HEALTH BENEFITS CONTRIBUTION — PERCENTAGE OF PREMIUM FOR RETIRE

Below is information for retirees who pay a portion of their health benefits coverage;

You must use the rate charts for retirees who pay the full cost of their coverage to first determine the full
cost premium for the plan and coverage level you select. Then, use this chart to determine the percentage of
the full cost for which you will be responsible.*

https://www.state.nj.us/treasury/pensions/documents/forms/hr1016.pdf

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