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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
May 2004
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

2003 CO Letters 2002 CO Letters 2001 CO Letters 2000 CO Letters
1999 CO Letters 1998 CO Letters 1997 CO Letters


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:

  1. The position requires a valid certificate issued by the State Board of Education and the person employed holds this valid certificate;
  2. The position is covered by Social Security; and
  3. 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

Employee Dental Plans Resolution
Calendar Year 2005 Employee Dental Plan Rates
Fact Sheet #37, SHBP Employee Dental Plans

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:

2004 SHBP Open Enrollment Milestone Chart
Health Plan Rate Charts
Health Capsule Newsletter (PDF file, size 86K - Requires Acrobat Reader)
Health Plan Marketing Contacts
SHBP Health/Prescription Drug Plan Application


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