New Jersey Administrative Code › Title 17 - TREASURY - GENERAL › Chapter 9 - STATE HEALTH BENEFITS PROGRAM › Subchapter 6 - RETIREMENT › Section 17:9-6.1 - Retired employee defined

Current through Register Vol. 56, No. 14, July 15, 2024
(a) "Retired
				employee" means a person who is eligible for coverage under the SHBP's retiree
				group. This "retired employee" status, once established, shall continue in
				effect even if the employer is subsequently disbanded and no successor agency
				is created upon the dissolution of such employer.
(b) The definition of "retired employee" also
				includes the following classes of retired employees who are eligible for
				coverage:
1. Retired employees of the State of
				New Jersey and of employers defined as State agencies in
				52:14-17.2 6, who were eligible
				for coverage as active employees immediately prior to retirement and who
				continued coverage at retirement;
2. Retired employees of educational and local
				employers participating in this Program who were eligible for coverage as
				active employees immediately prior to retirement and who continued coverage at
				retirement;
3. Retired employees of
				educational and county college employers, regardless of the employer's
				participation in the SHBP who:
i. Were
				full-time employees as defined by
				17:9-4.6;
ii. Were eligible for group health plan
				coverage prior to leaving employment; and
iii. Retired on disability retirements or on
				benefits based upon 25 or more years of service credit in the Teachers' Pension
				and Annuity Fund, the Public Employees' Retirement System, the Alternate
				Benefit Program or in a locally administered pension fund established by
18A:66-94
et seq. under
				the provisions of P.L. 1987, c. 384, P.L. 1992, c. 126, or P.L. 1995, c. 357
				(
52:14-17.32f
, 52:14-
				17.32f1, and 52:14-17.32f2, respectively);
4. Qualified retired employees of boards of
				education who receive a retirement benefit from a State or locally administered
				retirement system and who:
i. Have continued
				their employer's plan;
ii. Become
				entitled to and enroll in Parts A and B of the Federal Medicare Program;
				and
iii. Within 60 days of
				enrollment in Parts A and B of the Federal Medicare Program, elect to join the
				SHBP under the provisions of P.L. 1993, c. 8 (52:14-17.3 2h). A retired
				employee, upon enrollment in the SHBP pursuant to this rule, who qualified for
				benefits under the provisions of
				52:14-17.3 2f, 17.32f1 or 17.32f2
				shall be eligible for coverage paid by the State;
5. Qualified retired employees of local or
				educational employers who are enrolled for coverage in that employer's plan and
				who enroll in the SHBP when the employer joins the SHBP;
6. Qualified retired employees of
				participating local employers who retired before the employer joined the SHBP
				but who enroll when offered coverage due to the employer's adoption of the
				provisions of P.L. 1979, c. 54 (52:14-17.3
				8);
7. Qualified retired employees
				of participating local employers who did not continue coverage into retirement
				but who elect to enroll in the SHBP when offered coverage due to the employer's
				adoption of the provisions of P.L. 1981, c. 436 (52:14-17.3 8); and
8. Qualified retired employees under the
				provisions of
				P.L.
				1997, c. 330
				(52:14-17.3 2i) codified at
				17:9-6.9.