Frequently Asked Questions
Northern Burlington County Regional School District
Our District medical plans are offered through Aetna/AmeriHealth SHIF. Our prescription plans are through BeneCard/Rx Alliance and dental plans are placed with Horizon Dental. Visit the Plan Options page for information about your plans. The health waiver, or "cash-in-lieu-of-benefits", option offers flexibility in creating a personalized package of benefits. This option is an alternative to selecting health care coverage through the District, but is available only to employees with other health coverage. For example, if you have coverage through your spouse's employer, you can choose to receive cash instead of the District's health coverage. If you lose your other coverage, you can immediately enroll in the Districts plan by completing an enrollment form and providing loss documentation. If you have questions about this option, please contact Human Resources via email / x2009. Visit the Waiver Option page for details. You can make changes to your plan at Open Enrollment (spring of each year). However, if your family experiences a life change (such as marriage, adoption, birth or death), you can change your plan at that time. It is important to notify Human Resources via email / x2009 immediately when such an event occurs. When an important event occurs in your life, such as marriage, adoption, or the birth of a child, you have a window of time to make changes to your health plan. It is important to enroll your new dependent within 31 days (60 days for a newborn) or you may need to wait until the next Open Enrollment period. To make a smooth and timely change within the specified window, complete the appropriate enrollment forms and forward to Human Resources ( email / x2009) immediately after the event. The Affordable Care Act (ACA) provides for medical and prescription coverage for your eligible dependent child through the last day of the calendar year he/she reaches age 26. Dental coverage for your dependent child typically ends at the end of the calendar year of his/her 23rd birthday. You must notify the District when your dependent is no longer eligible for coverage or he/she could forfeit rights to continuing coverage options. Children no longer covered by your plan may be eligible to continue coverage under COBRA or the <31 Dependent (DU31) plan. Refer to the Eligibility page for more details. The New Jersey Chapter 375 (Dependent <31) plan gives eligible adults to age 31 the choice to elect health and/or prescription coverage under a parent's group health plan. See Continuing Coverage for more information. For information about FMLA / leaves of absence, visit the below sites. Contact Human Resources via email / x2009 for more details. Aetna Medical If you have questions about your plans, visit the Get Help page for a list of contacts you can reach through toll-free phone numbers, websites, or e-mail. You can find help with questions about your benefits, providers, claims, and more. When you make contact, be sure to have your ID card and birth dates handy. When you order your prescriptions for maintenance drugs via BeneCard Central Fill, a licensed pharmacy fills and delivers your prescriptions to your home. Also known as "mail service pharmacy", mail-order pharmacy saves you time and money with fewer trips to the pharmacy--and you can usually fill your maintenance drugs for up to a three-month supply at a time. Get started by contacting BeneCard/Rx Alliance at (877) 723-6005, online at benecardpbf.com, or by mailing the Mail Service Form with your original prescription. If any of the below qualifying events occurs, you and your enrolled dependents may be eligible to continue benefits under COBRA (Consolidated Omnibus Budget Reconciliation Act of 1985): You must notify Human Resources via email / x2009 within 60 days of a divorce, legal separation, or when a child no longer qualifies as a dependent. You are responsible for paying the required amount to continue coverage for a maximum of 18 or 36 months, depending on circumstances. Additionally, an extension of up to 29 months may be granted to qualified disabled beneficiaries.
What health plans are available to me?
What is the "health waiver" option?
When can I make changes to my plan?
How can I add new dependents to my plan?
What are the rules for dependents who "age out"?
What is the "Dependent <31" (DU31) plan?
Where can I find information about the Family Medical Leave Act or leaves of absence?
Fact Sheet
DOL Website
Where can I find a list of providers that participate in my plan?
Our carriers provide helpful search tools to help you locate primary doctors, specialists, facilities, and others that participate in your plan:
AmeriHealth Medical
Horizon Dental
Where can I get help if I have questions about claims or benefits?
How can I find out about mail-order pharmacy?
How can I find out about COBRA benefits?
* Your death
* Your hours of employment are reduced or your employment is terminated
* Your divorce or legal separation
* Your entitlement to Medicare
* Your child no longer qualifies as a dependent
* A proceeding under the United States Bankruptcy Code involving the employer from which you have retired
For more details on COBRA, visit the Continuing Coverage page.