Benefits Open Enrollment

Benefits Open Enrollment Until June 15, 2020

Open Enrollment 2020 for our health plans is here! If you wish to make changes to your health plans, now is the time:

  • Switch to a lower-premium, lower-contribution medical plan • Add / remove dependents from your plans
  • Enroll yourself for new coverage
  • Enroll / re-enroll in the benefits opt-out

Enrollment/Change Request Form

Switch Medical Plan

Switch to a lower-premium, lower-contribution medical plan If you are interested in changing your plan to a lower premium, review the attached materials to see if a move could work for you.

Per your existing Collective Bargaining Agreement, if you wish to enroll in the Horizon BCBSNJ Direct Access 10 plan, you can do so by paying the Chapter78 contribution on the Direct Access 15 plan and 100% of the premium cost differential between the Direct Access 10 and Direct Access 15 plans. See the attached form for information and instructions.

Add / Remove Dependents

During Open Enrollment, you can newly enroll an eligible dependent if you failed to do so within the initial enrollment window. For instance, you can enroll a new spouse or your dependent child who is eligible for coverage under the District plan (e.g., your child under age 26 without health coverage). Likewise, if your dependent child no longer needs District health coverage or has ‘aged out’ of the plan, or if you need to disenroll a spouse from whom you are now divorced, now is the time. While you should notify Human Resources at the time such events occur, you can do so during Open Enrollment.

If enrolling a new dependent(s) to your plans, you must provide copies of applicable eligibility documentation:• Spouse: marriage / civil union certificate

  • Natural child: birth certificate showing employee name
  • Stepchild: birth certificate showing name of spouse/partner and marriage/civil union certificate with employee/spouse name
  • Adopted child: final court orders with presiding judge’s signature and seal

Enrollment/Change Request Form

Enroll Yourself for New Coverage

Employees who are eligible for District coverage but are not currently enrolled can do so now during this Open Enrollment.

Enrollment/Change Request Form

Dental Enrollment Form

Enroll / Re-enroll in Benefits Opt-Out

If you have access to benefits elsewhere (e.g., through your spouse’s employer plan), you may be eligible to waive the District plan in return for cash payments. Note, if you are currently waiving coverage and wish to continue your opt-out into the coming year, you MUST re-enroll now. See the attached Opt-Out Election Form for more details. If enrolling or re-enrolling in the waiver option, complete the form and email to Human Resources by June 15, 2020.

Next Steps:

  • Paperwork to make adjustments to your plans or waive benefits is due to Human Resources on or before June 15, 2020.
  • If none of the above applies to you, no action is needed; you will retain your current plan status.
  • Any plan adjustments you make during this Open Enrollment take effect July 1, 2020.

Benefits Comparison Sheets

Horizon BCBSNJ Medical & Prescription Plan Benefits Comparison

Health Plan Employee Contribution Comparison

Questions? Please contact Human Resources

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