CERTIFYING OFFICER LETTERS 2005
CERTIFYING OFFICER LETTERS FROM OTHER YEARS
December 2005
| TO: |
Certifying
Officer
Autonomous State College/University/State Employers |
| FROM: |
John
D. Megariotis
Deputy Director, Finance |
| SUBJECT: |
Report
of Contributions, Fourth Quarter 2005 (October 1st to December
31st) |
Notice to
Delinquent Report of Contribution Filers
In the past I have written explaining the importance of all employers
providing to the Division of Pensions and Benefits their quarterly
Report of Contributions (ROC) in a timely fashion. As stated in
the past, delays in receiving these reports affect the timeliness
of the Division providing services to ALL pension plan members,
not just your employees and retirees. Unfortunately, we continue
to experience delays associated to employer late reporting. I must
again ask for your help in avoiding these delays at all costs and
remind you that the Division will utilize everything at its disposal
in order to solicit timely reporting by the employers we work with
to provide benefit services to the State's public employees.
Reporting and Payment Information
Your 4th quarter 2005 tape ROC applicable to the Teachers' Pension
and Annuity Fund, Public Employees' Retirement System, and Police
and Firemen's Retirement System is due by January 10, 2006. Your
December 2005 transmittal remittance, which represents the 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, 2006.
With the tape ROC, you must complete and return the Transmittal
Summary form for the 4th quarter 2005. This document is used to
assist your office and this Division in reconciling your transmittal
remittances to the quarterly ROC. The Control and Certification
form must also accompany your quarterly tape ROC. This is essential
as it attests to the accuracy and validity of the submitted documentation.
If your quarterly ROC 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 ROC for the following quarter. A tape ROC
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 ROC 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 ROC. 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.
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 ROC. 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.
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, 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 federal ceiling for 2005 is $210,000.
In other words, under the provisions of the Internal Revenue Code,
Section 401(a)(17), for "qualified" defined benefit plans
{IRC § 401(a)(2)}, the current federal ceiling on pensionable
salary 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.
Should you have
any questions or need assistance in completing the Report, please
refer to http://www.state.nj.us/treasury/pensions/epbam/finance/roc.htm
December,
2005
| 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 2005 (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.
Reports
of Salary Change (NEW)
The Division
of Pensions and Benefits is no longer sending our reports of salary
change as has been our past practice. Now that the majority of
employers are reporting through the web, (I ROC), we are asking
that you use the report of contributions to submit these salary
changes for the next quarter. Should you need a paper report of
salary change please call (609) 292-3630.
Notice
to Delinquent Report of Contribution Filers
In the past
I have written explaining the importance of all employers providing
to the Division of Pensions and Benefits their quarterly ROC in
a timely fashion. As stated in the past, delays in receiving
these reports affect the timeliness of the Division providing
services to ALL pension plan members, not just your employees
and retirees. Unfortunately, we continue to experience delays
associated to employer late reporting. I must again ask for your
help in avoiding these delays at all costs and remind you that
the Division will utilize everything at its disposal in order
to solicit timely reporting by the employers we work with to provide
benefit services to the State's public employees.
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 well after the established due date. 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.
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, 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 federal ceiling for 2005 is $210,000.
In other
words, under the provisions of the Internal Revenue Code, Section
401(a)(17), for "qualified" defined benefit plans {IRC
§ 401(a)(2)}, the current federal ceiling on pensionable salary
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.
Should you
have any questions or need assistance in completing the ROC, please
telephone us at (609) 292-3630.
November
2005
| TO: |
Participating
Employers in the NJ State Health Benefits Program |
| FROM: |
NJ
State Health Benefits Program |
| SUBJECT: |
Termination
of NJ PLUS in Delaware |
In-network NJ
PLUS benefits are currently available to State Health Benefits Program
(SHBP) NJ PLUS members through the Blue Cross and Blue Shield of
Delaware provider network. Blue Cross and Blue Shield of Delaware
has made a decision to discontinue their network offerings in Delaware.
Although SHBP members may continue enrollment in NJ PLUS, the in-network
benefit will no longer be available in Delaware.
Beginning January
2006, the following options will be available to SHBP members in
Delaware:
- Traditional
Plan*
- Aetna HMO
- Amerihealth
HMO
- Cigna Healthcare
HMO
- NJ PLUS (out-of-network
only)
*Certain
State employees are prohibited from enrolling in the Traditional
Plan as determined by Union Contract.
For
a more detailed description of the SHBP plan options, please access
the Division of Pensions and Benefits Internet site at www.state.nj.us/treasury/pensions/shbp.htm On that site your employees can visit the Unified Provider Directory
which provides information about all participating physicians and
will provide you with information on the HMOs in which their current
physician may participate. The Division's Internet site also contains
a comparison chart illustrating the differences among all available
SHBP health plans.
If
any of your employee need to make a change, please have them complete
a NJ State Health Benefits Program Application. The SHBP open enrollment
period is being extended for NJ PLUS members who use Delaware Primary
Care Physicians. The completed applications must be returned to
the SHBP by December 1, 2005. If a plan change is not reported by
December 1, 2005, the NJ PLUS coverage will continue with out-of-network
benefits only and a new NJ PLUS identification card will be issued.
Coverage
changes will be effective January 1, 2006 for all state monthly
and local employers. For State employees paid through the State's
Centralized Payroll Unit, the effective date will be January 7,
2006.
If
you have questions concerning this announcement, please contact
Horizon Blue Cross Blue Shield at 1-800-414-SHBP (7427) or the Division
of Pensions and Benefits at 609-292-7524.
September,
2005
| TO: |
Certifying
Officer
Autonomous State College / University/State Employers |
| FROM: |
John D.
Megariotis
Deputy Director, Finance |
| SUBJECT: |
Report
of Contributions, Third Quarter 2005 (July 1st to September
30th) |
Notice to Delinquent
Report of Contribution Filers
In the past I have
written explaining the importance of all employers providing to the
Division of Pensions and Benefits their quarterly Report of Contributions
(ROC) in a timely fashion. As stated in the past, delays in receiving
these reports affect the timeliness of the Division providing services
to ALL pension plan members, not just your employees and retirees.
Unfortunately, we continue to experience delays associated to employer
late reporting. I must again ask for your help in avoiding these delays
at all costs and remind you that the Division will utilize everything
at its disposal in order to solicit timely reporting by the employers
we work with to provide benefit services to the State's public employees.
Reporting And
Payment Information
Your 3rd quarter
2005 tape ROC applicable to the Teachers' Pension and Annuity Fund,
Public Employees' Retirement System, and Police and Firemen's Retirement
System is due by October 10, 2005. Your September 2005 transmittal
remittance, which represents the 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 July 10, 2005.
With the tape ROC, you must complete and return the Transmittal Summary
form for the 3rd quarter 2005. This document is used to assist your
office and this Division in reconciling your transmittal remittances
to the quarterly ROC. The Control and Certification form must also
accompany your quarterly tape ROC. This is essential as it attests
to the accuracy and validity of the submitted documentation.
If your quarterly ROC 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 ROC for the following quarter. A tape ROC 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 ROC 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 ROC. 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.
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 ROC. 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.
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,
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
federal ceiling for 2005 is $210,000.
In other words,
under the provisions of the Internal Revenue Code, Section 401(a)(17),
for "qualified" defined benefit plans {IRC § 401(a)(2)},
the current federal ceiling on pensionable salary 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.
Should you have
any questions or need assistance in completing the Report, please
refer to http://www.state.nj.us/treasury/pensions/epbam/finance/roc.htm
September 2005
| 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, 3rd Quarter 2005 (July 1st to September 30th) |
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.
Notice To Delinquent Report Of Contribution Filers
In the past I have written explaining the importance of all employers
providing to the Division of Pensions and Benefits their quarterly
ROC in a timely fashion. As stated in the past, delays in receiving
these reports affect the timeliness of the Division providing services
to ALL pension plan members, not just your employees and retirees.
Unfortunately, we continue to experience delays associated to employer
late reporting. I must again ask for your help in avoiding these delays
at all costs and remind you that the Division will utilize everything
at its disposal in order to solicit timely reporting by the employers
we work with to provide benefit services to the State's public employees.
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 October 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.
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,
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
federal ceiling for 2005 is $210,000.
In other words, under the provisions of the Internal Revenue Code,
Section 401(a)(17), for "qualified" defined benefit plans
{IRC § 401(a)(2)}, the current federal ceiling on pensionable
salary 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.
Should you have any questions or need assistance in completing the
ROC, please telephone us at (609) 292-3630.
September
6, 2005
| TO: |
State
Departmental Human Resources Directors
State Biweekly Human Resources Representatives |
| FROM: |
Florence
J. Sheppard
Deputy Director, Benefits Operations |
| SUBJECT: |
SHBP
Open Enrollment 2005 - State Biweekly Employers |
The State Health Benefits Program (SHBP) Open Enrollment period for
all State employees will begin on October 1, 2005 and end on October
31, 2005. All changes to coverage made during this open enrollment
will be effective on January 7, 2006 for State biweekly employees
paid through the State Centralized Payroll Unit.
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 7, 2005.
In keeping with its current policy, the SHBP will not provide health
fairs during this year's open enrollment period.
RATES
FOR 2006
The State Health
Benefits Commission has approved new health, dental, and prescription
drug plan rates for the 2006 plan year. These rates are based upon
the recommendation of the Commission's actuarial consultant, Aon
Consulting. Since the SHBP self-funds most of its plans, the claims
experience used in projecting 2006 costs are based upon the actual
claims experience of the group. As of January 2006, all SHBP plans
will be self-funded.
Effective
January 7, 2006, SHBP plan rates for the State Active Group, will
see the following percentage of increase:
PLAN
TYPE |
RATE
INCREASE |
| NJ
PLUS |
9.3% |
| Traditional
Plan |
19.1% |
| HMO
Plans (Composite Change) |
15.0% |
| Prescription
Drug Plan |
12.2% |
| Dental
Provider Organization (DPO) Plans |
4.9%
(Aetna 5.4%) |
| Dental
Expense Plan |
3.5% |
PREMIUM SHARING
The premium
share arrangements remain unchanged. For those employees subject
to premium sharing:
- There is
no premium cost to any employee who enrolls in NJ PLUS.
