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2020 CH 78 bill signing


IMPORTANT NOTE: these changes do not affect members who are on Medicare

SEHBP and Chapter 78 Relief

On January 1, 2021, the School Employees’ Health Benefits Plan (SEHBP) will begin its new plan year offering only the following options:

  • Horizon Direct 10
  • Horizon Direct 15
  • A NEW PLAN, the Horizon NJ Educators Health Plan (NJEHP)***

The new plan will be in effect until January 1, 2028; it is still valued at a platinum level plan and is similar to Direct 10 and Direct 15. The notable changes are an increase in copayment for the emergency room visits that do not result in a hospital admission, the out-of-network deductible and coinsurance, and a different reimbursement schedule for out-of-network providers. For prescription drugs, there is an increase in most co-payments as well as mandatory use of generic drugs when they are available.

For full details, please review the charts at njea.org/jobjustice

Click here for SEHBP and Ch. 78 Relief – Frequently Asked Questions

Chapter 78 Relief Info for Retirees Link (NJEA)

Propublica on health care coverage limits

***All members and spouses that are not Medicare-eligible will be transferred to the NJEHP.***

********Members covered by Medicare are not affected by this change. *************