New Jersey Administrative Code
Title 17 - TREASURY - GENERAL
Chapter 9 - STATE HEALTH BENEFITS PROGRAM
Subchapter 3 - DEPENDENTS
Section 17:9-3.5 - Multiple coverage prohibited
Universal Citation: NJ Admin Code 17:9-3.5
Current through Register Vol. 56, No. 6, March 18, 2024
(a) Multiple coverage under the SHBP/SEHBP as an employee, dependent, or retiree shall be prohibited, in accordance with 52:14-17.31 .
1. No employee shall have coverage as both a subscriber and a dependent in any plan offered by the SHBP/SEHBP.
2. No subscriber or dependent shall have both active and retired coverage under the SHBP/SEHBP.
3. If both parents of eligible children are participating subscribers of the SHBP/SEHBP, only one may cover the children; children are not eligible for coverage under both SHBP/SEHBP-covered parents.
(b) Waivers of coverage are permitted as provided under 52:14-17.31(a) and 17:9-1.7 .
(c) Health coverage for an overage dependent will be denied in cases where a member has waived coverage and the waiver of coverage is in effect at the time the overage dependent attains the age of 26.
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