reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 10 - PROCUREMENT OF STATE HEALTH BENEFITS PROGRAM CONTRACTS › Section 17:9-10.10 - Evaluation of bid proposals

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An evaluation
				committee shall be appointed by the Director prior to bid opening to evaluate
				bid proposals received.
(b) Prior
				to bid opening, the evaluation committee shall establish weights for the
				evaluation criteria set forth in the RFP. Weights established will be
				date-stamped prior to bid opening. For RFPs having a negotiation component,
				weights established will not be made public until after the Director's issuance
				of the Notice of Intent to Award. For RFPs not having a negotiation component,
				weights established will be made public at bid opening.
(c) Bid proposals shall be reviewed by the
				evaluation committee to ensure that each meets the requirements for bidding set
				forth at 17:9-10.6 and is responsive to the
				material requirements of the RFP. A bid proposal not meeting the requirements
				for bidding set forth at
				17:9-10.6 and/or not responsive to
				the material requirements of the RFP shall receive no further
				consideration.
(d) The evaluation
				committee may request a bidder to clarify its bid proposal. The process of
				clarification, however, is not an opportunity for a bidder to revise or modify
				its bid proposal.
(e) Responsive
				bid proposals in the competitive range will be evaluated by the evaluation
				committee on the basis of price and the evaluation criteria set forth in the
				RFP.
(f) The evaluation committee
				may recommend bypassing a lower priced responsive bid proposal on the basis of:
1. The superiority of the higher priced
				responsive bid proposal;
2. Issues
				relating to the integrity of the bidder submitting the lower priced responsive
				bid proposal; and/or
3. The
				documented poor performance of the bidder submitting the lower priced
				responsive bid proposal.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 10 - PROCUREMENT OF STATE HEALTH BENEFITS PROGRAM CONTRACTS › Section 17:9-10.11 - Evaluation of bid proposals permitting negotiation

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In addition to
				the requirements for the evaluation of bid proposals set forth at
				17:9-10.1 0, the following
				requirements shall apply to negotiated procurements:
1. The evaluation committee's option to
				negotiate shall be expressly set forth in the RFP;
2. Mandatory requirements of the RFP are not
				negotiable;
3. Negotiations are
				limited to responsive bidders in the competitive range;
4. The evaluation committee shall notify each
				responsive bidder in the competitive range in general terms of the deficiencies
				in its bid proposal;
5. The
				evaluation committee may hold more rounds of negotiations with one responsive
				bidder in the competitive range than with another;
6. Negotiations shall be structured to
				safeguard information and ensure that all responsive bidders in the competitive
				range are treated fairly. Technical transfusion, technical leveling and
				auctioning are precluded;
7.
				Following completion of negotiations, the evaluation committee shall provide
				written notice to all responsive bidders in the competitive range that
				negotiations have concluded. Such notice shall advise all responsive bidders in
				the competitive range of the time and place for submission of best and final
				offers;
8. Each responsive bidder
				in the competitive range is limited to one best and final offer. The best and
				final offer can modify any aspect of the bid proposal, provided mandatory
				requirements of the RFP are satisfied; and
9. Best and final offers are not negotiable.
				Evaluation of best and final offers by the evaluation committee shall be on the
				basis of price and the evaluation criteria set forth in the RFP.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 10 - PROCUREMENT OF STATE HEALTH BENEFITS PROGRAM CONTRACTS › Section 17:9-10.12 - Preference laws; out-of-State bidders

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Pursuant to
				52:32-1.4, when another state has
				residential preference laws, rules or regulations that disadvantage a bidder
				not having its principal place of business in that state, the Commission may
				reciprocally apply such disadvantage to an out-of-State bidder having its
				principal place of business in such state.
(b) The Commission may waive the reciprocal
				application of another state's residential preference law, rules or regulations
				when such waiver would be in the best interest of the Commission and the
				State.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 10 - PROCUREMENT OF STATE HEALTH BENEFITS PROGRAM CONTRACTS › Section 17:9-10.13 - Protest

Current through Register Vol. 56, No. 14, July 15, 2024
A protest of either an RFP requirement or a contract award
				  decision of the Commission is not a contested case subject to the
				  Administrative Procedure Act,
				  52:14B-1 et seq.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 10 - PROCUREMENT OF STATE HEALTH BENEFITS PROGRAM CONTRACTS › Section 17:9-10.14 - Protest of an RFP requirement

