• • Fact Sheet #11, Enrolling in Health Benefits Coverage When You Retire
  • Fact Sheet #73, Retiree Dental Expense Plan
  • Medicare & You Guidebook
  • Health Benefit Programs and Medicare Parts A and B for Retirees
  • Retiree Medical Comparison Chart 
  • Retiree Dental Plan Guidebook
  • Retiree Dental Plans Contact Information
  • Medicare Advantage Plans
  • Retiree Medical Plans Summary of Benefits and Coverage
  • Prescription Drug Plans Member Guidebook
  • OptumRx – Prescription Drug Benefit Administrator –
    • OptumRx Website
    • OptumRx Member Services: 1-844-368-8740
    • Medicare Retirees: 1-844-368-8765

Retiree Health Benefit Applications

• • Non-Medicare Retiree Health Benefit Enrollment and/or Change Form
  • Medicare Eligible Retiree Health Benefit Enrollment and/or Change Form
  • Retiree Health Benefit Enrollment and/or Change Form for High Deductible Health Plans
  • State/Local Government Retiree Disability Application (SHBP)
  • Cancel/Decline/Waive Retired Coverage

  Retiree Dental Application

  • Dental Application

  Retiree Medical Rates

  • Rates for State Retirees
  • Rates for State Retirees with Premium Sharing — If you worked for the State, earned 25 years prior to July 1, 2007 (or retired on a disability retirement on or before August 1, 2007), you share the cost of Aetna Freedom10 or NJ DIRECT10 coverage with the State.
  • Worksheet for Retirees paying a Percentage of the Full Cost Premium

Retiree Dental Rates

• • For State, Local Government, and Local Boards of Education Retirees

Life Insurance Conversion

• • Life Insurance Conversion Fact Sheet
  • Life Insurance Conversion Calculator

Social Security website

Medicare website

Veteran’s Benefits Administration

• • Fact Sheet #11, Enrolling in Health Benefits Coverage When You Retire
  • Fact Sheet #73, Retiree Dental Expense Plan
  • Medicare & You Guidebook
  • Health Benefit Programs and Medicare Parts A and B for Retirees
  • Retiree Medical Comparison Chart 
  • Retiree Dental Plan Guidebook
  • Retiree Dental Plans Contact Information
  • Medicare Advantage Plans
  • Retiree Medical Plans Summary of Benefits and Coverage
  • Prescription Drug Plans Member Guidebook
  • OptumRx – Prescription Drug Benefit Administrator
    • OptumRx Website
    • OptumRx Member Services: 1-844-368-8740
    • Medicare Retirees: 1-844-368-8765
• Retiree Health Benefit Applications
  • Non-Medicare Retiree Health Benefit Enrollment and/or Change Form
  • Medicare Eligible Retiree Health Benefit Enrollment and/or Change Form
  • Retiree Health Benefit Enrollment and/or Change Form for High Deductible Health Plans
  • State/Local Government Retiree Disability Application (SHBP)
  • Cancel/Decline/Waive Retired Coverage

  Retiree Dental Application

  • Dental Application

  Retiree Medical Rates

  • Rates for State Retirees
  • Rates for State Retirees with Premium Sharing — If you worked for the State, earned 25 years prior to July 1, 2007 (or retired on a disability retirement on or before August 1, 2007), you share the cost of Aetna Freedom10 or NJ DIRECT10 coverage with the State.
  • Worksheet for Retirees paying a Percentage of the Full Cost Premium
• Retiree Dental Rates
  • For State, Local Government, and Local Boards of Education Retirees

Life Insurance Conversion

• • Life Insurance Conversion Fact Sheet
  • Life Insurance Conversion Calculator

Social Security website

Medicare website

Veteran’s Benefits Administration

• • Member Benefits Online System (MBOS)
  • Online Guide to Retirement ( forms, Retirement Estimate, Health Benefits and other useful information)
  • Retirement Workshops and Webinars
  • Non-Medicare Retiree Health Benefit Enrollment and/or Change Form
  • Medicare Eligible Retiree Health Benefit Enrollment and/or Change Form
  • Retiree Health Benefit Enrollment and/or Change Form for High Deductible Health Plans