Open Enrollment: Mid May to June 6th 2025
Open Enrollment Guide
Health Benefits Instructions
25-26 EBC Calculator
Hired Before 07/01/2020
Waive Coverage
Health Benefits Form 1
Hired ON or After 07/01/2020
If you were hired on or after July 1, 2020, you are required to enroll in this plan if you are not waiving coverage.
Waive Coverage
Health Benefit Form 2
2025-2026 Plans/Plan Designs/Employee Cost Charts
Horizon Direct Access 0: Plan Design | Employee Cost Chart
Horizon Direct Access 10: Plan Design | Employee Cost Chart
Horizon Direct Access 15: Plan Design | Employee Cost Chart
Horizon POS: Plan Design | Employee Cost Chart
(EHP) Educators Health Plan : Plan Design | Employee Cost Chart
(GSP) Garden State Plan: Plan Design | Employee Cost Chart
Omnia 10 with Blue Card: Plan Design | Employee Cost Chart
2024-2025 Plans
2024-2025 NJ Educators Health Plan : Plan Design l Employee Cost Chart
The Egg Harbor Township School District offers full time employees hired before July 1, 2020 medical/vision and prescription benefits for the employee and the employee’s family at a cost dictated by the State of NJ under the provisions of Chapter 78, PL 2011. The employee benefit contribution is a percentage of the Board’s cost of your medical and prescription benefits utilizing a sliding scale based on your salary. There are Employee Cost Charts posted just above to assist you in determining the amount of employee benefit contributions that will be deducted from your pay. The district offers seven different medical plans. You can find the plan designs in detail above as well (click on plan designs). The Board will pay the cost of the Direct 15 plan (less employee benefit contributions). If you select a plan with a higher cost to the Board you will also be responsible to pay cost of the plan upgrade, in addition to your increased mandated benefit contributions. The plan upgrade cost would be the difference between the cost of the plan you chose and the cost of the Direct Access 15 plan. You can find the costs of the plans in the Employee Cost Chart as well. If the plan costs less there is no fee.
Chapter 44 requires all school districts to implement a plan called the New Jersey Educators Health Plan (EHP) or the Garden State Health Plan (GSHP). If you were hired ON or AFTER July 1, 2020, or eligible to receive benefits as of that date, you will have the option to enroll in either the EHP or the GSHP or waive coverage.
The medical plan that you select will include vision insurance through Horizon Davis Vision. You will receive separate cards for Davis Vision. Your Davis Vision member ID will be the same as your Horizon member ID, but will be through the affiliated company, not Horizon directly.
The District offers all full time employees, and their family members, dental insurance through Delta Dental of NJ at no cost to the employee. Children cannot be enrolled in the dental insurance program until they reach two years of age. You may enroll children within 60 days of their second birthday, or during any subsequent open enrollment period.
Horizon: Doctor Finder - Link - App for iPhone
Horizon: Blue365 Discount Program
Horizon: Getting Care on the Road
Horizon: bFit Overview ActiveFit Overview Link
Horizon: Update to bFit to Include Walking
Horizon: Member Online Services
Davis Vision: Website for Davis Vision
The district provides vision coverage through Horizon Vista/Davis Vision. Employees who are enrolled in Direct Access 15 or the Horizon POS are automatically enrolled in Horizon Vista/Davis Vision XV. Employees who are enrolled in Direct Access 10 or the Horizon 15/25 are automatically enrolled in Horizon Vista/Davis Vision X. Those employees who are enrolled in the Omnia Plan have vision insurance within that plan. Horizon Vista/Davis Vision View Network mailed cards to everyone's home in July 2017. Unfortunately many employees assumed that they received junk mail and destroyed them. The member ID number for Davis Vision is the same as your Horizon member ID number on your health insurance card. So if you do not have your Davis Vision card you may inform your eye doctor of your member ID number and let them know that it is through Davis Vision.
Click below for detailed information regarding your Davis Vision Plan. Davis Vision provider services can be reached at 1-800-773-2847. Davis Vision customer service can be reached at 1-800-278-7753.
Horizon Vista X/Davis Vision 10
Horizon Vita XV/Davis Vision 15
Benecard PBF:
Your Prescription Benefit Program is administered through Benecard. The Benecard Prescription Benefit Program provides you with access to more than 99% of pharmacies within New Jersey and approximately 95% nationwide. Therefore, you will be able to have your prescriptions filled whether you are at home, on vacation or have a dependent away at school. You have access to a pharmacy locator, preferred medication list, and program-specific details online at www.benecardpbf.com.
If you have additional questions or concerns you may contact Benecard directly at 1-877-723-6005 or if you would prefer you can contact our brokers at Brown and Brown Benefit Advisors at 800-811-4122.
Brochures
Group 1000-1100 BENECARD PBF - Click Here
Group 4000-4100 NJEHP - Click Here
Delta Dental of NJ- Website for Dental Insurance
Flexible Spending Plan (Section 125):
We are now participating through Health Equity. Health Equity provides 24/7 US-based member services and a mobile app for easy account management, notifications, and reimbursements.
To learn more, choose the link below or review attached presentation:
https://healthequity.com/learn
Health Care FSA:
- Contribute a Maximum of $3,300
- Pays for eligible medical, dental and vision care expenses that are not covered by an insurance plan
- Funds are withheld pretax
- The participant’s total annual election amount is available on day one of your plan year
- HealthEquity FSA Debit Card
Dependent Care FSA:
- Contribute a Maximum of $5,000
- Pays for dependent care services, such as preschool, summer day camp, before or after school programs, and child or elder daycare
- Funds are withheld pre-tax
- As soon as the account is funded, the participant can use their balance to pay for eligible dependent care expenses
Please note that if you are an existing participant, you must re-enroll annually.
Click HERE for an enrollment application.