Public employees across New Jersey could face steep health insurance increases in 2027, with proposed premium hikes reaching double digits for local government workers and more than 30% for some school employees.

According to actuarial recommendations presented to the state, active local government employees could see premiums rise by about 17.3%, while the overall local-government health plan is facing a recommended increase of roughly 22.3%.

For school employees, the numbers are even higher.

The proposed increase for active employees enrolled in the School Employees’ Health Benefits Program is approximately 34.4%, a figure that has alarmed school officials, unions and local governments across the state.

The New Jersey School Boards Association has warned that an increase of that size could put significant pressure on district budgets, staffing decisions and negotiations with employees.

However, the proposed premium increases do not necessarily mean every worker will personally pay 17.3% or 34.4% more out of pocket.

How much an individual employee pays depends on the specific health plan, salary, collective bargaining agreement and how costs are divided between the employee and the public employer.

That distinction is important because taxpayers may also feel the impact.

Municipalities, counties and school districts cover a large share of employee health insurance costs. If premiums rise sharply, local governments may need to absorb higher expenses through existing budgets, spending cuts or additional revenue.

The rising cost of prescription drugs is one factor contributing to the increases. New Jersey officials and analysts have also pointed to growing expenses associated with high-cost medications, including GLP-1 drugs, which are increasingly used for diabetes and weight management.

The health plans are facing another financial problem as well.

More than $50 million in unpaid health insurance premiums has reportedly accumulated among some local government and school employers, adding pressure to the system as officials consider 2027 rates.

The proposed increases have already triggered political criticism and calls for state intervention.

For teachers, municipal workers, police officers, firefighters and other public employees, the debate is about more than insurance premiums. Any major increase could affect take-home pay, contract negotiations and local budgets across New Jersey.

The final rates have not yet been fully settled, and discussions over the 2027 plans are continuing.

Tags: New Jersey, Health Insurance, Public Employees, Teachers, Local Government, School Employees, Health Benefits, NJ Workers

Sources: New Jersey School Boards Association; state health benefits discussions; InsiderNJ

By NJ RADAR Team

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