NOTE:  Open Enrollment has been extended to November 11, 2016.

 The State Health Benefits Program (SHBP) has designated October 3, 2016 to November 11, 2016 as the annual Open Enrollment period for the State Health Benefits Program and New Jersey Tax$ave program.

This is your annual opportunity to assess your benefits needs and revise your health, prescription drug, dental, and pre-tax flexible spending accounts selections.  The deadline for submission of all plan changes is November 11, 2016.  All changes made during Open Enrollment will be effective on January 1, 2017.

If you do not anticipate making any changes to your medical, dental, or prescription plan coverage options during the open enrollment period, then no action is required on your part to maintain your coverage during Open Enrollment. However, be advised that if you are enrolled in any Flexible Spending Accounts and wish to maintain that benefit for 2017, then re-enrollment must be completed during Open Enrollment. See the section "Tax$ave Plans" for more information.

If you have any benefits questions, please contact a Benefits Specialist at 848-932-3990 or at benefits@hr.rutgers.edu.

 

Health and Prescription Drug Plans and Rates

Rutgers employees will continue to be able to participate in both Aetna and Horizon Blue Cross Blue Shield of New Jersey health care plans through participation in the SHBP.  Please see the chart below for a summary of continuing plans. Additionally, the SHBP Medical Plan and Prescription Drug Plan Comparison guide provides an informative side-by-side comparison of all major plan features, such as copays and deductibles.  For a listing of the participating physicians in each provider’s network, visit the Aetna SHBP Homepage, or the Horizon NJ DIRECT SHBP Homepage.

Both the Aetna Liberty and Horizon OMNIA plans that were offered for the first time last year will again be available as health plan options. For 2017, the State will provide an incentive in the form of a gift card per Active Employee who enrolls in the Tiered Network plan, with a two-year commitment on the part of the employee.  The incentive is equal to $1,000 for Single coverage, $1,250 for Empoyee-Spouse or Employee-Child(ren) coverage, and $2,000 for Family coverage.

Other changes taking effect for the 2017 Plan Year are:

  • All PPO plans will now limit the plan payments for out-of-network physical therapy services to the average of the in-network rate for physical therapy services.
  • Emergency room copays will increase by $25 for all current plans where the copay is less than $100.
     

Summary of Health Plans Available - January 1, 2017

Health Plan Providers

Continuing Plans

Horizon Blue Cross Blue Shield of New Jersey

NJ DIRECT15
NJ DIRECT1525
NJ DIRECT2030
NJ DIRECT2035

Horizon HMO

NJ DIRECT HD1500
NJ DIRECT HD4000

Horizon Omnia

Aetna

Aetna Freedom15
Aetna Freedom1525
Aetna Freedom2030
Aetna Freedom2035

Aetna HMO

Aetna Value HD1500
Aetna Value HD4000

Aetna Liberty

For additional information, please review the following:

For the SHBP Medical Plan applications, see below:

 

Express Scripts Prescription Drug Plan

There will be no benefit changes to the SHBP employee prescription drug plan. You may continue to use your current prescription identification card and continue to refill your prescription drugs using the same claim forms. For additional information, visit the SHBP Express Scripts website

The customer service telephone number on your identification card, 1-866-220-6512 will also remain the same. For a listing of prescription drug plan co-payments, click here.

Dental Plans

There will be no plan changes to the dental plan options offered under the SHBP. You may continue to use your current dental identification card and use the same claim forms.

Please review the new 2017 Monthly Group Dental Rates. For comparison between the State-administered dental plans, please visit the State's Dental Plan Rate Comparison Sheet and the Employee Dental Plan Fact Sheet#37. To download the 2017 State Dental Application, please click here.

Important Exception: Employees who began enrollment in a SHBP dental plan after January 1, 2016 will not be permitted to change dental plans during this Open Enrollment. Employees must remain enrolled in a dental plan for a minimum of 12 months before they are allowed to change plans.

Tax$ave Plans – Section 125 Flexible Spending Accounts

You can enroll in a flexible spending account program (Tax$ave) to save money on your taxes by paying for eligible healthcare and dependent care expenses with pre-tax dollars. The program, provided for under Section 125 of the Internal Revenue Code consists of a Premium Option Plan (plan that allows your health insurance premiums to be deducted on a pre-tax basis), Unreimbursed Medical Flexible Spending Account (annual limit – $2,500), and a Dependent Care Flexible Spending Account (annual limit – $5,000). 

The Tax$ave plans do not renew automatically; therefore, you must enroll or reenroll during the Open Enrollment period to participate in the Section125 Flexible Spending Accounts in 2017. If you do not reenroll in the Tax$ave plans during the Open Enrollment period, you will not have access to this benefit in the coming year, regardless of your enrollment status in the previous year.

