TO:
FROM:
State Health Benefits Program Participating Local Government Employers
New Jersey State Health Benefits Program
SUBJECT: SHBP Open Enrollment 2010 — Local Government Employers
The State Health Benefits Program (SHBP) Open Enrollment Period for local government employees will begin on October 1, 2010 and end on October 29, 2010 . All changes to coverage made during this open enrollment will be effective on January 1, 2011.
For changes made during this Open Enrollment, completed employer-certified Health
Benefit Applications and/or Dental Plan Applications should be forwarded to the Health
Benefits Bureau as soon as they are received from employees. The last day that certified applications may arrive at the Health Benefits Bureau to be effective for the start of the new plan year is November 5, 2010.
Note: Be sure to see the information on page 6 of this letter regarding important changes in the distribution of Open Enrollment publications.
COVERAGE OF CHILDREN UNTIL AGE 26
Provisions of the federal Patient Protection and Affordable Care Act (PPACA) include the coverage of children until age 26. Effective with the plan year beginning January 1, 2011, the SHBP will extend the coverage of children until December 31 of the year a child turns age 26 ( or older if a disabled dependent child – see page 2).
Employers should note that the PPACA mandates that employers inform employees of the provisions of this new legislation.
In addition to an article in the Open Enrollment edition of the Health Capsule newsletter, an informational flier is attached for distribution to your enrolled employees.
Under the PPACA a “child” is defined as a subscriber’s child until age 26, regardless of the child’s marital, student, or financial dependency status — even if the young adult no longer lives with his or her parents. However, the extension of coverage is only available if the adult child is not eligible to enroll in other employer-based coverage (aside from coverage through the parent).
•
During the October Open Enrollment, parents may enroll/re-enroll children who meet the above criteria and who will be under age 26 as of December 31, 2010. A photocopy of the child's birth certificate that includes the covered employee’s name must be submitted along with the application (additional supporting documentation is required for a foster child, stepchild, or a legal guardianship – see page 2).
•
Covered children who turn age 23 during 2010 do not need to enroll during
October to continue coverage in 2011. Coverage will be continued automatically.
New Jersey Is An Equal Opportunity Employer z
Printed on Recycled and Recyclable Paper

Page 2 of 7
SHBP Open Enrollment
September 10, 2010
•
Children ages 23 through 26 who are currently enrolled for extended SHBP coverage under the provisions of Chapter 375, P.L. 2005, will need to be enrolled during October for SHBP coverage as a child under age 26.
DOCUMENTATION REQUIREMENTS FOR OTHER DEPENDENTS
There are documentation requirements if a member is enrolling other dependents for coverage (spouse, partner, step/foster child, disabled child over age 26). Along with the employer-certified Health Benefit Applications and/or Dental Plan Application the following documents are required to verify the dependent’s relationship to the member and eligibility for coverage.
•
Employees who are enrolling a spouse in the SHBP for the first time are required to provide a photocopy of the marriage certificate and a copy of the top half of the front page of the employee’s most recently filed federal tax return (Form 1040*) that lists the spouse.
•
An employee enrolling a civil union partner is required to provide a photocopy of the NJ Civil Union Certificate — or a valid certification from another State of foreign jurisdiction that recognizes same-sex civil unions (for an eligible domestic partner provide a photocopy of the NJ Certificate of Domestic Partnership that is dated prior to February 19, 2007, or a valid certification from another State of foreign jurisdiction that recognizes same-sex domestic partnerships) and a photocopy of the top half of the front page of the employee’s most recently filed NJ income tax return* that also lists the partner.
* If the Form 1040 does not list the spouse or partner, the employee should provide a photocopy of a recent (within 90 days of application) bank statement or utility bill that includes both name of the employee and spouse/partner and is received at the same address.
Employees may black out all financial information and all but the last 4 digits of any Social
Security numbers.
•
Employees who are enrolling a child in the SHBP for the first time are required to provide a photocopy of the child’s birth certificate showing the employee’s name as a parent.
For a stepchild provide a photocopy of the child’s birth certificate showing the spouse/partner’s name as a parent and a photocopy of marriage/partnership certificate showing the names of the employee and spouse/partner.
For a grandchild, foster child, or legal guardianship provide a photocopy of a
Final Court Order with the presiding judge’s signature and seal attesting to the legal guardianship by the covered employee.
Note: Additional documentation requirements for the continuation of coverage for children with disabilities over the age of 26 or for children until age 31 under Chapter
375, P.L. 2005, can be found on the SHBP Web site at: www.state.nj.us/treasury/pensions/health-benefits.shtml
To ensure that the documentation submitted is properly matched to the employee’s record, the Health Benefits Bureau requests that employers provide the employee’s Social Security number and last name on the copy of the required documentation.

Page 3 of 7
SHBP Open Enrollment
September 10, 2010
MINIMUM WORK HOURS FOR COVERAGE
A local government employee hired after May 21, 2010, is required to work a minimum of 25 hours per week* to be considered “full-time” and eligible for coverage under the SHBP.
Similarly, after May 21, 2010, any newly appointed or elected officer of a local government entity is required to work a minimum of 35 hours per week* to be eligible for coverage under the SHBP.
* Or more if required by contract.
An employee or appointed/elected officer, enrolled on or before May 21, 2010, is eligible for continued coverage under the SHBP based on the minimum work hour requirements of the local government entity that were in place prior to May 21, 2010, provided there is no break in the employee’s/officer’s service or reduction in work hours.
MULTIPLE SHBP/SEHBP COVERAGE IS PROHIBITED
Chapter 2, P.L. 2010, effective May 21, 2010, specifically prohibits two members who are each enrolled in SHBP/SEHBP plans from covering each other. Therefore, an eligible individual may only enroll in the SHBP/SEHBP as an employee or retiree, or be covered as a dependent.
In addition, eligible children may only be covered by one participating SHBP/SEHBP subscriber.
MEDICAID AND CHILDREN’S HEALTH INSURANCE PROGRAMS NOTICE
The federal Children's Health Insurance Program Reauthorization Act requires that employees receive annual notification of premium assistance for employer-sponsored health coverage available through Medicaid and Children’s Health Insurance Programs (CHIP).
A sample Medicaid/CHIP Notice is included with this mailing that employers may distribute to enrolled employees. The Medicaid/CHIP Notice will also be incorporated in the Division’s annual mailing of HIPAA/COBRA information so the notices can be distributed in future years.
2011 SHBP RATES FOR EMPLOYERS
The State Health Benefits Commission has approved medical, dental, and prescription drug plan rates for the 2011 plan year. These rates are based upon the recommendation of the
Commission’s actuarial consultant, Aon Consulting.
Effective January 1, 2011, SHBP plan rates for the Local Government Active Group will see the following percentage of change.
MEDICAL PLAN RATE CHANGES FOR 2011
PLAN TYPE RATE CHANGE
NJ DIRECT10 12.2%
NJ DIRECT15
Aetna HMO
CIGNA HealthCare HMO
Prescription Drug Plan
12.2%
12.7%
12.2%
6.6%

