Frequently Asked Questions
Jackson School District
What health plans are available to me as an eligible Board of Education employee?
The District currently offers medical and prescription plans through Aetna. Our dental plan is offered through Delta Dental. Visit the Health Plans page to find overviews for available plans.
When can I make changes to my plan?
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 make adjustments to your plans at that time. It is important to notify the Health Benefits Department immediately (within 31 days; within 60 days for birth) when such an event occurs.
When an important event occurs in your life, such as marriage, adoption, or birth of a child, you have a specified window of time to update your health plans. It is important to enroll your new dependent within the given window or you may need to wait until the next Open Enrollment period.
Newborn children are automatically covered for 60 days from date of birth. To continue coverage beyond the initial 60 days, you must actively enroll your child in the District plans. All other new dependents must be enrolled within 31 days of eligibility. To make a smooth and timely update within the given window, complete the appropriate enrollment forms and forward to the Health Benefits Department immediately after the event.
The Affordable Care Act (ACA) provides for medical and prescription coverage through the Jackson Board of Education for your eligible dependent through the end of the month in which he/she turns to age 26. Dental coverage for your dependent child typically ends on the last day of the calendar month in which he/she marries or the birthday on which he/she attains age 19, whichever is first (or 23rd birthday if attending an accredited school, college, or university as a full-time student).
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, the ACA Health Insurance Marketplace, or the New Jersey Chapter 375 / <31 Dependent (DU31) plan (see below).
The New Jersey Chapter 375 / Dependent <31 (DU31) plan gives eligible adults to age 31 the choice to elect health and/or prescription coverage under a parent's group health plan. Visit the Chapter 375 <31 Dependent (DU31) webpage for more information.
Our carriers provide helpful search tools to help you locate primary doctors, specialists, facilities, dentists, and others that participate in your plan:
Aetna Provider Search
Delta Dental Find a Dentist
When you have questions about your plans, visit the Get Help page for help reaching our carriers via toll-free phone numbers, online services, or e-mail. You can find help with questions about your benefits, providers, claims, and more. Be sure to have your ID card and birth dates handy.
Each carrier offers access to your individual plan data online. View your claims, benefits, order an ID card, and much more. If you are not yet registered, do so today!
Aetna Member Online Services
Delta Dental MySmile Member Online Services
Certain services, such as hospitalization or outpatient surgery, require precertification from Aetna. In-network providers are responsible for obtaining precertification prior to treatment. If you are enrolled in a plan that offers an out-of-network benefit and you are obtaining services from an out-of-network provider, you are responsible for contacting Aetna directly for precertification.
How can I find out about mail-order pharmacy?
Aetna partners with CVS Caremark to manage our mail-order pharmacy option. CVS Caremark can help you begin a new mail-order prescription or have renewals delivered to your home--call (888) 792-3862 to speak with an associate or mail your prescription with the Medication Order Form to get started.
Once your prescription is on record, you can order refills by mailing a completed Order Form or online when you sign in / register for services at aetna.com.
How can I find out about COBRA benefits?
If a qualifying event occurs, you and your enrolled dependents may be eligible to continue benefits under COBRA (Consolidated Omnibus Budget Reconciliation Act of 1985).
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You must notify the Health Benefits Department within 60 days in the event of, for instance, a divorce, legal separation, or your child no longer qualifying as a dependent.
For more details on COBRA, visit the Continuing Coverage page or refer to your plan overviews.