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Governor Phil Murphy • Lt. Governor Tahesha Way

Division of Pensions & Benefits

School Employees' Health Benefits Program

Eligibility for Active Group coverage is determined by the School Employees' Health Benefits Program (SEHBP). All enrollments, changes to coverage, terminations, etc. must go through your employer.

Full-time Employees

To be eligible, you must be a full-time employee or an appointed official from a local board of education employer that participates in the SEHBP. Each employer decides the minimum hours to be considered full-time by a resolution filed with the NJDPB, but it cannot be less than 25 hours per week. Employment must also be for 12 months per year, except for employees whose usual work schedule is 10 months per year (the standard school year).

Part-time Employees

Certain part-time employees are eligible for coverage. See the fact sheet below for more information.

Information for Plan Year 2024

Overviews of Medical Plans

  • Local Education Employees Horizon
  • Local Education Employees Aetna

Learn More About Employee Dental Plans

Side-by-Side Comparison of Medical Plans

Side-by-Side Comparison of Prescription Plans

Review Your Plan Choices

Information for Plan Year 2025

Overviews of Medical Plans

  • Local Education Employees Horizon
  • Local Education Employees Aetna

Learn More About Employee Dental Plans

Side-by-Side Comparison of Medical Plans

Side-by-Side Comparison of Prescription Plans

Review Your Plan Choices

Information for Plan Year 2024

Employee Medical Plan Rates

Employee Dental Plan Rates

Contribution Worksheets and Calculators

Information for Plan Year 2025

Employee Medical Plan Rates

Employee Dental Plan Rates

Contribution Worksheets and Calculators

Local Education Employee Applications — All Local Education Employees MUST submit Health Benefit applications online using Benefitsolver. Log in through myNewJersey or navigate to mynjbenefitshub.

All covered employees must have access to prescription drug coverage. The type of coverage provided and costs are determined by the option offered by your employer and the medical plan you select.

The New Jersey State Health Benefits Program (SHBP) and School Employees' Health Benefits Program (SEHBP) offer employees and their covered dependents the opportunity to join a Direct Primary Care doctor's office at no additional cost. Simply choose a Direct Primary Care Doctor from Marathon Health (formerly Everside Health) and get unlimited access to personalized care with no co-pays, when and where it's convenient for you. Learn more about Direct Primary Care.

NJWELL is a wellness program offered to active employees of the public sector who participate in the State Health Benefits Program (SHBP) or School Employees’ Health Benefits Program (SEHBP) and their covered spouses/partners. Learn more about NJWELL.

Eligible active and retired members and their dependents can take advantage of these add-on health programs (copays or additional out-of-pocket costs may apply).

  • Forge  – Active, COBRA, and non-Medicare retirees enrolled in a Horizon medical plan who are 18 years of age or older can start their recovery journey with a personalized behavior health plan to help you achieve your goal.
  • AbleTo for Horizon members and AbleTo for Aetna members – Certain active, COBRA, and non-Medicare retirees who are enrolled in a Horizon medical plan or the Aetna Garden State Health Benefits Plan can get a personalized, behavior health-focused 8-week program to learn skills to help you enjoy more out of life.

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Last Updated: Friday, 11/01/24