Page 4 of 7
SHBP Open Enrollment
September 10, 2010
DENTAL PLAN RATE CHANGES FOR 2011
PLAN TYPE RATE CHANGE
Dental Expense Plan
Dental Provider Organizations (DPO)
(Aetna, CIGNA, Community)
BeneCare DPO
2%
0%
1%
Healthplex DPO
Horizon DPO
-5%
2%
MEDICAL PLANS AND COPAYMENTS
The SHBP currently offers local government employees a choice of one of four medical plans.
•
NJ DIRECT10 — a Preferred Provider Organization administered by Horizon Blue
Cross Blue Shield of New Jersey that offers a selection of both in-network coverage with a $10 office visit copayment and out-of-network coverage subject to deductibles and coinsurance; or
•
NJ DIRECT15 — a Preferred Provider Organizations administered by Horizon Blue
Cross Blue Shield of New Jersey that offers a selection of both in-network coverage with a $15 office visit copayment and out-of-network coverage subject to deductibles and coinsurance; or
•
Aetna HMO or CIGNA HealthCare HMO — standard Health Maintenance
Organization (HMO) plans offering in-network coverage through a primary care physician for a $10 office visit copayment.
A side-by-side comparison of medical plan benefits is available in the Plan Comparison
Summary for Local Government Employees, available for viewing or printing at the SHBP
Web site: www.state.nj.us/treasury/pensions/health-benefits.shtml
PRESCRIPTION DRUG PLANS AND COPAYMENTS
Medco Health Solutions, Inc.
, of Franklin Lakes, NJ, is the pharmacy benefits manager for the SHBP.
The SHBP offers two types of prescription drug plans to participating employers: The
Employee Prescription Drug Plan and a prescription drug plan based on medical plan enrollment.
The Employee Prescription Drug Plan is offered to local government employers as a freestanding prescription drug plan. If your employing entity has chosen to participate:
•
Copayments for a 30 day supply when purchased at a retail pharmacy are $3 for generic drugs, $10 for brand name prescription drugs.
•
Mail order prescription drug copayments for up to a 90-day supply are $5 for generic drugs, $15 for brand name drugs .
For more information, see the Employee Prescription Drug Plan Member Handbook.

Page 5 of 7
SHBP Open Enrollment
September 10, 2010
Prescription Drug Plan based on medical plan enrollment
•
Subscribers NJ DIRECT10 or NJ DIRECT15 are provided reimbursement of prescription drug costs at 90% for prescriptions filled by an in-network pharmacy or
80% (NJ DIRECT10) or 70% (NJ DIRECT15) for prescriptions filled by an out-ofnetwork pharmacy.
•
Subscribers Aetna HMO or CIGNA HealthCare HMO are provided a three tier copayment benefit. Copayments for a 30 day supply when purchased at a retail pharmacy are $5 for generic drugs, $10 for preferred brand name drugs, and $20 for all other brand name drugs. Mail order copayments for up to a 90-day supply are $5 for generic drugs, $15 for preferred brand name drugs, and $25 for all other brand name drugs.
Employer rate charts for medical plans — with either separate or medical plan based prescription drug coverage — as well as Employee Prescription Drug Plan rates are included in this mailing. Rate information is also available on the SHBP Web site: www.state.nj.us/treasury/pensions/health-benefits.shtml
WAIVING SHBP COVERAGE
Local government employees are permitted to waive SHBP medical and prescription coverage if they have other employer-provided or retiree coverage, or other coverage as a dependent.
Employers are permitted to offer an incentive to employees who waive SHBP coverage.
Under Chapter 2, P.L. 2010, the incentive amount for waivers filed on or after May 21, 2010, is limited to 25 percent of the amount saved by the employer or $5,000, whichever is less.
In addition, because Chapter 2, P.L. 2010, prohibits multiple coverage under the
SHBP/SEHBP (see page 3), waiver incentives are only payable if the other coverage is through a non-SHBP/SEHBP plan.
To waive coverage a SHBP Waiver Form for Local Employees and a Health Benefit
Application must be completed and submitted by October 29, 2010. To waive coverage effective January 1 st
, employees should indicate “Open Enrollment” on the waiver form; otherwise, the waiver will be processed on a timely basis.
EMPLOYEE DENTAL PLANS
The Employee Dental Plans are offered to local government employers as a freestanding dental plan. If your employing entity has chosen to participate there are seven different dental plans offered based on one of two different plan designs — Dental Plan
Organizations (DPO) and a Dental Expense Plan .
•
Six are available: Aetna DMO; BeneCare; CIGNA DHMO; Community
Dental Associates; Healthplex; and Horizon Dental Choice. DPOs contract with a network of providers for dental services. When you use a DPO dentist, diagnostic and preventive services are covered in full. Most other eligible expenses require a small copayment. You must use providers participating with the DPO you select to receive coverage. Be sure you confirm that the dentist or dental facility you select is taking new patients and participates with the SHBP Employee Dental Plans, since
DPOs also service other organizations.
•
The is an indemnity type plan administered by Aetna that allows members to obtain services from any dentist. After satisfying an annual

