Health Benefits
Dear Piscataway Township,
Pursuant to the New Jersey Open Public Records Act, N.J.S.A. 47:1A-1 et seq. ("OPRA"), the undersigned hereby requests access to and copies of the following government records maintained by Piscataway Township (the "Municipality") relating to its employee health insurance program. This request covers the current plan year and the immediately preceding two (2) plan years.
RECORDS REQUESTED
Please provide the following records in electronic format (PDF, Excel, or CSV as applicable) to the extent they exist and are maintained by the Municipality, its broker, its carrier, or any third-party administrator acting on its behalf:
1. All health insurance premium invoices and billing statements for the current plan year and the prior two (2) plan years, including any monthly premium registers broken out by coverage tier (employee only, employee + spouse, employee + child(ren), family).
2. All Summary of Benefits and Coverage (SBC) documents provided to employees for each health plan option offered in the current plan year and the prior two (2) plan years.
3. Monthly and annual claims reports for the current plan year and the prior two (2) plan years, including but not limited to: paid claims by month, large claimant reports (including any specific stop-loss or laser thresholds applied), claims by category (medical, pharmacy, behavioral health), and any carrier-issued utilization reports.
4. All enrollment data and census reports reflecting the number of covered lives by month and by plan tier for the current plan year and the prior two (2) plan years.
5. Any rate renewal notices, actuarial analyses, or carrier rate justification documents received for each plan renewal period within the scope of this request.
6. All plan documents, Summary Plan Descriptions (SPD), and carrier or TPA administrative agreements currently in effect or in effect during the prior two (2) plan years.
7. Any stop-loss or reinsurance policy documents, including specific and aggregate attachment points, premiums paid, and claims recovered, for the current plan year and the prior two (2) plan years.
8. All correspondence between the municipality and its health insurance carrier(s), broker(s), or third-party administrator(s) relating to premium negotiations, rate increases, plan design changes, or open enrollment communications for the current plan year and the prior two (2) plan years.
9. Any monthly or quarterly reporting provided by the carrier or TPA to the municipality, including loss ratio reports, trend analyses, and member cost-sharing summaries.
10. A copy of any broker of record letter(s), producer of record designation(s), or consulting agreements in effect during the period covered by this request, including any commission, fee, or compensation disclosure documents.
FORMAT AND FEE WAIVER
The undersigned requests that all responsive records be provided in electronic format via email or secure file transfer. If any records are available only in paper format, please advise prior to production so that arrangements can be made.
If a fee is required for duplication or retrieval, please provide a cost estimate in advance. If the anticipated fee exceeds $25.00, please notify the requestor before processing so that the scope of the request may be discussed.
REDACTIONS AND WITHHOLDING
If any portion of a responsive record is withheld, please identify the specific statutory exemption relied upon pursuant to N.J.S.A. 47:1A-5(g) and provide any reasonably segregable non-exempt portions. Please note that the names and compensation of public employees are not exempt from disclosure under OPRA. See Asbury Park Press v. Ocean County Prosecutor's Office, 374 N.J. Super. 312 (App. Div. 2005).
RESPONSE DEADLINE
OPRA requires a response within seven (7) business days of receipt of this request. N.J.S.A. 47:1A-5(i). If additional time is needed due to the volume or nature of the request, please provide written notice within seven (7) business days specifying the anticipated date of production.
Yours Truly,
LN.
Mr. Nedman,
In order for us to begin processing your OPRA request, you must answer the
three (3) certifying questions on the OPRA form. Without a response to
those questions, your request is considered incomplete and will be denied.
For your convenience, the following link will take you directly to the
Township’s online OPRA form:
[1]https://main.govpilot.com/web/public/503....
This is the most efficient way to submit an OPRA request to the Township.
Again, we will NOT begin processing your OPRA request until we receive the
response to the three (3) certifying questions. If we do not receive those
responses by the end of the day next Monday (July 6th), your request will
be denied.
