Downloads

Annual Funding Notice

  1. Plan Year Ending December 31, 2017 Annual Funding Notice
  2. Plan Year Ending December 31, 2018 Annual Funding Notice

Annuity Summary Material Modification (SMM)

  1. Annuity Plan SMM - November 2017
  2. Annuity Fund COVID-19 SMM (April 2020)

Collections

  1. Reciprocal Form

Health

  1. Health Reimbursement Form
  2. 2020 Coordination of Benefits Form
  3. Appendix A for HRA
  4. HRA Pay Provider Direct Form
  5. Spouse Maiden Name Form

Health Summary Material Modification (SMM)

  1. health Fund COVID-19 SMM (April 2020)
  2. Health Plan Eligibility Requirements SMM - February 2018

Pension Summary Material Modification (SMM)

  1. Pension Plan Earning Benefits SMM - November 2018
  2. Pension Disability Pension SMM - November 2017

Retirement

  1. Pension & Annuity Direct Deposit Form
  2. Aetna Medicare Rx Plan Design and Benefits Effective January 1, 2019
  3. Active Loan Payment Deferral
  4. Allocated Investment Losses

Standard Forms

  1. Change of Address

Summary Annual Reports

  1. New Jersey HRA SAR - Plan Year Ending December 2017
  2. New Jersey Health Fund SAR - Plan Year Ending December 2017
  3. New Jersey Annuity SAR - Plan Year Ending December 2018
  4. New Jersey Health Fund Retiree SAR - Plan Year Ending December 2018
  5. New Jersey Health Fund SAR - Plan Year Ending December 2018
  6. New Jersey HRA SAR - Plan Year Ending December 2018
  7. New Jersey Annuity Fund SAR - Plan Year Ending December 2017

Summary Plan Descriptions (SPDs)

  1. Pension Summary Plan Description
  2. Annuity Summary Plan Description
  3. Vacation Fund Summary Plan Description
  4. Health Plan Summary Plan Description