Plan Documents

Legal Notices

NBOE 2025 Active Legal Notices
NBOE 2025 COBRA Legal Notices

Open Access Select

Open Access Select $10 with $0-$20-$20 Rx 2026 SBC
Open Access Select $15, $25 with $0-$20-$20 Rx 2026 SBC
Open Access Select $20, $20 with $0-$20-$20 Rx2026 SBC
Open Access Select $20, $35 with $0-$20-$20 Rx2026 SBC

Choice POS II

Choice POS II NJEHP with embedded Rx2026 SBC
Choice POS II GSHP with embedded Rx 2026 SBC
Choice POS II Closed Retiree -$10, $15 with $0-$20-$20 Rx 2026 SBC
Choice POS II Closed Retiree -$10, $15 with $0-$20-$20 Rx 2026 SBC
Choice POS II $20, $35 with $0-$20-$20 Rx 2026 SBC

Schedule of Benefits, Booklets and Other Documents

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 โ€“ 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