, increases were suppressed by a large
number of highly utilized drugs coming off patent, going generic
or over-the-counter, resulting in a rate increase for the Plan of
only 8.4%. Many industry experts predict that health care costs
will begin to moderate over the next few years due to some restraint
in hospital costs and stabilization of drug costs, but caution that
double digit rate increases remain a possibility for many employer-sponsored
health plans.
Effective January
1, 2005, SHBP plan rates for the Local Government Active Group will
see the following aggregate percentage of increase:
| |
NJ
PLUS |
Traditional
Plan |
HMO
Plans
(Composite Change) |
Employee
Prescription Drug Plan |
|
Local
Government Employers with Separate Rx Coverage |
7.0% |
7.1% |
0.4% |
8.4% |
|
Local
Government Employers without Separate Rx Coverage |
10.0% |
9.9% |
4.4% |
N/A |
MEDICAL
AND PRESCRIPTION DRUG PLAN CHANGES
- Prescription
Mail Service Option Under NJ PLUS and the Traditional Plan -
Effective January 1, 2005, a mail order service is available in
the Employee Prescription Drug Reimbursement Plan offered to local
active, full-time employees and their dependents (and COBRA participants)
enrolled in NJ PLUS or the Traditional Plan who do not have a
separate prescription drug plan through their employer. The Employee
Prescription Drug Reimbursement Plan is administered by Horizon
Blue Cross Blue Shield of New Jersey through AdvancePCS, a Caremark
Company. The mail order service will allow members to obtain maintenance
prescriptions by mail from AdvanceRx.com, the mail service pharmacy
owned and operated by AdvancePCS.
DENTAL
PLAN INFORMATION
- Employee
Dental Plans Expansion - The State Health Benefits Commission
has authorized the extension of dental coverage to SHBP participating
local employers effective January 1, 2005. Participating SHBP
local employers may adopt the SHBP Employee Dental Plans for their
active employees and eligible dependents by filing the appropriate
resolution to participate with the State Health Benefits Bureau.
The Employee Dental Plans include the Dental Expense Plan and
several Dental Plan Organizations. An employer must agree to participate
in the Employee Dental Plans for 12 consecutive months and an
employee who enrolls in a dental plan must participate in their
chosen plan for a minimum of 12 consecutive months. A separate
mailing is being prepared that will describe the dental plan offering
in detail. Employers and employees can also see Fact
Sheet #37, SHBP Employee Dental Plans, for a description
of the plans and a chart outlining the benefits.
- New Retiree
Dental Expense Plan - A new Retiree Dental Expense Plan, administered
for the SHBP by Aetna Dental, will become effective January 1,
2005. The Plan is available to all retirees eligible to enroll
under the medical plans in the SHBP Retired Group. Generally,
retirees who enroll in the Retiree Dental Expense Plan are responsible
for paying the full cost of their coverage. Beginning January
1, 2005, when an employee becomes eligible for medical plan coverage
under the SHBP Retired Group, their SHBP offering letter will
include information on enrolling under the Retiree Dental Expense
Plan. This will be a one-time offering at time of retirement
or when first eligible for SHBP Retired Group enrollment. All
retirees who are currently receiving (or are eligible to receive)
benefits under the SHBP Retired Group (including those that waived
SHBP benefits because they have coverage under a public employer
group plan from a spouse or their own employment) will be offered
an opportunity to enroll in the Retiree Dental Expense Plan during
a special open enrollment period. This special open enrollment
period will be held from October 1, 2004 through March 31, 2005.
Communications will be mailed directly to these retirees.