Page 6 of 7
SHBP Open Enrollment
September 10, 2010 deductible (no deductible for preventive services), members are reimbursed a percentage of the reasonable and customary charges for most services.
The employee cost for coverage under a dental plan is 50 percent of the actual dental plan premium.
Therefore, the employee cost varies depending on which dental plan an employee chooses; however, the rate for coverage under a DPO remains considerably less expensive than the Dental Expense Plan. Rate charts for dental coverage and Fact Sheet
#37, Employee Dental Plans — with a side-by-side comparison of dental plan benefits — are available on our Web site: www.state.nj.us/treasury/pensions/health-benefits.shtml
Employees must remain enrolled in a dental plan for a minimum of 12 months before they will be allowed to change plans.
This means that if an employee was not enrolled in a dental plan as of January 1, 2010, they will not be permitted to change dental plans during this Open Enrollment.
ONLINE DISTRIBUTION OF OPEN ENROLLMENT MATERIALS
Please Note: In compliance with State initiatives to provide paperless services, the Health
Capsule newsletter and most other Open Enrollment informational materials will only be available in electronic format for this year’s Open Enrollment.
Access to Open Enrollment publications are available through links at the Division of
Pensions and Benefits Web site: www.state.nj.us/treasury/pensions/health-benefits.shtml or as PDF attachments provided with the distribution of this letter.
Employers should inform employees to access the Open Enrollment information online or provide the PDF versions via e-mail attachment or your Departmental Intranet.
For cases where online or e-mail notification is not possible, a paper flier giving instructions on accessing the Open Enrollment publications is provided with this letter and can be copied and distributed as required.
MILESTONES — Enclosed is a milestone chart that lists the critical dates of the open enrollment period and outlines the efforts being made to educate employees. Please use this chart as a checklist to guide your activities during open enrollment.
RATE CHARTS — Enclosed you will find employer rates for medical, prescription drug, and dental plans. Rate information is also posted to the SHBP Web site: www.state.nj.us/treasury/pensions/health-benefits.shtml
HEALTH CAPSULE — The Health Capsule newsletter announces the SHBP Open
Enrollment to employees, lists important changes, and provides other information that may affect employee benefit selection. A sample is enclosed for your review.
Employees should be informed to access the Health Capsule online or be provided the PDF version via e-mail attachment or your Departmental Intranet.
HEALTH PLAN CONTACTS — A list of medical and dental plans, telephone contact information, Web site addresses, and service areas is enclosed. Please copy and provide this information to your employees for obtaining detailed plan information, inquiries about claims, or to find participating medical or dental providers*.
A separate list of employer marketing contacts for the medical and dental plans is also enclosed. Use these contacts to obtain plan specific literature. (These telephone numbers

Page 7 of 7
SHBP Open Enrollment
September 10, 2010 are not for member services. Please do not give these telephone numbers to your employees.)
* Note: The online Unified Provider Directory (UPD) is no longer available.
HEALTH AND DENTAL PLAN APPLICATIONS — The medical plans (including prescription drug coverage) and the Employee Dental Plans use two different applications.
The health and dental applications are available for printing from the SHBP Web site at: www.state.nj.us/treasury/pensions/health-benefits.shtml
SUMMARY PROGRAM DESCRIPTION (SPD) BOOKLET, PLAN HANDBOOKS, AND
HEALTH PLAN COMPARISON SUMMARY CHARTS — The Summary Program
Description, Member Handbooks for the individual plans , and SHBP Plan Comparison
Summary charts are being revised. Updates — where needed — will be online for the start of the 2011 plan year.
These publications are available as online, printer friendly documents on the SHBP Web site at: www.state.nj.us/treasury/pensions/health-benefits.shtml
Please encourage your employees to access these materials online. Bulk supplies of print copies are no longer available.
ADDITIONAL INFORMATION
If you have any questions about the SHBP Open Enrollment Period or the information in this letter, please contact our Office of Client Services at (609) 292-7524 to speak with an
Employer Group representative or send an e-mail to: pensions.nj@treas.state.nj.us
Thank you for your assistance in making the SHBP Open Enrollment Period a success for your employees.
Enclosures:
SHBP Open Enrollment Milestone Chart
Medical and Dental Plan Rates
Health Capsule Newsletter
Open Enrollment Flier for Online Access to Publications
Coverage of Children Until Age 26 flier
Medicaid/CHIP Notice
Medical/Dental Plan Employee Contact Information
Medical/Dental Plan Marketing Contacts

( LOCAL – MILESTONE – 2010)
FALL 2010 SHBP OPEN ENROLLMENT MILESTONE CHART for Participating Local Government Employers
Note: If the event is underlined, you should be accomplishing the event.
PROJECTED
DATE
Late-September
EVENT
October 1
October 29
November 5
January 1, 2011
Employers should inform employees to access the Health
Capsule newsletter online or provide the publication directly via the PDF attachments to the Certifying Officers’ Open
Enrollment Announcement Letter.
SHBP Open Enrollment Begins.
SHBP Open Enrollment Ends.
Employer certified applications due at the Health Benefits
Bureau.
SHBP Open Enrollment changes effective.

FOR EMPLOYERS WHO OFFER THE EMPLOYEE PRESCRIPTION DRUG PLAN OR A PRIVATE PLAN
DEPARTMENT OF THE TREASURY - DIVISION OF PENSIONS AND BENEFITS
NEW JERSEY STATE HEALTH BENEFITS PROGRAM
LOCAL MONTHLY ACTIVE GROUP - LOCAL GOVERNMENT EMPLOYERS
RATES EFFECTIVE 1/1/2011 to 12/31/2011
PLAN/COVERAGE EMPLOYER DEPENDENT
TOTAL
NJ DIRECT15 - #150
Single
Member & Spouse/Partner
Family
Parent & Child
NJ DIRECT10 - #050
Single
Member & Spouse/Partner
Family
Parent & Child
AETNA, INC. - #019
Single
Member & Spouse/Partner
Family
Parent & Child
CIGNA HealthCare HMO - #020
Single
Member & Spouse/Partner
Family
Parent & Child
PRESCRIPTION DRUG PROGRAM - #201
Single
Member & Spouse/Partner
Family
Parent & Child
$527.84
$529.51
$530.12
$528.57
$554.29
$555.96
$556.57
$555.02
$534.48
$536.15
$536.76
$535.21
$537.44
$539.11
$539.72
$538.17
$148.73
$148.73
$148.73
$148.73
-------
$658.13
$789.48
$210.40
-------
$691.20
$829.16
$220.99
-------
$666.45
$799.46
$213.07
-------
$670.13
$803.86
$214.24
-------
$185.90
$223.07
$59.47
$527.84
$1,187.64
$1,319.60
$738.97
$554.29
$1,247.16
$1,385.73
$776.01
$534.48
$1,202.60
$1,336.22
$748.28
$537.44
$1,209.24
$1,343.58
$752.41
$148.73
$334.63
$371.80
$208.20

