Governor Chris
Christie • Lt.Governor Kim Guadagno

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NJ Treasury
Pensions

School Employees' Health
Benefits Program

PERCENTAGE OF PREMIUM
CALCULATOR
Health Benefit
Contribution Requirement under Chapter 78, P.L.
2011

This is the Full
Rate Calculator for Local Education
Employees

Go to the Phase
1 Contribution Calculator for Local
Education Employees

Printable Worksheet Adobe PDF (113K)

Use this
calculator to find your estimated Full Health Benefit
Contribution

All calculations
use the SEHBP plan rates effective January - December
2011.

Calculators for
Plan Year 2012 coming soon.

STEP ONE — SELECT YOUR
EMPLOYER'S PLAN DESIGN

SEHBP Medical Plan and
the SEHBP Employee Prescription Drug Plan

SEHBP Medical Plan and a
separate Prescription Drug Plan

SEHBP Medical Plan only that
includes prescription drug coverage

STEP TWO — SELECT YOUR MEDICAL
PLAN AND LEVEL OF COVERAGE

NJ DIRECT15

Single
Coverage
Member & Spouse/Partner*
Coverage
Family Coverage
Parent Child(ren)
Coverage

NJ
DIRECT10

Single Coverage
Member &
Spouse/Partner* Coverage
Family
Coverage
Parent Child(ren) Coverage

Aetna HMO

Single
Coverage
Member & Spouse/Partner*
Coverage
Family Coverage
Parent Child(ren)
Coverage

CIGNA HealthCare HMO

Single
Coverage
Member & Spouse/Partner*
Coverage
Family Coverage
Parent Child(ren)
Coverage

No Medical Plan

Check if
not covered by a SEHBP medical plan

STEP THREE — SELECT YOUR
PRESCRIPTION PLAN AND LEVEL OF COVERAGE

SEHBP Employee Prescription
Drug Plan (Administered by Medco Healthcare
Solutions)

Single
Coverage
Member & Spouse/Partner*
Coverage
Family Coverage
Parent Child(ren)
Coverage

Separate Non-SEHBP
Prescription Drug Plan
(Select Coverage
Level and enter Monthly
Premium)

Single
Coverage
Member & Spouse/Partner*
Coverage
Family Coverage
Parent Child(ren)
Coverage

$
.00 Enter monthly drug plan
premium amount to the nearest dollar.
Numbers only - No commas.

Prescription Drug Included in SEHBP
Medical Plan

Check here
if Prescription Drug coverage is provided through
your SEHBP Medical Plan

No Prescription Plan

Check here if
not covered by a Prescription Drug
Plan

*Partner
means a Civil Union Partner or an eligible
same-sex Domestic Partner as defined under Chapter
246, P.L. 2003, the Domestic Partnership
Act.

STEP FOUR — ENTER YOUR ANNUAL
SALARY

Annual
Salary:
$ .00

Enter your
annual salary to the nearest dollar.
Use
numbers only - No commas. Do not include
overtime, bonuses,
etc.

STEP FIVE — CALCULATE YOUR
CONTRUBUTION

To see your Health
Benefit Contribution, click the "Calculate
Contributon" button

Note: this
calculator is for informational purposes only. All
calculations are estimates
and may differ from
the actual amounts deducted from payroll.

Return
to Percentage Calculator Home
Page

Last update: October 11,
2011

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