Notice

Friday, May 9, 2025: Customer Service hours will be 10:00 AM - 5:00 PM ET. We apologize for any inconvenience this may cause.

To view benefit information and claim status, you can access self-service by signing into your account or using our Interactive Voice Response System (IVR) 24/7 at 800-452-9310.

Individual and Family Plan Updates

Effective June 1, 2025 for new sales and renewals

Current Portfolio Changes

  • NJ Premium (PPO Plus Premier)

    • New four-tier rate structure
    • CYM increased from $2,000 to $2,500
    • New lower rates for all tiers
    • Enhancements including teeth whitening, composite (white) fillings, veneers, and nightguards

  • NJ Clear (PPO Plus Premier, in-network only)

    • Three-band rate structure (no change)
    • Rate increase for 0-25, no change for 26-50, and rate decrease for ages 51+     

  • NJ Enhanced (PPO Plus Premier)

    • Closed to new members; renewals only
    • New four-tier rate structure
    • New lower rates for all tiers
    • Enhancements including teeth whitening and composite (white) fillings for existing members

  • NJ Classic (PPO Plus Premier)

    • New four-tier rate structure
    • Reduced rates for Family coverage tier (Individual + Spouse + Child(ren))
    • Increased rates for all other tiers
    • Enhancements including teeth whitening and composite (white) fillings

New Plans

  • Choice 5000 (PPO Plus Premier)

    • Four-tier rate structure
    • $5,000 CYM

  • NJ Progressive (PPO Plus Premier)

    • Four-tier rate structure
    • Benefits increase annually over three years

  • NJ Enhanced with Ortho (PPO Plus Premier)

    • Four-tier rate structure
    • Ortho benefit: $1,500 lifetime benefit maximum separate from annual CYM
    • Enhancements including teeth whitening and composite (white) fillings



Note: There are no changes for 2025 with Family PPO I, II, and III plan rates and benefits.

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