Medical Plan Eligibility for Dependents
Dependents of Employees may be eligible for medical coverage if they fall into one of the following categories:
- Legal spouse
- Same-sex domestic partner or civil union partner
- Eligible children under age 26 (including stepchildren, foster children, adopted children or children an employee is legally required to support)
A list of the documentation required for dependents can be found on the State website.
When Medical Plan Coverage Begins
| Employee Type | Coverage | Example |
|---|---|---|
| 10-Month Faculty hired 9/1 | Benefits (medical, prescription, dental) effective 9/1 | Ex: Faculty hired 9/1, benefits effective 9/1 |
| 10-Month fired after 9/1 | Benefits (medical, prescription, dental) effective 60 days from hire date | Ex: Faculty/Staff hired 10/1, benefits effective 12/1 |
| 12-Month Faculty hired 9/1 or after, Regular Full-Time Staff |
Benefits (medical, prescription, dental) effective 60 days from hire date | Ex: Faculty/Staff hired 10/1, benefits effective 12/1 |
Available Medical Plans
- Health Maintenance Organizations (HMO)
- Health Maintenance Organization plans administered by Horizon and Aetna
- Preferred Provider Organization (PPO)
- Preferred provider organization plans administered by Horizon and Aetna
- Tiered Network (TN)
- Tiered network plans administered by Horizon and Aetna. Members have the flexibility to visit practitioners in the carrier’s managed care network as well as significant premium share reductions, with no referrals required. Learn more about the Tiered Network Incentive Program.
- High Deductible Health Plans (HDHP)
- Preferred provider organization plans administered by Horizon and Aetna
Find My Doctor
If you need to find a new doctor, specialist, or hospital that participates in one of our networks, simply visit our Doctor & Hospital Finder. Our Doctor & Hospital Finder makes it easy to find a health care professional who matches your needs.
Medical Plan Fact Sheets
The medical plans available to employees for Plan Year 2025 are listed below. Please note that not all plans are available to all employees.
For more information about any participating plan, speak with a plan representative. Contact information can be found on the New Jersey Division of Pensions and Benefits Plan Contacts page.
How to Enroll
Step 1
Enrollment Guide (PDF)
First time users:
1.Visit nj.gov/treasury/pensions
2. Click on Access Benefitsolver
3. Click on Register
4. Enter the requested registration information
5. Confirm your new password, then click “continue” to return to this page and login to Benefitsolver.
Already have an account:
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Visit my.state.nj.us
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Login by entering your username and password
Step 7
Step 9