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A vendor
				objecting to an RFP requirement should submit a written protest to the Director
				no later than 15 days prior to bid opening to permit the Director adequate time
				to review the merits of such protest and issue a decision prior to bid
				opening.
(b) Such protest shall
				include all arguments, materials or other documentation supporting the vendor's
				objection to the RFP requirement.
(c) A protest of an RFP requirement will not
				be considered after bid opening.
(d) In the event a protest results in an
				amendment to an RFP requirement, such amendment shall be published in
				accordance with
				17:9-10.5. In such event, the
				Director may reschedule bid opening to ensure the receipt of responsive bid
				proposals.
(e) In the event a
				protest results in an amendment to an RFP requirement 15 or fewer days prior to
				the originally scheduled bid opening, any protest of an RFP requirement
				thereafter shall be limited to the RFP amendment.
(f) Appeal from the Director's decision shall
				be to the Commission. Such appeal must be filed with the Director within five
				days of receipt of the Director's decision. If necessary, the Director shall
				reschedule bid opening to permit time for the Commission's consideration of an
				appeal and issuance of a final agency decision.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 10 - PROCUREMENT OF STATE HEALTH BENEFITS PROGRAM CONTRACTS › Section 17:9-10.15 - Protest of a Commission contract award decision

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Protest of a
				Commission contract award decision must be filed with the Director within 10
				days of the bidder's receipt of the Notice of Intent to Award.
(b) The protest must set forth in detail the
				specific grounds for challenging the Commission's contract award decision. The
				protest must include all arguments, materials and/or other documentation that
				may support the protester's position that the Commission's contract award
				decision was in error.
(c) The
				Director shall afford the selected bidder the opportunity to comment on the
				merits of the protest. Upon receipt of the selected bidder's comments, if any,
				the Director shall review the written protest, the selected bidder's comments,
				if any, the RFP, the bid proposal(s) in question, pertinent administrative
				rules, statutes and case law and any related documentation the Director deems
				appropriate. Thereafter, the Director shall issue a written decision.
(d) Appeal from the Director's decision shall
				be to the Commission. Such appeal must be filed with the Director within five
				days of the protestor's and/or selected bidder's receipt of the Director's
				decision.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 10 - PROCUREMENT OF STATE HEALTH BENEFITS PROGRAM CONTRACTS › Section 17:9-10.16 - Appeal to Commission

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In the event of
				an appeal to the Commission from the Director's decision relating to either a
				protest of an RFP requirement or a protest of a Commission contract award
				decision:
1. The Commission shall have sole
				discretion to determine if an oral presentation by the protester is necessary
				to reach an informed final agency decision on the merits of the protest. In the
				event the Commission determines that it can reach an informed final agency
				decision upon a review of the written record, such review shall constitute the
				informal agency hearing;
2. Oral
				presentations are fact-finding for the benefit of the Commission. The
				Commission has the discretion to limit attendance at an oral presentation to
				the protestor and, in the event the protest relates to a contract award
				decision, the selected bidder; and
3. The Commission may appoint a hearing
				officer. In such case, the hearing officer's report shall be advisory in
				nature. All parties shall receive a copy of the hearing officer's report and
				shall have 10 days to provide written comments or exceptions thereto to the
				Commission. Subsequent to the 10-day period for comments or exceptions, the
				Commission shall render its final agency decision.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 10 - PROCUREMENT OF STATE HEALTH BENEFITS PROGRAM CONTRACTS › Section 17:9-10.17 - Discovery procedures

Current through Register Vol. 56, No. 14, July 15, 2024
The Director or the Commission is entitled to request,
				  receive and review copies of any and all records and documents deemed relevant
				  to the issues and arguments set forth in a protest. Upon receipt of such
				  request, the protesting bidder or, in the event of a protest of a Commission
				  contract award decision, the selected bidder shall promptly provide the
				  requested records and documents free of charge in the time, place and manner
				  specified. Failure to comply may, at the discretion of the Director or the
				  Commission, constitute sufficient basis to resolve the protest against the
				  noncomplying party. The Director or the Commission may also consider relevant
				  information requested and received from other parties as deemed appropriate.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 10 - PROCUREMENT OF STATE HEALTH BENEFITS PROGRAM CONTRACTS › Section 17:9-10.18 - Contract execution

Current through Register Vol. 56, No. 14, July 15, 2024
In the event a challenge to a Commission contract award
				  decision is not filed within 10 days of the Director's issuance of the Notice
				  of Intent to Award or, if filed, is resolved in favor of the selected bidder,
				  and the selected bidder has submitted all required contract documentation to
				  the Director, the Director, as Secretary of the Commission, will execute the
				  contract with the selected bidder.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 10 - PROCUREMENT OF STATE HEALTH BENEFITS PROGRAM CONTRACTS › Section 17:9-10.19 - Exceptions to formal, advertised, sealed bidding

