Faculty
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- Fact Sheet #11, Enrolling in Health Benefits Coverage When You Retire
- Fact Sheet #73, Retiree Dental Expense Plan
- Medicare & You Guidebook
- Health Benefit Programs and Medicare Parts A and B for Retirees
- Retiree Medical Comparison Chart
- Retiree Dental Plan Guidebook
- Retiree Dental Plans Contact Information
- Medicare Advantage Plans
- Retiree Medical Plans Summary of Benefits and Coverage
- Prescription Drug Plans Member Guidebook
- OptumRx – Prescription Drug Benefit Administrator –
- OptumRx Website
- OptumRx Member Services: 1-844-368-8740
- Medicare Retirees: 1-844-368-8765
Retiree Health Benefit Applications
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- Non-Medicare Retiree Health Benefit Enrollment and/or Change Form
- Medicare Eligible Retiree Health Benefit Enrollment and/or Change Form
- Retiree Health Benefit Enrollment and/or Change Form for High Deductible Health Plans
- State/Local Government Retiree Disability Application (SHBP)
- Cancel/Decline/Waive Retired Coverage
Retiree Dental Application
Retiree Medical Rates
- Rates for State Retirees
- Rates for State Retirees with Premium Sharing — If you worked for the State, earned 25 years prior to July 1, 2007 (or retired on a disability retirement on or before August 1, 2007), you share the cost of Aetna Freedom10 or NJ DIRECT10 coverage with the State.
- Worksheet for Retirees paying a Percentage of the Full Cost Premium
Retiree Dental Rates
Life Insurance Conversion
AFT Professional Staff/Managers
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- Fact Sheet #11, Enrolling in Health Benefits Coverage When You Retire
- Fact Sheet #73, Retiree Dental Expense Plan
- Medicare & You Guidebook
- Health Benefit Programs and Medicare Parts A and B for Retirees
- Retiree Medical Comparison Chart
- Retiree Dental Plan Guidebook
- Retiree Dental Plans Contact Information
- Medicare Advantage Plans
- Retiree Medical Plans Summary of Benefits and Coverage
- Prescription Drug Plans Member Guidebook
- OptumRx – Prescription Drug Benefit Administrator
- OptumRx Website
- OptumRx Member Services: 1-844-368-8740
- Medicare Retirees: 1-844-368-8765
- Retiree Health Benefit Applications
- Non-Medicare Retiree Health Benefit Enrollment and/or Change Form
- Medicare Eligible Retiree Health Benefit Enrollment and/or Change Form
- Retiree Health Benefit Enrollment and/or Change Form for High Deductible Health Plans
- State/Local Government Retiree Disability Application (SHBP)
- Cancel/Decline/Waive Retired Coverage
Retiree Dental Application
Retiree Medical Rates
- Rates for State Retirees
- Rates for State Retirees with Premium Sharing — If you worked for the State, earned 25 years prior to July 1, 2007 (or retired on a disability retirement on or before August 1, 2007), you share the cost of Aetna Freedom10 or NJ DIRECT10 coverage with the State.
- Worksheet for Retirees paying a Percentage of the Full Cost Premium
- Retiree Dental Rates
Life Insurance Conversion
Classified Staff
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- Member Benefits Online System (MBOS)
- Online Guide to Retirement ( forms, Retirement Estimate, Health Benefits and other useful information)
- Retirement Workshops and Webinars
- Non-Medicare Retiree Health Benefit Enrollment and/or Change Form
- Medicare Eligible Retiree Health Benefit Enrollment and/or Change Form
- Retiree Health Benefit Enrollment and/or Change Form for High Deductible Health Plans

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