- Employees
will pay 5% of the premium cost if enrolled in an HMO.
- Employees
will pay 25% of the premium cost if eligible and enrolled in the
Traditional Plan.
These percentages
apply regardless of salary level or date of hire.
MEDICAL
AND PRESCRIPTION DRUG PLAN CHANGES
The plan changes
that will affect the majority of employees are as follows:
- Employees
in State law enforcement bargaining units (most Fraternal Order
of Police units and all State Police units - including non-aligned
officers) are no longer eligible to participate in the SHBP Traditional
Plan effective July 1, 2005 (July 9, 2005 for State employees
paid through the State's Centralized Payroll Unit). In addition,
the closure of the Traditional Plan also applies to Fraternal
Order of Police retirees and State Police retirees (including
non-aligned officers) who retire after July 1, 2005, regardless
of their years of service credit.
- Employers
should also remember that new State employees hired on or after
July 1, 2003 and eligible for enrollment in the SHBP, are not eligible for coverage under the SHBP Traditional Plan.
Ineligible employees include State employees as determined by
union contract and all non-aligned State employees as provided
under Chapter 119, P.L. 2003.
Employees
who are not eligible for the Traditional Plan can choose from
among the six other plans offered by the SHBP such as NJ PLUS
or one of the five HMOs: Aetna, AmeriHealth, CIGNA HealthCare,
Health Net, and Oxford.
- Employees
who are newly married, or enrolling in the SHBP for the first
time during the Open Enrollment, and are enrolling their spouse
as a dependent are required to provide a copy of the marriage
certificate at the time of enrollment. Similarly, if an employee
is enrolling an eligible domestic partner as a dependent, a copy
of the NJ Certificate of Domestic Partnership is required
at the time of enrollment. To ensure that the documentation submitted
is properly matched to the employee's record, the Health Benefits
Bureau is requesting that employers provide the employee's Social
Security number on the copy of the marriage/partnership documentation.
DENTAL
PLAN INFORMATION
- Employee
Dental Plans Update - Oral Evaluations and cleanings were changed
for administrative ease of processing claims for all dental plans.
These changes were effective January 1, 2005, and should result
in fewer claim denials.
- 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;
- Preventive-
Dental cleanings can be performed two times in a calendar year;
and
- Fluoride - Two treatments can be performed per calendar year for eligible
dependent children under 19 years of age.
Formerly,
these benefits were available on a one-time basis every six months.
- Dental
Plan Note - Employees must maintain enrollment in a dental
plan choice for a minimum of 12 months before they are permitted
to change plans. Therefore, if an employee was not enrolled in
a dental plan as of January 1, 2005, they cannot make a dental
plan change during this open enrollment period.
- Retiree
Dental Expense Plan - The Retiree Dental Expense Plan, administered
for the SHBP by Aetna Dental, is now available to all retirees
when they enroll under the medical plans in the SHBP Retired Group.
Any retiree who enrolls in the Retiree Dental Expense Plan is
responsible for paying the full cost of their coverage. A description
of the plan and a chart outlining the benefits of the Retiree
Dental Expense Plan is available in Fact
Sheet #73, Retiree Dental Expense Plan Adobe PDF (38K), 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 Retiree Prescription Drug Plan under
NJ PLUS and the Traditional Plan, effective January 1, 2006, retail
pharmacy copayments for a 30-day supply will increase to $8 for
generic drugs; $16 for preferred brand name drugs; and $33 for all
other brand name prescription drugs. The mail order copayments for
a 90-day supply will increase to $8 for generic drugs, $25 for preferred
brand name drugs, and $41 for all other brand name prescription
drugs. At the time of this writing, the out-of-pocket maximum
for the 2006 plan year was yet to be determined by the State Health
Benefits Commission. Please visit: www.state.nj.us/treasury/pensions/shbp.htm for an update when it becomes available.
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 rate charts for your use,
as well as a sample open enrollment announcement flier that provides
a list of medical and dental plans and the premium sharing costs
for your employees. This flier is designed to assist your employees
in making informed decisions concerning their health care coverage
during this open enrollment period.
On September 23, the open enrollment announcement flier will be
distributed with paychecks to all employees paid through the State's
Centralized Payroll Unit.
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.
On September 23, the Health Capsule newsletter will be distributed
with paychecks to all employees paid through the State's Centralized
Payroll Unit.
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.)
HEALTH AND DENTAL PLAN APPLICATIONS - As a result of last
year's expansion of the SHBP Dental Plans to local government and
educational employers, the Health Benefits Bureau has two separate
applications: one application is for enrolling into the health plans
(including prescription drug coverage) and the other application
is for enrolling into the Employee Dental Plans. The health and
dental applications are available for download from the SHBP home
page at: www.state.nj.us/treasury/ pensions/shbp.htm
HEALTH PLAN COMPARISON SUMMARY CHARTS - Due to the difference
in SHBP benefits for State Active employees, Local/Educational Active
employees, and all retirees, the SHBP has developed two different Plan Comparison Summary charts - One for State Active employees
and one for Local/Educational Active employees and all retirees
(State and Local/Educational). The comparison chart for State Active
employees 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 2006 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 will also be 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 were revised for the 2005 plan year. Please continue
to use these editions of the handbooks for the 2006 plan year.
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
TAX$AVE
The State Employees'
Tax Savings Program (Tax$ave) Open Enrollment Period runs concurrent
with the SHBP Open Enrollment Period (October 1 - October 31, 2005).
Tax$ave is a benefit program available to full-time State employees
who are eligible for the SHBP. Tax$ave can save your employees tax
money by paying health and dental benefit premiums and eligible
unreimbursed medical and/or dependent care expenses from before-tax
dollars. See the Tax$ave Open Enrollment materials for more information.
Internal Revenue Service (IRS) rules require that for an employee
covered by the Premium Option Plan, payroll deductions for health
and dental plan benefits remain the same for the entire plan year.
Therefore, no coverage level changes can be made which result in
a change in the amount of an employee's health and/or dental plan
deduction unless a Qualifying Event has occurred.
Unreimbursed Medical Claim Period Extended - Any balance
remaining in a Tax$ave Unreimbursed Medical Spending Account as
of December 31, can now be used for eligible expenses incurred from
January 1 through March 15 of the following year. While this does
not eliminate the use-it-or-lose-it rule completely, employees now
have a longer period to obtain covered services and avoid forfeiting
unused funds. See the Tax$ave Open Enrollment announcement letter
or the Tax$ave 2006 newsletter for details.
Tax$ave and Domestic Partners - SHBP members need to be aware
of the possible federal tax implications of adding a domestic partner
to SHBP benefits. Since the federal tax code does not view domestic
partners in the same manner as spouses, an employer may have to
treat the domestic partner SHBP benefit as taxable to the employee
and withhold federal income, Social Security, and Medicare taxes
on its value. Similarly, since the domestic partner's coverage is
a federally taxable benefit, an employee who participates in the
Tax$ave Premium Option Plan cannot make pre-tax payments for the
cost of a domestic partner's coverage. Pre-tax dollars may still
be used to pay for the employee's portion of the cost of his or
her own and dependent children's coverage. If an employee wants
to claim a federal tax dependency exemption for a domestic partner,
he or she should contact the Internal Revenue Service or see IRS
Tax Topic 354 - Dependents for more details.
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.
| Enclosures: |
| Fall
2005 SHBP Open Enrollment Milestone Chart |
| Health
Plan Rate Charts |
| Dental
Plan Rate Charts |
| Health
Capsule Newsletter |
| Health
Plan Marketing Contacts |
| Dental
Plan Marketing Contacts |
September
6, 2005
| TO: |
State
Monthly Human Resources Representatives |
| FROM: |
Florence
J. Sheppard
Deputy Director, Benefits Operations |
| SUBJECT: |
SHBP
Open Enrollment 2005 - State Monthly Employers |
The State Health
Benefits Program (SHBP) Open Enrollment period for all State employees
will begin on October 1, 2005 and end on October 31, 2005. All changes to coverage made during this open enrollment will be
effective on January 1, 2006 for employees of State universities,
State colleges, and State authorities.
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 7, 2005.
In keeping with its current policy, the SHBP will not provide
health fairs during this year's open enrollment period.
RATES
FOR 2006
The State Health
Benefits Commission has approved new health, dental, and prescription
drug plan rates for the 2006 plan year. These rates are based upon
the recommendation of the Commission's actuarial consultant, Aon
Consulting. Since the SHBP self-funds most of its plans, the claims
experience used in projecting 2006 costs are based upon the actual
claims experience of the group. As of January 2006, all SHBP plans
will be self-funded.
Effective January
1, 2006, SHBP plan rates for the State Monthly Active Group, will
see the following percentage of increase:
PLAN
TYPE |
RATE
INCREASE |
| NJ
PLUS |
9.3% |
| Traditional
Plan |
19.1% |
| HMO
Plans (Composite Change) |
15.0% |
| Prescription
Drug Plan |
12.2% |
| Dental
Provider Organization (DPO) Plans |
4.9%
(Aetna 5.4%) |
| Dental
Expense Plan |
3.5% |
PREMIUM SHARING
The premium
share arrangements remain unchanged. For those employees subject
to premium sharing:
- There is
no premium cost to any employee who enrolls in NJ PLUS.
- Employees
will pay 5% of the premium cost if enrolled in an HMO.
- Employees
will pay 25% of the premium cost if eligible and enrolled
in the Traditional Plan.
These percentages
apply regardless of salary level or date of hire.
MEDICAL AND PRESCRIPTION DRUG PLAN CHANGES
The plan changes
that will affect the majority of employees are as follows:
- Employees
in State law enforcement bargaining units (most Fraternal Order
of Police units* and all State Police units - including non-aligned
officers) are no longer eligible to participate in the SHBP Traditional
Plan effective July 1, 2005. In addition, the closure of the Traditional
Plan also applies to Fraternal Order of Police retirees and State
Police retirees (including non-aligned officers) who retire after
July 1, 2005, regardless of their years of service credit.
