Birth or Adoption

Change your health insurance coverage

To enroll your child:

Update your beneficiaries for life insurance and investment accounts

Alternate Benefit Program (ABP) members must complete the Designation of Beneficiary form and return it to: Division of Pensions and Benefits, Beneficiary Services, P.O. Box 295 Trenton, NJ 08625-0295.

Public Employees Retirement System (PERS) and Police and Firemen's Retirement System (PFRS) members who wish to verify, update, or change their beneficiary information must use the online Designation of Beneficiary Application available through a the Member Benefits Online System (MBOS).

ABP Retirement Accounts:

Update beneficiary information for investment accounts. Contact the appropriate investment carrier for Designation of Beneficiary form:

Valic 1-800-448-2542
AXA Equitable 1-866-752-0072
MassMutual 1-848-248-4875
VOYA Financial 1-877-873-0321
MetLife 1-732-623-5700
TIAA 1-800-842-8412
Prudential 1-855-652-2711


Marriage, Civil Union, or Same-Sex Domestic Partnership

Health Insurance Coverage

Review your current level of plan coverage. You may decide to enroll your spouse or civil union/same-sex domestic partner, cancel your coverage, or make no changes.

To enroll your spouse or civil union/same-sex domestic partner or to cancel coverage, complete the applicable forms:

Update Beneficiaries

Alternate Benefit Program (ABP) members must complete the Designation of Beneficiary form and return it to: Division of Pensions and Benefits, Beneficiary Services, P.O. Box 295 Trenton, NJ 08625-0295

Public Employees Retirement System (PERS) and Police and Firemen's Retirement System (PFRS) members who wish to verify, update, or change their beneficiary information must use the online Designation of Beneficiary Application available through a the Member Benefits Online System (MBOS).

ABP Retirement Accounts:

  • Update beneficiary information for investment accounts. Contact the appropriate investment carrier for Designation of Beneficiary form:
AXA Equitable 1-866-752-0072
MassMutual 1-848-248-4875
VOYA Financial 1-877-873-0321
Met Life 1-732-623-5700
TIAA 1-800-842-8412
Valic 1-800-448-2542
Prudential 1-855-652-2711

 

Divorce or Dissolution of Civil Union or Same-Sex Domestic Partnership

Health Insurance Coverage

To cancel coverage on your former spouse, complete the applicable forms:

Update Beneficiary

Alternate Benefit Program (ABP) members must complete the Designation of Beneficiary form and return it to: Division of Pensions and Benefits, Beneficiary Services, P.O. Box 295 Trenton, NJ 08625-0295

Public Employees Retirement System (PERS) and Police and Firemen's Retirement System (PFRS) members who wish to verify, update, or change their beneficiary information must use the online Designation of Beneficiary Application available through a the Member Benefits Online System (MBOS).

ABP Retirement Accounts

Update beneficiary information for investment accounts. Contact the appropriate investment carrier for a Designation of Beneficiary form:

Valic 1-800-448-2542
AXA Equitable 1-866-752-0072
MassMutual 1-848-248-4875
VOYA Financial 1-877-873-0321
MetLife 1-732-623-5700
TIAA 1-800-842-8412
Prudential 1-855-652-2711

 

Death of Family Member

Health Insurance Coverage

To cancel coverage of a family member or enroll in medical insurance due to loss of coverage, complete the applicable forms:

              Complete the NJ State Health Benefits Program Dental Application
  • Return the form(s) within 60 days of the death of your spouse/same-sex domestic or civil union partner or child to your Human Resources department.
  • Your department must also submit the proper transaction in HCM payroll system.

Update Beneficiary

All Pension Plan Participants

Update life insurance beneficiary information by completing the appropriate Designation of Beneficiary form and return to: Division of Pensions and Benefits, Beneficiary Services, P.O. Box 295 Trenton, NJ 08625-0295.

ABP Retirement Accounts

Update beneficiary information for investments accounts. Contact the appropriate investment carrier for their Designation of Beneficiary form:

Valic 1-800-448-2542
AXA Equitable 1-866-752-0072
MassMutual 1-848-248-4875
VOYA Financial 1-877-873-0321
MetLife 1-732-623-5700
TIAA 1-800-842-8412
Prudential 1-855-652-2711