Open Enrollment
Burlington Township School District
Open Enrollment for our health plans is April 22 through May 10.
See below for details and visit the Plan Options page for benefit information. Compare Chapter 78 plan contributions using our online calculators.
2024 Open Enrollment Resources:
SHIF 2024-2025 Open Enrollment Guide
SHIF Dental Benefits Flyer
Know Your Benefits Flyer
NJEHP Plan Overview
GSP Plan Overview
GSP Statement
2024 Spring Open Enrollment is Here!
Spring Open Enrollment for our health plans is April 22 through May 10.
Eligible employees wishing to make a change in their benefits must complete an enrollment form and submit it to the Business Office by no later than Friday, May 10. All changes become effective July 1, 2024.
**Note: if your start date was on or after July 1, 2020, you must be enrolled in the New Jersey Educators Health Plan (NJEHP) or Garden State Plan (GSP) for medical and prescription coverage**
________________________________________
During Open Enrollment:
• Eligible employees and their dependents who previously declined any of the medical, dental, and prescription benefits can enroll at this time. Note: if your start date was on or after July 1, 2020, you must be enrolled in the New Jersey Educators Health Plan (NJEHP) or Garden State Plan (GSP) for medical and prescription coverage.
• All participants already enrolled can make changes to their current plan selections and change to any plan being offered. Note: if your start date was on or after July 1, 2020, you must be enrolled in the New Jersey Educators Health Plan (NJEHP) or Garden State Plan (GSP) for medical and prescription coverage.
• Anyone wishing to add a dependent or terminate coverage for themselves or a dependent would need to do so at this time by completing an enrollment/change form.
• Eligible employees wishing to make a change to your medical or dental plan must complete an enrollment form. Note: if your start date was on or after July 1, 2020, you must be enrolled in the New Jersey Educators Health Plan (NJEHP) or Garden State Plan (GSP) for medical and prescription coverage.
Printable SHIF Enrollment Form
Fillable SHIF Enrollment Form
• For the prescription plan, please complete the BeneCard Enrollment Form.
Please note this is a Passive open enrollment. If you are currently enrolled in any of the plans and do not request any changes to be made, you will automatically retain your current coverage(s).
Schools Health Insurance Fund Open Enrollment Guide – Click here for a copy.
Note: some plans referenced in this Guide may not apply to our group.
School Health Insurance Fund Dental Benefits Flyer – Click here for a copy.
________________________________________
Plan Choices
The school district offers several plan choices to eligible employees so that employees can pick the plan that best meets their needs. Please note, in addition to your Chapter 78 contributions, if you pick a plan that has a higher cost than the base plan offered by the district, you will also have to pay the difference in the monthly premium.
• To view your medical, prescription, and dental plan options, please click on the Plan Options tab.
________________________________________
Please Note: Any employee who chooses the Patriot X plan will pay the difference in premium between the Patriot X and Patriot V plan, in addition to their contributions under Chapter 78 Legislation.
Burlington Township Base Plan for all Employees
Medical: Patriot V ($10 Copay)
Prescription: $10/$30/$50 Retail Copays with a $50/$100 deductible
Here is the approximate difference in medical premium rates from 7/1/2024 to 6/30/2025:
• Single: $271 Monthly / $3,252 Yearly
• P/C: $376 Monthly / $4,215 Yearly
• Employee/Spouse: $551 Monthly / $6,612 Yearly
• Family: $654 Monthly / $7,848 Yearly
________________________________________
Summary of Benefits and Coverage
The Summary of Benefits and Coverage (SBC) is a standard document that was developed to help program participants better understand their health benefits and provides a high-level overview of your medical and prescription benefit programs. It also includes a uniform glossary of terms commonly used in the health industry. The SBC is not a comprehensive plan document and is not intended to replace the medical or prescription benefit summaries or handbook. For copies of the SBCs for both your medical and prescription coverage, please visit the Plan Options tab.
Click here for the SBC Glossary of Terms.
________________________________________
Qualifying Life Event: Special Open Enrollment
Please note that once the Open Enrollment period has ended you will only be able to make a change during the year if you have a Qualifying Life Event which permits a Special Open Enrollment, such as marriage, divorce, birth of child or adoption, or loss of other coverage. If you have a qualifying event and wish to make changes to your benefits, please notify the Business Office within 30 days of the qualifying event.
