- Home
- Human Resources
- Employee Benefits Information and Forms
-
Benefits Forms and Information
Medical, Dental and Vision Forms- Integrity Consulting Group 2024 Health Carrier and Open Enrollment Document
- 2025-26 Active Insurance Rates (MHRDEA)
- 2025-26 Active Insurance Rates (Admin-Non-Unit-Bus)
- PPO - Traditional Plan (Aetna Choice POS II Open Access) - Certificate of Coverage
- PPO - Traditional Plan (Aetna Choice POS II Open Access) - Schedule of Benefits (MHRDEA)
- PPO - Traditional Plan (Aetna Choice POS II Open Access) - Summary of Benefits and Coverage MHRDEA
- PPO - Traditional Plan (Aetna Choice POS II Open Access) - Schedule of Benefits (Admin, Non Unit, Bus)
- PPO - Traditional Plan (Aetna Choice POS II Open Access) - Summary of Benefits and Coverage (Admin Non-Unit)
- POS - Managed Choice (Aetna Managed Choice POS) - Certificate of Coverage
- POS - Managed Choice (Aetna Managed Choice POS) - Schedule of Benefits (MHRDEA)
- POS - Managed Choice (Aetna Managed Choice POS) - Summary of Benefits and Coverage MHRDEA
- POS - Managed Choice (Aetna Managed Choice POS) - Schedule of Benefits (Admin/Non-Unit/Bus Drivers)
- POS - Managed Choice (Aetna Managed Choice POS) - Summary of Benefits and Coverage (Admin Non-Unit Bus Drivers)
- Aetna Open Access Managed Choice - NJEHP (Aetna Choice POS II NJEHP) - Schedule of Benefits
- Aetna Open Access Managed Choice - NJEHP (Aetna Choice POS II NJEHP) - Booklet
- Aetna Open Access Managed Choice - NJEHP (Aetna Choice POS II NJEHP) - Overview
- Aetna Open Access Managed Choice - NJEHP (Aetna Choice POS II NJEHP) - Summary of Benefits and Coverage
- GSHP - Aetna Whole Health (Aetna Garden State) - Schedule of Benefits
- GSHP - Aetna Whole Health (Aetna Garden State) - Certificate of Coverage
- GSHP - Aetna Whole Health (Aetna Garden State) -Overview
- GSHP - Aetna Whole Health (Aetna Garden State) - Summary of Benefits and Coverage
- NJ EHP Contribution Schedule and Calculator
- GSHP Contribution Schedule and Calculator
- Contribution Comparison Sheet - Admin, Non-Unit, Bus
- Contribution Comparison Sheet - MHRDEA
- NJEHP & GSP Prescription Formulary (Medication List)
- All Other Plans Prescription Formulary (Medication List)
- National Preferred Formulary
- National Preferred Formulary Exclusions
- Dental Benefits Summary
- Dental Benefits Booklet
- Dental Deductions
- NVA Summary of Benefits
- 25-26 EP Changing Benefits
- 25-26 EP Waiving Benefits
- 25-26 Delta Enrollment Form
- 25-26 NVA Vision Enrollment Form
- 25-26 Health Waiver Form
- 25-26 SHIF (Aetna) Enrollment Request
Flex Spending Account (AmeriFlex)
- Dependent Care Account (DCA)
- Healthcare Flexible Spending Account (FSA)
- My Ameriflex Participant Portal
Information on Flexible Spending Open Enrollment 25-26- Open enrollment for the district's Flexible Spending account program through Ameriflex for medical, dependent care, and commuter expenses for the benefit plan year July 1, 2025 to June 30, 2026 will open on Monday April 21, 2025.
- The portal is accessible for eligible employees who are working the full contract year. If you are not working the full contract year please contact me for separate enrollment forms.
- If you are currently enrolled & would like to continue participation for the new plan year, you MUST re-enroll.
- The maximum annual amount you may add to a Flexible Spending account(FSA) for medical expenses is $3,300 for the plan year July 1, 2025 to June 30, 2026. At the end of the plan year, up to $660 of unused funds may be carried over for use in the next plan year. The carryover amount can never exceed $660. Any unused funds in excess of $660 at the end of the plan year will be forfeited.
- The maximum annual amount you may add to a Dependent Care account(DCA) is $5,000 per family, $5,000 for single unmarried individuals and $2,500 for married couples filing taxes individually with no carryover allowed. The grace period for submission of claims is September 15, 2026.
- Enrollment will be processed online through the Ameriflex portal.
- Click here for enrollment instructions. Even though there is an option to waive coverage, it is not necessary to complete.
- The portal will close on Friday, May 9, 2025. No changes will be permitted after May 9, 2025.
Family Leave- Maternity/Family Leave Overview
- NJ Family Leave Insurance Poster
- NJ Family Leave Website
- NJ Family Leave Application
Other Useful Benefits- Voluntary Benefits - Short/Long Term Disability
- Tax Shelter Providers
- Tax Shelter Application and Changes - OMNI
- Employee Assistance Program
- Benefit Hub (w/ calculator)