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Commission
				may contract without formal, advertised, sealed bidding in one or more of the
				following situations:
1. Services to be
				performed are of a technical and professional nature;
2. Bid prices after advertising are not
				reasonable or independent, provided that each responsive bidder is provided the
				opportunity to submit revised prices;
3. The purchase is from the Federal or any
				State government or political subdivision thereof;
4. Public exigency, that is, life, health
				and/or other emergencies, requiring the immediate delivery of the services;
				and/or
5. Only one source of supply
				is available.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 10 - PROCUREMENT OF STATE HEALTH BENEFITS PROGRAM CONTRACTS › Section 17:9-10.20 - Contract rescission

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Commission
				may, in the following circumstances, rescind a contract and obtain services
				from another vendor, charging the defaulting contractor the difference in
				price, if any, and administrative costs incurred:
1. Refusal of a contractor to bring services
				into compliance with the contract in the time or manner specified by the
				Director or the Commission; and/or
2. Refusal of a contractor to answer
				inquiries from the Division, the Director or the Commission within a reasonable
				period following receipt thereof.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 10 - PROCUREMENT OF STATE HEALTH BENEFITS PROGRAM CONTRACTS › Section 17:9-10.21 - Mutual cancellation of contract

Current through Register Vol. 56, No. 14, July 15, 2024
Upon receipt of a written request from a contractor, the
				  Commission may, under extraordinary circumstances, agree to a mutual
				  cancellation of the contract. The Commission may require the contractor pay the
				  difference in price, if any, associated with securing the services from another
				  source and any administrative expenses associated therewith.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 10 - PROCUREMENT OF STATE HEALTH BENEFITS PROGRAM CONTRACTS › Section 17:9-10.22 - Waiver of time periods

Current through Register Vol. 56, No. 14, July 15, 2024
The Director or the Commission may, in instances where
				  public exigency exists or where there is potential for substantial cost benefit
				  or other advantage, modify or amend the time periods set forth in this
				  subchapter. In such an instance, the Director or the Commission shall give
				  adequate notice to the parties involved.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 10 - PROCUREMENT OF STATE HEALTH BENEFITS PROGRAM CONTRACTS › Section 17:9-10.23 - Authority to contract

Current through Register Vol. 56, No. 14, July 15, 2024
Nothing in the rules set forth in this subchapter shall
				  preclude the Commission from requesting the Division of Purchase and Property
				  to contract on the Commission's behalf for medical benefit services and related
				  actuarial and auditing services. In such instance, the procurement rules,
				  policies, and procedures of the Division of Purchase and Property, as set forth
				  in
N.J.A.C. 17:12
, shall govern.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 11 - PART-TIME EMPLOYEES GROUP › Section 17:9-11.1 - Establishment of Part-time Employees Group

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The SHBP
				Part-Time Employees Group was established under the provisions of
				P.L.
				2003, c. 172
				(52:14-17.3 3a).
(b) Enrollment for coverage is voluntary. A
				separate election will be required for enrollment, change in or a voluntary
				termination of coverage in the Part-time Employees Group. If an employee does
				not elect coverage within 60 days of eligibility for participation in the
				Part-time Employees Group, the employee may only enroll during an
				open-enrollment period.
(c) The
				laws and rules governing the SHBP, except as modified in this subchapter, are
				construed to apply to part-time employees or faculty members and their
				dependents to the extent possible.
(d) Except under the provisions of the
				Federal COBRA law, coverage is not continued in the event of death, or other
				termination of the group coverage.
(e) Duplicate coverage is not permitted; an
				individual may be covered only once. An individual eligible as both a
				subscriber and as the dependent of someone else can be enrolled as an employee
				or as a dependent but not as both an employee and a dependent.
(f) Coverage may be continued during an
				approved leave of absence without pay of not more than nine months provided the
				employee pays the monthly premium.
(g) Eligible dependents may be added during
				the open enrollment or if a qualifying event occurs as defined by
				17:9-2.4.
(h) Where the otherwise eligible employee
				elects a volunteer furlough or a voluntary furlough extension, as authorized by
				11A:6-1.1, coverage shall
				continue with the employee paying the costs as if the member were an active
				employee, provided that the employee remits, in advance, the monthly amount
				required for the employee's coverage.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 11 - PART-TIME EMPLOYEES GROUP › Section 17:9-11.2 - Eligible part-time employees

Current through Register Vol. 56, No. 14, July 15, 2024
Part-time employees of the State, including employees of the
				  State colleges and universities, New Jersey Building Authority, New Jersey
				  State Library, Palisades Interstate Parkway Commission, and the Commerce and
				  Economic Growth Commission participating in the SHBP, are eligible to enroll if
				  they are members of a State-administered retirement system.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 11 - PART-TIME EMPLOYEES GROUP › Section 17:9-11.3 - Coverage available

