Medical and Related Benefits

As a member of the New Jersey State Health Benefits Program (SHBP), Stockton offers variety of choices for medical/prescription and dental insurance. Health benefits coverage for new hires begins 60 days from the date of employment. Health benefits coverage for faculty with a September 1 start date begins immediately.

If you have a qualifying life event (e.g., marriage, divorce, birth or adoption of a child, loss of coverage elsewhere) please contact benefits@stockton.edu within 30 days of the event date. Any other changes to benefits can be done during the annual open enrollment period held in October.

Full-time, permanent part-time, and adjunct employees may enroll in any of the NJ State Health Benefit plans through Horizon Blue Cross Blue Shield or Aetna:

PPO

in/out of network
no referrals
no need to designate primary doctor

 

HMO

in network only
need referrals
need to designate primary doctor

Tiered Network Plans

in network only
Tier 1 – cost effective /Tier 2 – slightly higher
cost sharing and no referrals
$1,000 incentive (must remain in plan for one year from enrollment)

 

High Deductible Plans

in/out of network
no referrals
no need to designate primary doctor
includes health savings account (HSA)

Plan Comparisons

All benefits enrollment is completed through the online Benefitsolver portal. Please follow the instructions below to create an account.

Resources

Provider Directories

SHBP contribution rates

Additional Resources

For All NJ State Health plans that have prescription coverage, prescription coverage is provided through OptumRx (see information below).

The Group Dental Plan is available to eligible full-time employees.  The program provides a choice between two different plans, the Aetna Dental Expense Plan (PPO) and Dental Plan Organizations (DPOs).  Employees and dependents are prohibited from enrolling in more than one dental plan (Dual Enrollment).

Aetna Dental Expense Plan (PPO)
The Dental Expense Plan is a traditional indemnity plan that allows members to obtain services from any dentist. After a member satisfies a $50 deductible, the member is reimbursed for a percentage of the reasonable and customary charges for the services that are covered under the plan. The Dental Expense Plan has a network of participating providers who offer discounted services. Employees save money by using these providers.

Dental Plan Organizations (DPOs)
The Dental Plan Organizations, or DPOs, are individual companies offering dental services through contracts with a network of dental providers. A DPO member selects a DPO dentist, and the costs of most diagnostic and preventive services are covered in full, although certain services require an additional co-payment. The DPOs operate much like Health Maintenance Organizations in that they will not cover services provided by an out-of-network provider unless there was a proper referral. You must use a dentist who is a member of the DPO you selected or be referred by your DPO dentist.

The University and the employee equally share the cost for participation in either plan.  Premium payments are made through payroll deductions. Employee premiums can be paid on a pretax basis through participation in the Premium Option Plan (POP) of the State's IRC Section 125 Program, Tax$ave. Participation in POP is automatic unless the employee specifically declines enrollment.  

Tax$ave, a benefit program available under Section 125 of the Federal Internal Revenue Code, allows eligible employees to set aside pre-tax dollars to pay for certain medical, dental, and dependent care expenses. An eligible employee is any employee who is eligible to participate in the State Health Benefits Program. Tax$ave consists of three separate component plans, and an eligible employee may elect to participate in any combination, all, or none of the plans. The three components of Tax$ave are:

  • The Premium Option Plan (POP) allows employees to pay any medical and/or dental premiums that they may have, with pre-tax dollars. 
     
  • The Unreimbursed Medical Flexible Spending Account Plan (FSA) allows employees to set aside pre-tax dollars to pay for qualified medical, dental and vision expenses not covered by your health or dental insurance (i.e. copayments, coinsurance, and presciption glasses, etc). There is a 60-day waiting period from date of hire.
     
  • The Dependent Care Flexible Spending Account Plan (FSA) allows an employee to set aside pre-tax dollars to pay for anticipated dependent care expenses (i.e. daycare, after school care, summer camps, etc.). There is a 30-day waiting period from date of hire.

Please keep in mind that reimbursement requests to either the Medical Expense or Dependent Care Spending Accounts must be used no later than March 15th following the end of the calendar year for which the account was established.  Any amounts in your account not claimed by March 15th, will be forfeited.  It is therefore critical that reimbursement requests be submitted as soon as possible after the expense is incurred.

OptumRx is the state employee prescription plan for all NJ state Health Benefits Plans.

Full-time employees and their eligible dependents may be reimbursed at the rates below:

CWA employees

single lens glasses or contacts:  up to $80

bi-focals or tri-focals:  up to $90

Eye exams:  up to $45

IFPTE, AFT, and Managers

single lens glasses:  up to $40

bi-focals or tri-focals:  up to $45

Eye exams:  up to $35

Contact Payroll for your next eligibility date.  Most NJ State Health Benefits Plans will cover the cost of vision examinations by in-network providers; co-payments may be required.

Need Assistance?

  • Are you a current employee considering retirement?  Contact Bart Musitano to discuss the process and requirements
  • View the full list of HR benefits staff including notes on who can help you with what  
  • Or, call us at 609-652-4384
  • Or stop by our suite in J-115

We look forward to getting you what you need, answering your questions, and/or connecting you with the HR team member that can best help you.