N.J. Admin. Code § 17:9-5.3

Current through Register Vol. 56, No. 19, October 7, 2024

Section 17:9-5.3 - Local employer payment of charges

(a) The obligations of a participating employer other than the State to pay the premium or periodic charges for health benefits coverage may be determined by means of a binding collective negotiations agreement.

(b) With respect to employees for whom there is no majority representative for collective negotiations purposes, the employer may, in its sole discretion, modify the respective payment obligations set forth in law for the employer and such employees for the coverage of the employee and enrolled dependents in a manner consistent with the terms of any collective negotiations agreement binding on the employer. In the absence of any collective negotiations agreement, the employer may modify the payment obligations as it deems appropriate.

(c) Should the payment obligations of employees change as a result of the implementation of a collection negotiations agreement binding on the employer, or upon the extension of such an agreement to employees for whom there is no majority representative for collective negotiations purposes, the employer must notify the Division of Pensions and Benefits by submission of the appropriate resolution.

(d) The employer shall give all affected employees an opportunity for completing and forwarding a new enrollment form within 60 days following the change in the employee's cost.

(e) Any affected employee who fails to complete and for-ward the required form within the time limits, which have been prescribed, may effect such change of enrollment only during the annual enrollment period.

(f) The Division assumes no responsibility for maintaining coverage in accordance with the employer's legal obligations.

(g) No retroactive enrollment, coverage changes or terminations will be processed to meet the contract provisions.

N.J. Admin. Code § 17:9-5.3

As amended, R.1973 d.8, eff. 1/4/1973.
See: 4 N.J.R. 282(a), 5 N.J.R. 59(b).
As amended, R.1974 d.229, eff. 8/19/1974.
See: 6 N.J.R. 123(b), 6 N.J.R. 360(d).
Recodified from N.J.A.C. 17:9-5.4 and amended by R.2003 d.437, effective 11/3/2003.
See: 35 N.J.R. 2587(a), 35 N.J.R. 5149(a).
Rewrote (b) and (c) and deleted the gender reference in (d). Former N.J.A.C. 17:9-5.3, Advance changes; interest charges, recodified to N.J.A.C. 17:9-5.2.
Amended by R.2008 d.159, effective 6/16/2008.
See: 39 N.J.R. 5069(a), 40 N.J.R. 3747(b).
Section was "Local employer payment of dependent charges". Rewrote (a) through (c); in (d), inserted "affected", deleted a comma following "completing" and substituted "change in the employee's cost" for "employer's assumption of the dependent premium charges"; in (e), inserted "affected" and inserted a comma following "limits"; and added (f) and (g).
Amended by R.2009 d.150, effective 5/4/2009.
See: 41 N.J.R. 101(a), 41 N.J.R. 2037(a).
In (b), inserted the last sentence.