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31 WALTER MARKIEWICZ v. STATE HEALTH BENEFITS COMMISSION -- rank: 635

... of the court was delivered by PAYNE, J.A.D.      N.J.S.A. 52:14-17.29e, applicable to health insurance coverage offered by the respondent ... conditions as provided for any other sickness under the contract.      N.J.S.A. 52:14-17.29d defines "biologically-based mental illness" to be a "mental ... by the SHBC, were passed, effective January 18, 2000. See N.J.S.A. 52:14-17.29d and -17.29e. The primary legislative sponsors were identical ... provisions would be unreasonable. The State Health Benefits Program Act, N.J.S.A. 52:14-17.25 to -17.45, created a state-funded, but privately ... to the mental health parity statute as set forth in N.J.S.A. 52:14-17.29d and -17.29e. An interpretation consistent with that of ...

docket:	A0507-05
court:	NJ Superior Court Appellate Division
decided:	2007-01-17
status:	published
citation:	390 N.J. Super. 289 915 A.2d 553
Document Size:	35471

32 JAMES MEYERS v. STATE HEALTH BENEFITS COMMISSION, -- rank: 635

... at that time. On June 28, 2011, the Legislature adopted N.J.S.A. 52:14-17.28d(b)(1), which requires retired public employees to contribute ... from their monthly retirement allowance. Another section of that legislation, N.J.S.A. 52:14-17.28d(b)(3), exempted public employees who had twenty or ... creditable service in a state or local public retirement 1 N.J.S.A. 52:14-17.25 to -17.46a. A-0312-21 2 system as ... recent audit, an error was found regarding your benefits contribution. [N.J.S.A. 52:14-17.28d] requires you to pay a contribution from your monthly ... after June 28, 2011, were subject to the provisions of N.J.S.A. 52:14-17.28d(b)(3). The SHBC next found that the erroneous ... eligibility for contribution-free health insurance benefits in retirement under N.J.S.A. 52:14- 17.28d(b)(3). It found that 'no amount of ...

docket:	a0312-21
court:	NJ Superior Court Appellate Division
decided:	2022-10-25
status:	Published
citation:
Document Size:	21604

33 James Meyers v. State Health Benefits Commission -- rank: 628

... health care benefits coverage for the employee in retirement.ā€¯ N.J.S.A. 52:14-17.28d(b)(1). The Legislature also created an exemption from ... assessment that petitioner was never eligible for the exemption under N.J.S.A. 52:14-17.28d(b)(3) and that correcting the erroneous exemption was ... Div. 2022). The New Jersey State Health Benefits Program Act, N.J.S.A. 52:14- 17.25 to -17.46a, (the Act) governs health care benefits ... health care benefits coverage for the employee in retirement.ā€¯ N.J.S.A. 52:14- 17.28d(b)(1). Chapter 78 also created an exemption from ... or more years of creditable serviceā€¯ within the meaning of N.J.S.A. 52:14-17.28d(b)(3). In a 2013 amendment to the State ... assessment that petitioner was never eligible for the exemption under N.J.S.A. 52:14-17.28d(b)(3) and that correcting the erroneous exemption ...

docket:	a-27-22
court:	NJ Superior Court Appellate Division
decided:	2023-12-14
status:
citation:
Document Size:	22190

34 Paul M. DePascale v. State of New Jersey -- rank: 628

... a majority representative. L. 2007, c. 103, Ā§ 22 (amending N.J.S.A. 52:14-17.28(b)). That amendment similarly coincided with an increase in ...

docket:	A-34-11
court:	NJ Supreme Court
decided:	2012-07-24
status:
citation:	211 N.J. 40 47 A.3d 690
Document Size:	196419

35 /usr/local/share/www/libweb/collections/courts/appellate/a2244-03.opn.html -- rank: 610

... 43:15A-6; N.J.S.A. 43:16A-1; N.J.S.A. 52:14-17.26; N.J.S.A. 53:5A-3, and private ...

docket:
court:	NJ Superior Court Law/Chancery Division
decided:
status:
citation:	378 N.J. Super. 168 875 A.2d 259
Document Size:	154545

