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Benefits Forms and Information
Medical, Dental and Vision Forms- Integrity Consulting Group 2024 Health Carrier and Open Enrollment Document
- 2024-25 Active Insurance Rates (MHRDEA)
- 2024-25 Active Insurance Rates (Admin-Non-Unit-Bus)
- PPO - Traditional Plan (Aetna Choice POS II Open Access) - Schedule of Benefits (MHRDEA)
- PPO - Traditional Plan (Aetna Choice POS II Open Access) - Summary of Benefits and Coverage MHRDEA
- PPO - Traditional Plan (Aetna Choice POS II Open Access) - Schedule of Benefits (Admin, Non Unit, Bus)
- PPO - Traditional Plan (Aetna Choice POS II Open Access) - Summary of Benefits and Coverage (Admin Non-Unit)
- PPO - Traditional Plan (Aetna Choice POS II Open Access) - Certificate of Coverage
- POS - Managed Choice (Aetna Managed Choice POS) - Schedule of Benefits (MHRDEA)
- POS - Managed Choice (Aetna Managed Choice POS) - Summary of Benefits and Coverage MHRDEA
- POS - Managed Choice (Aetna Managed Choice POS) - Schedule of Benefits (Admin/Non-Unit/Bus Drivers)
- POS - Managed Choice (Aetna Managed Choice POS) - Summary of Benefits and Coverage (Admin Non-Unit Bus Drivers)
- POS - Managed Choice (Aetna Managed Choice POS) - Certificate of Coverage
- Aetna Open Access Managed Choice - NJEHP (Aetna Choice POS II NJEHP) - Schedule of Benefits
- Aetna Open Access Managed Choice - NJEHP (Aetna Choice POS II NJEHP) - Booklet
- Aetna Open Access Managed Choice - NJEHP (Aetna Choice POS II NJEHP) - Overview
- Aetna Open Access Managed Choice - NJEHP (Aetna Choice POS II NJEHP) - Summary of Benefits and Coverage
- GSHP - Aetna Whole Health (Aetna Garden State) - Schedule of Benefits
- GSHP - Aetna Whole Health (Aetna Garden State) - Certificate of Coverage
- GSHP - Aetna Whole Health (Aetna Garden State) -Overview
- GSHP - Aetna Whole Health (Aetna Garden State) - Summary of Benefits and Coverage
- GSHP - Savings Plus of NJ (Aetna Garden State) - Schedule of Benefits
- GSHP - Savings Plus of NJ (Aetna Garden State) - Certificate of Coverage
- GSHP - Savings Plus of NJ (Aetna Garden State) -Overview
- GSHP - Savings Plus of NJ (Aetna Garden State) - ASP - Summary of Benefits and Coverage
- NJ EHP Contribution Schedule and Calculator
- GSHP Contribution Schedule and Calculator
- Contribution Comparison Sheet (Chapter 78) - Admin, Non-Unit, Bus
- Contribution Comparison Sheet (Chapter 78) - MHRDEA
- NJEHP & GSP Prescription Formulary (Medication List)
- All Other Plans Prescription Formulary (Medication List)
- Dental Benefits Summary
- Dental Benefits Booklet
- Dental Deductions
- NVA Summary of Benefits
- 24-25 EP Changing Benefits
- 24-25 EP Waiving Benefits
- 24-25 Delta Enrollment Form
- 24-25 NVA Vision Enrollment Form
- 24-25 Health Waiver Form
- 24-25 Aetna Enrollment Change Request
Flex Spending Account (AmeriFlex)- Dependent Care Account (DCA)
- Healthcare Flexible Spending Account (FSA)
- My Ameriflex Participant Portal
Information on Flexible Spending Open Enrollment 24-25- Open enrollment for the district's Flexible Spending account program through Ameriflex for medical & dependent care expenses for the benefit plan year July 1, 2024 to June 30, 2025 will open on Thursday, May 16, 2024.
- The portal is accessible for eligible employees who are working the full contract year. If you are not working the full contract year please contact me for separate enrollment forms.
- If you are currently enrolled & would like to continue participation for the new plan year, you MUST re-enroll.
- The maximum annual amount you may add to a Flexible Spending account for medical expenses is $3,200 for the period July 1, 2024 to June 30, 2025. At the end of the plan year, up to $640 of unused funds may be carried over for use in the next plan year. The carryover amount can never exceed $640. Any unused funds in excess of $640 at the end of the plan year will be forfeited.
- The maximum annual amount you may add to a Dependent Care account is $5,000 per family with no carryover allowed. The grace period for submission of claims is September 15, 2025.
- Enrollment will be processed online through the Ameriflex portal.
- Click here for enrollment instructions. Please note: When entering your birth date, the slashes must be entered.
- The portal will close on Friday, June 7, 2024. No changes will be permitted after June 7, 2024.
Family Leave- Maternity/Family Leave Overview
- NJ Family Leave Insurance Poster
- NJ Family Leave Website
- NJ Family Leave Application
Other Useful Benefits- Voluntary Benefits - Short/Long Term Disability
- Tax Shelter Providers
- Tax Shelter Application and Changes - OMNI
- Employee Assistance Program
- Benefit Hub (w/ calculator)