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Pensions and Benefits

School Employees' Health Benefits Program

PERCENTAGE OF PREMIUM CALCULATOR
FOR PLAN YEAR 2013
Health Benefit Contribution Requirement under Chapter 78, P.L. 2011

Phase 3 Calculator for Local Education Employees

Go to other Contribution Calculators for Local Education Employees

Printable Worksheet Adobe PDF (119K)

Use this calculator to estimate your Health Benefit Contribution during Year 3 of the 4-Year Phase-in
(July 2013 through June 2014 or as otherwise determined by contract)

All calculations use the SEHBP plan rates effective January - December 2013

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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
PPO Plans
  Aetna Freedom15 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
NJ DIRECT15 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
Aetna Freedom10 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 Freedom1525 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 Freedom2030 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
HMO Plans
  Aetna HMO Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
Horizon HMO Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
Aetna HMO 1525 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
Horizon HMO 1525 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
Aetna HMO 2030 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
Horizon HMO 2030 Single Coverage
Member & Spouse/Partner* Coverage
Family Coverage
Parent Child(ren) Coverage
High Deductible Health Plans
  Aetna Value HD1500 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
STEP THREE — SELECT YOUR EMPLOYER'S PRESCRIPTION PLAN DESIGN

 

 

 SEHBP 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-SEHBP 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 Health Plan (HDHP) — SHBP Prescription Drug Coverage is included in High Deductible Health Plan costs
Prescription Drug coverage included with your SEHBP 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: September 19, 2012

 
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