Dept/ Agency: Administration/Division of Personnel Action: ( ) Ratifying (X) Authorizing (X ) Amending Type of Service: State Health Benefits Program Purpose: Amending Effective Date and Certain Other Changes to the State Health Benefits Program for Employees and Dependents Entity Name: State of New Jersey, Department of the Treasury, Division of Pensions and Benefits Entity Address: PO Box 299, Trenton, NJ 08625-0299 Contract Amount: To Be Determined Funding Source: City Budget Lines Contract Period: August 1, 2017 through July 31, 2018 Contract Basis: ( ) Bid ( X ) State Vendor ( ) Prof. Ser. ( ) EUS ( ) Fair & Open ( ) No Reportable Contributions ( ) RFP ( ) RFQ ( ) Private Sale ( ) Grant ( ) Sub-recipient ( ) n/a Additional Information: