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BCSSSD Employee Health Benefits
Questions regarding health insurance?
BCSSSD Personnel Office, 20 Pioneer Boulevard, Westampton, NJ 08060-3824
Email: BCSSSDPersonnel@burlcoschools.org
609-261-5600 ext. 2213
You can reach our brokers directly using the following contact information:
Rob Henry – robert.henry@bbrown.com/ (609) 867-9376
Bill Bernhardt – william.bernhardt@bbrown.com / (609) 867-9377
Frequently Used Forms
2024 Annual Premium Rates
Medical Plans Overview
*Employees hired after July 1, 2020 will only be able to enroll in the Educator Health Plan (EHP) or the Garden State Plan (GSP).
*Employees hired prior to July 1, 2020 will be able to choose between four medical plans with the SEHBP: The NJ Direct 10, the NJ Direct 15, the Educators Health Plan (EHP) or the Garden State Plan (GSP). The network will be provided through Horizon Blue Cross and Blue Shield of New Jersey and will include their national Blue Card network.
NJ Direct 10 is considered a Buy-Up and should be calculated using the Chapter 78 contribution percentages of premiums and the difference between the Direct 10 and Direct 15 premiums.
NJ Direct 15 is still calculated using the Chapter 78 contribution percentages of premiums.
NJ Educator Health Plan (EHP) is calculated using Chapter 44 contribution percentages of salary.
NJ Garden State Plan (GSP) is calculated using Chapter 44 contribution percentages of salary (administered through Aetna).
Employees waiving medical/rx coverage must log onto Benefitsolver to waive, as well as submit the BCSSSD waiver form annually to the personnel department.
Waiving Benefits?
2024-2025 BCSSSD Waiver Enrollment Form
*WAIVER FORMS MUST BE SUBMITTED ANNUALLY***
Employees who currently have state coverage and are not eligible to participate in the waiver reimbursement program will still need to complete this form.
Reminder: Waiver Forms must be submitted annually. Please refer to your negotiated agreement for deadlines.
Medical/RX Insurance Information
Horizon Blue Cross Blue Shield
Customer Service 1-800-414-7427
www.horizonblue.com
Plan Names:
Educator Health Plan, Direct 15, Direct 10 Buy-Up
Plan Designs:
Access Your ID Cars with the Horizon Mobile App
Horizon bFit / NJ WELL / Blue365
Employees can also take advantage of the Horizon bFit program, NJ WELL and the Blue 365 program.
An SHBP/SEHBP Solution for Tightness in Employees' Back, Knees, Hip, Neck or Shoulders
*Dependents may continue coverage through the end of the calendar year in which they turn 26. The dependent does not have to be a full-time student.
The only limitation is that they cannot be offered coverage through their own employer.
Aetna
Plan Names:
Garden State Health Plan
1-877-782-8365
2023 Garden State Health Plan Overview
*Dependents may continue coverage through the end of the calendar year in which they turn 26. The dependent does not have to be a full-time student.
The only limitation is that they cannot be offered coverage through their own employer.
Prescription Insurance Information
Express Scripts
Phone 1.800.282.2881
Website: http://www.express-scripts.com
Accredo (Specialty Meds) Phone 1.877.222.7336
Prescription Plan Names: correlate with the health plan you have selected.
If you have not received your ID card, please download the temporary ID card below.
Express Scripts Temporary ID Card
Forms:
Prescription Drug Reimbursement Form
*Please see your medical plan description for Rx prices*
Dental Insurance Information
Introducing:
* As of January 1, 2024, BCSSSD will be switching to Delta Dental*
*Dependent Eligibility: Dental dependents are eligible to remain on dental coverage through the end of the calendar year in which they turn 26, regardless of student status.
As of March 1, 2021 dental and vision benefits are offered at no cost to employees.
Vision Insurance Information
Plan Name: Davis Vision Premier Plan
Phone: 1.800.999.5431
Website: http://www.davisvision.com
Davis Vision Member Portal Instructions
Forms:
Davis Vision Enrollment or Waiver form
Davis Vision Reimbursement Form
Davis Vision EPIC Hearing Service Plan
Davis Vision members now have access to the largest hearing care provider network in the country and substantial savings on top-tier manufacturer brand devices and related professional services through the EPIC Hearing Service Plan. Click the link to view the flyer.
*Dependent Eligibility: Dependents may remain on vision coverage through the end of the calendar year in which they turn 26, regardless of student status.
As of March 1, 2021 dental and vision benefits are offered at no cost to employees.
Important Update
We have received important correspondence from Horizon Blue Cross Blue Shield regarding Coordination of Benefits requirements. The message is as follows:
Coordination of Benefits must be updated by the member at least every 365 days for each dependent- otherwise dependent claims will be denied until information is received.
Employees can go to www.Horizonblue.com/SHBP log in to the Member Portal or call Horizon Health Guide at 800-414-7427 to update their COB information.
To update your COB information online, access your Horizon member portal, select Benefits & Coverage > Benefits Overview > Coordination of Benefits. Once completed, a confirmation number will be provided to you.