FOR EMPLOYERS WHO OFFER PRESCRIPTION DRUGS THROUGH THE SHBP BASED ON THE MEDICAL
PLAN THE SUBSCRIBER IS ENROLLED
DEPARTMENT OF THE TREASURY - DIVISION OF PENSIONS AND BENEFITS
NEW JERSEY STATE HEALTH BENEFITS PROGRAM
LOCAL MONTHLY ACTIVE GROUP - LOCAL GOVERNMENT EMPLOYERS
RATES EFFECTIVE 1/1/2011 to 12/31/2011
PLAN/COVERAGE EMPLOYER DEPENDENT
TOTAL
NJ DIRECT15 - #150 WITH PRESCRIPTION DRUG #211
1
Single
Member & Spouse/Partner
Family
Parent & Child
$633.40
$635.07
$635.68
$634.13
NJ DIRECT10 - #050 WITH PRESCRIPTION DRUG #210
1
Single
Member & Spouse/Partner
Family
Parent & Child
Single
Member & Spouse/Partner
Family
Parent & Child
$665.16
$666.83
$667.44
$665.89
AETNA, INC. - #019 WITH PRESCRIPTION DRUG #212
2
Single
Member & Spouse/Partner
Family
Parent & Child
$678.79
$680.46
$681.07
$679.52
CIGNA HealthCare HMO - #020 WITH PRESCRIPTION DRUG #213
2
$682.55
$684.22
$684.83
$683.28
-------
$790.08
$947.82
$252.64
-------
$829.75
$995.43
$265.31
-------
$846.85
$1,015.93
$270.80
-------
$851.51
$1,021.53
$272.29
$633.40
$1,425.15
$1,583.50
$886.77
$665.16
$1,496.58
$1,662.87
$931.20
$678.79
$1,527.31
$1,697.00
$950.32
$682.55
$1,535.73
$1,706.36
$955.57
1
Subscribers in NJ DIRECT10 and NJ DIRECT15 are provided drug reimbursement plan administered by Medco.
2
Subscribers in Aetna HMO or CIGNA HealthCare HMO are provided a three tier copayment benefit administered by Medco.

DEPARTMENT OF THE TREASURY - DIVISION OF PENSIONS AND BENEFITS
NEW JERSEY STATE DENTAL PROGRAM
LOCAL MONTHLY ACTIVE GROUP
LOCAL GOVERNMENT AND EDUCATION EMPLOYERS
RATES EFFECTIVE 1/1/2011 to 12/31/2011
DESCRIPTION
OF COVERAGE
MONTHLY BILLING RATE
DENTAL EXPENSE PLAN - #399
Single
Member & Spouse/Partner
Family
Parent & Child
DENTAL PROVIDER ORGANIZATIONS (DPO)
BENECARE (DPO #301)
Single
Member & Spouse/Partner
Family
Parent & Child
MAXIMUM EMPLOYEE
CONTRIBUTION (50%)
$21.50
$37.37
$61.14
$45.29
$12.71
$22.09
$36.15
$26.77
TOTAL MONTHLY
RATE
$43.01
$74.74
$122.28
$90.58
$25.43
$44.18
$72.30
$53.55
COMMUNITY DENTAL (DPO #302)
Single
Member & Spouse/Partner
Family
Parent & Child
CIGNA (DPO #305)
Single
Member & Spouse/Partner
Family
Parent & Child
$12.01
$20.88
$34.16
$25.30
$10.79
$18.77
$30.70
$22.75
$24.02
$41.77
$68.32
$50.60
$21.59
$37.55
$61.41
$45.51
HEALTHPLEX (DPO #307)
Single
Member & Spouse/Partner
Family
Parent & Child
HORIZON DENTAL CHOICE (DPO #317)
Single
Member & Spouse/Partner
Family
Parent & Child
AETNA DMO (DPO #319)
Single
Member & Spouse/Partner
Family
Parent & Child
$9.75
$16.95
$27.73
$20.54
$9.98
$17.34
$28.37
$21.01
$10.46
$18.21
$29.79
$22.07
$19.50
$33.90
$55.46
$41.08
$19.96
$34.68
$56.74
$42.03
$20.93
$36.43
$59.58
$44.15

N e w J e r s e y D i v i s i o n o f P e n s i o n s a n d B e n e f i ts
For Local Government Employees and School Employees Issue #26
O pen Enrollment is your annual opportunity to closely review your medical, prescription drug, and dental benefits. The State Health Benefits Program
(SHBP) and School Employees’ Health Benefit Program
(SEHBP) will be holding the Open Enrollment period for
Plan Year 2011 for employees from October 1 through
October 29, 2010. Any changes made to your coverage during Open Enrollment will become effective on January 1,
2011.
During the Open Enrollment
During the Open Enrollment period you may:
• Enroll in the SHBP or SEHBP if you have not previously done so;
• Change to a different medical plan and/or (if your employer participates) dental plan. See page 4 for more dental plan information.;
• Add eligible dependents you have not previously enrolled. (Please note that the maximum age for covering children has been raised to age 26. To learn more, see page 2 that explains the new provision.); or
• Remove dependents from your coverage.
To make a change to your coverage, contact your human resources representative or benefits administrator to obtain an application. Medical and prescription drug coverage changes are made on the same application. Dental coverage
(if you are eligible) changes are made on a separate application. Completed applications must be returned to your human resources representative or benefits administrator by
October 29, 2010. Do not send the application directly to the Division of Pensions and Benefits.
Health Plan Contributions
The recent passage of Chapter 2, P.L. 2010, made numerous changes to the SHBP and the SEHBP, including health plan contributions. On May 21, 2010, or on the expiration of any applicable labor agreement in force on that date, most employees are required to contribute a minimum of
1.5 percent of their annual base salary regardless of the medical plan or level of coverage that is selected. Your health contribution changes any time there is a change in your base annual salary. See your benefits administrator or human resources representative regarding your contribution amount.
For More Information
For questions about specific plan benefits, contact the plan directly or see the Plan Comparison Summary , available on the Division of Pensions and Benefits Web site at: www.state.nj.us/treasury/pensions/health-benefits.shtml
T he SHBP/SEHBP considers themselves “grandfathered health plans” under the Patient Protection and Affordable
Care Act (Affordable Care Act). As permitted by the Affordable Care Act, a grandfathered health plan can preserve certain basic health coverage that was already in effect when that law was enacted. Being a grandfathered health plan means that your plan may not include certain consumer protections of the Affordable Care Act that apply to other plans, for example, the requirement for the provision of preventive health services without any cost sharing. However, grandfathered health plans must comply with certain other consumer protections in the Affordable Care Act, for example, the elimination of lifetime limits on benefits.

