Date: January 14, 2010
To: All Benefits-eligible Employees
From: Vivian Fernandez
Vice President Faculty and Staff Resources
Subject: Dependent coverage for employees in the State Health Benefits Program

As you are aware, in October, 2008, the state of New Jersey instituted an audit of dependent coverage for employees enrolled in the State Health Benefits Program (SHBP). The state initiated this process in order to verify that dependents enrolled in SHBP met the eligibility criteria for participation in the program. The audit communications included stipulations that failure to comply would result in termination of dependent coverage. Most employees have complied with the audit requirements by forwarding copies of the documentation requested to verify dependent eligibility. Participating members who failed to provide proper certification or who failed to provide certification by the audit closing date of December 12, 2009, will have dependent health care coverage terminated as of February 1, 2010.

Over the course of the past year, University Human Resources has sent out numerous reminders advising employees of the need to comply with the SHBP Eligibility Verification Audit in order to avoid termination of benefits. However, we have been advised by the state that some employees have not yet complied with the audit verification requirements, and have begun to receive notice of termination of dependent benefits from the state. If the employee believes that their dependent meets the eligibility requirements, the employee may file a formal written appeal related to the termination of benefits directly to the New Jersey Division of Pension and Benefits. The employee should provide a detailed explanation of the reason for the appeal and supporting documentation. Materials should be sent to: Appeals Coordinator, Division of Pensions and Benefits, P.O. Box 299, Trenton, NJ 08625.

If you have any questions, or believe that you have received a notice of benefits termination in error, please contact a Benefits Specialists at 732-932-3020, extension 4077.