Health Benefits

Waiving Benefits | Medical | Prescription | Dental | Vision | FSA | EAP | Contacts | Employee Discounts

Waiving Benefits

Employees electing to waive any or all insurance plans need to complete a Health Benefits Waiver Form to terminate insurance coverage.

This form will take the place of the waiver statements located on previous insurance enrollment forms.

DO NOT submit an enrollment form for any benefit being waived stating that the benefit is being declined. Only this form is needed for this type of change.

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Medical

Medical Plan Summaries

All medical offered by the County of Union are through Horizon Blue Cross Blue Shield of NJ. Below are summaries for the various plans offered by the County that can be downloaded for viewing.

Enrollment Forms

To enroll in a medical and/or prescription plan, an enrollment form needs to be completed and submitted to either your department’s Personnel Liaison or to the Health Benefits Unit in the Division of Personnel.

Medical Enrollment Form

Claim Forms

Use these forms to submit claims to Horizon.

Horizon Medical Claim Form

Member Identification Cards

Horizon issues identification cards to each member of a plan, but the name on each card provided is the name of the employee that holds the policy.

  • Horizon – In the event that an employee needs to order new cards, this can be done by entering the member’s online account in horizonblue.com. Temporary cards can also be printed from this account while the cards are being mailed out to the home address. If new cards are ordered, please allow up to 10 business days for them to arrive.
  • EPO, HSA, Direct Access, and PPO Plan Members – Receive 2 cards in total: 1 card for medical coverage and 1 card for prescription coverage. These cards arrive at the home address separately.
Contact Information

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Prescription

The County of Union, through CVS CAREMARK, provides eligible employees, their spouses and eligible dependents, medical prescription drug benefits

Employees become eligible to participate in the plan the first of the month following 60 days of satisfactory employment. Prescription cards are issued by CVS Caremark, and are mailed to your home address.

The Prescription co-payment schedule is:

  • $5 co-pay per prescription for generic drugs (30 day supply, retail)
  • $25 co-pay per prescription for brand name drug where generic is not available (30 day supply, retail)
  • $50 co-pay per prescription for non-preferred brand name drug where generic is available (30 day supply, retail)
  • $5/$30/$60 co-pay per prescription for mail ordered drugs, (90 day supply, Home Delivery)
Forms
Mail Order Prescriptions

Home Delivery service is available for those who take maintenance medications. Mail order forms are available in each Personnel Department. CVS Caremark customer service can be reached at 844-214-3459.

Member Identification Cards

CVS Caremark will be mailing new cards to all employees. They also offer an app for Android and Apple devices to display your ID card. info.caremark.com/mobile. To have an additional physical card mailed to you, please contact CVS Caremark at 844-214-3459.

Contact Information

CVS Caremark (Prescriptions) 1-844-214-3459

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Dental

The County of Union offers various dental plans through 3 different providers: Delta Dental of NJ, Delta Flagship, and HealthPlex/Eastern Dental. Below is an overview of all of the dental benefits offered, as well as detailed summaries for each plan

To enroll in a dental plan, universal enrollment and deduction forms needs to be completed and submitted to either your department’s Personnel Liaison or to the Health Benefits Unit in the Division of Personnel.

Enrollment
Delta Dental
Delta Flagship
DSO / Eastern Dental
Contact Information
Request ID Cards
  • Delta Dental of New Jersey and Delta Flagship
    • Providers do not issue member identification cards. The service provider will need to use the Social Security Number of the policyholder to process any claims for the member or any dependents.
  • HealthPlex/Eastern Dental
    • Member identification cards are created and sent to the home address upon being enrolled in the plan.

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Vision

The County of Union offers a vision insurance plan through Vision Service Plan (VSP).

Below is a summary of the plan offerings per covered individual.

Plan Summary
Enrollment

To enroll in the County of Union’s vision plan, complete an enrollment form and submit it to your Personnel Liaison or send to the Division of Personnel.

Promotions
Contact Information
Forms
Member Identification Cards

VSP does not issue member identification cards. The service provider will need to use the Social Security Number of the policyholder to process any claims for the member or any dependents.

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FSA

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Employee Assistance (EAP)

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Contacts

The Health Benefits Unit of the County of Union is located within the Division of Personnel. If you have any questions regarding your health benefits, you may reach out to your departments Personnel Liaison or contact one of the following members of our team.
Administration Building
Social Services Employees

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Employee Discounts

Click here

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