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Pensions and Benefits

State Health Benefits Program

PERCENTAGE OF PREMIUM CALCULATOR
FOR PLAN YEAR 2012
Health Benefit Contribution Requirement under Chapter 78, P.L. 2011

This is the Full Rate Calculator for Local Government Employees

Go to other Contribution Calculators for Local Government Employees

Printable Worksheet Adobe PDF (120K)

Use this calculator to find your estimated Full Health Benefit Contribution.

All calculations use the SHBP plan rates effective January - December 2012.

Internet Explorer or Firefox browsers are recommended.
Safari or Chrome users may receive error messages.

STEP ONE — ENTER YOUR ANNUAL SALARY


Annual Salary:   $ .00

Enter your annual salary to the nearest dollar.
Use numbers only - No commas. Do not include overtime, bonuses, etc.
STEP TWO — SELECT YOUR MEDICAL PLAN AND LEVEL OF COVERAGE
NJ DIRECT15 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
NJ DIRECT10 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
Aetna HMO Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
Cigna HealthCare HMO Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
 
NJ DIRECT1525 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
Aetna 1525 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
Cigna 1525 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
 
NJ DIRECT2030 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
Aetna 2030 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
Cigna 2030 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
 
NJ DIRECT HD4000 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
Aetna HD4000 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
Cigna HD4000 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
 
NJ DIRECT HD1500 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
Aetna HD1500 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
Cigna HD1500 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
STEP THREE — SELECT YOUR EMPLOYER'S PRESCRIPTION PLAN DESIGN
SHBP Employee Prescription Drug Plan — Select Level of Coverage.
Select Level of Coverage
Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
Separate Non-SHBP Prescription Drug Plan — Select Level of Coverage and enter Monthly Premium.
Select Level of Coverage
Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage

$ .00 Enter monthly drug plan premium amount to the nearest dollar.
Numbers only - No commas.
High Deductible (HD) Health Plan — SHBP Prescription Drug Coverage is included in High Deductible Health Plan costs
Prescription Drug coverage included with your SHBP Medical Plan — Plans other than High Deductible Health Plans.
No Prescription Plan — Check here if not covered by a Prescription Drug Plan
*Partner means a Civil Union Partner or an eligible same-sex Domestic Partner as defined under Chapter 246, P.L. 2003, the Domestic Partnership Act.
STEP FOUR — CALCULATE YOUR CONTRUBUTION


To see your Health Benefit Contribution, click the "Calculate Contributon" button

Note: this calculator is for informational purposes only. All calculations are estimates
and may differ from the actual amounts deducted from payroll.

Return to Percentage Calculator Home Page

Last update: October 25, 2011
 
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