Thank you,
Jenn
Jennifer Johnson, CMR
Deputy Township Clerk
Piscataway Township
455 Hoes Lane
Piscataway, New Jersey 08854
Office: (732) 562-2310
Email: [2][email address]
Dear Jennifer Johnson,
I certify that I haven't been convicted of an indictable offense, will not be used for commercial purpose and this isn't in connection of a legal proceeding.
Yours sincerely,
Les
[1]LogoImg1ae
Township of Piscataway
Open Records Request
Reference # OPRA-2026-01142
Date Entered: 6/29/2026 9:39:41 AM
Dear Les Nedman,
This email is to confirm submission of your Open Records Request request.
Additional emails will be sent upon processing of your request.
The request seeks access to the following records:
Please provide the following records in electronic format (PDF, Excel, or
CSV as applicable) to the extent they exist and are maintained by the
Municipality, its broker, its carrier, or any third-party administrator
acting on its behalf:
1. All health insurance premium invoices and billing statements for
the current plan year and the prior two (2) plan years, including any
monthly premium registers broken out by coverage tier (employee only,
employee + spouse, employee + child(ren), family).
2. All Summary of Benefits and Coverage (SBC) documents provided to
employees for each health plan option offered in the current plan year and
the prior two (2) plan years.
3. Monthly and annual claims reports for the current plan year and
the prior two (2) plan years, including but not limited to: paid claims by
month, large claimant reports (including any specific stop-loss or laser
thresholds applied), claims by category (medical, pharmacy, behavioral
health), and any carrier-issued utilization reports.
4. All enrollment data and census reports reflecting the number of
covered lives by month and by plan tier for the current plan year and the
prior two (2) plan years.
5. Any rate renewal notices, actuarial analyses, or carrier rate
justification documents received for each plan renewal period within the
scope of this request.
6. All plan documents, Summary Plan Descriptions (SPD), and carrier
or TPA administrative agreements currently in effect or in effect during
the prior two (2) plan years.
7. Any stop-loss or reinsurance policy documents, including specific
and aggregate attachment points, premiums paid, and claims recovered, for
the current plan year and the prior two (2) plan years.
8. All correspondence between the municipality and its health
insurance carrier(s), broker(s), or third-party administrator(s) relating
to premium negotiations, rate increases, plan design changes, or open
enrollment communications for the current plan year and the prior two (2)
plan years.
9. Any monthly or quarterly reporting provided by the carrier or TPA
to the municipality, including loss ratio reports, trend analyses, and
member cost-sharing summaries.
10. A copy of any broker of record letter(s), producer of record
designation(s), or consulting agreements in effect during the period
covered by this request, including any commission, fee, or compensation
disclosure documents.
The undersigned requests that all responsive records be provided in
electronic format via email or secure file transfer. If any records are
available only in paper format, please advise prior to production so that
arrangements can be made.
If a fee is required for duplication or retrieval, please provide a cost
estimate in advance. If the anticipated fee exceeds $25.00, please notify
the requestor before processing so that the scope of the request may be
discussed.
If any portion of a responsive record is withheld, please identify the
specific statutory exemption relied upon pursuant to N.J.S.A. 47:1A-5(g)
and provide any reasonably segregable non-exempt portions. Please note
that the names and compensation of public employees are not exempt from
disclosure under OPRA. See Asbury Park Press v. Ocean County Prosecutor`s
Office, 374 N.J. Super. 312 (App. Div. 2005).
A copy of the request is attached for your records.
Please do not reply directly to this email; this address is not monitored.
If you have any questions please feel free to contact us at
[Piscataway Township request email].
Sincerely,
Township of Piscataway
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Please download these attachments from the links below:
• [2]ed509ece-77213-rep440c70cd.pdf
References
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2. http://url2645.govpilot.com/ls/click?upn...