________________________________________
Open Enrollment Notices
Coverage for Young Adults to Age 26: Dependents to age 26 may enroll in the medical and prescription plans regardless of whether or not they are eligible for coverage through their own employer.
Under the Patient Protection and Affordable Care Act:
• A child is defined as an enrollee’s child until age 26, regardless of the child’s marital, student, or financial dependency status even if the young adult no longer lives with his or her parents.
• Coverage will be extended to eligible children through the end of the month in which they turn age 26 for your Medical and Prescription plans regardless of whether or not they are eligible for coverage through their own employer.
Dental: Dependent children are covered until the end of the calendar year in which the dependent turns 19 or the end of the calendar year in which the dependent turns 23 if attending an accredited school, college, or university on a full-time basis.
As dependents age out of the plan, they may be eligible to continue their coverage under the NJ Chapter 375 Dependent to 31 Coverage or COBRA. Please see the Continuing Coverage page for further information.
________________________________________
Designation of Primary Care Providers by Participants or Beneficiaries: The Burlington Township Board of Education plans require the designation of a primary care provider for participating provider services. You have the right to designate any primary care provider who participates in our network and who is available to accept you or your family members. Until you make this designation, the network carrier may designate one for you. For information on how to select a primary care provider, and for a list of the participating primary care providers, contact Aetna Member Services at www.aetna.com or our benefits consultant, Integrity Consulting Group, at (888) 737-4313 or customerservice@integritycg.com.
For children, you may designate a pediatrician as the primary care provider.
Coverage for Obstetric or Gynecological Care: You do not need prior authorization from our health insurance carrier or from any other person (including a primary care provider) in order to obtain access to obstetrical or gynecological care from a health care professional in our network who specializes in obstetrics or gynecology. The health care professional, however, may be required to comply with certain procedures, including obtaining prior authorization for certain services, following a pre-approved treatment plan, or procedures for making referrals. For a list of participating health care professionals who specialize in obstetrics or gynecology, contact Aetna Member Services or log onto www.aetna.com. For further assistance, contact our benefits consultant, Integrity Consulting Group, at (888) 737-4313 or customerservice@integritycg.com.
________________________________________
Medicaid and Children’s Health Insurance Program: Medicaid and the Children’s Health Insurance Programs (CHIP) Offer Free or Low-Cost Health Coverage to Children and Families. If you are eligible for health coverage from your employer, but are unable to afford the premiums, some States have premium assistance programs that can help pay for coverage. These States use funds from their Medicaid or CHIP programs to help people who are eligible for employer-sponsored health coverage but need assistance in paying their health premiums.
If you or your dependents are already enrolled in Medicaid or CHIP and you live in a State listed on the notice below, you can contact your State Medicaid or CHIP office to find out if premium assistance is available.
If you or your dependents are NOT currently enrolled in Medicaid or CHIP, and you think you or any of your dependents might be eligible for either of these programs, you can contact your State Medicaid or CHIP office, dial (877) KIDS NOW, or visit www.insurekidsnow.gov to find out how to apply. If you qualify, you can ask the State if it has a program that might help you pay the premiums for an employer-sponsored plan.
If you or your children aren’t eligible for Medicaid or CHIP, you won’t be eligible for these premium assistance programs but you may be able to buy individual insurance coverage through the Health Insurance Marketplace. For more information, visit www.healthcare.gov.
________________________________________
Have a Benefit Question or Need Assistance Picking a Plan?
Contact our benefits consultant, Integrity Consulting Group, at (888) 737-4313 or customerservice@integritycg.com.
____________________________________________________
Open Enrollment is held each year so eligible employees can make adjustments to their health plans, such as:
* Select a different medical or prescription plan
* Add or delete eligible dependents
* Enroll for new coverage if eligible for District plans
* Waive coverage
Open Enrollment is typically held each spring for a July 1 effective date. Note: the District offers "passive" Open Enrollment: if you do not request any changes or adjustments to your plans during Open Enrollment, you automatically retain current coverage.
If you have questions about your health plan options or the waiver option, go to the Plan Options or Waiver Option page. Watch for notices and more information as Open Enrollment approaches!
**Note: qualifying life events (such as marriage, divorce, birth of a child, adoption, or loss of other coverage) allows you to adjust your benefit elections outside of Open Enrollment. To be eligible for this special enrollment opportunity, you must request the change within 30 days (60 days for a newborn) of the qualifying event. Contact the HR Department at (609) 387-3955 / hr-payroll@burltwpsch.org for instructions.