A description
of the plan and a chart outlining the benefits of the new Retiree
Dental Expense Plan is available in Fact Sheet
#73, Retiree Dental Expense Plan, which can be found
on our Web site at: www.state.nj.us/treasury/pensions
RETIREE
PRESCRIPTION DRUG PLAN INFORMATION
In accordance
with the provisions of the pilot Retiree Prescription Drug Plan
under NJ PLUS and the Traditional Plan, effective January 1, 2005,
retail pharmacy copayments for a 30-day supply will increase to
$7 for generic drugs; $14 for preferred brand name drugs; and $29
for all other brand name prescription drugs. The mail order copayments
for a 90-day supply will increase to $7 for generic drugs, $21 for
preferred brand name drugs, and $36 for all other brand name prescription
drugs. The out-of-pocket maximum will increase to $552.
OPEN
ENROLLMENT INFORMATIONAL MATERIALS
MILESTONES
- Enclosed is a milestone
chart that lists the critical dates of the open enrollment period
and outlines the efforts being made to educate employees. Please
use this chart as a checklist to guide your activities during open
enrollment.
RATE CHARTS
- Enclosed you will find approved rates
for SHBP health and prescription drug plans. We have included rate
charts for employers with and without prescription drug coverage.
The listed rates are effective January 1, 2005 through December
31, 2005.
HEALTH CAPSULE
- The Health Capsule newsletter
announces the SHBP Open Enrollment Period to employees and presents
important information and changes that may affect their benefit
selection. A sample is enclosed for your review. The newsletters
are scheduled for delivery to Local employers in mid-September.
Please distribute them to your employees prior to the start of the
open enrollment period.
HEALTH PLAN
CONTACTS - Also included in this mailing is a listing of marketing
contacts for the various health and dental plans. Use these
contacts to obtain provider directories or other plan specific literature.
(These telephone numbers are not for member services. Please
do not give these telephone numbers to your employees.)
NEW HEALTH
PLAN APPLICATIONS - Enclosed you will find a copy of the most
current application
for SHBP health plans (including prescription drug coverage). The
application is also available for download from the SHBP home page.
For this open enrollment period, the Health Benefits Bureau will
continue to accept employer-certified changes to SHBP plans on either
this newly revised application or the former Local Employer Group
application.
Note:
A separate application is used for enrollment in the SHBP Employee
Dental Plans, and will be forwarded to those employers who adopt
the plan.
HEALTH PLAN
COMPARISON CHARTS - The SHBP Plan Comparison Chart for Local
Government/Educational Active Employees and All Retirees is currently
being printed and copies will be shipped to employers for the start
of the open enrollment period.
SUMMARY
PROGRAM DESCRIPTION (SPD) BOOKLET - The SHBP Summary
Program Description has been revised for the 2005 plan year.
The booklet is currently being printed and copies will be shipped
to employers for the start of the SHBP Open Enrollment Period.
The SPD is also available for viewing over the Internet at: www.state.nj.us/treasury/pensions/shbp.htm
PLAN HANDBOOKS
- The SHBP's member handbooks for the Traditional Plan, NJ PLUS,
the Employee Prescription Drug Plan, and the SHBP Dental Plans are
being revised for the 2005 plan year. New editions will be available
in January 2005 for plan enrollees.
ONLINE
INFORMATION
The SHBP's
plan comparisons, member handbooks, newsletters, and rate information
are available over the Internet at the State Health Benefits Program
home page: www.state.nj.us/treasury/pensions/shbp.htm
Web-based presentations
on the SHBP Open Enrollment Period will also be available for both
employers and employees during the open enrollment period. Once
open enrollment begins you will find the link on the SHBP home page.
Participating
provider information for all SHBP medical plans is available in
the Unified
Provider Directory (UPD). The UPD is an online service that
provides a comprehensive listing of health care providers and facilities
that deliver their services through one or more of the SHBP's health
care plans. Updated monthly, you can access the UPD through the
SHBP home page at: www.state.nj.us/treasury/pensions/shbp.htm
ADDITIONAL
INFORMATION
If you have
any questions about the SHBP Open Enrollment Period or the information
in this letter, please contact our Office of Client Services at
(609) 292-5353, and select option #2 on the phone. When prompted,
leave a message and a representative will return your call.
Thank you for
your assistance in making the SHBP Open Enrollment Period a success
for your employees.