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Township of Piscataway
Open Records Request
Reference # OPRA-2026-01142
Date Entered: 6/29/2026 9:39:00 AM
Dear Les Nedman,
This email is to confirm receipt of your Open Records Request request.
The Custodian of Records received your request on 06/29/2026. As such, the
seven (7) business day deadline to respond to your request is 07/09/2026.
The request seeks access to the following records:
Please provide the following records in electronic format (PDF, Excel, or
CSV as applicable) to the extent they exist and are maintained by the
Municipality, its broker, its carrier, or any third-party administrator
acting on its behalf:
1. All health insurance premium invoices and billing statements for
the current plan year and the prior two (2) plan years, including any
monthly premium registers broken out by coverage tier (employee only,
employee + spouse, employee + child(ren), family).
2. All Summary of Benefits and Coverage (SBC) documents provided to
employees for each health plan option offered in the current plan year and
the prior two (2) plan years.
3. Monthly and annual claims reports for the current plan year and
the prior two (2) plan years, including but not limited to: paid claims by
month, large claimant reports (including any specific stop-loss or laser
thresholds applied), claims by category (medical, pharmacy, behavioral
health), and any carrier-issued utilization reports.
4. All enrollment data and census reports reflecting the number of
covered lives by month and by plan tier for the current plan year and the
prior two (2) plan years.
5. Any rate renewal notices, actuarial analyses, or carrier rate
justification documents received for each plan renewal period within the
scope of this request.
6. All plan documents, Summary Plan Descriptions (SPD), and carrier
or TPA administrative agreements currently in effect or in effect during
the prior two (2) plan years.
7. Any stop-loss or reinsurance policy documents, including specific
and aggregate attachment points, premiums paid, and claims recovered, for
the current plan year and the prior two (2) plan years.
8. All correspondence between the municipality and its health
insurance carrier(s), broker(s), or third-party administrator(s) relating
to premium negotiations, rate increases, plan design changes, or open
enrollment communications for the current plan year and the prior two (2)
plan years.
9. Any monthly or quarterly reporting provided by the carrier or TPA
to the municipality, including loss ratio reports, trend analyses, and
member cost-sharing summaries.
10. A copy of any broker of record letter(s), producer of record
designation(s), or consulting agreements in effect during the period
covered by this request, including any commission, fee, or compensation
disclosure documents.
The undersigned requests that all responsive records be provided in
electronic format via email or secure file transfer. If any records are
available only in paper format, please advise prior to production so that
arrangements can be made.
If a fee is required for duplication or retrieval, please provide a cost
estimate in advance. If the anticipated fee exceeds $25.00, please notify
the requestor before processing so that the scope of the request may be
discussed.
If any portion of a responsive record is withheld, please identify the
specific statutory exemption relied upon pursuant to N.J.S.A. 47:1A-5(g)
and provide any reasonably segregable non-exempt portions. Please note
that the names and compensation of public employees are not exempt from
disclosure under OPRA. See Asbury Park Press v. Ocean County Prosecutor`s
Office, 374 N.J. Super. 312 (App. Div. 2005).
If your request for access to a government record has been denied or
unfilled within the seven (7) business days required by law, you have a
right to challenge the decision to deny access. At your option, you may
either institute a proceeding in the Superior Court of New Jersey or file
a complaint with the Government Records Council (GRC) by completing the
Denial of Access Complaint Form. You may contact the GRC by toll-free
telephone at 866-850-0511, by mail at P.O. Box 819, Trenton, NJ, 08625, by
e-mail at [2][email address], or at their web site at
[3]www.state.nj.us/grc. The GRC can also answer other questions about the
law. All questions regarding complaints filed in Superior Court should be
directed to the Court Clerk in your County.
Please do not reply directly to this email; this address is not monitored.
If you have any questions please feel free to contact us at
[Piscataway Township request email].
Sincerely,
Township of Piscataway
References
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2. mailto:[email address]
3. http://url2645.govpilot.com/ls/click?upn...
