State Health Benefits Program
NJ PLUS INFORMATION
For State Employees covered under NJ PLUS through current labor contracts
(State Police enlisted personnel, and certain law enforcement groups)

Files marked as PDF require Acrobat Reader which is available free from Adobe.

General Information

SHBP Comparison Guides — Medical plan service areas, phone numbers, and benefits.

Medical Plans

NJ PLUS Member Handbook - Adobe PDF (309KB)

— NJ PLUS Claim Form - Adobe PDF (128KB) fill-in file

— NJ PLUS coverage in states other than New Jersey

Aetna HMO Member Handbook for Plan Year 2009 - Adobe PDF (310KB)

CIGNA HealthCare HMO Member Handbook for Plan Year 2009- Adobe PDF (295KB)

Over Age Children to Age 31 (Chapter 375, P.L. 2005)

Fact Sheet #74, Health Benefits Coverage of Children until Age 31 under Chapter 375
Application for Chapter 375 Coverage - Adobe PDF (27KB)

Chapter 375 Rate Charts — NJ PLUS for Plan Year 2010
State Employees - Adobe PDF (8KB)

Chapter 375 Rate Charts — NJ PLUS for Plan Year 2009
State Employees - Adobe PDF (8KB)

Cost Comparison — Chapter 375 vs. COBRA

Information Specific to State Active Group Members

Health Benefits Application for State Employees and Local Government/Education Employees (PDF 31K)
SHBP Applications must be certified by your employer before sending to the Division of Pensions and Benefits.

State Active Group Rates — NJ PLUS and HMOs

State Employer Group — NJ PLUS and HMOs for Plan Year 2010
State Biweekly Employees - Adobe PDF (8KB)
State Monthly Employees - Adobe PDF (8KB)

State Employer Group Rates — Traditional Plan, NJ PLUS and HMOs for Plan Year 2009
State Biweekly Employees - Adobe PDF (8KB)
State Monthly Employees - Adobe PDF (8KB)

COBRA

COBRA Application — NJ PLUS and HMOs - Adobe PDF (43KB)

COBRA Application (Fill-in and Print version) — NJ PLUS and HMOs - Adobe PDF (105KB) - Requires Acrobat Reader 4.0 or higher

COBRA Rates

COBRA Rates for Plan Year 2010 — NJ PLUS and HMOs
State Active Group - Adobe PDF (8KB)

COBRA Rates for Plan Year 2009 — Traditional Plan, NJ PLUS, and HMOs
State Active Group - Adobe PDF (8KB)
COBRA-ARRA Subsidy Rates - Adobe PDF (8KB)