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University Hospital
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 Benefits

Qualifying Life Events

Life changes may require health plan choices!

The Open Enrollment is a time to make coverage changes, dependent deletions and additions. To change your coverage during a qualifying event that may occur other than during an Open Enrollment, please contact the Benefits Services and complete a NJ SHBP Medical and/or Dental Application. The State Health Benefits Program requires employees to submit additional documentation to show dependent eligibility. Included with the enrollment application is the Required Documentation for SHBP Dependent Eligibility and Enrollment. Please read carefully when enrolling new dependents. You are eligible to change your level of coverage within the same plan under the following circumstances:

  1. You marry and want to enroll your spouse and newly eligible dependent children. You must file a new NJ SHBP Medical and/or Dental Applications along with the required documentation within 60 days of the marriage.

  2. You enter into a same-sex domestic partnership and want to enroll your eligible same-sex domestic partner and newly eligible dependent children. You must file a new NJ SHBP Medical and/or Dental Applications along with the required documentation within 60 days of receiving the Certificate of Domestic Partnership. For additional information about same-sex domestic partners see Fact Sheet #71, Benefits Under the Domestic Partnership Act.)

  3. To enroll your newborn, foster care or adopted a child. You must submit a NJ SHBP Medical and/or Dental Applications to the Benefits Services Office along with the required documentation  within 60 days after the qualifying event.

  4. Your child, under the age of 26, has divorced and moved back into your household and is dependent upon you for support and maintenance. You must submit a NJ SHBP Medical and/or Dental Applications along with required documentation to the campus Benefits Services Office within 60 days after the child has returned home.

  5. You have a change in family status involving the loss of eligibility of a family member (divorce; dissolution of a same-sex domestic partnership; death; child marries, no longer lives with you, or turns age 26).

  6. The employment status of your eligible spouse, same-sex domestic partner, or dependent changes, which results in a loss of health coverage. You have 60 days from the date of the event to make adjustments to your coverage that are necessary to compensate for the loss of this coverage. A copy of the Certificate(s) of Continued Coverage along with the required documentation must be submitted with the NJ SHBP Medical and/or Dental Applications to the Benefits Services Office.

  7. You are going on a leave of absence and cannot afford to pay for coverage. You can reduce your coverage, for example, from Family to Parent and Child coverage when you go on leave and increase it back to Family upon your return to work.

  8. You are eligible to change your coverage to another plan under the following circumstances if you return from a leave of absence. If you elected not to continue benefits while on leave of absence, or you missed the Open Enrollment period, upon your return from leave, you may elect to enroll in any plan for which you are eligible or at any coverage level as appropriate.

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Get quick answers
to your Benefits
questions at benefits@uhnj.org
 

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