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]
-----Original Message-----
From: Les Nedman <[OPRA #92839 email]>
Sent: Friday, June 26, 2026 6:05 PM
To: OPRA Requests <[Piscataway Township request email]>
Subject: OPRA request - 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.
-------------------------------------------------------------------
Please deliver records electronically via email to the below UNIQUE
address for all replies to this request:
[OPRA #92839 email]
Is [3][Piscataway Township request email] the wrong address for OPRA requests to
Piscataway Township? If so, please contact us using this form:
https://linkprotect.cudasvc.com/url?a=ht...
Disclaimer: This message and any reply that you make will be published on
the internet. Our privacy and copyright policies:
https://linkprotect.cudasvc.com/url?a=ht...
View this OPRA request & responses online:
[4]https://linkprotect.cudasvc.com/url?a=ht...
Please note that in some cases publication of requests and responses will
be delayed.
If you find this service useful as an OPRA custodian, please ask your web
manager to link to us from your organisation's website.
"OPRAmachine’s mission is to give people easy and affordable access to New
Jersey public records.
For more information, contact us at: (732) 707-1628 or PO Box 3180, New
Brunswick, NJ 08903."
-------------------------------------------------------------------
References
Visible links
1. https://main.govpilot.com/web/public/503...
2. mailto:[email address]
3. mailto:[Piscataway Township request email]
4. https://linkprotect.cudasvc.com/url?a=ht...
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
══════════════════════════════════════════════════════════════════════════
Please download these attachments from the links below:
• [2]ed509ece-77213-rep440c70cd.pdf
References
Visible links
2. http://url2645.govpilot.com/ls/click?upn...
[1]LogoImgfb8
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
Visible links
2. mailto:[email address]
3. http://url2645.govpilot.com/ls/click?upn...
[1]LogoImg714
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
Visible links
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...
[1]LogoImgee0
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
Visible links
[1]LogoImg923
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
Visible links
[1]LogoImgacf
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
Visible links
[1]LogoImg685
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
Visible links
[1]LogoImgc45
Township of Piscataway
Open Records Request
Reference # OPRA-2026-01142
Date Entered: 6/29/2026 9:39:00 AM
Dear Les Nedman,
Your Open Records Request has been Fulfilled on 08/07/2026.
The request sought 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).
Contact Information:
Department Department Department Fulfillment Notes Comments
Email Phone #
Legal Please click on each of the links to view the In accordance
responsive documents: with N.J.S.A.
https://spaces.hightail.com/receive/ydZO... 47:1A-1.1,
https://spaces.hightail.com/receive/5MyJ... redactions
and
withholdings
of documents
were made in
furtherance
of the
privacy
interests of
the parties,
including the
redactions of
social
security
numbers,
private email
addresses,
and private
phone
numbers; and
trade secrets
regarding
propriety
financial
information
regarding the
insurance
company
coverage.
Additionally,
documents
containing
medical
information
regarding
individuals
have been
redacted or
withheld in
accordance
with N.J.S.A.
47:1A-1.1 and
EO 26.
The records are being transmitted to you via Email. Pursuant to N.J.S.A.
47:1A-5.b. the cost associated with this request is $0.00.
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
1. LogoImg983
https://main.govpilot.com/temp/images/3b...
