Dept/ Agency: Administration/Division of Personnel Action: ( ) Ratifying (X) Authorizing ( ) Amending Type of Service: Employees and Dependents Health Benefits Purpose: Authorize Participation in 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, New Jersey 08625-0299 Contract Amount: $TBD Funding Source: City Budget Lines Contract Period: May 1, 2017 through April 30, 2018 Contract Basis: ( ) Bid ( ) State Vendor ( ) Prof. Ser. ( ) EUS ( ) Fair & Open ( ) No Reportable Contributions ( ) RFP ( ) RFQ ( ) Private Sale ( ) Grant ( ) Sub-recipient ( X ) n/a State Contract Additional Information: