Employee Benefits

The primary purpose of the Nutley Public Schools is to ensure that all employees have access to benefits and other necessary information.

Attendance & Benefit Questions/Issues Contact:

Josephine Mleziva
973-661-8795
jmleziva@nutleyschools.org

 


 

Forms

Medical & Dental Enrollment/Change Form 

OPT OUT Form

Benecard Enrollment Request

Flexible Spending Account Enrollment Request

Supplemental Benefits Offering and Contact Sheet

 


Horizon Fit for Members - Discounts for Fitness

Horizon Fit FAQ's


 

2016 FLU SHOT SCHEDULE

Sept. 19 (Monday)   -  J. Walker Middle School ----(10:30 am-1:00 pm)
Sept. 20 (Tuesday)  -  High School ------------------(10:30 am-2:30 pm)
Sept. 22 (Thursday) -  Washington School ---------(11:00 am-1:00 pm)
Sept. 23 (Friday)   -  Lincoln School ---------------(11:00 am-1:00 pm)
Sept. 26 (Monday)   -  Radcliffe School -------------(11:00 am-1:00 pm)
Sept. 30 (Friday)   -  Spring Garden School ------(11:00 am-1:00 pm)
Oct. 6   (Thursday) -  Yantacaw School -------------(11:00 am-1:00 pm)

 


 

2016 Health Screening Event 11/15/16 at the JWMS Auditorium 8:00 am to 2:00 pm

 


Breast Cancer Horizon Wellness

Women's Health and Cancer Rights Act of 1998

September Is Ovarian Cancer Month

Medical Rider


 

Medical Insurance 30-86015 Dental Handbook

Medical Insurance 03-86015 Handbook

Medical & RX Insurance 04-86015 Handbook

 

 

Medical Benefits:
 
 
Effective July 1, 2016

 

Plan

Direct Access

Advantage EPO

Advantage EPO 4

Dental

Benecard

Single

$11,667.08

$10,096.80

$6,305.64

$449.16

$336.00

2 Adults

$25,987.56

$22,471.32

$14,033.28

$1,113.36

n/a

Family

$30,237.12

$26,145.85

$16,328.04

$1,113.36

n/a

Parent/Child

$17,241.60

$14,908.92

$9,310.44

$1,113.36

n/a


- Office visit co-pay for Direct Access is $10.00.

- Emergency Room co-pay is $50.00.

- Out of Network Deductible is $200.00 per person/ $500.00 per family.                                 

- HBCBS Direct Access Summary of Benefits

- HBCBS Advantage EPO Summary of Benefits

- HBCBS Advantage EPO Design 4 Summary of Benefits

 
 
 
 

Benecard:  Only available for Single $336
 

 

Horizon Prescription Mail Order:
The Prime Therapeutics contact information is as follows:
  1. Customer Service 800-370-5088
  2. Prime Mail (Mail Order Services) 888-844-3828
  3. Physician Fax Number for PrimeMail 877-774-6360
  4. Specialty Pharmacy:

If a member is currently taking a specialty medication: The member will continue to obtain the specialty medication from one of the specialty pharmacies in Horizon’s Specialty Pharmacy Network. These pharmacies are:

Participating Specialty Pharmacy

Phone Number

Accredo Health Group

1-866-515-1437

BioPlus Specialty Pharmacy

1-866-841-4714

Burmans Specialty Pharmacy

1-800-604-6068

CVS Caremark Specialty Pharmacy

1-800-237-2767

Giannotto's Pharmacy

1-855-442-6668

Prime Aid Specialty Pharmacy

1-800-731-4553

Walgreens Specialty Pharmacy

1-888-347-3416

Please note: Prime Aid is not Prime Therapeutics’ specialty pharmacy. Prime Therapeutics’ specialty pharmacy has not yet been added to our network.

The physician will call Prime Clinical Review at 888-214-1784 to complete the PA process before the PA’s expiration date. Physicians can also complete pharmacy PA’s through the Navinet physician portal, or they can download the PA form to fax in from MyPrime.com.

If the member is new to therapy:

The physician will call Prime Clinical Review at 888-214-1784 to complete the PA process. Once approved, the member can choose to have the specialty medication dispensed from any pharmacy in Horizon’s specialty pharmacy network listed above.

 

 

Flexible Spending Account Information

Any questions on Flexible Spending Accounts for current clients please contact:

Customer service at either 800-224-5110; 973-661-2424 or
info@benefitanalysis.com.