Requires election by certain public employees of certain health care benefit plans; prohibits payments by public employers for waiver of plans.

S 460 prohibits New Jersey public employers from paying employees to waive health coverage (replacing prior provisions allowing payments up to 50% of savings). It requires that when both spouses work for public employers, the higher-earning spouse selects coverage through their employer, and the other spouse cannot receive benefits from their own employer's plan. This directly affects public employees who are married to other public employees, eliminating dual coverage options. The bill amends existing health coverage laws to standardize enrollment and prevent duplicate benefits.