36 BEVERLY DAIRSOW v. STATE HEALTH BENEFITS COMMISSION - -- rank: 603

... and retirees of the State and participating local employers. See N.J.S.A. 52:14-17.25 to -17.45. An active employee may voluntarily terminate ... or employment or upon cessation of active full-time employment.' N.J.S.A. 52:14-17.32(a). However, retiree SHBP coverage is available for '[r ...

docket:	a1012-21
court:	NJ Superior Court Appellate Division
decided:	2023-01-30
status:	Unpublished
citation:
Document Size:	19122

37 J.S - v. STATE HEALTH BENEFITS COMMISSION -- rank: 600

... was a biologically-based mental illness (BBMI), as defined by N.J.S.A. 52:14-17.29d, and E.D. was entitled to physical and occupational ... same terms and conditions as provided for any other sickness." N.J.S.A. 52:14-17.29e. Appellant also claimed the Commission erred by denying coverage ... conditions as provided for any other sickness under the contract." N.J.S.A. 52:14-17.29e. The MHPA also provides that a person with a ... substantially limits the functioning of the person with the illness." N.J.S.A. 52:14-17.29d. Under the statute's "same terms and conditions" clause ... testified that ACC is not a BBMI as defined by N.J.S.A. 52:14-17.29d. The testimony of Dr. Leech and Dr. Yee was ... abnormalities, with mental retardation, seizures, and spasticity." Ibid. Pursuant to N.J.S.A. 52:14-17.29d, "'biologically-based mental illness' means a mental or ...

docket:	a1214-08
court:	superior court appellate division
decided:	2010-03-04
status:	unpublished
citation:
Document Size:	47316

38 BOARD OF EDUCATION OF THE UPPER FREEHOLD REGIONAL SCHOOL DISTRICT VS STATE HEALTH BENEFITS COMMISSION -- rank: 592

... SHBP or Plan) administered by the Commission pursuant to statute, N.J.S.A. 52:14-17.25 to -17.45. Under the new contract, effective September ... relates to major medical expense benefits, and is found in N.J.S.A. 52:14-17.29(A)(2):     The commission may, by regulation, determine what ... establishing the standards for local government enrollment in the Plan, N.J.S.A. 52:14-17.35 to -17.45, and regulatory provisions implementing qualification, participation ...

docket:	a2156-96
court:	njappellate
decided:	1998-08-27
status:	published
citation:	314 N.J.Super. 486
Document Size:	23851

39 STEVEN SARGESE v. HORIZON HEALTHCARE SERVICES, INC -- rank: 592

... created by the State Health Benefits Program Act of 1961, N.J.S.A. 52:14-17.25 to .45 (Act), which also created the Commission. The ... in the best interests of the State and its employees." N.J.S.A. 52:14-17.27 to .28. The Commission was also given exclusive jurisdiction ... which shall be excluded from or limited under such coverage." N.J.S.A. 52:14-17.29(A)(2). The Commission is authorized to impose limitations ... beyond those stipulated in the contracts held by the [Commission]." N.J.S.A. 52:14-17.29(D). The Commission contracted with Horizon to administer the ... uniquely suited to resolve the issue presented by plaintiffs. See N.J.S.A. 52:14-17.29(A)(2) ("[T]he commission may, by regulation, determine ...

docket:	a3954-11
court:	NJ Superior Court Appellate Division
decided:	2013-06-11
status:	unpublished
citation:
Document Size:	36797

40 POLICEMEN'S BENEVOLENT ASSOCIATION LOCAL NUMBER 191 v. TOWNSHIP OF EAST WINDSOR -- rank: 582

... 1 The State Health Benefits Plan (SHBP) is codified at N.J.S.A. 52:14-17.25 to - 17.46(a). One of the most significant ... See N.J.S.A. 40A-10:21.1 and N.J.S.A. 52:14-17.28(c). A-2073-20 2 enacted Chapter 78, requiring ... their health care benefit premiums based on their annual income. N.J.S.A. 52:14-17.28(c). Chapter 78 contains two sections relevant here, N ... prior contract.' It states that public employees are bound by N.J.S.A. 52:14-17.28(c)2 and N.J.S.A. 40A:10-21.1, 2 N.J.S.A. 52:14-17.28(c) phased in the four-tier scale of employee ...