Enclosure:
September
14, 2004
| TO: |
State
Health Benefits Program Participating Local Education Employers |
| FROM: |
Florence
J. Sheppard
Deputy Director, Benefits Operations |
| SUBJECT: |
SHBP
Open Enrollment 2004 - Local Education Employers |
The State
Health Benefits Program (SHBP) Open Enrollment Period for local
Board of Education employees will begin on October 1, 2004 and
end on November 1, 2004. All changes to coverage made during
this open enrollment will be effective on January 1, 2005.
Completed
employer-certified health benefit and/or dental applications should
be forwarded to the Health Benefits Bureau as soon as they are received
from employees. The last day that certified applications may arrive
at the Health Benefits Bureau to be effective for the start of the
new plan year is November 8, 2004.
In keeping
with its current policy, the SHBP will not provide health fairs
during this year's open enrollment period.
RATES
FOR 2005
The State
Health Benefits Commission has approved new health and prescription
drug plan rates for the 2005 plan year. These rates are based upon
the recommendation of the Commission's actuarial consultant, Milliman
USA. Since the SHBP self-funds most of its plans, the claims experience
used in projecting 2005 costs are based upon the actual claims experience
of the group.
Health benefit
costs for many employer-sponsored plans continued to experience
double digit increases in 2004, although there are signs of moderation.
For the SHBP, we are pleased to report that favorable claims experience
for 2003 and 2004 has helped to produce medical plan rate increases
for the 2005 plan year that are somewhat lower than emerging trends.
For the Employee Prescription Drug Plan, although emerging trends
continue in the double digits, increases were suppressed by a large
number of highly utilized drugs coming off patent, going generic
or over-the-counter, resulting in a rate increase for the Plan of
only 8.4%. Many industry experts predict that health care costs
will begin to moderate over the next few years due to some restraint
in hospital costs and stabilization of drug costs, but caution that
double digit rate increases remain a possibility for many employer-sponsored
health plans.
Effective
January 1, 2005, SHBP plan rates for the Local Education Active
Group will see the following aggregate percentage of increase:
| |
NJ
PLUS |
Traditional
Plan |
HMO
Plans
(Composite Change) |
Employee
Prescription Drug Plan |
|
Local
Education Employers with Separate Rx Coverage |
5.9% |
11.0% |
0.4% |
8.4% |
|
Local
Education Employers without Separate Rx Coverage |
3.9% |
8.1% |
4.4% |
N/A |
MEDICAL
AND PRESCRIPTION DRUG PLAN CHANGES
- Prescription
Mail Service Option Under NJ PLUS and the Traditional Plan -
Effective January 1, 2005, a mail order service is available in
the Employee Prescription Drug Reimbursement Plan offered to local
active, full-time employees and their dependents (and COBRA participants)
enrolled in NJ PLUS or the Traditional Plan who do not have a
separate prescription drug plan through their employer. The Employee
Prescription Drug Reimbursement Plan is administered by Horizon
Blue Cross Blue Shield of New Jersey through AdvancePCS, a Caremark
Company. The mail order service will allow members to obtain maintenance
prescriptions by mail from AdvanceRx.com, the mail service pharmacy
owned and operated by AdvancePCS.
DENTAL
PLAN INFORMATION
- Employee
Dental Plans Expansion - The State Health Benefits Commission
has authorized the extension of dental coverage to SHBP participating
local employers effective January 1, 2005. Participating SHBP
local employers may adopt the SHBP Employee Dental Plans for their
active employees and eligible dependents by filing the appropriate
resolution to participate with the State Health Benefits Bureau.
The Employee Dental Plans include the Dental Expense Plan and
several Dental Plan Organizations. An employer must agree to participate
in the Employee Dental Plans for 12 consecutive months and an
employee who enrolls in a dental plan must participate in their
chosen plan for a minimum of 12 consecutive months. A separate
mailing is being prepared that will describe the dental plan offering
in detail. Employers and employees can also see Fact Sheet #37,
SHBP Employee Dental Plans, for a description of the plans
and a chart outlining the benefits.
