Open Enrollment will be held from April 24, 2023 through May 12, 2023.


    This is an opportunity for benefit eligible employees to add, delete or make changes to health, dental, and vision plans.  All applications and changes must be submitted to the Human Resources Department by Friday, May 12, 2023.  Please be advised that changes will be effective Saturday, July 1, 2023.  Below is all the information you need to review your benefit options.

    Enrolling, Plan Change, or Reinstating Medical, RX, Dental, or Vision Benefits

    Information regarding plan options is linked in the table below. Just click on the name of any health plan to open our plan comparison document.  For employees enrolling or making changes, all enrollment/reinstatement forms should be completed electronically in the below fillable PDF and emailed to benefits@gpsd.us .  Should you encounter an issue completing the forms or you do NOT have access to a computer, please contact Deneen Molloy at 856-652-2700 extension 6302 or Jo Ann Gamble at extension 6202.

    Employee Contribution

    The State of New Jersey has imposed a mandatory contribution towards health/prescription and/or dental plans.

    Waiver Incentive Benefits Program

    Eligible employees have the opportunity to participate in the optional Waiver Incentive Benefits Program by completing a 2023 – 2024 Waiver Application.  Even if you currently participate in the Waiver Program, you must complete a form to continue receiving this benefit.

    Glassboro employees that participate in the Waiver Program will be entitled to a payment of $2,000 for Health/Prescription, paid out in quarterly installments of $500 and $100 for Dental, paid out in quarterly installments of $25. 

    Please submit your Waiver Application along with copies of your current insurance cards by Friday, May 12, 2023.  An application for the Waiver program is attached to this email. If you have a problem printing the forms or you do not have access to a computer, please contact Deneen Molloy at  extension 6302 or Jo Ann Gamble at extension 6202.

    For anyone who is currently participating in the waiver program and would like to reinstate their health benefits, please submit your enrollment application by Friday, May 12, 2023. 


    Open Enrollment Options, Premium Contribution Charts, & Forms
    Health Plan Options for ALL Eligible Employees Click Below to View the Employee Premium Contribution Chart Enrollment/Reinstatement Forms
    AmeriHealth NJEHP NJEHP Cost Sheet

    Health/RX/Vision Enrollment Form

    Vision Enrollment Form

    AmeriHealth GSHP GSHP Cost Sheet
    NVA Vision (Vision is optional, NOT covered in the above health plans) NVA Vision Cost Sheet
    Health Plan Options for Employees Hired Prior to 07/01/2020
    AmeriHealth PPO 10 PPO Cost Sheet
    AmeriHealth PPO HDHP HDHP Premium Contribution
    Davis Vision (Vision is included at no additional cost with PPO 10 & PPO HDHP) Davis Vision Plan Summary

    No Enrollment Form Needed

    Dental Plan Options  
    Horizon Dental Choice Dental Cost Sheet Dental Enrollment Form
    Horizon Dental Option
    23-24 Waiver Option  
    Waiver Incentive Enrollment Form   Waiver Form
    Open Enrollment Guide 23-24 Enrollment Guide  

    RX Info - Click here to view excluded medications effective 7/1/2023

    RX Info-click here to view medications effective 7/1/2023

    RX Cards-click here to view Digital ID Card toolkit

    Additional Information - Dependents Under 26

    Federal health care reform requires plans to offer coverage to all dependents up to age 26, regardless of the dependent child’s financial dependency, marital status, student status and residency with the participant or any other person. Any dependent child under 26 years of age meeting the criteria above is now eligible to be enrolled in your health plan.  The dependent is not eligible to enroll if they are eligible for other group coverage.  Coverage for dependents that are enrolled in the Glassboro Board of Education health plan ends on the last day of the month of their 26th birthday. This option is not available for dental coverage. Coverage for dependents that are enrolled in the Glassboro Board of Education dental plan ends on the last day of the calendar year of their 23rd birthday.

    Additional Information - Retirement

    If you are planning on retiring at any point during the 2023 – 2024 school year, and would like to continue benefits after retirement under the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA), you cannot waive your benefits for the 2023 – 2024 school year.

    If you are eligible for health benefits through the State of New Jersey Retirees State Health Benefits Plan, please visit their website at www.state.nj.us/treasury/pensions/mbosregister.htm for more information.