*Note: This provision does not apply to Fraternal Order
of Police employees/retirees of Rutgers University, the University
of Medicine and Dentistry of New Jersey (UMDNJ), or the New Jersey
Institute of Technology (NJIT).
- Employers
should also remember that new State employees hired on or after
July 1, 2003 and eligible for enrollment in the SHBP, are not eligible for coverage under the SHBP Traditional Plan.
Ineligible employees include State employees as determined by
union contract and all non-aligned State employees as provided
under Chapter 119, P.L. 2003.
Employees
who are not eligible for the Traditional Plan can choose from
among the six other plans offered by the SHBP such as NJ PLUS
or one of the five HMOs: Aetna, AmeriHealth, CIGNA HealthCare,
Health Net, and Oxford.
- Employees
who are newly married, or enrolling in the SHBP for the
first time during the Open Enrollment, and are enrolling their
spouse as a dependent are required to provide a copy of the marriage
certificate at the time of enrollment. Similarly, if an employee
is enrolling an eligible domestic partner as a dependent, a copy
of the NJ Certificate of Domestic Partnership is required
at the time of enrollment. To ensure that the documentation submitted
is properly matched to the employee's record, the Health Benefits
Bureau is requesting that employers provide the employee's Social
Security number on the copy of the marriage/partnership documentation.
DENTAL
PLAN INFORMATION
- Employee
Dental Plans Update - Oral Evaluations and cleanings were changed for administrative
ease of processing claims for all dental plans. These changes
were effective January 1, 2005, and should result in fewer claim
denials.
- 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;
- Preventive - Dental cleanings can be performed two times in a calendar
year; and
- Fluoride - Two treatments can be performed per calendar year for eligible
dependent children under 19 years of age.
Formerly, these benefits were available on a one-time basis
every six months.
- Dental
Plan Note -
Employees must maintain enrollment in a dental plan choice for
a minimum of 12 months before they are permitted to change plans.
Therefore, if an employee was not enrolled in a dental plan as
of January 1, 2005, they cannot make a dental plan change during
this open enrollment period.
- Retiree
Dental Expense Plan - The Retiree Dental Expense Plan, administered
for the SHBP by Aetna Dental, is now available to all retirees
when they enroll under the medical plans in the SHBP Retired Group.
Any retiree who enrolls in the Retiree Dental Expense Plan is
responsible for paying the full cost of their coverage. A description
of the plan and a chart outlining the benefits of the Retiree
Dental Expense Plan is available in Fact
Sheet #73, Retiree Dental Expense Plan, Adobe
PDF (38K) 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 Retiree Prescription Drug Plan under
NJ PLUS and the Traditional Plan, effective January 1, 2006, retail
pharmacy copayments for a 30-day supply will increase to $8 for
generic drugs; $16 for preferred brand name drugs; and $33 for all
other brand name prescription drugs. The mail order copayments for
a 90-day supply will increase to $8 for generic drugs, $25 for preferred
brand name drugs, and $41 for all other brand name prescription
drugs. At the time of this writing, the out-of-pocket maximum for
the 2006 plan year was yet to be determined by the State Health
Benefits Commission. Please visit: www.state.nj.us/treasury/pensions/shbp.htm for an update when it becomes available.
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 rate charts for your
use, as well as sample open enrollment announcement fliers that
provide a list of medical and dental plans and the premium sharing
costs for State employees. These fliers are master copies that can
be reproduced for distribution to your employees. The fliers are
provided for three different payroll schedules (Monthly, 24 Pay
Periods, and 26 Pay Periods). Choose the flier that corresponds
to your payroll schedule.
These rate fliers are designed to assist your employees in making
informed decisions concerning their health and dental care. Please
distribute them to your employees prior to the start of the Open
Enrollment.
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 monthly employers in mid-September.
Please distribute them to your employees prior to the start of the
open enrollment.
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.)
HEALTH AND DENTAL PLAN APPLICATIONS - As a result of last
year's expansion of the SHBP Dental Plans to local government and
educational employers, the Health Benefits Bureau has two separate
applications: one application is for enrolling into the health plans
(including prescription drug coverage) and the other application
is for enrolling into the Employee Dental Plans. The health and
dental applications are available for download from the SHBP home
page at: www.state.nj.us/treasury/ pensions/shbp.htm
HEALTH PLAN COMPARISON SUMMARY CHARTS - Due to the difference
in SHBP benefits for State Active employees, Local/Educational Active
employees, and all retirees, the SHBP has developed two different
Plan Comparison Summary charts - One for State Active employees
and one for Local/Educational Active employees and all retirees
(State and Local/Educational). The comparison chart for State Active
employees 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 2006 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 were revised for the 2005 plan year. Please continue
to use these editions of the handbooks for the 2006 plan year.
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
TAX$AVE
The State Employees'
Tax Savings Program (Tax$ave) Open Enrollment Period runs concurrent
with the SHBP Open Enrollment Period (October 1 - October 31, 2005).
Tax$ave is a benefit program available to full-time State employees
who are eligible for the SHBP. Tax$ave can save your employees tax
money by paying health and dental benefit premiums and eligible
unreimbursed medical and/or dependent care expenses from before-tax
dollars. See the Tax$ave Open Enrollment materials for more information.
Internal Revenue Service (IRS) rules require that for an employee
covered by the Premium Option Plan, payroll deductions for health
and dental plan benefits remain the same for the entire plan year.
Therefore, no coverage level changes can be made which result in
a change in the amount of an employee's health and/or dental plan
deduction unless a Qualifying Event has occurred.
Unreimbursed Medical Claim Period Extended - Any balance
remaining in a Tax$ave Unreimbursed Medical Spending Account as
of December 31, can now be used for eligible expenses incurred from
January 1 through March 15 of the following year. While this does
not eliminate the use-it-or-lose-it rule completely, employees now
have a longer period to obtain covered services and avoid forfeiting
unused funds. See the Tax$ave Open Enrollment announcement letter
or the Tax$ave 2006 newsletter for details.
Tax$ave and Domestic Partners - SHBP members need to be aware
of the possible federal tax implications of adding a domestic partner
to SHBP benefits. Since the federal tax code does not view domestic
partners in the same manner as spouses, an employer may have to
treat the domestic partner SHBP benefit as taxable to the employee
and withhold federal income, Social Security, and Medicare taxes
on its value. Similarly, since the domestic partner's coverage is
a federally taxable benefit, an employee who participates in the
Tax$ave Premium Option Plan cannot make pre-tax payments for the
cost of a domestic partner's coverage. Pre-tax dollars may still
be used to pay for the employee's portion of the cost of his or
her own and dependent children's coverage. If an employee wants
to claim a federal tax dependency exemption for a domestic partner,
he or she should contact the Internal Revenue Service or see IRS
Tax Topic 354 - Dependents for more details.
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.
| Enclosures: |
| Fall 2005 SHBP Open
Enrollment Milestone Chart |
| Health Plan Rate Charts |
| Dental
Plan Rate Charts |
| Health
Capsule Newsletter |
| Health
Plan Marketing Contacts |
| Dental
Plan Marketing Contacts |
September
6, 2005
| TO: |
State Health
Benefits Program Participating Local Government Employers |
| FROM: |
Florence
J. Sheppard
Deputy Director, Benefits Operations |
| SUBJECT: |
SHBP
Open Enrollment 2005 - Local Government Employers |
The State Health
Benefits Program (SHBP) Open Enrollment Period for local government
employees will begin on October 1, 2005 and end on October 31,
2005. All changes to coverage made during this open enrollment
will be effective on January 1, 2006.
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 7, 2005.
In keeping with its current policy, the SHBP will not provide
health fairs during this year's open enrollment period.
RATES
FOR 2006
The State Health
Benefits Commission has approved new health and prescription drug
plan rates for the 2006 plan year. These rates are based upon the
recommendation of the Commission's actuarial consultant, Aon Consulting.
Since the SHBP self-funds most of its plans, the claims experience
used in projecting 2006 costs are based upon the actual claims experience
of the group.
Effective January 1, 2006, SHBP plan rates for the Local Government
Active Group will see the following percentage of increase:
| |
NJ
PLUS |
Traditional
Plan |
HMO
Plans
(Composite
Change) |
Employee
Prescription
Drug Plan |
Dental
Expense
Plan |
Dental
Plan
Organizations
(DPO) |
| Local
Government Employers with Separate Rx Coverage |
9.4% |
11.0% |
8.0% |
12.0% |
3.5% |
4.9%
(Aetna 5.4%) |
| Local
Government Employers without Separate Rx Coverage |
9.4% |
11.0% |
8.0% |
N/A |
3.5% |
4.9%
(Aetna 5.4%) |
MEDICAL AND PRESCRIPTION DRUG PLAN CHANGES
- Employees
who are newly married, or enrolling in the SHBP for the first
time during the Open Enrollment, and are enrolling their spouse
as a dependent are required to provide a copy of the marriage
certificate at the time of enrollment. Similarly, if an employee
is enrolling an eligible domestic partner as a dependent, a copy
of the NJ Certificate of Domestic Partnership is required at the
time of enrollment. To ensure that the documentation submitted
is properly matched to the employee's record, the Health Benefits
Bureau is requesting that employers provide the employee's Social
Security number on the copy of the marriage/partnership documentation.
DENTAL
PLAN INFORMATION
- Employee
Dental Plans - The SHBP Employee Dental Plans are now available
to participating local employers who adopt this benefit for their
active employees and eligible dependents. Employers and employees
should see Fact Sheet #37, SHBP Employee
Dental Plans Adobe PDF (44K), for a description of the plans and a chart outlining
the benefits.
- Retiree
Dental Expense Plan - The Retiree Dental Expense Plan, administered
for the SHBP by Aetna Dental, is now available to all retirees
when they enroll under the medical plans in the SHBP Retired Group.
