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  • Ha-0889-1115 Active Local Gov App Layout 1

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HEALTH BENEFITS PROGRAM APPLICATION SHBP LOCAL GOVERNMENT ACTIVE EMPLOYEE GROUP EMPLOYMENT STATUS: o FULL TIME o NATIONAL GUARD Last Name Title (Jr., Sr., etc.) First Name MI Street Address (Include.

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About the Program The Empire Plan is the primary health insurance plan for NYSHIP, covering 1.1 million members. Civil Service contracts with UnitedHealthcare Insurance Company of New York (United) to administer the Empire Plan's medical/surgical benefits.

The New Jersey State Health Benefits Program (SHBP) and School Employees' Health Benefits Program (SEHBP) offer employees and their covered dependents the opportunity to join a Direct Primary Care doctor's office at no additional cost.

Access to leading hospitals throughout your plan's service area. Health and wellness programs, as well as discounts on gym memberships, weight loss services, hearing aids, and more. Drug coverage through retail pharmacies and our home delivery drug program.

For those districts who have their Health Benefit Coverage through the School Employees Health Benefit Plan (SEHBP), you will see premiums rise 15.1% beginning January 1, 2023. The increase is 15.6% for Medical and 10.8% for RX for a combined increase (total) of 15.1%.

SHBP or SEHBP eligible retirees who do not qualify for State-paid or employer-paid coverage pay the full cost of their health benefits coverage. Premiums are deducted from the monthly pension checks. If the month- ly retirement allowance is not sufficient to cover the premium, you will be billed monthly.

Learn more about Direct Primary Care. NJWELL. NJWELL is a wellness program offered to active employees of the public sector who participate in the State Health Benefits Program (SHBP) or School Employees' Health Benefits Program (SEHBP) and their covered spouses/partners. Learn more about NJWELL.

SUNY participates in the New York State Health Insurance Program (NYSHIP). This program offers a PPO, known as the Empire Plan, and several different HMOs, varying by geographic region around the State. Specific coverage provisions and plan design vary by health insurance plan and by employee bargaining unit.

NYSHIP is the New York State Health Insurance Program – a comprehensive health insurance program for New York State public employees comprising The Empire Plan and NYSHIP-approved Health Maintenance Organizations (HMOs).

The New Jersey State Health Benefits Program (SHBP) and School Employees' Health Benefits Program (SEHBP) offer employees and their covered dependents the opportunity to join a Direct Primary Care doctor's office at no additional cost.

NYSHIP also requires your enrolled dependents to be enrolled in Medicare Parts A and B when they are first eligible for primary Medicare coverage. Since NYSHIP becomes secondary to Medicare, you and your covered dependents must be enrolled in Parts A and B as soon as you are eligible for primary Medicare coverage.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232