2 Health Capsule — Local Government and School Employees Edition — Fall 2010
P rovisions of the federal Patient Protection and Affordable Care Act (Affordable Care Act) include the coverage of children until age 26. Currently the SHBP and SEHBP permit the coverage of dependent children until age 23. Under the Affordable Care Act, the extended coverage until age 26 is effective for the plan year to begin after September
2010 and will, therefore, apply to the SHBP and SEHBP for the plan year beginning January 2011.
Is Your Child Eligible?
Under the Affordable Care Act:
• A “child” is defined as an enrollee’s child until age 26, regardless of the child’s marital, student,or financial dependency status — even if the young adult no longer lives with his or her parents.
• Coverage will be extended to eligible children through December 31 of the year they turn age 26.
• However, until 2014, the extension of coverage is only available if the adult child is not eligible to enroll in employer-based coverage (aside from coverage through the parent).
Enrolling Your Child
October 2010 has been set aside as the period when parents may enroll/re-enroll children who meet the above criteria and who will be under age 26 as of December 31, 2010.
• Employees may submit a Health Benefits Application, through their employer, between October 1 and 29, 2010 to enroll, or re-enroll, an eligible child.
• For all enrollments a photocopy of the child's birth certificate that includes the covered parent’s name must be submitted along with the application (or other supporting documentation for foster or stepchildren).
• Covered children who turn age 23 during 2010 do not need to enroll during October to continue coverage in 2011.
Coverage will be continued automatically.
More about this provision of the Affordable Care Act is available on the U.S. Department of Health and Human Services
Web site at: www.hhs.gov/ociio/regulations/adult_child_fact_sheet.html
Coverage for Children Ages 26 to 31
Chapter 375, P.L. 2005, provides for the continuation of health coverage to children past the age of 26 until age 31. The cost of Chapter 375 coverage is paid by the member-parent or over age child.
A child by blood or law who previously "aged-out" of a plan and does not currently receive coverage or have coverage under COBRA, provided he or she meets certain requirements for dependent status, may elect continued coverage — even if there has been a gap in coverage. The eligibility requirements are outlined as follows:
1.
be 30 years of age or younger at the time of application;
2.
be unmarried;
3.
have no dependent(s) of his or her own;
4.
be a resident of New Jersey or enrolled as a full-time student at an accredited public or private institution of higher education;
5.
have no other coverage as a named subscriber, insured, enrollee, or covered person under any other group or individual health benefits plan, church plan, or health benefits plan, or entitled to benefits under Medicare; and
6.
provide proof of previous credible coverage.
An over age child is eligible for coverage until age 31 in the medical and/or prescription drug plan that is identical to the plan in which the parent is enrolled. The application for over age children must be signed by both the child and parent responsible for paying for the cost of coverage. In order to enroll for the 2011 plan year, you must complete a Chapter 375
Enrollment Application and return it to the Division of Pensions and Benefits, Health Benefits Bureau, PO Box 299,
Trenton, NJ 08625 by October 30, 2010.

Health Capsule — Local Government and School Employees Edition — Fall 2010
E ffective May 21, 2010, Chapter 2, PL 2010, prohibits multiple coverage under the SHBP or SEHBP. This means that an employee (or retiree) cannot be eligible for coverage as both a subscriber and a dependent under the SHBP and/or SEHBP.
In June, a notification was sent to those members who were identified as having multiple coverage. In order to comply with the law and retain your current and future eligibility for SHBP or SEHBP coverage, members were asked to either waive coverage as a subscriber (employee) OR terminate other coverage as a retiree or dependent. If you did not take action by submitting an application to the Division of Pensions and Benefits by September 1, 2010, one of your coverages will be automatically terminated. Please check your account information through the Member Benefit Online
System (MBOS).
T he federal Health Insurance Portability and Accountability Act (HIPAA) of 1996 requires group health plans to implement several provisions contained within the law to annually notify its membership of any provisions for which they file an exemption. For plan year 2010, all health plans meet or exceed the federal requirements, with the exception of mental health parity for NJ DIRECT.
The State Health Benefits Commission filed an exemption from the area of mental health parity for non-biologically based mental illness with the federal Centers for Medicare and Medicaid Services for calendar year 2010 for NJ DIRECT.
These limitations are outlined in the NJ DIRECT Member Handbook or contact NJ DIRECT at 1-800-414-SHBP (7427) for more information.
I n compliance with State initiatives to provide paperless services, Open Enrollment informational materials, plan comparison charts, and SHBP/SEHBP plan member handbooks are only available in electronic format. Most publications are provided in Adobe TM PDF format for user friendly viewing or printing. Access to SHBP/SEHBP publications is available on the Division of Pensions and Benefits Web site: www.state.nj.us/treasury/pensions/health-benefits.shtml
MEDICAL PLANS WEB ADDRESS PHONE#
NJ DIRECT* www.horizonblue.com/shbp
*Administered by Horizon Blue Cross Blue Shield of New Jersey
Aetna HMO www.aetna.com/statenj
1-800-414-7427
1-877-STATE NJ
CIGNA HealthCare www.cigna.com
1-800-564-7642
All plans are available nationwide. There are no longer specific service areas in different states; however, you should check with your medical provider to verify his or her plan participation.
PRESCRIPTION DRUG PLAN WEB ADDRESS PHONE#
Medco Health Solutions www.medco.com/statenj 1-866-220-6512
3

4 Health Capsule — Local Government and School Employees Edition — Fall 2010
I f your employer is a participates in the Employee Dental Plans, you may choose from two types of dental plans: one of six Dental Plan Organizations (DPO) or the Dental
Expense Plan.
Dental Plan Organizations
The Dental Plan Organizations contract with a network of providers for dental services.
There are six DPOs participating in the SHBP from which you may choose: Aetna DMO,
Atlantic Southern Dental, CIGNA DHMO, Community Dental Associates, Horizon
Healthcare Dental, and International Health Care Services.
You must use providers participating with the DPO you select to receive coverage. Since
DPOs also service other organizations, be sure to confirm that the dentist or dental facility you select is taking new patients and participates with the SHBP Employee Dental Plans.
Dental Expense Plan
The Dental Expense Plan is a traditional indemnity plan that allows you to obtain services from any dentist. After you satisfy the $50 annual deductible (no deductible applies for preventive services), you are reimbursed a percentage of the reasonable and customary charges for the services that are covered under the Dental Expense Plan up to the annual plan maximum of $3,000. The Dental Expense Plan is administered for the SHBP by Aetna.
Find Out More
To find out if you are eligible for the plan, contact your benefits administrator or human resources representative. General information about the Employee Dental Plans can be found in the Employee Dental Plans Member Handbook that is available on our Web site at: www.state.nj.us/treasury/pensions/health-benefit.shtml
Participating Employee Dental Plans
DENTAL PLAN NAME
WEB ADDRESS AND
MEMBERSHIP SERVICES
PHONE NUMBER
SERVICE AREA
BeneCare
(Atlantic Southern
Dental Foundation) www.benecare.com
1-800-843-4727
All of New Jersey
(Except Hunterdon, Morris, Passaic,
Salem, Somerset, Sussex & Warren
Counties)
Community Dental
Associates www.cdaplan.com
(856) 451-8844
Cumberland County
CIGNA Dental Health, Inc.
Healthplex (International
Health Care Services) www.cigna.com/stateofnj
1-800-367-1037 www.healthplex.com
1-800-468-0600
All of New Jersey and Eastern
Pennsylvania (Except Cape May
County)
All of New Jersey, Bucks County, and
Philadelphia, Pennsylvania
(Except Cape May, Glouster,
Hunterdon, Salem, Sussex & Warren
Counties)
Horizon Dental Choice
Aetna DMO
Dental Expense Plan
(Administered by Aetna) www.horizonblue.com
1-800-433-6825 www.aetna.com/statenj
1-800-843-3661 www.aetna.com/statenj
1-877-238-6200
All of New Jersey
(Except Salem County)
All of New Jersey and Eastern
Pennsylvania
Unrestricted
New Jersey SHBP/SEHBP
Division of Pensions and Benefits
(609) 292-7524 www.state.nj.us/treasury/pensions
Health Capsule is published periodically for local government and school employees and is designed to keep employees informed about developments in the health benefits programs. The newsletter addresses issues affecting your health and prescription benefits and includes articles on new or proposed legislation, New Jersey
Administrative Code changes, decisions of the State Health
Benefits Commission or
School Employees’ Health
Benefit Commission, and national issues affecting our programs.
The selections in this publication are for information purposes only and, while every attempt at accuracy is made, it cannot be guaranteed.
If you would like to see any particular health benefits issue addressed, please forward your ideas to Health Capsule ,
Division of Pensions and
Benefits, Office of Client
Services, P.O. Box 295,
Trenton, NJ 08625-0295.
Florence J. Sheppard
Acting Director
Division of Pensions and Benefits
Steven R. Stokley
Senior Editor
Publications
Helen C. Benjamin
Editor
Publications
Kathleen M. Marsala
Graphic Artist
Publications