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The State Managed Care Plan is as defined
				at N.J.S.A. 52:14- 17.26.
(b)
				Pursuant to P.L. 2003, c.
				172 (
52:14-17.33a
), members
				of the Part-time Employees Group shall be eligible for coverage in any plan
				that the member's employer offers, excluding the successor plan, any high
				deductible health plans with the employer, and an employee prescription drug
				program offered by a participating local employer. Members shall also be
				eligible for coverage under the State Employee Prescription Drug
				Plan.
(c) Eligible employees may
				waive enrollment in the State Employee Prescription Drug Plan, but in no case
				shall they be allowed to enroll in the State Employee Prescription Drug Plan
				without also being enrolled in an eligible SHBP medical plan.
(d) There is no eligibility for dental or
				vision or any other benefit created by
				P.L.
				2003, c. 172.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 11 - PART-TIME EMPLOYEES GROUP › Section 17:9-11.4 - Payment of coverage

Current through Register Vol. 56, No. 14, July 15, 2024
The employee will be billed directly for the cost of
				  premiums plus administrative fees.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 11 - PART-TIME EMPLOYEES GROUP › Section 17:9-11.5 - Cost of coverage

Current through Register Vol. 56, No. 14, July 15, 2024
The Commission may adopt separate rates for the Part-time
				  Employees Group reflecting the actual cost of the benefit plus administrative
				  costs.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 11 - PART-TIME EMPLOYEES GROUP › Section 17:9-11.6 - Effective date of coverage

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Coverage for
				all members of the Part-time Employees Group shall be on a monthly
				basis.
(b) The coverage for members
				eligible to enroll in the Part-time Employees Group shall be effective on the
				first of the month following the completion of two months of continuous service
				after enrollment in a State-administered retirement system, or two months after
				the effective date of
				P.L.
				2003, c. 172 (January
				1, 2004). This is the normal waiting period prescribed for new enrollees
				pursuant to
				52:14-26. Billing for coverage
				shall begin approximately one month prior to the effective date.
(c) An employee hired under a 10-month
				contract whose enrollment in a State-administered retirement system becomes
				effective on September 1 may establish coverage in the Part-time Employees
				Group as of that date.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 11 - PART-TIME EMPLOYEES GROUP › Section 17:9-11.7 - Effect of full-time employment on participation in the Part-time Employees Group

Current through Register Vol. 56, No. 14, July 15, 2024
A member of the Part-time Employees Group who changes from
				  part-time to full-time status cannot be enrolled for full-time employee
				  coverage until the employee has established eligibility for coverage by serving
				  the normal waiting period prescribed for new enrollees. In no event will the
				  waiting period for full-time coverage include any part-time service rendered by
				  the employee.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 11 - PART-TIME EMPLOYEES GROUP › Section 17:9-11.8 - Termination of coverage due to nonpayment of premiums

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Cessation of
				coverage in the Part-time Employees Group shall be deemed to occur on the last
				day of eligibility for the coverage period for which charges have been
				paid.
(b) If a member of the
				Part-time Employees Group does not remit payment by the end of the month in
				which payment is due and owing, the SHBP shall notify the member of the overdue
				amount plus the current amount due on the next billing statement; such notice
				shall also advise the member that the right to continue coverage will be
				terminated if payment in full is not remitted within 30 days. If no payment is
				made by the due date, the SHBP shall terminate the coverage effective on the
				last day of the month for which premiums were paid.
(c) Termination for nonpayment of premiums is
				not a COBRA event. An active employee terminated for nonpayment of premiums
				would not be able to re-enroll in the Part-time Employees Group until the next
				regular open enrollment.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 11 - PART-TIME EMPLOYEES GROUP › Section 17:9-11.9 - Termination of coverage due to termination of employment with an eligible employer

Current through Register Vol. 56, No. 14, July 15, 2024
The eligibility for coverage for members of the Part-time
				  Employees Group ends at the end of the month in which termination from an
				  eligible employer occurs. The employer must notify the Division of Pensions and
				  Benefits of the termination and issue the employee a COBRA notice.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 11 - PART-TIME EMPLOYEES GROUP › Section 17:9-11.10 - Coverage in retirement

