N.J. Admin. Code § 17:9-12.1

Current through Register Vol. 56, No. 23, December 2, 2024

Section 17:9-12.1 - Retiree Dental Expense Plan

(a) The Retiree Dental Expense Plan (Plan) was established under the provisions of 52:14-17.29(F) and became effective as of January 1, 2005. The Plan is available to retirees eligible for participation in the SHBP and School Employees' Health Benefit Program and their eligible dependents. New retirees may enroll by completing an application at the time of retirement. The Plan includes a Dental Expense Plan, which is a PPO that allows the employee to select any licensed dentist for dental care. Retirees may also enroll in any of the DPOs offered.

(b) Participation in the Plan is voluntary. A separate election will be required for enrollment and for a change in, or a voluntary termination of, coverage in the Plan.

(c) The rules are the same as those of the SHBP as administered by the Commission in accordance with the provisions of N.J.S.A. 52:14- 17.25 et seq., with the following exceptions:

1. Coverage is not continued in the event of termination from the SHBP. There is no eligibility to continue retired dental coverage under the Federal COBRA law; and

2. Retirees are offered one opportunity to elect enrollment in the Plan. If a retiree declines coverage when first eligible or elects to terminate Plan coverage, the retiree and the retiree's dependents are ineligible to enroll in the Plan at a later date except as permitted under the provisions of N.J.A.C. 17:9-6.

N.J. Admin. Code § 17:9-12.1

Amended by 48 N.J.R. 2387(a), effective 11/7/2016