HA-0863-0910
STATE OF NEW JERSEY — DIVISION OF PENSIONS AND BENEFITS
STATE HEALTH BENEFITS PROGRAM (SHBP) and SCHOOL EMPLOYEES’ HEALTH BENEFITS PROGRAM (SEHBP)
October is the SHBP and SEHBP Open Enrollment period — your annual opportunity to review health benefits coverage and make any changes for you and/or your dependents for the 2011 plan year.
During the Open Enrollment you may:
• Enroll in SHBP/SEHBP plans if you have not previously done so;
• Change to a different SHBP/SEHBP medical plan and/or (if provided) dental plan;
• Add eligible dependents – including children up to age 26* under federal health care reform changes
– see the Health Capsule newsletter for details.
STARTING THIS YEAR, OPEN ENROLLMENT PUBLICATIONS ARE ONLY AVAILABLE ONLINE
Go to: www.state.nj.us/treasury/pensions/ and click the Open Enrollment links under “Special Announcements”
• To change or enroll in SHBP/SEHBP plans, contact your human resources representative or benefits administrator to obtain an application. Medical and prescription drug coverage changes are made on the same application. Dental coverage changes are made on a separate application.
• Changes made during this Open Enrollment will be effective on January 1, 2011 for all employees .
*Optional coverage for dependent children until age 31 is available under the provisions of Chapter 375, P.L. 2005.
**Re-enrollment is required each year for continued participation in a Tax$ave FSA plan.
Print 2-up and Cut
HA-0863-0910
STATE OF NEW JERSEY — DIVISION OF PENSIONS AND BENEFITS
STATE HEALTH BENEFITS PROGRAM (SHBP) and SCHOOL EMPLOYEES’ HEALTH BENEFITS PROGRAM (SEHBP)
October is the SHBP and SEHBP Open Enrollment period — your annual opportunity to review health benefits coverage and make any changes for you and/or your dependents for the 2011 plan year.
During the Open Enrollment you may:
• Enroll in SHBP/SEHBP plans if you have not previously done so;
• Change to a different SHBP/SEHBP medical plan and/or (if provided) dental plan;
• Add eligible dependents – including children up to age 26* under federal health care reform changes
– see the Health Capsule newsletter for details.
STARTING THIS YEAR, OPEN ENROLLMENT PUBLICATIONS ARE ONLY AVAILABLE ONLINE
Go to: www.state.nj.us/treasury/pensions/ and click the Open Enrollment links under “Special Announcements”
• To change or enroll in SHBP/SEHBP plans, contact your human resources representative or benefits administrator to obtain an application. Medical and prescription drug coverage changes are made on the same application. Dental coverage changes are made on a separate application.
• Changes made during this Open Enrollment will be effective on January 1, 2011 for all employees .
*Optional coverage for dependent children until age 31 is available under the provisions of Chapter 375, P.L. 2005.
**Re-enrollment is required each year for continued participation in a Tax$ave FSA plan. *Optional coverage for

HB-0859-1010w
State Health Benefits Program and
School Employees' Health Benefits Program
Under the Patient Protection and Affordable Care Act
Provisions of the federal Patient Protection and Affordable Care Act (PPACA) include the coverage of children until age 26.
Currently the State Health Benefits Program (SHBP) and School Employees’ Health Benefits Program
(SEHBP) permit the coverage of dependent children until age 23. Under the PPACA, the extended coverage until age 26 is effective for the plan year beginning January 2011.
Under the PPACA:
•
A “child” is defined as an enrollee’s child until age 26, regardless of the child’s marital, student, or financial dependency status — even if the young adult no longer lives with his or her parents.
•
Coverage will be extended to eligible children through December 31 of the year they turn age 26.
•
The extension of coverage is only available if the adult child is not eligible to enroll in other employer-based coverage (aside from coverage through the parent).
October 2010 has been set aside by the SHBP/SEHBP as the period when parents may enroll/re-enroll children who meet the above criteria and who will be under age 26 as of
December 31, 2010.
•
Employees will receive enrollment information from their employers as part of the regular
SHBP and SEHBP Open Enrollment communications and may submit a Health Benefits
Application through their employer between October 1 and October 29, 2010.*
•
Retirees will be contacted by direct mail and those wishing to enroll/re-enroll an eligible adult child must submit a SHBP/SEHBP Retired Change of Status Application to the
Health Benefits Bureau of the Division of Pensions and Benefits between October 1 and
October 29, 2010.*
•
For all enrollments a photocopy of the child's birth certificate that includes the covered parent’s name must be submitted along with the application.
For a stepchild provide a photocopy of the child’s birth certificate showing the spouse/partner’s name as a parent and a photocopy of marriage/partnership certificate showing the names of the employee and spouse/partner.
For a grandchild, foster child, or legal guardianship provide a photocopy of Affidavits of
Dependency and a Final Court Order with the presiding judge’s signature and seal attesting to the legal guardianship of the covered employee.
•
Covered children who turn age 23 during 2010 do not need to enroll during October to continue coverage in 2011. Coverage will be continued automatically.
•
Children ages 23 through 26 who are currently enrolled for extended SHBP/SEHBP coverage under the provisions of Chapter 375, P.L. 2005, will need to be enrolled during
October for SHBP/SEHBP coverage as a child under age 26.
* Applications submitted prior to October 1, 2010 will not be accepted.