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Participation
				in the Part-time Employees Group pursuant to this section shall not qualify the
				employee or faculty member for employer-paid or State-paid health care benefits
				in retirement. Upon retirement, such employees or faculty members who were
				enrolled immediately prior to retirement shall be eligible to continue coverage
				as a retiree at their own expense. Prescription drug benefits shall be provided
				through the Retiree Prescription Drug Card Plan (
17:9-6.10
).
(b) Whenever possible, the cost of retiree
				coverage will be deducted directly from the retirement allowance. Where the
				available retirement allowance is less than the charge for coverage, no amount
				will be deducted to pay for the cost of the coverage; instead, the retiree will
				be permitted to continue coverage if the retiree pays for the full cost of
				coverage in advance on a monthly basis.
(c) An eligible surviving spouse or eligible
				partner will be offered the opportunity to continue participation subsequent to
				the death of the retiree. Coverage will be limited to only those dependents
				covered at the time of the retiree's death. The surviving spouse or eligible
				partner must pay the full costs.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 12 - RETIREE DENTAL EXPENSE PLAN › Section 17:9-12.1 - Retiree Dental Expense Plan

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Retiree
				Dental Expense Plan (Plan) was established under the provisions of
52:14-17.29(F)
and became effective as of January 1, 2005. The Plan is available to
				retirees eligible for participation in the SHBP and School Employees' Health
				Benefit Program and their eligible dependents. New retirees may enroll by
				completing an application at the time of retirement. The Plan includes a Dental
				Expense Plan, which is a PPO that allows the employee to select any licensed
				dentist for dental care. Retirees may also enroll in any of the DPOs offered.
(b) Participation in the Plan is
				voluntary. A separate election will be required for enrollment and for a change
				in, or a voluntary termination of, coverage in the Plan.
(c) The rules are the same as those of the
				SHBP as administered by the Commission in accordance with the provisions of
				N.J.S.A. 52:14- 17.25 et seq., with the following exceptions:
1. Coverage is not continued in the event of
				termination from the SHBP. There is no eligibility to continue retired dental
				coverage under the Federal COBRA law; and
2. Retirees are offered one opportunity to
				elect enrollment in the Plan. If a retiree declines coverage when first
				eligible or elects to terminate Plan coverage, the retiree and the retiree's
				dependents are ineligible to enroll in the Plan at a later date except as
				permitted under the provisions of N.J.A.C. 17:9-6.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 12 - RETIREE DENTAL EXPENSE PLAN › Section 17:9-12.2 - Plan premiums

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The State will
				not make any contributions for the cost of dental coverage.
(b) Local participating employers through
				collective negotiation agreements may pay nothing, all or a portion of the
				premium cost of the Plan for eligible retirees pursuant to the provisions of
				17:9-5.4(e).
(c) Premium payments are deducted directly
				from a retiree's monthly retirement allowance. If the retirement allowance is
				not sufficient to cover the full premium, the retiree will be billed monthly
				for the coverage.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 12 - RETIREE DENTAL EXPENSE PLAN › Section 17:9-12.3 - Plan progressive coinsurance design

Current through Register Vol. 56, No. 14, July 15, 2024
(a) TThe Plan has
				three progressive coinsurance tiers. The highest tier provides a greater
				percentage of reimbursement for reasonable and customary charges than the lower
				two tiers. Each year a retiree remains a member of the Plan, the coinsurance
				tier rises until the retiree reaches the highest tier.
1. A retiree who was enrolled in a group
				dental plan immediately preceding eligibility for coverage in the Plan, and who
				was covered under a group dental plan for at least one year within 60 days of
				joining this Plan, is eligible for enrollment at the highest tier of
				reimbursement.
2. A retiree who was
				not enrolled in a group dental plan for at least one year immediately preceding
				eligibility for coverage in the Plan shall be enrolled in the lowest tier of
				reimbursement.
3. A dependent is
				enrolled at the same tier of reimbursement as the retiree.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 12 - RETIREE DENTAL EXPENSE PLAN › Section 17:9-12.4 - Covered expenses

Current through Register Vol. 56, No. 14, July 15, 2024
The Plan handbook supplements the master contracts and
				  contains the specific provisions for services to be covered and those which are
				  excluded. Orthodontic services are not covered under the Plan.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 12 - RETIREE DENTAL EXPENSE PLAN › Section 17:9-12.5 - Deductible

Current through Register Vol. 56, No. 14, July 15, 2024
Charges incurred by a retiree prior to enrollment in the
				  Plan shall not be considered toward satisfying the Plan deductible.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 13 - CHAPTER 375 DEPENDENTS › Section 17:9-13.1 - Eligibility criteria

