New Jersey Administrative Code
Title 17 - TREASURY - GENERAL
Chapter 9 - STATE HEALTH BENEFITS PROGRAM
Subchapter 13 - CHAPTER 375 DEPENDENTS
Section 17:9-13.5 - Termination of coverage

Universal Citation: NJ Admin Code 17:9-13.5

Current through Register Vol. 55, No. 48, December 18, 2023

(a) SHBP coverage for a Chapter 375 dependent shall terminate in the event:

1. The Chapter 375 dependent no longer meets all of the criteria for eligibility at 17:9-13.1 except that the dependent shall be eligible for coverage until his or her 31st birthday;

2. The employee's or retiree's death or other termination of the employee's or retiree's coverage;

3. The Chapter 375 dependent enters the Armed Forces;

4. The employee, retiree or dependent fails to make required premium payments for the Chapter 375 dependent; or

5. The Chapter 375 dependent dies.

(b) For any event described in (a)1 through 3 above, SHBP coverage for the Chapter 375 dependent shall terminate on the first day of the month following the event. With respect to (a)4 above, SHBP coverage for the Chapter 375 dependent shall terminate on the last day of the month for which a premium payment was made. With respect to (a)5 above, SHBP coverage shall terminate immediately following the Chapter 375 dependent's death.

(c) Termination of SHBP coverage for a Chapter 375 dependent is not a qualifying event for the continuation of SHBP coverage under the Consolidated Omnibus Budget Reconciliation Act, P.L. 99-272 (COBRA).

Amended by R.2009 d.150, effective 5/4/2009.
See: 41 N.J.R. 101(a), 41 N.J.R. 2037(a).
In the introductory paragraph of (a), deleted "State Health Benefits Program (" preceding and a closing parenthesis following "SHBP"; in (a)1, inserted "except that the dependent shall be eligible for coverage until his or her 31st birthday"; and in (a)4, substituted a comma for "or" preceding "retiree", and inserted "or dependent".

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