Health Plan Information
爱游戏体育 University employees participate in the State Health Benefits Program (SHBP) through the Division of Pensions and Benefits of the State of New Jersey.
Full-time employees, spouses, civil-union partners, certain same-sex domestic partners and dependent children are eligible for health insurance coverage.
Generally, employees and their eligible dependents may be covered after 60 days of continuous employment. Full-time faculty members whose appointments start on September 1 may be covered as of the beginning of the academic year. Faculty members that begin employment on other dates are eligible for health benefits following a 60 day waiting period.
For more details, please review the following documents that contain medical plan descriptions, costs and comparison charts.
SELECTING THE RIGHT PLAN FOR YOU
Below you will find helpful resources and information to help you make an informed decision regarding your health benefits.
Aetna and Horizon medical plans are available for Plan Year 2025.
List of available Medical Plans & Descriptions
Medical Plans for: Union Negotiated Members - AFT, IFPTE, NJSOLEA, NJLESA, PBA, and MANAGERS
Medical Plans for: Members of CWA
Plan Comparison
Resources
State Health Benefits Member Guidebook
Medical /Rx/Dental Plan - Web Addresses & Phone Numbers
Your Employee Contribution
The cost of the plans is determined based on variables that may include the plan that you select, your job category, your base salary and level of coverage. The following calculators will provide you with an estimate of your annual employee contributions for health benefits.
Horizon Cost Calculator - 2025
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Select Employee type:
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State Union Negotiated (For Managers, and Members of IFPTE, AFTPBA, NJLESA, NJSOLEA)
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State CWA (For CWA Members)
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Select coverage type: family, single, etc.
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Select prescription plan: SHBP employee prescription drug plan
This will generate annual cost estimates for plans available to you.
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10-month faculty member may divide the sum by 22 to obtain an estimate of the biweekly employee d爱游戏体育ction.
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12-month employees may divide by 26.
TYPE AND LEVEL OF COVERAGE
You are not permitted to select different levels of Medical and Prescription Plan Coverage. For example, a member may not elect to have Single Medical coverage and Member/Spouse Prescription coverage. The level of coverage must be the same for both plans.
Full-time members also must elect to enroll in both Medical and Prescription. If a member wishes to waive coverage, both Medical and Prescription coverage must be waived. See the “Waiving SHBP Coverage” section for more information.
INCENTIVE PROGRAM FOR THE TIERED NETWORK PLAN
The Incentive Program for Aetna Liberty Plus and Horizon OMNIA is available in 2025. The program offers a financial incentive of $1,000 to first-time enrollees who remain enrolled for one year for all coverage levels (i.e., Single, Member and Spouse, Parent and Child, or Family coverage). The incentive is paid by gift card or check no later than the end of the current tax year and is deemed reportable income for tax purposes.
The incentive shall be forfeited and returned to the SHBP if the subscriber/employee fails to remain enrolled in the Tiered-Network Plan for at least one plan year. This program does not extend to children over the age of 26 or COBRA members.
For more information regarding this incentive, members may visit Incentive - Tiered Network.
Aetna Liberty Plus – Plan Providers
CHECKING IN-NETWORK PROVIDERS
Click on the Horizon Doctor & Hospital Finder. Then, enter the appropriate zip code and plan prefix code. See below for details.
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The card prefix is NJX for all of the PPO plans [All NJ DIRECT plans; CWA Unity DIRECT plans], including the NJ DIRECT High D爱游戏体育ctible Health plans].
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The card prefix is SNJ for all of the Horizon HMO plans.
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The card prefix is NJO for OMNIA.
How do I check if my doctor is in network with Aetna?
Aetna Medical Plans – Find a provider link
Aetna DEP/DMO – Find a provider link
MEMBERSHIP TO DIRECT PRIMARY CARE PROGRAM INCLUDED IN SHBP
The SHBP offers employees and their covered dependents the opportunity to join a Direct Primary Care doctor's office. This is available as part of the Horizon plans and does not require any changes to members’ health plan elections. For more information, visit Direct Primary Care page on the state’s website.
The Direct Primary Care program is available to employees and dependents covered under the following SHBP Plans:
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Horizon NJ DIRECT/Aetna Freedom plans
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Horizon OMNIA/Aetna Liberty Plus plans
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Horizon CWA Unity DIRECT/Aetna CWA Unity Freedom plans
PAYROLL DEDUCTIONS AVAILABLE FOR HDHP PARTICIPANTS
Employees participating in one of the High D爱游戏体育ctible Health Plans (HDHP) can use tax-deferred contributions from their paychecks to fund their Health Savings Account (HSA). If you elect to enroll in one of the High D爱游戏体育ctible plans, a separate HSA contribution form is required to be completed by you and returned to the Office of Human Resources to enroll in an HSA.
WAIVING SHBP COVERAGE
State employees are permitted to waive SHBP medical and prescription coverage and avoid the required employee contribution. State employees can elect to waive coverage at any time via mynjbenefitshub or during Open Enrollment.
Note: Yearly waivers are not required. Employees who have already waived coverage do not need to elect to waive each Open Enrollment period.
NJWELL PROGRAM
NJWELL provides inclusive and holistic experiences to meet members’ needs through activities and 爱游戏体育cation programming to support healthy lifestyles. NJWELL is open to employees who are enrolled in the SHBP. Spouses and eligible partners also can participate, as long as they are covered by the SHBP plan. Participants have access to specialized programming and benefits, including live wellness events, fitness challenges, and online wellness platforms tailored to their unique needs. Participants can also earn up to a possible $350 in rewards based on points earned from participation in NJWELL. NJWELL Plan Year's close on October 31. For information about the program, visit the NJWELL website.
PRESCRIPTION DRUG PLAN
The Employee Prescription Drug Plan is a separate drug plan for active employees. OptumRx is the current pharmacy benefits administrator. For further information regarding the Prescription Drug Plan, please click here.
OptumRx - Medication Home Delivery
You will not be able to select different levels of Medical and Prescription Plan Coverage. For example, a member may not elect to have Single Medical coverage and Member/Spouse Prescription coverage. The level of coverage must be the same for both plans.
Members also must elect to enroll in both Medical and Prescription. If a member wishes to waive coverage, both Medical and Prescription coverage must be waived.
Rx Chart - State Union Negotiated - Managers, and Members of IFPTE, AFT, PBA, NJLESA, NJSOLEA
Optum Rx Pricing Tool Available
Optum provides a prescription pricing tool and a comprehensive drug list on their website. Members can access this through a link on the Division website, which will direct members straight to the Optum site
ENROLL/MAKE CHANGES TO YOUR HEALTH BENEFITS
New Hires health elections must be submitted online through mynjbenefitshub.nj.gov which can be accessed via the myNewJersey account portal or via
Mynjbenefitshub / benefitsolver Login
The Company Key is SHBP/SEHBP (all capital letters). Enrollments in medical, prescription drug and dental plans must be submitted online using the state system, Benefitsolver.
Guide for Health Plan Enrollment
Employee Guide to Logging into Benefitsolver
More information on how to enroll or change your benefits
Please note that health benefit rates may be viewed in the portal.
ADDITIONAL RESOURCES
For additional information regarding the SHBP, please refer to the Division of Pensions and Benefits.
If you have questions regarding your benefits, please contact benefits@kean.爱游戏体育.
The HR benefits team is here to support you. If you have questions regarding your benefits, please free to contact us:
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Via email benefits@kean.爱游戏体育
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Via phone - Paige O’Brien (908-737-3302) or benefits team contacts
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In Person
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Walk Ins welcome for general questions.
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Appointments recommended for in-depth topic reviews.
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