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In order for a
				dependent to qualify for and remain eligible for SHBP coverage after age 26 as
				a Chapter 375 dependent, the dependent must be a covered person's child by
				blood or law who:
1. Is 30 years of age or
				younger;
2. Is unmarried;
3. Has no dependent of his or her
				own;
4. Is a New Jersey resident or
				enrolled as a full-time student at an accredited public or private institution
				of higher education; and
5. Is not
				actually provided coverage as a named subscriber, insured, enrollee, or covered
				person under any other group or individual health benefits plan, group health
				plan, church plan, or health benefits plan, or entitled to benefits under
				either Title XVIII of the Social Security Act, Pub.L. 89-97 (
				42 U.S.C. §§
											1395 et seq.).
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 13 - CHAPTER 375 DEPENDENTS › Section 17:9-13.2 - Enrollment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Enrollment of a Chapter 375 eligible
				dependent is voluntary. A separate election will be required for enrollment,
				change in, or a voluntary termination of coverage for a Chapter 375 eligible
				dependent. If an employee or retiree (subscriber) does not elect coverage for a
				Chapter 375 eligible dependent by December 31, 2007, the subscriber may
				thereafter enroll the dependent as follows:
1.
				Submission of an enrollment application and certificate of creditable coverage
				to the Division no later than 60 days after the dependent meets all eligibility
				criteria under
17:9-13.1
.
				Coverage will be effective the first coverage period of the month, 60 days
				after the dependent meets all eligibility criteria, unless proof is provided
				that other coverage was lost; in such cases, coverage is retroactive.
2. In the event a subscriber does not submit
				an enrollment application to the Division within 60 days after the dependent
				meets all eligibility criteria under
17:9-13.1
, the
				subscriber can only enroll the dependent during the annual October open
				enrollment period. If the dependent meets all eligibility criteria, coverage
				will be effective the first coverage period in January, following the open
				enrollment period.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 13 - CHAPTER 375 DEPENDENTS › Section 17:9-13.3 - Coverage available

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An enrolled
				Chapter 375 dependent shall be provided coverage in the same medical plan in
				which the subscriber is enrolled. In the event the subscriber participates in a
				SHBP prescription drug plan, the Chapter 375 dependent shall also qualify for
				participation in the same SHBP prescription drug plan.
(b) A Chapter 375 dependent is not eligible
				to receive dental or vision benefits.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 13 - CHAPTER 375 DEPENDENTS › Section 17:9-13.4 - Premium rates and payment for coverage

Current through Register Vol. 56, No. 14, July 15, 2024
The Commission shall determine premium rates for enrolled
				  Chapter 375 dependents as provided by
				  P.L.
				  2008, c. 38. The
				  subscriber or dependent is responsible for the cost of the SHBP coverage for
				  each enrolled Chapter 375 dependent.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 13 - CHAPTER 375 DEPENDENTS › Section 17:9-13.5 - Termination of coverage

Current through Register Vol. 56, No. 14, July 15, 2024
(a) SHBP coverage
				for a Chapter 375 dependent shall terminate in the event:
1. The Chapter 375 dependent no longer meets
				all of the criteria for eligibility at
				17:9-13.1 except that the
				dependent shall be eligible for coverage until his or her 31st
				birthday;
2. The employee's or
				retiree's death or other termination of the employee's or retiree's
				coverage;
3. The Chapter 375
				dependent enters the Armed Forces;
4. The employee, retiree or dependent fails
				to make required premium payments for the Chapter 375 dependent; or
5. The Chapter 375 dependent dies.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 13 - CHAPTER 375 DEPENDENTS › Section 17:9-13.6 - Notice of Termination of coverage for nonpayment of premiums

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If a subscriber
				or dependent fails to make a required premium payment for a Chapter 375
				dependent by the end of the month in which premium payment is due, the Division
				shall notify the subscriber or dependent of the overdue amount on the next
				billing statement. Such notice shall advise the subscriber or dependent that
				the Chapter 375 dependent's right to continue coverage will be terminated if
				payment of the overdue premium payment and the current premium payment due is
				not remitted to the Division within 30 days. If payment is not remitted within
				30 days, the Division shall terminate the Chapter 375 dependent's coverage
				effective the last day of the month for which premiums were paid.
(b) A Chapter 375 dependent terminated for
				nonpayment of premiums is not eligible to re-enroll as a Chapter 375 dependent
				until the next regular open enrollment, provided the dependent still meets all
				Chapter 375 dependent eligibility criteria.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 10 - JUDICIAL RETIREMENT SYSTEM › Subchapter 1 - ADMINISTRATION › Section 17:10-1.1 - Commission meetings

Current through Register Vol. 56, No. 14, July 15, 2024
The State House Commission shall meet at the call of the
				  counsel to the Commission. The Commission acts as the Board of Trustees for the
				  Judicial Retirement System and has the general responsibility for the proper
				  operation of the System pursuant to
				  43:6A-29.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 10 - JUDICIAL RETIREMENT SYSTEM › Subchapter 1 - ADMINISTRATION › Section 17:10-1.2 - Fiscal year