You may enroll online at http://www.wageworks.com/. You may also complete the FSA Eection Form and fax to 1-866-672-4780, or mail to Wageworks Enrollment Processing, P.O. Box 14766, Lexington, KY 40512-4766 (must be postmarked no later than October 31, 2016). All changes made during Open Enrollment will become effective January 1, 2017.

“Working for U” Benefits Fairs

In order to serve our growing Rutgers community, the University Human Resources (UHR) Benefits unit is hosting a series of Open Enrollment Benefits Fairs for employees to become acquainted with the services and programs available to them.

These Open Enrollment Benefits Fairs will occur throughout the month of October, and will feature information regarding State and non-State benefits, as well as opportunities for employees to talk with employee services organizations on campus. The dates, times and locations for these events are:

October 10, 10 a.m. – 4 p.m. – RBHS Piscataway/New Brunswick, Medical Education Building (MEB) Atrium, Robert Wood Johnson, 125 Patterson St, New Brunswick, New Jersey 08901

October 11, 10 a.m. – 4 p.m. Rutgers University - New Brunswick, College Avenue Campus, Student Center Multipurpose Room, 126 College Ave, New Brunswick, NJ 08901

October 13, 10 a.m. – 2:30 p.m. – Rutgers University - Camden Campus, Athletic and Fitness Center, 301 Linden St, Camden, New Jersey 08102

October 19, 10 a.m. – 4 p.m. – Rutgers University - Newark Campus, Robeson Campus Center, Multipurpose Room, 350 Martin Luther King Blvd, Newark, New Jersey 07102

October 20, 10 a.m. – 4 p.m. – Rutgers University - Piscataway, Busch Student Campus, Student Center Multipurpose Room, 604 Bartholomew Rd, Piscataway, New Jersey 08854

October 25, 10 a.m. – 4 p.m. – RBHS Newark, Medical Science Building, Grand Foyer Lobby, 185 South Orange Ave, Newark, New Jersey 07101

Returning Open Enrollment Forms

Open Enrollment forms must be returned to University Human Resources or your local HR Benefits office by November 11, 2016. The latest Open Enrollment forms can be downloaded at http://uhr.rutgers.edu/policies-resources/forms/open-enrollment. When submitting a benefits change, please use the latest Open Enrollment forms; benefits change requests submitted on last year’s forms will need to be resubmitted. You can return your Open Enrollment forms via the following methods: 

  • Email: Scan and email your Open Enrollment forms to benefits@hr.rutgers.edu, with the words “Open Enrollment” in the Subject Line
  • Fax: You may fax Open Enrollment forms to (732) 932-6208 (Please call Benefits Administration at 848-932-3990 to confirm receipt of your applications)
  • Postal Mail: You can mail your Open Enrollment forms to:

University Human Resources (UHR) Benefits Administration
RE: Open Enrollment
57 U.S. Highway 1
New Brunswick, NJ 08901-8554

  • Walk-In: You can hand deliver your Open Enrollment forms to your nearest HR Benefits office. RBHS employees assigned to the Stratford Campus will be able to drop off their Open Enrollment with the Rutgers-Camden HR Staff at Armitage Hall, Third Floor, 311 N. 5th Street, Room 354, Camden, NJ 08102.

 

Procedure to Change or Waive Your State Health Benefits Plan Coverage

During Open Enrollment, you can make changes to the following plans:

  • Health
  • Dental
  • Prescription Drug
  • Tax$ave – Section 125 Flexible Spending Accounts
  • Premium Option Plan

To change or waive your State Health Benefits coverage please visit the Procedure to change your State Health Benefits coverage

Estimating Health Insurance Premium Costs

In order to assist in assessing the financial impact of each health insurance plan option UHR has developed an online Employee Medical and Prescription Insurance Premium Estimator to help you determine the monthly premium costs for your medical and/or prescription coverage. The premium estimator may be accessed at http://www.nj.gov/treasury/pensions/hb-percentage17-monthly.shtml

SHBP Wellness Program

Beginning with the 2014 plan year, the SHBP launched NJWELL – a new wellness program designed to help employees live healthier lifestyles. NJWELL is open to employees who are enrolled in the SHBP. Spouses and eligible partners can also participate, as long as they are covered by the SHBP plan.

Through NJWELL, employees receive incentives for participating in simple screenings, health assessments, and participating in other wellness and healthy lifestyle activities. And since healthier individuals typically require less-costly health care, the NJWELL program can help the SHBP contain health care costs and pass those savings on to you, through lower premium rates in the future.

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