Any retiree who enrolls in the Retiree Dental Expense Plan is
responsible for paying the full cost of their coverage. A description
of the plan and a chart outlining the benefits of the Retiree
Dental Expense Plan is available in Fact
Sheet #73, Retiree Dental Expense Plan Adobe PDF (38K), 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 Retiree Prescription Drug Plan under
NJ PLUS and the Traditional Plan, effective January 1, 2006, retail
pharmacy copayments for a 30-day supply will increase to $8 for
generic drugs; $16 for preferred brand name drugs; and $33 for all
other brand name prescription drugs. The mail order copayments for
a 90-day supply will increase to $8 for generic drugs, $25 for preferred
brand name drugs, and $41 for all other brand name prescription
drugs. At the time of this writing, the out-of-pocket maximum
for the 2006 plan year was yet to be determined by the State Health
Benefits Commission. Please visit: www.state.nj.us/treasury/pensions/shbp.htm for an update when it becomes available.
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, 2006 through December 31, 2006.
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.)
HEALTH AND DENTAL PLAN APPLICATIONS - As a result of last
year's expansion of the SHBP Dental Plans to local government and
educational employers, the Health Benefits Bureau has two separate
applications: one application is for enrolling into the health plans
(including prescription drug coverage if provided) and the other
application is for enrolling into the Employee Dental Plans (if
provided). The health and dental applications are available for
download from the SHBP home page at: www.state.nj.us/treasury/
pensions/shbp.htm
HEALTH PLAN COMPARISON SUMMARY CHARTS - SHBP Plan Comparison
Summary charts for Local/Educational Active employees and all retirees
are currently being printed and copies will be shipped to local
employers for the start of the open enrollment period.
SUMMARY PROGRAM DESCRIPTION (SPD) BOOKLET - The SHBP Summary
Program Description has been revised for the 2006 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 were revised for the 2005 plan year. Please continue
to use these editions of the handbooks for the 2006 plan year.
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: |
| Fall
2005 SHBP Open Enrollment Milestone Chart |
| Health
Plan Rate Charts |
| Dental
Plan Rate Charts |
| Health
Capsule Newsletter |
| Health
Plan Marketing Contacts |
| Dental
Plan Marketing Contacts |
September
6, 2005
| TO: |
State Health
Benefits Program Participating Local Education Employers |
| FROM: |
Florence
J. Sheppard
Deputy Director, Benefits Operations |
| SUBJECT: |
SHBP
Open Enrollment 2005 - Local Education Employers |
The State Health
Benefits Program (SHBP) Open Enrollment Period for local Board of
Education employees will begin on October 1, 2005 and end on
October 31, 2005. All changes to coverage made during this open
enrollment will be effective on January 1, 2006.
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 7, 2005.
In keeping with its current policy, the SHBP will not provide
health fairs during this year's open enrollment period.
RATES
FOR 2006
The State Health Benefits Commission has approved new health and
prescription drug plan rates for the 2006 plan year. These rates
are based upon the recommendation of the Commission's actuarial
consultant, Aon Consulting. Since the SHBP self-funds most of its
plans, the claims experience used in projecting 2006 costs are based
upon the actual claims experience of the group.
Effective January 1, 2006, SHBP plan rates for the Local Education
Active Group will see the following percentage of increase:
| |
NJ
PLUS |
Traditional
Plan |
HMO
Plans
(Composite
Change) |
Employee
Prescription
Drug Plan |
Dental
Expense
Plan |
Dental
Plan
Organizations
(DPO) |
| Local
Education Employers with Separate Rx Coverage |
6.4% |
16.6% |
8.0% |
12.0% |
3.5% |
4.9%
(Aetna 5.4%) |
| Local
Education Employers without Separate Rx Coverage |
6.4% |
16.6% |
8.0% |
N/A |
3.5% |
4.9%
(Aetna 5.4%) |
MEDICAL
AND PRESCRIPTION DRUG PLAN CHANGES
- Employees
who are newly married, or enrolling in the SHBP for the first
time during the Open Enrollment, and are enrolling their spouse
as a dependent are required to provide a copy of the marriage
certificate at the time of enrollment. Similarly, if an employee
is enrolling an eligible domestic partner as a dependent, a copy
of the NJ Certificate of Domestic Partnership is required at the
time of enrollment. To ensure that the documentation submitted
is properly matched to the employee's record, the Health Benefits
Bureau is requesting that employers provide the employee's Social
Security number on the copy of the marriage/partnership documentation.
DENTAL
PLAN INFORMATION
- Employee
Dental Plans - The SHBP Employee Dental Plans are now available
to participating local employers who adopt this benefit for their
active employees and eligible dependents. Employers and employees
should see Fact Sheet #37, SHBP Employee
Dental Plans Adobe PDF (44K), for a description of the plans and a chart outlining
the benefits.
- Retiree
Dental Expense Plan - The Retiree Dental Expense Plan, administered
for the SHBP by Aetna Dental, is now available to all retirees
when they enroll under the medical plans in the SHBP Retired Group.
Any retiree who enrolls in the Retiree Dental Expense Plan is
responsible for paying the full cost of their coverage. A description
of the plan and a chart outlining the benefits of the Retiree
Dental Expense Plan is available in Fact
Sheet #73, Retiree Dental Expense Plan Adobe PDF (38K), 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 Retiree Prescription Drug Plan under
NJ PLUS and the Traditional Plan, effective January 1, 2006, retail
pharmacy copayments for a 30-day supply will increase to $8 for
generic drugs; $16 for preferred brand name drugs; and $33 for all
other brand name prescription drugs. The mail order copayments for
a 90-day supply will increase to $8 for generic drugs, $25 for preferred
brand name drugs, and $41 for all other brand name prescription
drugs. At the time of this writing, the out-of-pocket maximum
for the 2006 plan year was yet to be determined by the State Health
Benefits Commission. Please visit: www.state.nj.us/treasury/pensions/shbp.htm for an update when it becomes available.
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, 2006 through December 31, 2006.
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.)
HEALTH AND
DENTAL PLAN APPLICATIONS - As a result of last year's expansion
of the SHBP Dental Plans to local government and educational employers,
the Health Benefits Bureau has two separate applications: one application
is for enrolling into the health plans (including prescription drug
coverage if provided) and the other application is for enrolling
into the Employee Dental Plans (if provided). The health and dental
applications are available for download from the SHBP home page
at: www.state.nj.us/treasury/ pensions/shbp.htm
HEALTH PLAN
COMPARISON SUMMARY CHARTS - SHBP Plan Comparison Summary charts
for Local/Educational Active employees and all retirees are currently
being printed and copies will be shipped to local employers for
the start of the open enrollment period.
SUMMARY
PROGRAM DESCRIPTION (SPD) BOOKLET - The SHBP Summary Program
Description has been revised for the 2006 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 were
revised for the 2005 plan year. Please continue to use these editions
of the handbooks for the 2006 plan year.
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: |
| Fall
2005 SHBP Open Enrollment Milestone Chart |
| Health
Plan Rate Charts |
| Dental
Plan Rate Charts |
| Health
Capsule Newsletter |
| Health
Plan Marketing Contacts |
| Dental
Plan Marketing Contacts |
August
22, 2005
| TO: |
SHBP
Local Government and Education Employers |
| FROM: |
Florence
J. Sheppard
Deputy Director, Benefits Operations |
| SUBJECT: |
Medicare
Prescription Drug Benefit - Part D |
On January 1, 2006,
a new prescription drug benefit for Medicare beneficiaries (Medicare
Part D) goes into effect. The State of New Jersey, as Plan Sponsor,
is working closely with its health benefits consultants to satisfy
all federal requirements in order for the State Health Benefits Program
(SHBP) to receive savings under Medicare Part D. As a participating
SHBP employer you do not need to take any action in order to share
in these savings. The savings will be reflected in the SHBP Calendar
Year 2006 Medicare Retiree Rates, which will be sent to you in September
2005.
SHBP employers
should not retain the services of an actuary or any other professional
for the purpose of attempting to apply for the Medicare Part D subsidy.
The SHBP will handle all administrative, compliance, and communications
matters, including those with the Centers for Medicare & Medicaid
Services (CMS), the federal agency responsible for administering
Medicare.
The design of
the SHBP plans available to all Medicare retirees will more than
meet Medicare Part D actuarial equivalency requirements and members
will receive a Medicare Part D Certificate of Creditable Coverage
from the SHBP this fall. From the retirees' perspective, there will
be little or no change in their SHBP prescription drug coverage
in 2006 as a result of Medicare Part D. Medicare retirees who pay
for the cost of their SHBP coverage will participate in the Medicare
Part D savings available to the SHBP, which will be reflected in
their 2006 rates. SHBP retirees should not apply for Medicare Part
D coverage under any of the new non-SHBP programs that will begin
marketing in October 2005.
Additional information will be added to the Division of Pensions
and Benefits Web site at: www.state.nj.us/treasury/pensions/shbp.htm as it becomes available.
August
15, 2005
| TO: |
State
Department Human Resource Directors
State Biweekly Payroll Locations Benefits Administrators |
| FROM: |
John
D. Megariotis
Deputy Director, Finance |
| SUBJECT: |
Open
Enrollment For The New Jersey State Employees Tax Savings Program
(Tax$ave 2006) |
The annual open
enrollment for the calendar year 2006 New Jersey State Employees
Tax Savings Program (Tax$ave 2006) will be conducted from October
1 through October 31, 2005. Full-time employees of the State who
are eligible for participation in the New Jersey State Health Benefits
Program (SHBP) may participate in Tax$ave.
About Tax$ave
Tax$ave consists of three components:
- The Premium
Option Plan (POP);
- The Unreimbursed
Medical Spending Account (UMSA); and
- The Dependent
Care Spending Account (DCSA).
Tax$ave offers
eligible employees the opportunity to increase their available income
by reducing their federal tax liability. Each year eligible employees
should review their personal financial circumstances and decide
if they wish to participate or not. Open Enrollment offers employees
the opportunity to conduct this review and then act on their decision.
Note: Tax savings on commuter mass transit and parking expenses
are available at any time as a separate benefit to State employees
under the Commuter Tax$ave Program and are not tied to this open
enrollment period.
