Upon loss of District health coverage, you/your dependent(s) may be eligible for continuing coverage. See below for your range of options. Contact the Health Benefits Department if you have questions about your next step.
Source: U.S. Department of Labor
The Consolildated Omnibus Budget Reconciliation Act (COBRA) gives workers and their families who lose their health benefits the choice to continue benefits provided by their group health plan for limited periods of time under certain circumstances such as voluntary job loss, reduction in the hours worked, transition between jobs, death, divorce, and other life-changing events, such as a dependent child 'aging out' of District benefits.
Qualified individuals who enroll for coverage may be required to pay the entire premium, up to 102 percent of the plan cost.
For more information about COBRA, try these resources visit Department of Labor or review your plan booklets at the Health Plans page.
New Jersey Chapter 375 (<31 Dependent) Plan
The New Jersey Chapter 375 plan (also known as the <31 Dependent or DU31 plan) gives eligible adults to age 31 the choice to elect health and prescription coverage under a parent's group health plan. Visit the Dependent Coverage page or www.state.nj.us for details about the plan.
Retirees may have the option to continue District benefits or enroll in the School Employees' Health Benefits Plan (SEHBP) upon retirement. Visit www.state.nj.us for more details.
This government-sponsored health coverage is typically available to eligible individuals who are age 65 and older, under the age of 65 with specified disabilities, or those with End Stage Renal Disease (ERSD).
Note: if you are eligible for Medicare and are enrolled in the District prescription plan, you are enrolled in a 'creditable coverage' plan. This means you will not be penalized when you decide to enroll in a Medicare Part D plan in the future because your District plan is expected to cover your prescription drugs on the same level as a standard Medicare plan. You are provided with a Notice of Creditable Coverage annually; be sure to keep these notices on file. Visit www.medicare.gov for more information.
Affordable Care Act (ACA) Health Insurance Marketplace
Find out about continuing coverage through the Health Insurance Marketplace at www.healthcare.gov or (800) 318-2596.
NJ FamilyCare: Children's Health Insurance Program (CHIP) / Medicaid
The State of New Jersey offers the NJ FamilyCare CHIP and Medicaid programs to eligible individuals and families. Find out about eligibility and plan options at www.njfamilycare.org or (800) 701-0720.