State Health Benefits Program
TRADITIONAL PLAN AND NJ PLUS INFORMATION
For State Employees covered under the Traditional Plan and NJ PLUS through current labor contracts
(State Police Enlisted personnel, and certain Department of Corrections and State Judiciary personnel)
General Information
 State Health Benefits
Program Summary
Program Description - (PDF
file - size 472k - Requires Acrobat
Reader)
SHBP Comparison
Guides — Medical plan service areas, phone numbers, and benefits.
Medical
Plans
Traditional
Plan Member Handbook - (PDF
file - size 308k - Requires Acrobat
Reader)
— Traditional
Plan Claim Form - (PDF fill-in
file - size 138k - Requires Acrobat
Reader)
NJ
PLUS Member Handbook - (PDF
file - size 309k - Requires Acrobat
Reader)
— NJ PLUS Claim Form - (PDF fill-in
file - size 128k - Requires Acrobat
Reader)
Aetna HMO Member Handbook - (PDF
file - size 300k - Requires Acrobat
Reader)
CIGNA HealthCare HMO Member Handbook - (PDF
file - size 328k - Requires Acrobat
Reader)
HMO
and NJ PLUS coverage in states other than New Jersey
Over Age Children to Age 30 (Chapter 375, P.L. 2005)
Fact
Sheet #74, SHBP Coverage of Children to Age 30 Under Chapter 375
Application for Chapter 375 Coverage - (PDF 27K
- Requires Acrobat
Reader)
Chapter 375 Rate Charts — Traditional Plan and NJ PLUS through December 31, 2008
State Employees - (PDF 8K
- Requires Acrobat
Reader)
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
file, size 31K - Requires Acrobat
Reader)
SHBP Applications must be certified by your employer before sending to the Division
of Pensions and Benefits.
State Active Group Rates — Traditional Plan and NJ PLUS
State Employer Group Rates — Traditional Plan and NJ PLUS through December 31, 2008
State
Biweekly Employees - (PDF 13K
- Requires Acrobat
Reader)
State
Monthly Employee - (PDF 13K
- Requires Acrobat
Reader)
State Employer Group Rates — Traditional Plan and NJ PLUS for Plan Year 2009
State
Biweekly Employees - (PDF 8K
- Requires Acrobat
Reader)
State
Monthly Employees - (PDF 8K
- Requires Acrobat
Reader)
COBRA
COBRA
Application — Traditional Plan and NJ PLUS - (PDF 43K
- Requires Acrobat
Reader)
COBRA
Application (Fill-in and Print version) — Traditional Plan and NJ PLUS - (PDF 105K
- Requires Acrobat
Reader 4.0 or higher)
COBRA Rates through December 31, 2008
COBRA
Rates — Traditional Plan, NJ PLUS, and HMOs
State Active Group
COBRA Dental Plan Rates
State Group; Local Government/Education Group - (PDF 12K - Requires Acrobat
Reader)
COBRA
Part-Time Chapter 172 Rates
State Part-Time; Local Part-Time COBRA Rates - (PDF 7K - Requires Acrobat
Reader)
COBRA Rates for Plan Year 2009
COBRA Rates — Traditional Plan, NJ PLUS, and HMOs
State Active Group
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