See Fact Sheet #67, Commuter Tax$ave Program Adobe PDF (41K),
for details.
Premium Option Plan
Enrollment in the Premium Option Plan is automatic. This saves your
employees tax money by paying health and dental premiums from pre-tax
dollars and reducing their tax liability. If an employee does not
wish to take advantage of the Premium Option Plan in 2006 (and therefore
pay more in federal, Social Security, and Medicare taxes) he or
she should file a Declination of Premium Option Plan (POP) form.
Flexible Spending Accounts
The Unreimbursed Medical Spending Account (UMSA); and the Dependent
Care Spending Account (DCSA) are also referred to as Flexible Spending
Accounts (FSA's). Listed below are some of the benefits of FSA participation.
- New! -
Extended Claim Period. Employees enrolled in the Unreimbursed
Medical Spending Account now have until March 15 of the following
year to incur eligible expenses for the current plan year. Any
balance remaining in an UMSA as of December 31, can be used for
eligible expenses incurred from January 1 through March 15 of
the following year. For example, if there are leftover 2005 funds,
those dollars will be used first for any expenses, then 2006 funds
will be used once the 2005 dollars are exhausted. While this does
not eliminate the use-it-or-lose-it rule completely, employees
now have a longer period to obtain covered services and avoid
forfeiting unused funds.
- Many
over-the-counter drugs are eligible for reimbursement in the
Unreimbursed Medical Spending Account. Internal Revenue Service
rules permit over-the-counter products/medications deemed for
"medical care" to be considered reimbursable. "Medical
care" includes amounts paid for the diagnosis, cure, mitigation,
treatment, or prevention of disease. Amounts paid for medicines
and drugs are expenditures for medical care, but expenditures
that are merely beneficial to the general health of an individual,
such as vitamins and other supplements, are not eligible. For
more information about expenses that are eligible under Unreimbursed
Medical Spending Accounts and Dependent Care Spending Accounts,
please visit the Horizon Healthcare Web site through the link
from the Division of Pensions and Benefits' Tax$ave page at: www.state.nj.us/treasury/pensions/taxsave.htm
- Tax$ave
Unreimbursed Medical Spending Accounts feature the BennyTM Card,
a special MasterCard® that draws on the value of the employee's
annual UMSA election amount, making the UMSA easier to use. Each
time an employee uses Benny to pay for a qualified health care
expense at a health care provider or business that accepts MasterCard,
the amount of the qualified purchase is transferred from the UMSA
automatically - eliminating the need to lay out cash at the time
of purchase and file for a reimbursement. Once issued, the Benny
Card is good for five years and should not be thrown away at the
end of the plan year. Any new UMSA election amount will be automatically
available through an existing Benny Card account at the start
of the 2006 plan year.
Unlike the
POP or the health plans of the SHBP, prior participation in a Tax$ave
FSA in 2005 does not carry over automatically into 2006. Employees must enroll again to participate in an FSA for calendar
year 2006.
Enrolling in
a Flexible Spending Account
Employees have
three ways of enrolling in the Tax$ave FSA accounts: mail, telephone,
and Internet. The Tax$ave publications will provide the following
instructions to employees:
- Mail: FSA Election Applications must be mailed directly to Horizon Healthcare
by the employee. All election forms must be postmarked no later
than October 31, 2005, to be accepted. Those postmarked after
October 31, 2005 will be returned without action. Benefits offices
should not be involved in processing or mailing FSA Election Applications.
- Telephone: Employees may either enroll (or reenroll) in the UMSA or DCSA
plans for 2006 over the phone by calling Horizon Healthcare's
automated voice response unit at 1-800-224-4426. This is a great
opportunity to quickly and easily go through the process of a
new or repeat enrollment. Horizon will inform current participating
employees of this opportunity through a direct mailing in September.
The deadline for enrollment by telephone is midnight, October
31, 2005.
- Internet: Again this year employees have the ability to enroll (or reenroll)
over the Internet. Go to the Horizon Healthcare Web page through
a link from the Division of Pensions and Benefits' Tax$ave page
at: www.state.nj.us/treasury/pensions/taxsave.htm and follow the simple directions. The deadline for enrollment
over the Internet is midnight, October 31, 2005.
Tax$ave
and Domestic Partners
Under the New Jersey Domestic Partnership Act, State employees are
now able to add a same-sex domestic partner to their health and
dental insurance coverage. However, before any premiums that the
employee pays for the domestic partner coverage can be made on a
pre-tax basis under the Tax$ave Premium Option Plan, the domestic
partner must be able to qualify as a "tax dependent" of
the employee for federal tax filing purposes under IRC Section
152. Similarly, the domestic partner must qualify as the employee's
federal tax dependent before an out-of-pocket medical expense incurred
by the domestic partner can be reimbursed under the Unreimbursed
Medical Spending Account.
If the domestic partner is not a "qualified tax dependent" of the employee, any premium deductions made for the domestic partner's
coverage must be made on an after-tax basis and funds in the Unreimbursed
Medical Spending Account cannot be used to cover the domestic
partner's medical expenses. See IRS Tax Topic 354 - Dependents for
additional information on dependent status for federal tax purposes.
Additional information regarding the Domestic Partnership Act can
be found in Fact Sheet #71, Benefits Under
the Domestic Partnership Act Adobe PDF (56K), which is available on the Division
of Pensions and Benefits Web site: www.state.nj.us/treasury/pensions
Employee Seminars
Upon request, Horizon Healthcare will provide Tax$ave educational
seminars, at your workplace, for interested employees. The seminars
are about 60 minutes in duration and includes time for questions
and answers. These seminars have proven to be very successful educational
tools and we strongly encourage you to make one available to your
employees. Please see the enclosed
request form to schedule a seminar with a Horizon Healthcare
representative (please note that we ask for a minimum of 25 employees).
Tax$ave Support Materials
The remainder of this letter provides information on the Tax$ave
Open Enrollment publications and support available to assist you
in explaining this important benefit program to your employees.
Please do your best to make a concerted effort to inform your employees
of the open enrollment and to educate them on the valuable benefits
that Tax$ave offers them. We believe that more employees will participate
in Tax$ave if they are made aware and understand the value of the
tax savings offered by the program.
Enclosed is the Tax$ave
Open Enrollment Milestones chart that lists the critical dates
of the Tax$ave 2006 Annual Open Enrollment and outlines the efforts
being made to educate employees. Please use this chart as a checklist
to guide your activities during the open enrollment.
Anouncement of the open enrollment to employees paid through Centralized
Payroll will be made in a September 9 paycheck message that will
be accompanied by three payroll inserts. These inserts are:
- The Tax$ave
2006 Open Enrollment News that announces the open enrollment,
outlines the components of the program with emphasis on its tax
saving advantages, and identifies the October 31, 2005 deadline
for submission of all election materials;
- An FSA
pamphlet that describes the Unreimbursed Medical Spending
Account (UMSA) and the Dependent Care Spending Account (DCSA);
and
- The
Premium Option Plan 2006 pamphlet that explains the advantages
and disadvantages of participation.
The September
23 paychecks will carry another Tax$ave 2006 Open Enrollment announcement
message and "reminder messages" will be provided to employees
through paycheck messages on October 7 and October 21 (a final November
4 paycheck message will address the Commuter Tax$ave Program). The
text of these check message announcements and preview copies of
the Tax$ave publications are enclosed with this letter.
The other open enrollment materials you will need are the FSA Election
Kits and the Declination of Premium Option Plan (POP) for Plan Year
2006 form.
- FSA Election
Kits for 2006 will be sent directly to benefits administrators
by Horizon Healthcare, along with a request form for additional
kits. Please provide the FSA Election Kits to those employees
who request them.
- This letter
includes a minimal supply of the declination forms. These can
be copied for use by those few employees who do not wish to participate
in the POP and, therefore, pay more in tax. (Note: do not distribute
POP Declination forms to employees unless they ask for one.) If
an employee chooses not to save tax dollars under the Tax$ave
Premium Option Plan and wants to pay more federal income, Social
Security, and Medicare taxes on the salary used to pay their medical
and dental premiums in 2006, they must complete a POP form declining
the federal tax break they could receive. Employees should request
these forms from you. We will be instructing employees to return
the Declination of Premium Option Plan (POP) forms to benefits
administrators by October 31, 2005. Benefits administrators must
then forward declination forms to Centralized Payroll by November
10, 2005.
We appreciate
your cooperation. Your involvement in the Tax$ave Open Enrollment
is key to your employees receiving the valuable benefits offered
by this program. If you have any questions about Tax$ave 2006 or
the open enrollment, call Horizon Healthcare at 1-800-224-4426,
or visit the Division of Pensions and Benefits' Tax$ave Internet
site at: www.state.nj.us/treasury/pensions/taxsave.htm
Enclosures:
Request for Tax$ave 2006
Employee Seminars
Tax$ave 2006
Open Enrollment Milestones
Open
Enrollment Check Messages
Tax$ave 2006 Open Enrollment
News
The Premium Option Plan 2006
Pamphlet
Tax$ave Pamphlet - Savings
You Can Bank On
Declination
of Premium Option Plan (POP) for Plan Year 2006
August
15, 2005
| TO: |
State
University and College Benefits Administrators
State Monthly Benefits Administrators |
| FROM: |
John
D. Megariotis
Deputy Director, Finance |
| SUBJECT: |
Open
Enrollment For The New Jersey State Employees Tax Savings Program
(Tax$ave 2006) |
The annual open
enrollment for the calendar year 2006 New Jersey State Employees
Tax Savings Program (Tax$ave 2006) will be conducted from October
1 through October 31, 2005. Full-time employees of the State, State
authorities, State universities, and State colleges who are eligible
for participation in the New Jersey State Health Benefits Program
(SHBP) may participate in Tax$ave.
About Tax$ave
Tax$ave consists of three components:
- The Premium
Option Plan (POP);
- The Unreimbursed
Medical Spending Account (UMSA); and
- The Dependent
Care Spending Account (DCSA).
