Enrolling in Medical, Prescription Drug, and/or Dental Coverage
New Employees
All newly hired employees are required to submit enrollment forms to the Benefits Unit at the Kean University Office of Human Resources within 30 days of their date of hire and indicate whether they wish to enroll in health benefits or waive coverage.
Making Changes to your Health Benefits
The State Health Benefits Program holds its annual open enrollment each fall (usually in October). During open enrollment, employees may change plans or add dependents to their coverage. Contact the Office of Human Resources for the specific dates of open enrollment.
Changes in health coverage due to life events, such as marriage, birth of a child, divorce, may be made within 60 days of the event date. Employees must advise the Office of Human Resources immediately of any change in personal status which might affect the employee's benefits coverage. You may drop your coverage at any time.
HEALTH, PRESCRIPTION DRUG AND DENTAL ENROLLMENT APPLICATIONS
FOR FULLTIME EMPLOYEES
Application for PPO and HMO PlansApplication for High Deductible Health Plans (HDHP)
HDHP Health Savings Account (HSA) Contribution Form
for employees enrolled in a High Deductible Health Plan
Waiver/Reinstatement of Coverage Form
FOR PART-TIME EMPLOYEES, INCLUDING ADJUNCTS
Application for PPO and HMO PlansApplication for High Deductible Health Plans (HDHP)
HDHP Health Savings Account (HSA) Contribution Form
for employees enrolled in a High Deductible Health Plan
DENTAL
Application for Dental Plan CoverageEmployee Dental Expense Plan (Aetna) Claim Form for Aetna DEP members
