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Health Benefits Plans and Programs

Employees at the College of New Jersey participate in the State Health Benefits Program (SHBP) through the Division of Pensions and Benefits at the State of New Jersey. Plans available to individual members vary and depend upon an employee’s status. The cost of your plan is based on your compensation and the level of coverage you elect. If you have any questions about benefit plan eligibility or participation, please visit the Human Resources Portal.

To view the New Jersey Division of Pensions and Benefits website, click here: Passport to Benefits

Pandemic resources can be found here: COVID-19 Resources

Medical and Prescription Plan Information

Your program of benefits is governed by your employment classification and bargaining unit affiliation. If you are unsure of your benefits program eligibility, please review your offer letter or employment contract where your employment classification is indicated. If you have any questions, please submit a ticket in the HR Portal.

For more information regarding your Medical Plan Options include:

  • A Side-by-Side Comparison of Medical Plans
  • A Comparison of Prescription Plans
  • A Summary of Benefits and Coverage
  • Plan Rates and Employee Contribution Calculators

Please review the State Health Benefits Program Website, where you can “Review Your Choices” and “Calculate Your Costs” for your Medical Benefits. 

Or, visit the Benefits Program Summaries for all TCNJ employees’ webpage.

How to Enroll/Access Your Benefits

All health benefit elections must be submitted through Benefitsolver. Employees have access to Benefitsolver through the myNewJersey portal.

Prescription Drug Insurance Information

Members must elect to enroll in both medical and prescription insurance. This means, if you enroll in the medical plan you are also required to enroll in a prescription drug insurance plan that covers the same individual(s). If a member opts to waive coverage, both medical and prescription coverage must be waived. For more information, please click the “Get Prescription Drug Information” dropdown on the State Health Benefits Program Website.

OptumRX:

  • If you are looking for more information on OptumRX, please visit the OptumRx website for useful tools on pharmacy networks, prescription drug lists, prescription pricing, and home delivery: OptumRx Website.

OPTUM Perks:

  • OptumRx members are eligible for prescription discounts through the Optum Perks cards. Each time you fill a prescription, bring the card to your favorite pharmacy and save on thousands of prescription medications.
  • Visit the Optum Perks website for additional details: More Optum Perks Details.

Part-Time Employee Health Benefits Information

  • Certain part-time and intermittent employees are eligible for coverage.
  • Please click here to learn more

NJWELL Program

  • A wellness rewards program for active employees in the public sector who participate in the State Health Benefits Program (NJ SHBP) and their covered spouses/partners.
  • » Learn more about NJWELL

Dental Plan Information

  • To review your Dental Plan Options, please visit the State Health Benefits Program Website, and click the “Review Your Plan Choices” dropdown.
    • Under the “Review Your Plan Choices” dropdown, employees may access information on Dental Plan Providers, Dental Plan Overviews, and an “Employee Dental Plans Member Guidebook.”

Incentive Program for the Horizon OMNIA Tiered-Network Plan

The Incentive Program for Horizon OMNIA will be extended for State employees with modifications to past years’ incentives. The program will offer a financial incentive of $1,000 to first-time enrollees who remain enrolled for one year for all coverage levels (i.e., Single, Member and Spouse, Parent and Child, or Family coverage). The incentive is paid by gift card no later than the end of the current tax year and is deemed reportable income for tax purposes. The incentive shall be forfeited and returned to the SHBP if the subscriber fails to remain enrolled in the Tiered-Network Plan for at least one plan year. To learn more about the Tiered-Network Incentive Program, please click here: Tiered-Network Incentive Program

Tax$ave Flexible Spending Account (FSA) Information

  • Horizon is the Tax$ave Flexible Spending Account administrator. New enrollment is required every year in order to participate in an FSA. This means that current participants must enroll again.
  • A Tax$ave FSA offers eligible employees the opportunity to increase their available income by reducing their federal tax liability. Employees who elect to participate in a Tax$ave Flexible Spending Account (FSA) decide how much to contribute for the calendar year at enrollment. Ideally, employees that elect to enroll in a Tax$ave FSA will base their contribution amount on predictable expenses because the Tax$ave FSA is an “Unreimbursed Medical Spending Account.”
  • To learn more, please click on the “Tax$ave & Commuter Tax$ave” dropdown.
  • To learn about Tax$ave eligibility, please click here.

Important Changes to 2020 and 2021 Tax$ave FSA Plans in Response to COVID

For Tax$ave information specifically related to Covid-19, please visit the website below and click on the “Tax$ave & Commuter Tax$ave” dropdown:

https://www.nj.gov/treasury/pensions/pension-active-other.shtml

In response to IRS Notice 2021-15 ADDITIONAL RELIEF FOR CORONAVIRUS DISEASE (COVID-19) GUIDANCE UNDER § 125 CAFETERIA PLANS, the New Jersey Tax$ave Flexible Spending Account (FSA) is making changes To Plan Year 2020 and Plan Year 2021.