Tax$ave offers
eligible employees the opportunity to increase their available income
by reducing their federal tax liability. Each year eligible employees
should review their personal financial circumstances and decide
if they wish to participate or not. Open Enrollment offers employees
the opportunity to conduct this review and then act on their decision.
Note: Tax savings on commuter mass transit and parking expenses
are available at any time as a separate benefit to State employees
under the Commuter Tax$ave Program and are not tied to this open
enrollment period.
See Fact Sheet #67, Commuter Tax$ave Program Adobe PDF (41K),
for details.
Premium Option Plan
Enrollment in the Premium Option Plan is automatic. This saves your
employees tax money by paying health and dental premiums from pre-tax
dollars and reducing their tax liability. If an employee does not
wish to take advantage of the Premium Option Plan in 2006 (and therefore
pay more in federal, Social Security, and Medicare taxes) he or
she should file a Declination of Premium Option Plan (POP) form.
Flexible Spending Accounts
The Unreimbursed Medical Spending Account (UMSA); and the Dependent
Care Spending Account (DCSA) are also referred to as Flexible Spending
Accounts (FSA's). Listed below are some of the benefits of FSA participation.
- New! - Extended Claim Period. Employees enrolled in the Unreimbursed
Medical Spending Account now have until March 15 of the following
year to incur eligible expenses for the current plan year. Any
balance remaining in an UMSA as of December 31, can be used for
eligible expenses incurred from January 1 through March 15 of
the following year. For example, if there are leftover 2005 funds,
those dollars will be used first for any expenses, then 2006 funds
will be used once the 2005 dollars are exhausted. While this does
not eliminate the use-it-or-lose-it rule completely, employees
now have a longer period to obtain covered services and avoid
forfeiting unused funds.
- Many
over-the-counter drugs are eligible for reimbursement in the
Unreimbursed Medical Spending Account. Internal Revenue Service
rules permit over-the-counter products/medications deemed for
"medical care" to be considered reimbursable. "Medical
care" includes amounts paid for the diagnosis, cure, mitigation,
treatment, or prevention of disease. Amounts paid for medicines
and drugs are expenditures for medical care, but expenditures
that are merely beneficial to the general health of an individual,
such as vitamins and other supplements, are not eligible. For
more information about expenses that are eligible under Unreimbursed
Medical Spending Accounts and Dependent Care Spending Accounts,
please visit the Horizon Healthcare Web site through the link
from the Division of Pensions and Benefits' Tax$ave page at: www.state.nj.us/treasury/pensions/taxsave.htm
- Tax$ave
Unreimbursed Medical Spending Accounts feature the BennyTM Card,
a special MasterCard® that draws on the value of the employee's
annual UMSA election amount, making the UMSA easier to use. Each
time an employee uses Benny to pay for a qualified health care
expense at a health care provider or business that accepts MasterCard,
the amount of the qualified purchase is transferred from the UMSA
automatically - eliminating the need to lay out cash at the time
of purchase and file for a reimbursement. Once issued, the Benny
Card is good for five years and should not be thrown away at the
end of the plan year. Any new UMSA election amount will be automatically
available through an existing Benny Card account at the start
of the 2006 plan year.
Unlike the POP
or the health plans of the SHBP, prior participation in a Tax$ave
FSA in 2005 does not carry over automatically into 2006. Employees must enroll again to participate in an FSA for calendar
year 2006.
Enrolling
in a Flexible Spending Account
Employees have three ways of enrolling in the Tax$ave FSA accounts:
mail, telephone, and Internet. The Tax$ave publications will provide
the following instructions to employees:
- Mail: FSA Election Applications must be mailed directly to Horizon Healthcare
by the employee. All election forms must be postmarked no later
than October 31, 2005, to be accepted. Those postmarked after
October 31, 2005 will be returned without action. Benefits offices
should not be involved in processing or mailing FSA Election Applications.
- Telephone: Employees may either enroll (or reenroll) in the UMSA or DCSA
plans for 2006 over the phone by calling Horizon Healthcare's
automated voice response unit at 1-800-224-4426. This is a great
opportunity to quickly and easily go through the process of a
new or repeat enrollment. Horizon will inform current participating
employees of this opportunity through a direct mailing in September.
The deadline for enrollment by telephone is midnight, October
31, 2005.
- Internet: Again this year employees have the ability to enroll (or reenroll)
over the Internet. Go to the Horizon Healthcare Web page through
a link from the Division of Pensions and Benefits' Tax$ave page
at: www.state.nj.us/treasury/pensions/taxsave.htm and follow the simple directions. The deadline for enrollment
over the Internet is midnight, October 31, 2005.
Tax$ave
and Domestic Partners
Under the New Jersey Domestic Partnership Act, State employees are
now able to add a same-sex domestic partner to their health and
dental insurance coverage. However, before any premiums that the
employee pays for the domestic partner coverage can be made on a
pre-tax basis under the Tax$ave Premium Option Plan, the domestic
partner must be able to qualify as a "tax dependent" of
the employee for federal tax filing purposes under IRC Section
152. Similarly, the domestic partner must qualify as the employee's
federal tax dependent before an out-of-pocket medical expense incurred
by the domestic partner can be reimbursed under the Unreimbursed
Medical Spending Account.
If the domestic partner is not a "qualified tax dependent" of the employee, any premium deductions made for the domestic partner's
coverage must be made on an after-tax basis and funds in the Unreimbursed
Medical Spending Account cannot be used to cover the domestic
partner's medical expenses. See IRS Tax Topic 354 - Dependents for
additional information on dependent status for federal tax purposes.
Additional information regarding the Domestic Partnership Act can
be found in Fact Sheet #71, Benefits Under
the Domestic Partnership Act Adobe PDF (56K), which is available on the Division
of Pensions and Benefits Web site: www.state.nj.us/treasury/pensions
Employee Seminars
Upon request,
Horizon Healthcare will provide Tax$ave educational seminars, at
your workplace, for interested employees. The seminars are about
60 minutes in duration and includes time for questions and answers.
These seminars have proven to be very successful educational tools
and we strongly encourage you to make one available to your employees.
Please see the enclosed
request form to schedule a seminar with a Horizon Healthcare
representative (please note that we ask for a minimum of 25 employees).
Tax$ave Support Materials
The remainder
of this letter provides information on the Tax$ave Open Enrollment
publications and support available to assist you in explaining this
important benefit program to your employees. Please do your best
to make a concerted effort to inform your employees of the open
enrollment and to educate them on the valuable benefits that Tax$ave
offers them. We believe that more employees will participate in
Tax$ave if they are made aware and understand the value of the tax
savings offered by the program.
Enclosed is the Tax$ave
Open Enrollment Milestones chart that lists the critical dates
of the Tax$ave 2006 Annual Open Enrollment and outlines the efforts
being made to educate employees. Please use this chart as a checklist
to guide your activities during the open enrollment.
The Division
will also provide State Monthly employers, State Universities, and
State Colleges with sufficient copies of the Tax$ave
2006 Open Enrollment News and the Premium
Option Plan 2006 pamphlet for all eligible employees. Horizon
Healthcare will provide sufficient copies of the FSA pamphlet for
distribution to all of your eligible employees.
- The Tax$ave 2006 Open Enrollment News announces the open enrollment, outlines the components of the
program with emphasis on its tax saving advantages, and identifies
the October 31, 2005 deadline for submission of all election materials.
- The
Premium Option Plan 2006 pamphlet explains the advantages
and disadvantages of participation.
- The
FSA pamphlet describes the Unreimbursed Medical Spending Account
(UMSA) and the Dependent Care Spending Account (DCSA).
These publications
will be shipped to employers early in September and you should distribute
them to your employees before the Open Enrollment start date on
October 1, 2005. Preview copies of these publications are enclosed
with this letter.
We also encourage
you to provide your employees with reminders of the Tax$ave Open
Enrollment to ensure they don't allow this opportunity to slip by
without action.
The other open
enrollment materials you will need are the FSA Election Kits and
the Declination of Premium Option Plan (POP) for Plan Year 2006
form.
- FSA Election
Kits for 2006 will be sent directly to benefits administrators
by Horizon Healthcare,
along with a request form for additional kits. Please provide
the FSA Election Kits to those employees who request them.
- This letter
includes a minimal supply of the declination forms. These can
be copied for use by those few employees who do not wish to participate
in the POP and, therefore, pay more in tax. (Note: do not distribute
POP Declination forms to employees unless they ask for one.) If
an employee chooses not to save tax dollars under the Tax$ave
Premium Option Plan and wants to pay more federal income, Social
Security, and Medicare taxes on the salary used to pay their medical
and dental premiums in 2006, they must complete a POP form declining
the federal tax break they could receive. Employees should request
these forms from you. We will be instructing employees to return
the Declination of Premium Option Plan (POP) forms to benefits
administrators by October 31, 2005. Benefits administrators must
then forward declination forms to the appropriate representative
in their payroll department.
We appreciate
your cooperation. Your involvement in the Tax$ave Open Enrollment
is key to your employees receiving the valuable benefits offered
by this program. If you have any questions about Tax$ave 2006 or
the open enrollment, call Horizon Healthcare at 1-800-224-4426,
or visit the Division of Pensions and Benefits' Tax$ave Internet
site at: www.state.nj.us/treasury/pensions/taxsave.htm
Enclosures:
Request for Tax$ave 2006
Employee Seminars
Tax$ave 2006
Open Enrollment Milestones
Tax$ave 2006 Open Enrollment
News
The Premium Option Plan 2006
Pamphlet
Tax$ave Pamphlet - Savings
You Can Bank On
Declination
of Premium Option Plan (POP) for Plan Year 2006
June
2005
| 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, Second Quarter 2005 (April 1st to June 30th) |
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.
Notice To
Delinquent Report Of Contribution Filers
In the past
I have written explaining the importance of all employers providing
to the Division of Pensions and Benefits their quarterly ROC in
a timely fashion. As stated in the past, delays in receiving these
reports affect the timeliness of the Division providing services
to ALL pension plan members, not just your employees and
retirees. Unfortunately, we continue to experience delays associated
to employer late reporting. I must again ask for your help in avoiding
these delays at all costs and remind you that the Division will
utilize everything at its disposal in order to solicit timely reporting
by the employers we work with to provide benefit services to the
State's public employees.
