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

2021 Open Enrollement Benefit Plans Summary 11.19.2020.pdf

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

Horizon BCBS

Advantage EPO
In-Network ONLY

2. HORIZON - EPO HSA 70% $2500 summary sheet.pdf

Plan Summary

MEDICAL
Option #2

Horizon BCBS

Direct Access
In-and-Out-of-Network

1. HORIZON - DIRECT ACCESS HSA 80.60 $2500 summary sheet.pdf

Plan Summary

DENTAL

Horizon Dental PPO

3. HORIZON - DENTAL NewBridge Services Dental PPO summary & Strong Smile Program.pdf

Plan Summary

VISION

Horizon Expanse VI

4. HORIZON - VISION Employer Pd Expanse VI benefit summary.pdf

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


**REMINDER - The Benny card is for eligible HEALTH PLAN expenses ONLY. The Benny card is NOT to be used for Dental or Vision expenses**

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.

  1. Download & Save the form(s) to your computer.

  2. Open the saved document(s)

  3. Fill them out by typing directly into the fields and save again.

  4. Email the completed forms to HR at jbernard@newbridge.org

BENEFIT SELECTION Form 2021 FILLABLE 11.22.2020.pdf

Benefit Selection Form

(All Plans)

HRA ENROLLMENT FORM 1.pdf

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.


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

Insurance WAIVER 2021 9.30.2020 - FILLABLE.pdf

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.

4a. DOL CHIP Notice - exp 1.31.2023.pdf

CHIP

Premium Assistance Under Medicaid and the Children's Health Insurance Program

CEPA270.1 10.2019.pdf

CEPA - "Whistleblower Act"

Conscientious Employee Protection Act

TABLE of CONTENTS

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