2021 Benefit Plans
NewBridge is pleased to announce that all benefit
plans in 2021 will be offered through
HORIZON BLUE CROSS BLUE SHIELD
Health Premium contributions will be reduced
and there will be
NO CHANGES TO HRA AMOUNTS
TABLE of CONTENTS
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Monthly Contributions
Click the image to view the 2021 Monthly Contribution Rates
HEALTH: Horizon Blue Cross Blue Shield
In-Network and In-and-Out-of Network Plan Options available.
Please review the applicable plan summary below for information about deductibles, out-of-pocket-maximums, and coinsurance rates.
DENTAL: Horizon Dental PPO
VISION: Horizon Expanse VI
HRA/Benny Card - Gente
Plan Summaries
Click the images below to view, save, and print the 2021 Plan Summaries
Plan Summary
MEDICAL
Option #1
Option #1
Horizon BCBS
Advantage EPO
In-Network ONLY
Plan Summary
MEDICAL
Option #2
Option #2
Horizon BCBS
Direct Access
In-and-Out-of-Network
Plan Summary
DENTAL
Horizon Dental PPO
Plan Summary
VISION
Horizon Expanse VI
Provider Search
To Search for Providers click the button below or go to www.horizonblue.com
HEALTH
Select CATEGORY: Doctors, Hospitals, Urgent Care Services, or Other Healthcare Services
Select your PLAN: Advantage EPO (In-Network Only)
or
Direct Access (In-and-Out of Network)
DENTAL
Select CATEGORY: Dentists
Select your PLAN: Horizon Dental PPO
VISION
Select CATEGORY: Vision
Select your PLAN: Horizon Expanse VI
HRA / Benny Card
KEEP YOUR CURRENT BENNY CARD TO USE IN 2021!
Gente will continue to manage the HRA / Benny Card.
There are NO CHANGES to the amounts available to you in 2021:
SINGLE COVERAGE = $2,000
PARENT/CHILD, EMPLOYEE/SPOUSE, or FAMILY COVERAGE = $4,000
Visit www.gente.solutions/login to create an online login to manage your account
ENROLLMENT FORMS
All enrollment forms must be submitted by DECEMBER 3, 2020
Failure to submit enrollment forms on time will result in a delay of you receiving your Insurance ID cards.
- Download & Save the form(s) to your computer.
- Open the saved document(s)
- Fill them out by typing directly into the fields and save again.
- Email the completed forms to HR at jbernard@newbridge.org
Benefit Selection Form
(All Plans)
HRA Enrollment Form
(Only if enrolling in Health Plan)
OR
Printed and completed forms can be scanned and emailed to jbernard@newbridge.org
or faxed to the HR DEPARTMENT at 973-686-2255 and/or SIGNED ORIGINALS can be submitted to the HR DEPARTMENT at 7 Industrial Road.
or faxed to the HR DEPARTMENT at 973-686-2255 and/or SIGNED ORIGINALS can be submitted to the HR DEPARTMENT at 7 Industrial Road.
Click the images to view, save, and /or print the Enrollment Forms
If you are choosing to waive enrollment in one or more benefit plan you MUST also complete a Waiver form in the next section.
2021 INSURANCE WAIVER
If you are choosing NOT to participate in one or more benefit plan in 2021,
HEALTH, DENTAL, OR VISION,
you must submit a WAIVER form indicating that you are waiving your option to enroll.
A new waiver form is required EVERY YEAR, along with a copy of your other Health Insurance Card(s).
Click the image to view / print the Waiver Form
Email the completed form along with a copy of your insurance card to jbernard@newbridge.org
Questions?
Questions can be directed to Janice Bernard, HR Manager at jbernard@newbridge.org
Department of Labor
Required Annual Notifications
The notices below are provided in a PDF format. You may need to download Adobe Reader in order to be able to access and read the documents. Adobe Reader can be downloaded for free at http://get.adobe.com/reader.
You also have the right to request a paper copy of the CHIP and CEPA Notices free of charge by contacting the HR Department at 973-686-2223 or 973-686-2226.
CHIP
Premium Assistance Under Medicaid and the Children's Health Insurance Program
CEPA - "Whistleblower Act"
Conscientious Employee Protection Act
TABLE of CONTENTS
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