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Fiscal year
				shall mean the 12-month period of fiscal transactions commencing July 1 and
				running until June 30 following.
(b) All reports and statements will consider
				such a fiscal year except special reports not having direct relationship to the
				financial transactions of the retirement system.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 10 - JUDICIAL RETIREMENT SYSTEM › Subchapter 1 - ADMINISTRATION › Section 17:10-1.3 - Officers and committees

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The chairperson
				of the Commission will preside at all meetings. If the chairperson is absent,
				another member selected by the majority of the members in attendance will
				preside for that single meeting.
(b) Upon recommendation of the Director of
				the Division of Pensions and Benefits, the Commission will select from the
				staff of the Division of Pensions and Benefits an assistant secretary, who will
				serve in the absence of the secretary.
(c) The chairperson will appoint such
				committees from the Commission members as necessary to facilitate the
				Commission's operations. Such committee appointments will be for a one-year
				period, commencing each July 1.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 10 - JUDICIAL RETIREMENT SYSTEM › Subchapter 1 - ADMINISTRATION › Section 17:10-1.4 - Certifying officer

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The official properly designated by the
				Administrative Office of the Courts will serve as the certifying
				officer.
(b) The prime purpose of
				the certifying officer will be to certify facts of enrollment, retirement, and
				resignation; to implement proper procedures for the reports concerning members;
				and to act as liaison for all dealings between the courts and the retirement
				system.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 10 - JUDICIAL RETIREMENT SYSTEM › Subchapter 1 - ADMINISTRATION › Section 17:10-1.5 - Records

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In addition to the provisions at
				N.J.A.C.
				17:1-1.2, the approved minutes of the
				Commission are a matter of public record and may be inspected during regular
				business hours in the office of the secretary.
(b) The mailing address, telephone number, or
				email address of any active or retired member is considered to be a part of the
				member's confidential files and shall not be released for any
				purpose.
(c) All medical testimony
				obtained in connection with an application for disability retirement shall be
				restricted for the confidential use of the Commission.
(d) The designations of beneficiaries of all
				active and retired members are considered to be a part of the member's
				confidential files and shall only be released after the member's death or upon
				the member's written request.
(e)
				Charges for copies of pension records which have been deemed to be public
				information will be made in accordance with the provisions of N.J.S.A.
				47:1A-2.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 10 - JUDICIAL RETIREMENT SYSTEM › Subchapter 1 - ADMINISTRATION › Section 17:10-1.6 - Appeal from Commission decisions

Current through Register Vol. 56, No. 14, July 15, 2024
The following statement shall be incorporated in every
				  written notice setting forth the Commission's determination in a matter where
				  such determination is contrary to the claim made by the claimant or the
				  claimant's legal representative:
"If you disagree with the determination of the State House
				  Commission in this matter, you may appeal by sending a written statement to the
				  Commission within 45 days from the date of this letter informing the Commission
				  of your disagreement and all of the reasons therefor. If no such written
				  statement is received within the 45-day period, this determination shall be
				  considered final."
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 10 - JUDICIAL RETIREMENT SYSTEM › Subchapter 1 - ADMINISTRATION › Section 17:10-1.7 - Suspension of pension checks

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Monthly
				pensions will be suspended under the following circumstances and the suspension
				will continue during the period of default:
1. If a widow, widower, parent or guardian of
				a minor child(ren) fails to file a certificate of eligibility when requested by
				the Division of Pensions and Benefits;
2. If a retirant or beneficiary becomes
				mentally or physically incompetent, the disbursements of pension checks shall
				be suspended until a proper legal representative has been appointed.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 10 - JUDICIAL RETIREMENT SYSTEM › Subchapter 1 - ADMINISTRATION › Section 17:10-1.8 - Proof of age

Current through Register Vol. 56, No. 14, July 15, 2024
(a) As most members are appointed at a later
				age in the Judicial Retirement System (System), all members shall be required
				to establish proof of their age with the System at the time of their enrollment
				in the System. If a member is transferring to the Judicial Retirement System
				from another State-administered retirement system where proof of age was
				secured, no additional proof of age will be requested. Acceptable proofs of age
				include birth certificates with visible seal, passports, U.S. passport cards,
				naturalization or immigration papers, valid New Jersey, New York, or
				Pennsylvania digital driver licenses, digital non-driver ID cards from the New
				Jersey Motor Vehicle Commission (MVC), or military records indicating a
				member's age.
(b) In the event a
				member dies before satisfactory evidence of the member's date of birth has been
				filed with the System, appropriate evidence shall be required before any death
				claim is processed for settlement.
(c) In the event proof of age has not been
				filed with the System before retirement, such proof must be filed before any
				retirement benefits may be disbursed.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 10 - JUDICIAL RETIREMENT SYSTEM › Subchapter 1 - ADMINISTRATION › Section 17:10-1.9 - Judges; biweekly salaries