Garden State Plan (GSP) - Important Information
We have recently been advised that the final required component of Chapter 44, the Garden State Plan (GSP), will be rolled out on July 1, 2022. The GSP will change two things for any employee who enrolls in the plan. First, the plan only allows care to be accessed from New Jersey providers who participate with AmeriHealth New Jersey’s Local Value Network. If you or your family see providers in Philadelphia, or anywhere else outside of New Jersey, this plan will not provide the same level of benefit you are used to. Care from providers and facilities outside of NJ will only be covered in the event of a true medical emergency. The second adjustment is a further reduction of your employee contribution. The contributions for the GSP are half with 1.5% of salary being the lowest percentage possible. For example, the EHP contribution for a single making $40,000 a year is 1.7% of salary. Half of 1.7% is 0.85% of salary, since that is less than 1.5% then the GSHP contribution is only reduced to 1.5% of salary. The GSP will be offered in addition to the three plans the District currently offers.
Introducing Benefitsolver: Access Your Health Benefits Online
The New Jersey School Employees’ Health Benefits Program (SEHBP) and the New Jersey Division of Pensions & Benefits (NJDPB) are excited to announce a new portal, Benefitsolver, for accessing all your health benefit enrollment needs, including the fall Annual Open Enrollment period.
What You Need to Know
Through Benefitsolver, you can access information about your health benefits and complete your enrollment applications online. You’ll be able to add new dependents and upload documentation right to the website, as well as confirm your coverage and get links to all your health benefit vendors. You’ll have multiple ways to access the new portal including 24/7 access via a new mobile app.
What You Need to Do
You are now able to log in to review your health benefit information. *
Navigate to: http://mynjbenefitshub.nj.gov
1)Click Register
2) Enter Social Security Number and Date of Birth
3) Enter Company Key = SHBP/SEHBP
4)Click Continue
Once you’re on the Benefitsolver website, you will be asked to enter your personal email address so we can keep in touch with you – send you reminders, confirmations of enrollment, and important information about how to get the most out of your benefits.
From there, download the MyChoice Mobile App so you can have your benefits at your fingertips – even take a picture of your insurance cards and store them in the app, so you’re never without them!
Don’t worry, your personal information is safe with us, we don’t share this with outside vendors.
Please see the attached flyer with detailed information about how you can download the mobile app and have all your benefits information at your fingertips.
If you have questions regarding your benefits, please see your employer or call the NJDPB Office of Client Services at 609-292-7524.
If you have trouble accessing the Benefitsolver website, please email BCSSSDPersonnel@burlcoschools.org.
*You may also be able to access Benefitsolver via your myNewJersey account at https://www.state.nj.us/treasury/pensions/.
ALL EMPLOYEES MUST USE BENEFITSOLVER TO ENROLL, WAIVE, MAKE CHANGES AND UPLOAD REQUIRED DOCUMENTS.
Please click on the link below to access the Employee Guide to logging into Benefitsolver:
Employee Guide to logging into Benefitsolver
Horizon has prepared the webinar below to assist you in completing the forms, answering questions about the benefits, and how to use the SEHBP website.
Horizon Employee presentation for New Employers joining SEHBP:
PLAY RECORDING ( 37 min)
https://horizonevent.webex.com/horizonevent/lsr.php?RCID=65209fc28d854e1cbbc225bc3fdfc19f
Recording Password:7qHsSQ79
Information Regarding Lab Services
As a State Health Benefit Plan (SHBP) member, you’re required to use in-network labs – LabCorp® or Quest Diagnostics™ – for blood tests and other lab services.
If you use out-of-network labs, your lab claims will be denied and you may be responsible for the full cost of the lab services you receive.
Find in-network labs in New Jersey and the surrounding counties
To find in-network labs outside of New Jersey, use the National Doctor & Hospital Finder
Employees are mandated by NJ Chapter 78 and NJ Chapter 44 to contribute toward health premium benefit programs.
Effective 1/1/2021, the BCSSSD Educator Health Plan will be subject to Chapter 44 contributions.
To calculate your BCSSSD Educator Health Plan contribution, please refer to your salary and the percentages in the chart below.
Chapter 78 Chart Year 4 Health Benefit Percentage Contributions
Below are the percentages for the GSP Plan effective on 07/01/2022
Employee Assistance Programs
Burlington County Mental Health Resource Guide
Resources for Mental Health & Support
ComPsych
Your ComPsych Guidance Resources program offers someone to talk to and resources to consult whenever and wherever you need them.
The toll-free number gives you direct, 24/7 access to a Guidance Consultant.
800.272.7255
Online: www.guidanceresources.com
App: GuidanceNow
WebID: COM589
Click Here for ComPsych Information
ComPsych's services are available to ALL BCSSSD employees.
Effective January 1, 2024- Delta Dental now offers an enhanced benefit for individuals with special health care needs. Please view the benefits here:
1095-C Tax Documents
IRS Extends the deadline for employers to distribute 2022 Forms 1095-C to employees until March 2, 2023.
The Internal Revenue Service requires employers with more than 50 employees to provide 1095-C forms to each full-time employee.
These tax forms will be used to verify health benefit coverage for the employee and eligible dependents in the prior calendar year.
The 1095-C documents will be uploaded to each employee’s Edumet portal. Please review the form upon receipt.
If the dependent information listed on the form needs to be updated, please send an email with the corrected information to BCSSSDPersonnel@burlcoschools.org.
You may visit the link below to learn more about these new IRS documents and the Affordable Care Act.