Essex

SKIP TO MAIN CONTENT

General Administration

HEALTH & DENTAL BENEFITS

Affidavit of Dependency
Cobra Rates
Dental Claim Form
Dental Enrollment Form (Change and Transfer Form)
Dental Student Document Verification Form
OptumRx
New Jersey School Employees Health Benefits Program Application – Active Employee Group
NJ Direct Claim Form
Notice of Privacy Practices To Enrollees In the New Jersey State Health Benefits Program

LIFE INSURANCE

Group Term Life (GTL) Fact Sheet

MEDICAL LEAVE

PENSION