docket:	a2073-20
court:	NJ Superior Court Appellate Division
decided:	2022-04-08
status:	Unpublished
citation:
Document Size:	31216

41 BOONTON EDUCATION ASSOCIATION and ROBERT DAVIS v. BOARD OF EDUCATION OF THE TOWN OF BOONTON COUNTY OF MORRIS - -- rank: 580

... 2, rather than the statutory requirements of the SEHBP statute, N.J.S.A. 52:14-17.46.13(f). The Commissioner indicated in her decision it ... confirm that coverage comports with the terms set forth in N.J.S.A. 52:14-17.46.13(f). It does not require her to interpret ... coverage that is equivalent to the NJEHP, as required under N.J.S.A. 52:14-17.46.13(f). It is the application of this 'equivalency ...

docket:	a1670-21
court:	NJ Superior Court Appellate Division
decided:	2022-10-19
status:	Unpublished
citation:
Document Size:	31478

42 ROBBINSVILLE EDUCATION ASSOCIATION v. ROBBINSVILLE BOARD OF EDUCATION -- rank: 580

... a fifteen-dollar co-pay. 2 Chapter 78 codified as N.J.S.A. 52:14-17.28c, collectively with N.J.S.A. 18A:16-17 ... when the employer is not a participant in the . . . [SEHBP]. [N.J.S.A. 52:14-17.28c.] The arbitrator recounted the testimony of both witnesses, noting ...

docket:	a3459-19
court:	NJ Superior Court Appellate Division
decided:	2021-08-16
status:	Unpublished
citation:
Document Size:	35525

43 HETTY ROSENSTEIN v. STATE OF NEW JERSEY DEPARTMENT OF TREASURY -- rank: 572

... SHBPDC consists of six labor and six public employer representatives. N.J.S.A. 52:14-17.27(b). It cannot pass any measures without seven affirmative ... from a list developed by the Public Employment Relations Commission. N.J.S.A. 52:14-17.27b. Motions in the SHBPDC regarding retiree prescription copayments for ... or terminate any plan or component, at its sole discretion . [ N.J.S.A. 52:14-17.27(b) (emphasis added).] And, by the same stroke of ... the affirmative action of the SHBPDC. The broad language of N.J.S.A. 52:14-17.27(b) unmistakably gave SHBPDC the authority to set, among ... or terminate" the "various plans and components of those plans." N.J.S.A. 52:14-17.27(b). Until seven members of the SHBPDC approve, or ...

docket:	a0945-12
court:	NJ Superior Court Appellate Division
decided:	2014-12-31
status:	published
citation:	438 N.J.Super. 491 105 A.3d 1140
Document Size:	28250

44 FACULTY ASSOCIATION OF OCEAN COUNTY COLLEGE v. STATE HEALTH BENEFITS COMMISSION et al. -- rank: 570

... State, employees of the State and dependents of such employees." N.J.S.A. 52:14-17.36. This section expresses a legislative intent that there be ... would be contrary to the uniformity standard set forth in N.J.S.A. 52:14-17.36. Moreover, the SHBC presented uncontradicted evidence that this requirement ... of benefits between State and local employees set forth in N.J.S.A. 52:14-17.36 and was not arbitrary or capricious. Affirmed. (continued) (continued ...

docket:	A1866-06
court:	NJ Superior Court Appellate Division
decided:	2008-01-17
status:	unpublished
citation:
Document Size:	35028

45 MAUREEN SALAMON v. STATE HEALTH BENEFITS COMMISSION -- rank: 562

... 54 (2002).] The New Jersey State Health Benefits Program Act, N.J.S.A. 52:14-17.25 to -17.45, created the SHBC to "establish a health benefits program for the employees of the State . . . ." N.J.S.A. 52:14-17.27. The Act provides broad guidelines for basic and major ... parity in coverage for biologically-based mental illnesses, including autism. N.J.S.A. 52:14-17.29e. Those cases also presented us with a clear conflict ... Parity Law, N.J.S.A. 17:48-6v. Construing N.J.S.A. 52:14-17.29e, the analogous law applicable to coverage by the State ...

docket:	A3181-05
court:	NJ Superior Court Appellate Division
decided:	2007-02-21
status:	unpublished
citation:
Document Size:	31679