STATE HEALTH BENEFITS PROGRAM (SHBP)
and
SCHOOL EMPLOYEES' HEALTH BENEFITS PROGRAM (SEHBP)
THE HEALTH BENEFITS PROGRAMS
HEALTH BENEFITS HOME | EMPLOYEES | RETIREES | DEPENDENTS |COBRA | EMPLOYERS
ABOUT THE SHBP and SEHBP
The State Health Benefits Program (SHBP) was established in 1961 under N.J.S.A.
52:14-17.25 et seq. to provide health benefits to State
employees, retirees, and their dependents. The SHBP
was extended to employees, retirees, and dependents
of participating local public employers in 1964. Local
employers must adopt a resolution to participate in
the SHBP. Rules governing the operation and administration
of the program are found in Title 17, Chapter 9 of the
New Jersey Administrative Code.
The State Health Benefits Commission is the executive body established by statute to be
responsible for operation of the SHBP. The Commission
meetings are open
to the public and are conducted at the Division of
Pensions and Benefits in Trenton. Plan members are
entitled to appeal to the Commission for resolution
of any complaints after they have completed the formal
grievance procedure of their plan administrator.
The School Employees' Health Benefits
Program (SEHBP) was established by Chapter
103, P.L. 2007. It offers medical and prescription
drug coverage to qualified school employees and retirees,
and their eligible dependents. Local employers must
adopt a resolution to participate in the SEHBP. The
School Employees’ Health Benefits Program Act
is found in the N.J.S.A. 52:14-17.46 et seq.
Rules governing the operation and administration of
the program are found in Title 17, Chapter 9 of the
New Jersey Administrative Code.
The School Employees' Health Benefits
Commission is the executive body established
by statute to be responsible for operation of the
SEHBP. The Commission meetings are open to the public
and are conducted at the Division of Pensions and
Benefits in Trenton. Plan members are entitled to
appeal to the Commission for resolution of any complaints
after they have completed the formal grievance procedure
of their plan administrator.
The Division of Pensions and Benefits, specifically the Health Benefits Bureau and the Bureau
of Policy and Planning, are responsible for the daily
administrative activities of the SHBP and the SEHBP.
The Division provides news and updates to participating
employees and retirees through its newsletters
and publications. |