HB-0858-1010w
Offer Free or Low-Cost Health Coverage to Children and Families
If you are eligible for health coverage from your employer, but are unable to afford the premiums, some States have premium assistance programs that can help pay for coverage. These States use funds from their Medicaid or CHIP programs to help people who are eligible for employer-sponsored health coverage, but need assistance in paying their health premiums.
If you or your dependents are already enrolled in Medicaid or CHIP and you live in a State listed below, you can contact your State Medicaid or CHIP office to find out if premium assistance is available.
If you or your dependents are NOT currently enrolled in Medicaid or CHIP, and you think you or any of your dependents might be eligible for either of these programs, you can contact your State Medicaid or CHIP office or dial 1-877-KIDS NOW or www.insurekidsnow.gov
to find out how to apply. If you qualify, you can ask the State if it has a program that might help you pay the premiums for an employer-sponsored plan.
Once it is determined that you or your dependents are eligible for premium assistance under Medicaid or CHIP, your employer’s health plan is required to permit you and your dependents to enroll in the plan – as long as you and your dependents are eligible, but not already enrolled in the employer’s plan. This is called a “special enrollment” opportunity, and you must request coverage within 60 days of being determined eligible for premium assistance .
If you live in one of the following States, you may be eligible for assistance paying your employer health plan premiums. The following list of States is current as of April 16, 2010.
You should contact your State for further information on eligibility.
ALABAMA – Medicaid
Web site: http://www.medicaid.alabama.gov
Phone: 1-800-362-1504
ALASKA – Medicaid
Web site: http://health.hss.state.ak.us/dpa/ programs/medicaid/
Phone (Outside of Anchorage): 1-888-318-
8890
Phone (Anchorage): (907) 269-6529
ARIZONA – CHIP
Web site: http://www.azahcccs.gov/ applicants/default.aspx
Phone: 1-877-764-5437
ARKANSAS – CHIP
Web site: http://www.arkidsfirst.com/
Phone: 1-888-474-8275
CALIFORNIA – Medicaid
Web site: ttp://www.dhcs.ca.gov/services/Pages/
TPLRD_CAU_cont.aspx
Phone: 1-866-298-8443
COLORADO – Medicaid and CHIP
Medicaid Web site: http://www.colorado.gov/
Medicaid Phone: 1-800-866-3513
CHIP Web site: http://www.CHPplus.org
CHIP Phone: (303) 866-3243
FLORIDA – Medicaid
Web site: http://www.fdhc.state.fl.us/
Medicaid/index.shtml
Phone: 1-866-762-2237
GEORGIA – Medicaid
Web site: http://dch.georgia.gov/
Click on Programs, then Medicaid
Phone: 1-800-869-1150
IDAHO – Medicaid and CHIP
Medicaid Web site: www.accesstohealthinsurance.idaho.gov
Medicaid Phone: 1-800-926-2588
CHIP Web site: www.medicaid.idaho.gov
CHIP Phone: 1-800-926-2588
1

HB-0858-1010w
INDIANA – Medicaid
Web site: http://www.in.gov/fssa/2408.htm
Phone: 1-877-438-4479
IOWA – Medicaid
Web site: www.dhs.state.ia.us/hipp/
Phone: 1-888-346-9562
KANSAS – Medicaid
Web site: https://www.khpa.ks.gov
Phone: 1-800-766-9012
KENTUCKY – Medicaid
Web site: http://chfs.ky.gov/dms/default.htm
Phone: 1-800-635-2570
LOUISIANA – Medicaid
Web site: http://www.la.hipp.dhh.louisiana.gov
Phone: 1-888-342-6207
MAINE – Medicaid
Web site: http://www.maine.gov/dhhs/oms/
Phone: 1-800-321-5557
MASSACHUSETTS – Medicaid and CHIP
Medicaid & CHIP Web site: http://www.mass.gov/MassHealth
Medicaid & CHIP Phone: 1-800-462-1120
MINNESOTA – Medicaid
Web site: http://www.dhs.state.mn.us/
Click on Health Care,
then Medical Assistance
Phone: 1-800-657-3739
MISSOURI – Medicaid
Web site: http://www.dss.mo.gov/mhd/index.htm
Phone: (573) 751-6944
MONTANA – Medicaid
Web site: http://medicaidprovider.hhs.mt.gov/ clientpages/clientindex.shtml
Phone: 1-800-694-3084
NEBRASKA – Medicaid
Web site: http://www.dhhs.ne.gov/med/medindex.htm
Phone: 1-877-255-3092
NEVADA – Medicaid and CHIP
Medicaid Web site: http://dwss.nv.gov/
Medicaid Phone: 1-800-992-0900
CHIP Web site: http://www.nevadacheckup.nv.org/
CHIP Phone: 1-877-543-7669
NEW HAMPSHIRE – Medicaid
Web site: http://www.dhhs.state.nh.us/DHHS/
MEDICAIDPROGRAM/default.htm
Phone: 1-800-852-3345 Ext. 5254
NEW JERSEY – Medicaid and CHIP
Medicaid Web site: http://www.state.nj.us/humanservices/dmah s/clients/medicaid/
Medicaid Phone: 1-800-356-1561
CHIP Web site: http://www.njfamilycare.org/index.html
CHIP Phone: 1-800-701-0710
NEW MEXICO – Medicaid and CHIP
Medicaid Web site: http://www.hsd.state.nm.us/mad/index.html
Medicaid Phone: 1-888-997-2583
CHIP Web site: http://www.hsd.state.nm.us/mad/index.html
Click on Insure New Mexico
CHIP Phone: 1-888-997-2583
NEW YORK – Medicaid
Web site: http://www.nyhealth.gov/ health_care/medicaid/
Phone: 1-800-541-2831
NORTH CAROLINA – Medicaid
Web site: http://www.nc.gov
Phone: (919) 855-4100
2