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Township of Piscataway
Open Records Request
Reference # OPRA-2026-01142
Date Entered: 6/29/2026 9:39:00 AM
Dear Les Nedman,
The Township will require clarification on your request:
For the 8th part of your request, we will need the names or titles of
specific individuals from which you are looking to obtain their
correspondence. Asking for `all correspondence between the municipality
and its health insurance carrier(s)` is overly broad and does not identify
with reasonable clarity the specific government records sought, as is
required by Bent v. Stafford Police Department, 381 N.J. Super. 30 (App.
Div. 2005) and Burke v. Brandes, 429 N.J. Super. 169 (App. Div. 2012).
Thank you for your patience. Please do not reply directly to this email;
this address is not monitored. If you have any questions please feel free
to contact us at [Piscataway Township request email].
Sincerely,
Township of Piscataway
References
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Dear Piscataway Township,
Thank you for your response. Without waiving any rights under OPRA, the undersigned narrows Item 8 as follows:
Please provide all written correspondence, including emails and letters, between any of the following municipal officials or their designees and the Municipality's health insurance carrier(s), broker(s), or third-party administrator(s), relating to premium rates, plan design changes, renewal negotiations, or open enrollment, for the current plan year and the prior two (2) plan years.
Chief Financial Officer (or Director of Finance)
Business Administrator
Human Resources Director (or Personnel Director)
Risk Manager (if applicable)
Any individual designated as the Municipality's primary contact for health benefits administration
If the Municipality does not maintain records under these titles, please identify the office or position that holds responsive records so that the request may be further refined.
[1]LogoImg357
Township of Piscataway
Open Records Request
Reference # OPRA-2026-01142
Date Entered: 6/29/2026 9:39:00 AM
Dear Les Nedman,
This email is to confirm receipt of your Open Records Request request.
The Custodian of Records received your request on 07/01/2026. As such, the
seven (7) business day deadline to respond to your request is 07/13/2026.
The request seeks access to the following records:
Please provide the following records in electronic format (PDF, Excel, or
CSV as applicable) to the extent they exist and are maintained by the
Municipality, its broker, its carrier, or any third-party administrator
acting on its behalf:
1. All health insurance premium invoices and billing statements for
the current plan year and the prior two (2) plan years, including any
monthly premium registers broken out by coverage tier (employee only,
employee + spouse, employee + child(ren), family).
2. All Summary of Benefits and Coverage (SBC) documents provided to
employees for each health plan option offered in the current plan year and
the prior two (2) plan years.
3. Monthly and annual claims reports for the current plan year and
the prior two (2) plan years, including but not limited to: paid claims by
month, large claimant reports (including any specific stop-loss or laser
thresholds applied), claims by category (medical, pharmacy, behavioral
health), and any carrier-issued utilization reports.
4. All enrollment data and census reports reflecting the number of
covered lives by month and by plan tier for the current plan year and the
prior two (2) plan years.
5. Any rate renewal notices, actuarial analyses, or carrier rate
justification documents received for each plan renewal period within the
scope of this request.
6. All plan documents, Summary Plan Descriptions (SPD), and carrier
or TPA administrative agreements currently in effect or in effect during
the prior two (2) plan years.
7. Any stop-loss or reinsurance policy documents, including specific
and aggregate attachment points, premiums paid, and claims recovered, for
the current plan year and the prior two (2) plan years.
8. Please provide all written correspondence, including emails and
letters, between any of the following municipal officials or their
designees and the Municipality`s health insurance carrier(s), broker(s),
or third-party administrator(s), relating to premium rates, plan design
changes, renewal negotiations, or open enrollment, for the current plan
year and the prior two (2) plan years.
Chief Financial Officer (or Director of Finance)
Business Administrator
Human Resources Director (or Personnel Director)
Risk Manager (if applicable)
Any individual designated as the Municipality`s primary contact for health
benefits administration
If the Municipality does not maintain records under these titles, please
identify the office or position that holds responsive records so that the
request may be further refined.