Changes 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 returnedto 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.
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 July 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.
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, 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 federal ceiling for 2005 is $210,000.
In other words,
under the provisions of the Internal Revenue Code, Section 401(a)(17),
for "qualified" defined benefit plans {IRC § 401(a)(2)},
the current federal ceiling on pensionable salary 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.
TOP
5 REPORTING AND PAYMENT ERRORS
Number 5
- Changes to Base Salary
It is important
to review the salary shown in column 6 and verify that it correctly
reflects the member's base salary for the quarter. If the salary
shown is not correct, draw a line through it and write the correct
salary above it. Pension Contributions, Contributory Insurance,
SACT, and Tax-Sheltered Annuity deductions must be changed to reflect
amounts due on the new salary.
If your employees
received a salary increase that is retroactive to a prior quarter,
change column 6 to reflect the COMBINED TOTAL of:
- (a) the
new base salary for the quarter, plus,
- (b) the additional
base salary for the retroactive period.
The new
quarterly base salary should be written in column 1 of the ROC.
This salary will be projected in column 6 of your next quarterly
ROC. This will eliminate the need to make numerous changes on your
4th quarter ROC. Also, in the "Remarks Column" of the current ROC
you should indicate that the members had a salary increase and the
effective date.
Number 4
- 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 3
- 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 2
- Reporting partial months of service
Number 1
- 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.
NOTICE: The following letter applies to State Monthly
employers (State authorities and State Colleges and Universities)
that have contracts with the Fraternal Order of Police. However,
it does not apply to Rutgers, UMDNJ, and NJIT.
April
26, 2005
| TO: |
State
Biweekly Payroll and State Monthly
Benefits Administrators with FOP Contracts |
| FROM: |
Florence
J. Sheppard
Deputy Director, Benefits Operations |
| SUBJECT: |
Closure
of Traditional Plan for All State FOP Employees and Future Retirees |
In March you
were notified that as a result of collective negotiations, all State
employee Fraternal Order of Police (FOP) bargaining units, except
those at Rutgers, UMDNJ, and NJIT, have agreed that participation
in the State Health Benefits Program's Traditional Plan will no
longer be available to employees effective July 1, 2005 (July 9,
2005 for employees paid through the State's Centralized Payroll
Unit). At the time of the March memorandum we were awaiting legal
advice regarding the closure of the Traditional Plan and its impact
on non-aligned personnel and employees that retire after July 1,
2005.
Since our March memorandum, we have confirmed that the closure
of the Traditional Plan will apply to all FOP employees covered
under the aforementioned contracts who retire after July 1, 2005,
regardless of their years of service credit, or the date when 25
years of service was achieved. The Fiscal Year 2006 budget contains
language curtailing funding for the Traditional Plan for all affected
employees. Anyone who is currently retired and those employees who
retire on or before July 1, 2005 will not be affected by this change.
The closure of the Traditional Plan will not apply to non-aligned
personnel affiliated with these bargaining units.
In order to ensure continuity of health care coverage for all affected
employees, a Special Open Enrollment has been authorized. The Special
Open Enrollment is being extended to May 13, 2005 to allow affected
employees to make a plan change.
All certified enrollment applications must be submitted to the Health
Benefits Bureau by May 20, 2005. Please mark these applications
as "Special OE" and forward the applications as soon as
possible to expedite processing.
We appreciate your assistance and thank you for your anticipated
cooperation in this matter. If you have any questions, please do
not hesitate to contact the Division of Pensions and Benefits' Office
of Client Services at (609) 292-7524.
April
26, 2005
| TO: |
State
Police Payroll Benefits Administrators |
| FROM: |
Florence
J. Sheppard
Deputy Director, Benefits Operations |
| SUBJECT: |
Closure
of Traditional Plan for Non-aligned State Police Officers and
Closure of Traditional Plan for all State Police Officers Retiring
after July 1, 2005 |
In March you
were notified that as a result of collective negotiations, all State
Police bargaining units have agreed that participation in the State
Health Benefits Program's Traditional Plan will no longer be available
to employees effective July 1, 2005 (July 9, 2005). At the time
of the March memorandum we were awaiting legal advice regarding
the closure of the Traditional Plan and its impact on non-aligned
officers and employees that retire after July 1, 2005.
Since our March memorandum, we have confirmed that the closure
of the Traditional Plan will also apply to all non-aligned State
Police officers and to all State Police officers (including non-aligned
officers) who retire after July 1, 2005, regardless of their years
of service credit, or the date when 25 years of service was achieved. The Fiscal Year 2006 budget contains language curtailing funding
for the Traditional Plan for these employees. Anyone who is currently
retired and those employees who retire on or before July 1, 2005
will not be affected by this change.
In order to ensure continuity of health care coverage for all affected
employees, a Special Open Enrollment has been authorized. The Special
Open Enrollment is being extended to May 13, 2005 to allow affected
employees to make a plan change.
All certified enrollment applications must be submitted to the Health
Benefits Bureau by May 20, 2005. Please mark these applications
as "Special OE" and forward the applications as soon as
possible to expedite processing.
We appreciate your assistance and thank you for your anticipated
cooperation in this matter. If you have any questions, please do
not hesitate to contact the Division of Pensions and Benefits' Office
of Client Services at (609) 292-7524.
April
15, 2005
| TO: |
Certifying
Officers |
| FROM: |
Florence
J. Sheppard
Deputy Director, Benefits Operations |
| SUBJECT: |
Employer-Provided
Health Benefit Coverage for Domestic Partners |
Chapter 246,
P.L. 2003, designated the "Domestic Partnership Act",
became effective on July 10, 2004. Chapter 246 created a mechanism,
through the establishment of domestic partnerships, for New Jersey
to recognize and support the adult individuals in this State who
share a personal, emotional and committed relationship with another
adult.
The law provides
that two persons who desire to become domestic partners may execute
and file an Affidavit of Domestic Partnership if they meet the requirements
set forth in the law. This law accords registered domestic partners
rights and responsibilities that reflect the mutually interdependent
and supportive nature of domestic partnership relationships and
makes certain health and pension benefits available to dependent
domestic partners where both persons are of the same sex and therefore
unable to enter into a marriage with each other that is recognized
by New Jersey law:
Pursuant to
advice from the Attorney General's Office, the Division of Pensions
and Benefits would like to advise local employers that they may
adopt a resolution providing for dependent coverage for domestic
partners regardless of whether they participate in the State Health
Benefits Program (SHBP).
Because certain
retirees from these local employers may be eligible for SHBP coverage
at retirement, the Division of Pensions and Benefits is requiring
employers who provide dependent coverage for domestic partners,
but who do not participate in the SHBP, to complete and mail to
the Division a resolution indicating that they provide dependent
coverage for domestic partners. A copy of this resolution
form Adobe PDF (29K) is included with this letter (and can also be found in
the online Employer Pensions and Benefits Administration Manual
which is available through the Division's Web site: www.state.nj.us/treasury/pensions)
Please note
that Chapter 246 Adobe PDF (428K), at N.J.S.A. 26:8A-11,
specifically limits the availability of health benefit and pension
benefit provisions of the Domestic Partnership Act to same-sex couples,
and does not extend such benefits to those heterosexual couples
who are age 62 or older. Therefore, no SHBP coverage in retirement
would be offered to heterosexual domestic partners, age 62 or older.
Enclosure:
Resolution
Form Adobe
PDF (29K)
March
2005
| 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, First Quarter 2005 (January 1st to March 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.
NOTICE TO
DELINQUENT REPORT OF CONTRIBUTION FILERS
In the past
I have written explaining the importance of all employers providing
to the Division of Pensions and Benefits their quarterly Report
of Contributions (ROC) in a timely fashion. As stated in the past,
delays in receiving these reports affect the timeliness of the Division
providing services to ALL pension plan members, not just your employees
and retirees. Unfortunately, we continue to experience delays associated
to employer late reporting. I must again ask for your help in avoiding
these delays at all costs and remind you that the Division will
utilize everything at its disposal in order to solicit timely reporting
by the employers we work with to provide benefit services to the
State's public employees.
CHANGES 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 returned 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
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, 08650-9581.
DEADLINE
FOR FILING
All
ROCs must be postmarked by April 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.
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 federal ceiling 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.
TOP 5 REPORTING
AND PAYMENT ERRORS
Number 5
- Changes to Base Salary
It is important
to review the salary shown in column 6 and verify that it correctly
reflects the member's base salary for the quarter. If the salary
shown is not correct, draw a line through it and write the correct
salary above it. Pension Contributions, Contributory Insurance,
SACT, and Tax-Sheltered Annuity deductions must be changed to reflect
amounts due on the new salary.
If your employees
received a salary increase that is retroactive to a prior quarter,
change column 6 to reflect the COMBINED TOTAL of:
(a)
the new base salary for the quarter, plus,
(b)
the additional base salary for the retroactive period.
The new
quarterly base salary should be written in column 1 of the ROC.
This salary will be projected in column 6 of your next quarterly
ROC. This will eliminate the need to make numerous changes on your
4th quarter ROC. Also, in the "Remarks Column" of the current ROC
you should indicate that the members had a salary increase and the
effective date.
Number 4
- 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 3
- 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 2
- Reporting partial months of service
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 1st Quarter 2005
Return Envelope
NOTICE: The following letter applies to the NJ State Police and those State
Monthly employers (State authorities and State Colleges and Universities)
that have contracts with the Fraternal Order of Police. However,
it does not apply to Rutgers, UMDNJ, and NJIT.