HB-0858-1010w
NORTH DAKOTA – Medicaid
Web site: http://www.nd.gov/dhs/services/ medicalserv/medicaid/
Phone: 1-800-755-2604
OKLAHOMA – Medicaid
Web site: http://www.insureoklahoma.org
Phone: 1-888-365-3742
OREGON – Medicaid and CHIP
Medicaid & CHIP Web site: http://www.oregonhealthykids.gov
Medicaid & CHIP Phone: 1-877-314-5678
PENNSYLVANIA – Medicaid
Web site: http://www.dpw.state.pa.us/ partnersproviders/medicalassistance/ doingbusiness/003670053.htm
Phone: 1-800-644-7730
RHODE ISLAND – Medicaid
Web site: www.dhs.ri.gov
Phone: (401) 462-5300
SOUTH CAROLINA – Medicaid
Web site: http://www.scdhhs.gov
Phone: 1-888-549-0820
TEXAS – Medicaid
Web site: https://www.gethipptexas.com/
Phone: 1-800-440-0493
UTAH – Medicaid
Web site: http://health.utah.gov/medicaid/
Phone: 1-866-435-7414
VERMONT – Medicaid
Web site: http://ovha.vermont.gov/
Phone: 1-800-250-8427
VIRGINIA – Medicaid and CHIP
Medicaid Web site: http://www.dmas.virginia.gov/rcp-HIPP.htm
Medicaid Phone: 1-800-432-5924
CHIP Web site: http://www.famis.org/
CHIP Phone: 1-866-873-2647
WASHINGTON – Medicaid
Web site: http://hrsa.dshs.wa.gov/ premiumpymt/Apply.shtm
Phone: 1-877-543-7669
WEST VIRGINIA – Medicaid
Web site: http://www.wvrecovery.com/hipp.htm
Phone: (304) 342-1604
WISCONSIN – Medicaid
Web site: http://dhs.wisconsin.gov/ medicaid/publications/p-10095.htm
Phone: 1-800-362-3002
WYOMING – Medicaid
Web site: http://www.health.wyo.gov/ healthcarefin/index.html
Phone: (307) 777-7531
To see if other States have added a premium assistance program since April 16, 2010, or for more information on special enrollment rights, contact:
U.S. Department of Labor
Employee Benefits Security Administration
www.dol.gov/ebsa
U.S. Department of Health and Human Services
Centers for Medicare & Medicaid Services www.cms.hhs.gov
1-877-267-2323, Ext. 61565
3

Local Government Contacts-0910
The annual Open Enrollment period for the State Health Benefits Program (SHBP) is scheduled for October 1 to October 31, 2010.
During this period, eligible employees have the opportunity to enroll in or change existing health coverage. The chart below provides SHBP medical plan and
Employee Dental Plans contact numbers and coverage areas. If you decide to change medical or dental plans, see your Human Resources
Representative to obtain a Health Benefits Application or Dental Plan Application and return it to your employer no later than October 30, 2010.
Changes made during this Open Enrollment period will be effective January 1, 2011 .
Unit # Health Plan Name
050 NJ DIRECT10
AVAILABLE MEDICAL PLANS
Member Services Telephone Number
1-800-414-SHBP (1-800-414-7427)
Web Site Address www.horizonblue.com/shbp
150
005
006
NJ DIRECT15
Aetna HMO
CIGNA HealthCare HMO
1-800-414-SHBP (1-800-414-7427)
1-877-STATE NJ (1-877-782-8365)
1-800-564-7642 www.horizonblue.com/shbp www.aetna.com/statenj www.cigna.com/stateofnj
Unit# Dental Plan Name
301 Atlantic Southern Dental (BeneCare)
302 Community Dental Associates
305 CIGNA DHMO
307 Healthplex (International Health Care Srvs.)
317 Horizon Dental Choice
319 Aetna DMO
399 Dental Expense Plan
(administered by Aetna Dental)
AVAILABLE DENTAL PLANS
Member Services
Telephone Number
1-800-843-4727
(856) 451-8844
1-800-367-1037
1-800-468-0600
1-800-433-6825
Web Site Address www.benecare.com
www.cdaplan.com
Service Area
(contact the dental plan to verify available providers in your county)
Parts of NJ
Cumberland County NJ www.cigna.com/stateofnj Parts of NJ, Eastern PA www.healthplex.com
www.horizonblue.com
Parts of NJ
All of NJ
(except Salem and Hunterdon Co.)
1-800-843-3661 www.aetna.com/statenj All of NJ, Eastern PA
1-877-238-6200 www.aetna.com/statenj Unrestricted

( MEDICAL - 2010)
PLAN NAME
PLAN #
PHONE
NUMBER CONTACT PERSON
NJ DIRECT10
NJ DIRECT15
Administered by Horizon Blue Cross
Blue Shield of New Jersey
Bella Bustamante
Aetna HMO
PLAN NAME
050
150
(973) 466-6666
Fax: (973) 466-6452
HEALTH MAINTENANCE ORGANIZATIONS
HMO #
PHONE
NUMBER
005
(State Employees)
019
(Local Govt. & All Retirees)
(215) 775-0434
Fax: (215) 775-0080
CONTACT PERSON
Lisa Marie Hopkins
E-mail: hopkinsl@aetna.com
CIGNA HealthCare
006
(State Employees)
020
(Local Govt. & All Retirees)
(201) 533-7758
Kathy Reed
E-mail: kathy.reed@cigna.com
*These phone numbers are for Human Resource Representatives to use in contacting the medical plans to obtain booklets/plan literature for employee distribution. The numbers are NOT for membership services – please do not provide them to your employees.
(9/10)

(DENTAL - 2010)
PLAN NAME UNIT/
PHONE
NUMBER CONTACT PERSON
DPO #
Atlantic Southern Dental Foundation (Benecare) 301
(215) 440-1020
Fax: (215)440-1021
Lisa Conaway
E-mail: lconaway@benecare.com
Community Dental Associates 302
(856) 692-4670
Fax: (856) 692-3068
Dr. Gorsen
CIGNA DHMO 305 (201) 533-7758
Kathy Reed
E-mail: kathy.reed@cigna.com
International Health Care Services (Healthplex) 307
(516) 542-2208
Fax: (516) 794-3186
Patricia Mastandrea
E-mail: PatriciaM@Healthplex.com
Horizon Healthcare Dental, Inc. 317
(973) 466-6666
Fax: (973) 466-6452
Bella Bustamante
Aetna DMO 319
(215) 775-0434
Fax: (215) 775-0080
Lisa Marie Hopkins
E-mail: hopkinsl@aetna.com
Dental Expense Plan – Administered by Aetna Dental 399
(215) 775-0434
Fax: (215) 775-0080
Lisa Marie Hopkins
E-mail: hopkinsl@aetna.com
*These phone numbers are for Human Resource Representatives to use in contacting the dental plans to obtain booklets/plan literature for employee distribution. The numbers are NOT for membership services – please do not provide them to your employees.
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