9. Any monthly or quarterly reporting provided by the carrier or TPA
to the municipality, including loss ratio reports, trend analyses, and
member cost-sharing summaries.
10. A copy of any broker of record letter(s), producer of record
designation(s), or consulting agreements in effect during the period
covered by this request, including any commission, fee, or compensation
disclosure documents.
The undersigned requests that all responsive records be provided in
electronic format via email or secure file transfer. If any records are
available only in paper format, please advise prior to production so that
arrangements can be made. If a fee is required for duplication or
retrieval, please provide a cost estimate in advance. If the anticipated
fee exceeds $25.00, please notify the requestor before processing so that
the scope of the request may be discussed. If any portion of a responsive
record is withheld, please identify the specific statutory exemption
relied upon pursuant to N.J.S.A. 47:1A-5(g) and provide any reasonably
segregable non-exempt portions. Please note that the names and
compensation of public employees are not exempt from disclosure under
OPRA. See Asbury Park Press v. Ocean County Prosecutor`s Office, 374 N.J.
Super. 312 (App. Div. 2005).
If your request for access to a government record has been denied or
unfilled within the seven (7) business days required by law, you have a
right to challenge the decision to deny access. At your option, you may
either institute a proceeding in the Superior Court of New Jersey or file
a complaint with the Government Records Council (GRC) by completing the
Denial of Access Complaint Form. You may contact the GRC by toll-free
telephone at 866-850-0511, by mail at P.O. Box 819, Trenton, NJ, 08625, by
e-mail at [2][email address], or at their web site at
[3]www.state.nj.us/grc. The GRC can also answer other questions about the
law. All questions regarding complaints filed in Superior Court should be
directed to the Court Clerk in your County.
Please do not reply directly to this email; this address is not monitored.
If you have any questions please feel free to contact us at
[Piscataway Township request email].
Sincerely,
Township of Piscataway
References
Visible links
2. mailto:[email address]
3. http://url2645.govpilot.com/ls/click?upn...
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Township of Piscataway
Open Records Request
Reference # OPRA-2026-01142
Date Entered: 6/29/2026 9:39:00 AM
Dear Les Nedman,
Due to the volume of requests received in this office, the Township will
require an extension on your request until: 07/24/2026.
Thank you for your patience. Please do not reply directly to this email;
this address is not monitored. If you have any questions please feel free
to contact us at [Piscataway Township request email].
Sincerely,
Township of Piscataway
References
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Township of Piscataway
Open Records Request
Reference # OPRA-2026-01142
Date Entered: 6/29/2026 9:39:00 AM
Dear Les Nedman,
The Township will require clarification on your request:
Thank you for your patience. Please do not reply directly to this email;
this address is not monitored. If you have any questions please feel free
to contact us at [Piscataway Township request email].
Sincerely,
Township of Piscataway
References
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Township of Piscataway
Open Records Request
Reference # OPRA-2026-01142
Date Entered: 6/29/2026 9:39:00 AM
Dear Les Nedman,
Due to the volume of requests received in this office, the Township will
require an extension on your request until: 07/29/2026.
Thank you for your patience. Please do not reply directly to this email;
this address is not monitored. If you have any questions please feel free
to contact us at [Piscataway Township request email].
Sincerely,
Township of Piscataway
References
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Township of Piscataway
Open Records Request
Reference # OPRA-2026-01142
Date Entered: 6/29/2026 9:39:00 AM
Dear Les Nedman,
Due to the volume of requests received in this office, the Township will
require an extension on your request until: 08/07/2026.
Thank you for your patience. Please do not reply directly to this email;
this address is not monitored. If you have any questions please feel free
to contact us at [Piscataway Township request email].
Sincerely,
Township of Piscataway
References
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