Health Benefits

Open Enrollment 2020

Open Enrollment 2020
Affirmative Enrollment Form
Dental Form
Medical Form
Chapter44 (NJ EHP) Employee Contribution Calculator

Please email Edward Hyland from Brown Brothers, our broker, with any Open Enrollment questions at
Open Enrollment for 45 Cardinal and HAN Staff dated 10/19/20.

Medical Benefit Books

8505U-025 NJ EHP
8506U-00-DA Contract
8506U-05-DA Contract
8506U-10 DA Contract
8506U-15 POS Contract
8506U-15 POS Contract Amendments
8506U-20 OMNIA Contract
8506U-20 Contract Amendments
Rider Form (Allowance Definition)
Women's Health and Cancer Rights Act of 1998
Digital Tomosynthesis (a)
Digital Tomosynthesis (b)

Prescription Benefit Books