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Service credit
				will be determined on the basis of biweekly pay periods for judges paid by
				centralized payroll.
(b) In the
				event a judge is reported on a combination of monthly and biweekly pay periods,
				the judge's service credit will be computed on proportional basis.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 10 - JUDICIAL RETIREMENT SYSTEM › Subchapter 1 - ADMINISTRATION › Section 17:10-1.10 - Survivor benefits; establishing dependency

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Proof of
				dependency shall be established by the filing of an affidavit of dependency,
				supported by the deceased and the claimant's income tax returns, for the period
				immediately preceding the death or accident.
(b) A parent will be deemed to be dependent
				on the member if they were accepted as dependents of the member for Federal
				income tax purposes.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 10 - JUDICIAL RETIREMENT SYSTEM › Subchapter 1A - DEFINITIONS › Section 17:10-1A.1 - Definitions

Current through Register Vol. 56, No. 14, July 15, 2024
The following words and terms shall have the following
				  meanings, unless the context clearly indicates otherwise:
"Final salary" means the salary on which a member's Judicial
				  Retirement System pension contributions are based upon as of the date of his or
				  her retirement.
"In the aggregate of public service" means a member's total
				  years of both judicial and non-judicial service credit in the Judicial
				  Retirement System. This would include service purchased or inter-fund
				  transferred into the Judicial Retirement System from another State-administered
				  retirement system.
"Judicial service" means a member's years of service as a
				  judge under the Judicial Retirement System.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 10 - JUDICIAL RETIREMENT SYSTEM › Subchapter 2 - ENROLLMENT AND PURCHASES › Section 17:10-2.1 - Enrollment date

Current through Register Vol. 56, No. 14, July 15, 2024
The Chief Justice and associate justices of the State Supreme
				  Court, and all judges of the Superior Court and tax courts of the State of New
				  Jersey are required to become members of the JRS as a condition of employment.
				  A new appointee to any of the above courts shall be considered as beginning
				  membership in the Judicial Retirement System on the date of taking the oath of
				  office following confirmation.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 10 - JUDICIAL RETIREMENT SYSTEM › Subchapter 2 - ENROLLMENT AND PURCHASES › Section 17:10-2.2 - Enrollment following deferred retirement

Current through Register Vol. 56, No. 14, July 15, 2024
Any member who was granted a deferred retirement and who
				  again becomes a member while under the age of 60, shall be reenrolled in the
				  JRS with a new account.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 10 - JUDICIAL RETIREMENT SYSTEM › Subchapter 2 - ENROLLMENT AND PURCHASES › Section 17:10-2.3 - Eligibility for purchase

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Only active
				members of the Judicial Retirement System shall be eligible to make application
				for purchase of credit. An active member is a member who is contributing to the
				System. After a member separates from service, but does not retire or defer
				retirement, the member must purchase his or her requested service in a lump
				sum.
(b) In order to be eligible to
				purchase service, a member must submit a written request to purchase service
				and such purchase must be authorized by the member before the expiration date
				indicated on the letter which quotes the term of the purchase. In no case can a
				member receive more than one year of service credit for any calendar or fiscal
				year.
(c) The receipt of a public
				pension or retirement benefit is expressly conditioned upon the rendering of
				honorable service by a public officer or employee. Therefore, the Commission
				shall disallow the purchase of all or a portion of former service it deems to
				be dishonorable in accordance with
				43:1-3.
New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 10 - JUDICIAL RETIREMENT SYSTEM › Subchapter 2 - ENROLLMENT AND PURCHASES › Section 17:10-2.4 - Optional purchase of eligible service

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A member may
				purchase all, or a portion, of former membership in a New Jersey
				State-administered retirement system. A member may also purchase service
				rendered in an office, position, or employment of the State of New Jersey, or
				of a county, municipality, board of education, or public agency of the State of
				New Jersey. "Service" means public service rendered for which pension credit is
				allowed on the basis of contributions made by the State. Public employment
				covered pursuant to the Defined Contribution Retirement Program is not eligible
				for purchase.
(b) The cost of the
				purchase shall be calculated on the basis of the actuarial purchase factor
				established for the member's age at the time the Division of Pensions and
				Benefits receives the purchase request multiplied by the member's current
				annual salary. The member pays only the employee's share of the purchase
				cost.
(c) The member shall receive
				non-judicial service credit for any eligible purchase of service other than
				prior judicial service.