N.J. Admin. Code § 17:9-3.5

Current through Register Vol. 56, No. 21, November 4, 2024

Section 17:9-3.5 - Multiple coverage prohibited

(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.

N.J. Admin. Code § 17:9-3.5

Adopted by 48 N.J.R. 2387(a), effective 11/7/2016