March
30, 2005
| TO: |
State Biweekly
Payroll Benefits Administrators
State Monthly Benefits Administrators
State College and University Human Resource Directors |
| FROM: |
Florence
J. Sheppard
Deputy Director, Benefits Operations |
| SUBJECT: |
Special
Open Enrollment for State Law Enforcement Units (FOP and State
Troopers) Enrolled in the Traditional Plan |
As
a result of collective negotiations, the State of New Jersey and
its law enforcement bargaining units (all Fraternal Order of Police
units and all State Police units) have agreed that participation
in the State Health Benefits Program's Traditional Plan will no
longer be available to all active employees effective July 1, 2005
(July 9, 2005 for State employees paid through the State's Centralized
Payroll Unit). The Fiscal Year 2006 budget contains language curtailing
funding for the Traditional Plan for all employees covered by these
contracts. Funding of the Traditional Plan will continue for employees
covered by other contracts. We are awaiting legal advice on the
closure of the Traditional Plan and how it will apply to non-aligned
officers and to employees that retire after July 1, 2005.
Employees
affected by this agreement will be sent a direct mailing (copy
enclosed) to advise them of the Traditional Plan's closure.
In order to ensure continuity of health care coverage for all affected
employees, a Special Open Enrollment has been authorized. This Special
Open Enrollment will be conducted during the month of April (April
1 - April 30, 2005) to allow the employees to make plan changes
with an effective date of July 9, 2005 for State employees paid
through the State's Centralized Payroll Unit and July 1, 2005 for
all other State employees.
All
certified enrollment applications must be submitted to the Health
Benefits Bureau by May 6, 2005. Please mark these applications as
"Special OE" and forward the applications as soon as possible
to expedite processing.
Enclosed
is a list of employees who are enrolled in the Traditional Plan
at your location. Please review this list for accuracy and to ensure
that all Traditional Plan enrollees have submitted an application
to make a plan change.
We
appreciate your assistance and thank you for your anticipated cooperation
in this matter. If you have any questions, please do not hesitate
to contact the Division of Pensions and Benefits' Office of Client
Services at (609) 292-7524.
Enclosures
Enclosure
1
NOTICE: The following letter applies
to the NJ State Police and those State Monthly employers (State
authorities and State Colleges and Universities) that have contracts
with the Fraternal Order of Police. However, it does not apply to Rutgers, UMDNJ, and NJIT.
March
30, 2005
| TO: |
Law
Enforcement Employees |
| FROM: |
Florence
J. Sheppard
Deputy Director, Benefits Operations |
| SUBJECT: |
Special
Open Enrollment for State Law Enforcement Units (FOP and State
Troopers) Enrolled in the Traditional Plan |
As
a result of collective negotiations, the State of New Jersey and
its law enforcement bargaining units (all Fraternal Order of Police
units and all State Police units) have agreed that participation
in the State Health Benefits Program's Traditional Plan will no
longer be available to all active employees effective July
1, 2005 (July 9, 2005 for State employees paid through the State's
Centralized Payroll Unit). The Fiscal Year 2006 budget contains
language curtailing funding for the Traditional Plan for all employees
covered by these contracts. We are awaiting legal advice on the
closure of the Traditional Plan and how it will apply to non-aligned
officers and to employees that retire after July 1, 2005.
You
have been identified as an employee who is affected by this agreement
and this letter is notice to advise you of the Traditional Plan's
closure. In order to ensure continuity of your health care coverage,
a Special Open Enrollment has been authorized. This Special
Open Enrollment will be conducted during the month of April (April
1 - April 30, 2005) to allow you to change from the Traditional
Plan to another plan (NJ PLUS or a participating HMO) offered through
the State Health Benefits Program (SHBP). A list of available plans
and contact information is provided with this notice.
Your
application to change plans must be submitted through your Human
Resources Representative. The effective date for coverage changes
will be:
- July 9, 2005
for State employees paid through the State's Centralized Payroll
Unit; and
- July 1, 2005
for all other State employees.
If you fail
to make a plan change during the Special Open Enrollment, you may
lose coverage or become responsible for paying the full premium
cost of the Traditional Plan.
If you have
any questions, please do not hesitate to contact the Division of
Pensions and Benefits' Office of Client Services at (609) 292-7524.
Enclosure
2
NEW
JERSEY STATE HEALTH BENEFITS PROGRAM
MEDICAL PLANS
SPECIAL
OPEN ENROLLMENT
STATE TROOPERS and STATE FOP
April 1 to 30, 2005
PLAN/
HMO # |
PLAN
NAME |
INTERNET
ADDRESS |
PHONE
NUMBER |
001 |
NJ
PLUS
Administered by Horizon Blue Cross Blue Shield of New Jersey |
www.horizonblue.com |
1-800-414-SHBP
(7427) |
019 |
Aetna
Health |
www.aetna.com |
1-800-309-2386 |
020 |
CIGNA
HealthCare |
www.cigna.com/health |
1-800-244-6224 |
028 |
Oxford
Health Plan |
www.oxfordhealth.com |
1-800-760-4566 |
033 |
AmeriHealth
HMO Plan |
www.amerihealth.com |
1-800-877-9829 |
034 |
Health
Net |
www.healthnet.com |
1-800-441-5741 |
See the SHBP Summary Program Description booklet for additional
information about the SHBP's medical plans. The booklet is
available from your Human Resources Representative or Benefits
Administrator, or on the SHBP Internet home page at: www.state.nj.us/treasury/pensions/shbp.htm
Please
note that in order to see a specific physician under an HMO
or through NJ PLUS In-network benefits, the physician must
participate in that plan's network. If you have a physician
whose services you would like to continue to utilize, please
verify with the health plan and/or the physician that he or
she participates in that particular plan. You may also search
for participating physicians by name or ZIP Code with the Unified
Provider Directory which is also available on the SHBP
home page. |
February
2005
| TO: |
State Monthly
Human Resources Representatives and Benefit Administrators |
| FROM: |
John D.
Megariotis, Deputy Director of Finance, Division of Pensions
and Benefits |
| SUBJECT: |
Increased
Contribution Amounts for Commuter Tax$ave* |
The Internal
Revenue service (IRS) has authorized increases in the maximum allowable
tax-free deduction amounts that the State of New Jersey may offer
for monthly mass transit and commuter parking expenses through the New Jersey State Employees Commuter Tax Savings Program (Commuter
Tax$ave*).
The Division
of Pensions and Benefits is currently notifying State employees
paid through the State's Centralized Payroll System of these increases.
We are also asking that you, as a State Monthly employer that participates
in Commuter Tax$ave, also make your eligible employees aware of
this added benefit.
Enclosed you
will find master copies of a letter
to State employees announcing the increased deduction amounts.
Please reproduce and distribute this letter to all of your employees
who are currently enrolled, or eligible to enroll, in the Commuter
Tax$ave Program.
Employees who
participate in Commuter Tax$ave and who wish to take advantage of
this increase, should adjust their payroll deductions to cover the
increased amount by contacting TransitCenter, Inc.-the public nonprofit
corporation that administers the program under a contract with the
State of New Jersey. Employees can make changes to their benefits
using TransitCenter's online management account at www.mytransitchek.com or by calling TransitCenter Customer Service at 1-800-576-1171 Monday
- Friday, 9:00 am - 5:00 pm EST.
If any of your
employees do not already participate in the Commuter Tax$ave Program,
but wish reduce their taxes and save on their mass transit and/or
commuter parking expenses, they can enroll in the Commuter Tax$ave
Program by contacting TransitCenter using the Internet address or
telephone number shown above.
* Commuter
Tax$ave is a benefit program authorized by Chapter 162, P.L. 2001
and available under Section 132(f) of the federal Internal Revenue
Code. Commuter Tax$ave allows eligible employees to set aside before-tax
dollars to pay for certain mass transit and commuter parking expenses,
thereby avoiding federal taxes and saving money. For additional
information see Fact Sheet #67, Commuter
Tax$ave Adobe PDF (41K), which is available over the Internet at: www.state.nj.us/treasury/pensions
Enclosure
January
2005
| TO: |
Participating
SHBP Employers |
| FROM: |
State
Health Benefits Program |
| SUBJECT: |
Required Notices To SHBP Enrollees |
Federal law
mandates employers to provide notice of requirements of certain
pieces of federal legislation to employees and their dependents
upon their enrollment in the employer's group health insurance.
State Health Benefits Program (SHBP) participating employers must
provide an initial notice concerning the Consolidated Omnibus Budget
Reconciliation Act (COBRA) program and a notice about the federal
Health Insurance and Portability Accounting Act's (HIPAA) privacy
requirements.
The attached
documents provide everything you, as an employer, need to comply
with the notice requirements of both COBRA and HIPAA.
Enclosure
one * is a cover letter forwarding
the required notices. You should modify this letter to reflect
its being mailed from your location to the employee and dependents
and include it with a copy of enclosure
two* (this consists of the
initial COBRA notification marked Important Notice and a
copy of Fact Sheet #30, Continuation
of New Jersey State Health Benefits Program Insurance Under COBRA Adobe PDF (39K). NOTE: To meet federal requirements, the letter must
be addressed to the "Employee and Family", it must be mailed (first
class mail is sufficient), and a copy must be retained to prove
compliance.
The remaining
enclosures address the federal Health Insurance and Portability
Accounting Act (HIPAA). Federal law requires that all enrollees
- employees and dependents - in employer provided health plans be
notified annually of HIPAA requirements and how the employer's
plan compares with them. Enclosure three* (Notice to State Health Benefits
Program Participants About Compliance with Federal Health Insurance
Requirements) will meet this requirement. Each year you are
required to mail a copy to all of your SHBP enrolled employees in
order to satisfy the requirement for proper annual notification
of dependents.
Enclosure
four* Adobe
PDF (33K) is the updated SHBP
Notice of Privacy Practices. A copy of the privacy practices
should be mailed along with the enclosures mentioned above, or given
to new employees when they enroll in any SHBP plan.
Enclosure
five* Adobe
PDF (40K) is the Certificate
of Group Health Plan Coverage which you may use to provide an
employee or dependent whose SHBP coverage is ending with evidence
of their prior health coverage in the SHBP.
Questions about
this memorandum should be directed to the SHBP Employer Hotline
at (609) 777-1082. Leave a message and a staff member will return
your call within one business day. |