1.     FSA Plan Year 2020 – Tax$ave is extending the Grace Period (date to incur claims) from March 15, 2021, to December 31, 2021, for participants with a balance of $25 or more on March 15, 2021.  Also, the Run Out period (date to submit claims) is extended from April 30, 2021, to December 31, 2021. Additional changes include increasing the age of Dependent Care cutoff from 13 to 14 and finally allowing terminated employees with an excess of contributions to participate in an extended Grace period in order to recover 2020 payroll contributions. There is a blackout period between March 15, 2021, and April 19, 2021, during which no claims will be paid out but may be incurred. This time period is to facilitate the transition of 2020 Grace Period management from WageWorks to Horizon My Way.

2.     Horizon My Way Claim forms 2020 and 2021:

3.     FSA Plan Year 2021 – Tax$ave is relaxing requirements to change Medical and Dependent Care Elections. You will not need to supply documentation for your change in status but you must submit an Enrollment or Change in Status (CIS) form to Horizon My Way by September 30, 2021.  You can enroll, increase or decrease either Medical or Dependent Care Plan election. Reduction in election cannot be less than either the amount contributed in 2021 or the amount claimed in 2021, whichever is highest. We cannot issue refunds. This information is found in our enrollment guide: https://www.nj.gov/treasury/pensions/documents/taxsave/2021/fsa-essential-guide.pdf

Download:

Download a 2021 Horizon My Way Enrollment Form at: https://www.nj.gov/treasury/pensions/documents/taxsave/2021/2021-fsa-enrollment-form.pdf

or a change in status Form for PlanYear2021:

https://www.nj.gov/treasury/pensions/documents/taxsave/2021/change-in-status-form.pdf

Finish and Submit: Sign and date the form.

Fax the completed form to Horizon My Way: 1-866-231-0214 or mail to: P.O. Box 982814 El Paso TX 79998-2814.Linda Matznick

Supervisor, Accounting Services Section

Div of Pensions and Benefits

State of New Jersey

(609) 984-1594

Tax$ave offers eligible employees the opportunity to increase their available income by reducing their federal tax liability.  Employees who elect to participate in a flexible spending account (FSA) decide how much to contribute for the 2021 calendar year.  Ideally, employees who elect to enroll in a flexible spending account base their contribution amount on predictable expenses.

To view the Quick Reference Guide: FSA Quick Reference Guide For more details on Tax$ave, click here: 2021 Flexible Spending Accounts Overview and Enrollment Instructions  The flexible spending account enrollment form is here:  Horizon Flexible Spending Accounts Enrollment Form To complete the form electronically, download the document.

Grand Rounds/Included Health

Grand Rounds/Included Health is no longer offered through the State of New Jersey health benefits plan. If you were already using this benefit, you may continue to use your benefit. Grand Rounds Health is a remote expert second opinion partner that connects eligible employees with complex needs to world-class experts. Grand Rounds Health services are available at no out-of-pocket costs. With this benefit, you can:

  • Receive an expert second opinion for a world-class expert for any condition they may have, which includes Grand Rounds Health gathering all available medical records on behalf of the member.
  • Find high-quality, in-network providers for local care and even have their appointment scheduled for them.
  • Speak with a Grand Rounds Health Staff Clinician for any questions they may have about their health, as often and for as long as you want.

To learn more about this benefit, please visit Horizon’s Grand Rounds webpage.

To enroll or learn additional information, please visit www.grandrounds.com/shbp or call 1-855-734-4017. Once enrolled, you can access your account on any device (desktop, tablet, or mobile) after they sign up.

Livongo

Livongo for Diabetes is a benefit that is offered at no cost to you. The Livongo for Diabetes Program makes living with diabetes easier by providing you with a connected meter, unlimited strips, and coaching. You could learn more about Livongo by reading the Livongo Flyer.

Please visit Horizon’s Diabetes/Hypertension Whole Person webpage to learn more about FREE enrollment in Livongo.

PennMedicine Employee Assistance Program (EAP)

PennMedicine Employee Assistance Program (EAP) offers video counseling using secure HIPAA-compliant, interactive audio and video technology to all employees at the College. Services may be accessed through mobile devices or computers, and service hours have been extended to evenings and weekends:

MyLifeExpert Newsletter

Please sign up for the LIVE monthly Mental Minute Webinar! New Newsletters are posted to the HR Homepage under Announcements!

Free Add on Benefit for Employees Enrolled in a Health Plan

Retirement Plan Resources

The instructional video for MBOS is: How to Retrieve Your MBOS Log-In Credentials.

New Jersey Paid Sick Leave Law

Information on Paid Sick Leave can be found in your Benefits Package.

For student employees and supplemental workers, please visit the New Jersey Paid Sick Leave webpage to learn more about how paid sick time functions at the College.

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