- New Retiree
Dental Expense Plan - A new Retiree Dental Expense Plan, administered
for the SHBP by Aetna Dental, will become effective January 1,
2005. The Plan is available to all retirees eligible to enroll
under the medical plans in the SHBP Retired Group. Generally,
retirees who enroll in the Retiree Dental Expense Plan are responsible
for paying the full cost of their coverage. Beginning January
1, 2005, when an employee becomes eligible for medical plan coverage
under the SHBP Retired Group, their SHBP offering letter will
include information on enrolling under the Retiree Dental Expense
Plan. This will be a one-time offering at time of retirement
or when first eligible for SHBP Retired Group enrollment. All
retirees who are currently receiving (or are eligible to receive)
benefits under the SHBP Retired Group (including those that waived
SHBP benefits because they have coverage under a public employer
group plan from a spouse or their own employment) will be offered
an opportunity to enroll in the Retiree Dental Expense Plan during
a special open enrollment period. This special open enrollment
period will be held from October 1, 2004 through March 31, 2005.
Communications will be mailed directly to these retirees.
A description
of the plan and a chart outlining the benefits of the new Retiree
Dental Expense Plan is available in Fact Sheet
#73, Retiree Dental Expense Plan, which can be found
on our Web site at: www.state.nj.us/treasury/pensions
RETIREE
PRESCRIPTION DRUG PLAN INFORMATION
In accordance
with the provisions of the pilot Retiree Prescription Drug Plan
under NJ PLUS and the Traditional Plan, effective January 1, 2005,
retail pharmacy copayments for a 30-day supply will increase to
$7 for generic drugs; $14 for preferred brand name drugs; and $29
for all other brand name prescription drugs. The mail order copayments
for a 90-day supply will increase to $7 for generic drugs, $21 for
preferred brand name drugs, and $36 for all other brand name prescription
drugs. The out-of-pocket maximum will increase to $552.
OPEN
ENROLLMENT INFORMATIONAL MATERIALS
MILESTONES
- Enclosed is a milestone
chart that lists the critical dates of the open enrollment period
and outlines the efforts being made to educate employees. Please
use this chart as a checklist to guide your activities during open
enrollment.
RATE CHARTS
- Enclosed you will find approved rates
for SHBP health and prescription drug plans. We have included rate
charts for employers with and without prescription drug coverage.
The listed rates are effective January 1, 2005 through December
31, 2005.
HEALTH
CAPSULE - The Health Capsule
newsletter announces the SHBP Open Enrollment Period to employees
and presents important information and changes that may affect their
benefit selection. A sample is enclosed for your review. The newsletters
are scheduled for delivery to Local employers in mid-September.
Please distribute them to your employees prior to the start of the
open enrollment period.
HEALTH
PLAN CONTACTS - Also included in this mailing is a listing of
marketing contacts for the various
health and dental plans. Use these contacts to obtain provider directories
or other plan specific literature. (These telephone numbers are
not for member services. Please do not give these
telephone numbers to your employees.)
NEW HEALTH
PLAN APPLICATIONS - Enclosed you will find a copy of the most
current application
for SHBP health plans (including prescription drug coverage). The
application is also available for download from the SHBP home page.
For this open enrollment period, the Health Benefits Bureau will
continue to accept employer-certified changes to SHBP plans on either
this newly revised application or the former Local Employer Group
application.
Note:
A separate application is used for enrollment in the SHBP Employee
Dental Plans, and will be forwarded to those employers who adopt
the plan.
HEALTH PLAN
COMPARISON CHARTS - The SHBP Plan Comparison Chart for
Local Government/Educational Active Employees and All Retirees is
currently being printed and copies will be shipped to employers
for the start of the open enrollment period.
SUMMARY
PROGRAM DESCRIPTION (SPD) BOOKLET - The SHBP
Summary Program Descripti |