N.J. Admin. Code § 17:9-6.2

Current through Register Vol. 56, No. 21, November 4, 2024

Section 17:9-6.2 - Coverage for prospective retirants

(a) For purposes of retired coverage, continuity of coverage may be extended until such time as the application for retirement is formally approved or denied by the Board of Trustees of the retirement system paying the benefit or by the investment carrier underwriting the individual annuity contracts.

1. If it is not necessary for a Board of Trustees to approve the application, then the retirement application will be considered approved when the necessary action has been taken by the Division, the local retirement system, or the investment carrier.

2. The retiring employee or eligible dependent of a retired employee must submit personal payments to the Health Benefits program in order to continue coverage.

3. Should coverage lapse through no fault of the retired employee, the retired employee's spouse or eligible partner who would be eligible to continue such coverage, retroactive coverage for no more than six months may be granted, provided that the retroactive and currently due premiums are received.

(b) Any employee, upon retirement, or an eligible survivor of such employee will be notified by regular mail of the right to continuous coverage in the SHBP. The retired employee or eligible survivor must, within a 30-day period following the receipt of the letter offering retired coverage, submit the appropriate application and, if required, the charges for such coverage. Any retired employee or eligible survivor not responding within the 30-day period shall receive a second notice. Any retired employee or eligible survivor not responding to the second notice within a 30-day period will not be permitted to enroll in the SHBP at a later date.

N.J. Admin. Code § 17:9-6.2

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.1983 d.44, eff. 3/7/1983.
See: 14 N.J.R. 1293(b), 15 N.J.R. 343(b).
The word "premiums" was changed to "charges" and "his" to "his or her".
Amended by R.1985 d.677, effective 1/21/1986.
See: 17 N.J.R. 2604(a), 18 N.J.R. 213(a).
Text added in (b) "Any retired employee... by certified mail."
Amended by R.2003 d.437, effective 11/3/2003.
See: 35 N.J.R. 2587(a), 35 N.J.R. 5149(a).
Rewrote the section.
Amended by R.2005 d.187, effective 6/20/2005.
See: 37 N.J.R. 397(a), 37 N.J.R. 2212(b).
In (a), inserted "or eligible domestic partner" following "spouse" in 3; in (b), inserted "or eligible domestic partner" following "eligible survivor" throughout.
Amended by R.2009 d.150, effective 5/4/2009.
See: 41 N.J.R. 101(a), 41 N.J.R. 2037(a).
In (a)1, deleted "of Pensions and Benefits" following "Division" and "or under the Alternate Benefits Program" from the end; in (a)3, deleted "domestic" preceding "partner"; and rewrote (b).