Plan Documents NBOE 2025 Active Legal Notices NBOE 2025 COBRA Legal Notices $10 with $0- $20-$20 Rx $15, $25 with $0- $20-$20 Rx $20, $20 with $0- $20-$20 Rx $20, $35 with $0- $20-$20 Rx NJEHP with embedded Rx GSHP with embedded Rx $1,650 HDHP with $0- $20-$20 Rx Closed Retiree -$10, $15 with $0- $20-$20 Rx $20, $35 with $0- $20-$20 Rx GSHP with embedded Rx Choice POS II Garden Health Plan TB Schedule of Benefits Choice POS II New Jersey Educator Health - SCHEDULE OF BENEFITS Choice POS II HDHP - SCHEDULE OF BENEFITS Choice POS II 20 35 Plan HA Schedule of Benefits Choice POS II 10 15 Plan GA GX Schedule of Benefits Choice POS II New Jersey Garden Health Plan Booklet Choice POS II New Jersey Educator Health Plan Booklet Choice POS II New Jersey Educator Health Plan TA TH Schedule of Benefits Choice POS II Booklet Multi Plans Newark Teachers Union PPO CASA, Unaffiliated, Local 1, 3, 32, 68, 617, BTC, NTA – DMO Local 1, 3, 32, 68, 617, BTC, NTA - PPO Out of Network Plan 2 CASA & Unaffiliated PPO Out-of-Network Plan 1 Local 1, 3, 32, 68, 617, BTC, NTA - PPO In-network Plan 2 CASA & Unaffiliated PPO In-Network Plan 1 Newark Teachers Union DMO Choice POS II New Jersey Educator Health-Change in Hearing aid Maximum-Plan Choice POS II Change in Hearing aid Maximum - Multi Plans Choice POS II NJ Garden State Health Plan-Change in Hearing aid Maximum -Plan TB Choice POS HDHP Plan KA KB Schedule of Benefits Open Access Aetna Select 20 20-Copay Plan BA Schedule of Benefits Open Access Aetna Select 15 25-Copay Schedule of Benefits Open Access Aetna Select Booklet Open Access Aetna Select 20 25 Copay Plan - Plan CA Schedule of Benefits Open Access Aetna Select 10-Copay Plan A Schedule of Benefits Plan Sponsor Letter Open Access Aetna Select Change in Hearing Aid Maximum Addendum Tagline Archived Plan Documents Aetna Choice® POS II - NBOE NJ Educators Plan & NJ Educators Rx Plan Aetna Choice® POS II - NBOE GSHP & Garden State Rx Plan Aetna Choice® POS II - NBOE Choice POS II 10/15 & $0/$20/$20 Rx Aetna Choice® POS II - NBOE Choice POS II 20/35 & $0/$20/$20 Rx Aetna Open AccessR Aetna SelectSM -NBOE Aetna Select 10 & Rx $0/$20/$20 Aetna Open AccessR Aetna SelectSM -NBOE Aetna Select 15/25 & $0/$20/$20 Rx Aetna Open AccessR Aetna SelectSM -NBOE Aetna Select 20/20 & Rx $0/$20/$20 Aetna Open AccessR Aetna SelectSM - NBOE Aetna Select 20/35 & $0/$20/$20 Rx Aetna Choice® POS II - NBOE HDHP 1500 & $0/$20/$20 Rx NBOE- Open Access Aetna Select - Amendment to Plan of Benefits-2022 NBOE- Choice POS II New Jersey Educator Health Plan - Amendment to Plan of Benefits-2022 NBOE- Open Access Aetna Select medical plan – Booklet-2022 NBOE- Choice POS II medical plan – Booklet-2022 NBOE- Open Access Managed Choice New Jersey Educator Health Plan Booklet 2022 NBOE-New Jersey Garden State Health Plan- Choice POS II Medical-Booklet- 2022 Aetna Choice® POS II - NBOE NJ Educators Plan & NJ Educators Rx Plan Aetna Choice® POS II - NBOE GSHP & Garden State Rx Plan Aetna Choice® POS II - NBOE Choice POS II 10/15 & $0/$20/$20 Rx Aetna Choice® POS II - NBOE Choice POS II 20/35 & $0/$20/$20 Rx Aetna Open AccessR Aetna SelectSM -NBOE Aetna Select 10 & Rx $0/$20/$20 Aetna Open AccessR Aetna SelectSM -NBOE Aetna Select 15/25 & $0/$20/$20 Rx Aetna Open AccessR Aetna SelectSM -NBOE Aetna Select 20/20 & Rx $0/$20/$20 Aetna Open AccessR Aetna SelectSM - NBOE Aetna Select 20/35 & $0/$20/$20 Rx Aetna Choice® POS II - NBOE HDHP 1500 & $0/$20/$20 Rx NBOE- Open Access Aetna Select $10 Plan –Schedule of Benefits-2022 NBOE- Open Access Aetna Select $15$25 Plan–Schedule of Benefits-2022 NBOE- Open Access Aetna Select $20$20 Plan–Schedule of Benefits-2022 NBOE- Open Access Aetna Select $20$35 Plan–Schedule of Benefits-2022 NBOE- Choice POS II $10$15 Plan -Schedule of Benefits-2022 NBOE- Choice POS II $20$35 Plan -Schedule of Benefits-2022 NBOE- Choice POS II High Deductible Health Plan -Schedule of Benefits-2022 NBOE- Choice POS II New Jersey Educators Plan Schedule of Benefits-2022 NBOE-New Jersey Garden State Health Plan- Schedule of Benefits -2022 prevEnhanced Medical Programs Prescriptionsnext