Chapter 17b:27a
Index
- N.J.S. § 17B:27A-1 Filing of Paid Hospital Expense Claims; Definitions
- N.J.S. § 17B:27A-2 Definitions
- N.J.S. § 17B:27A-2.1 Regulations
- N.J.S. § 17B:27A-2.2 Effective Date
- N.J.S. § 17B:27A-3 Individual Health Benefits Plans, Applicability of Act
- N.J.S. § 17B:27A-4 Offering of Individual Health Benefits Required By Issuer of Small Employer Health Benefits Plans
- N.J.S. § 17B:27A-4.1 Individual Policy, Contract For Hospital, Medical Expense Benefits, Coverage of Subscriber's Child
- N.J.S. § 17B:27A-4.2 Requirements Applicable to State Medicaid
- N.J.S. § 17B:27A-4.3 Eligibility For Enrollment In Individual Health Benefits Plan
- N.J.S. § 17B:27A-4.4 [Repealed]
- N.J.S. § 17B:27A-4.5 [Repealed]
- N.J.S. § 17B:27A-4.6 [Repealed]
- N.J.S. § 17B:27A-4.7 [Repealed]
- N.J.S. § 17B:27A-5 Laws Not Applicable to Managed Care Health Benefits Plans
- N.J.S. § 17B:27A-6 Individual Health Benefits Plans, Requirements
- N.J.S. § 17B:27A-6.1 Individual Health Coverage Program, Open Enrollment Period Established
- N.J.S. § 17B:27A-7 Approval of Policy and Contract Forms, Benefit Levels
- N.J.S. § 17B:27A-7.1 Coverage For Birth and Natal Care; Individual Health Policy
- N.J.S. § 17B:27A-7.2 Coverage For Minimum Inpatient Care Following Mastectomy By Individual Health Benefits Plan
- N.J.S. § 17B:27A-7.3 Applicability of Health Care Quality Act
- N.J.S. § 17B:27A-7.4 Coverage For Treatment of Inherited Metabolic Diseases By Individual Health Benefits Plan
- N.J.S. § 17B:27A-7.5 Individual Health Benefits Plan to Provide Coverage For Mental Health Conditions, Substance Use Disorders; Collaborative Care Model
- N.J.S. § 17B:27A-7.6 Coverage For Hemophilia Services By Individual Health Policy
- N.J.S. § 17B:27A-7.7 Individual Health Benefits Plan to Provide Coverage For Colorectal Cancer Screening
- N.J.S. § 17B:27A-7.8 Policy, Contract Issued Under C.17b:27a-2 Et Seq. Required to Cover Certain Out-Of-Network Services
- N.J.S. § 17B:27A-7.9 Individual Health Benefits Plan to Offer Coverage For Domestic Partner
- N.J.S. § 17B:27A-7.10 Individual Health Benefits Plan, Mammogram Examination Benefits
- N.J.S. § 17B:27A-7.11 Individual Health Benefits Plan, High Deductible, Deductible Inapplicable, Certain Circumstances
- N.J.S. § 17B:27A-7.12 Individual Health Benefits Plan, Coverage For Contraceptives
- N.J.S. § 17B:27A-7.13 Individual Health Benefits Plans to Provide Benefits For Orthotic and Prosthetic Appliances
- N.J.S. § 17B:27A-7.14 Individual Health Benefits Plan to Provide Coverage For Hearing Aids For Certain Persons Aged 15 Or Younger
- N.J.S. § 17B:27A-7.15 Individual Health Benefits Plan to Provide Installment Payments to Obstetrical Provider For Maternity Services
- N.J.S. § 17B:27A-7.16 Individual Health Benefits Plan to Provide Benefits For Treatment of Autism Or Other Developmental Disability
- N.J.S. § 17B:27A-7.17 Individual Health Benefits Plan to Provide Coverage For Oral Anticancer Medication
- N.J.S. § 17B:27A-7.18 Individual Health Benefits Plan to Provide Coverage For Sickle Cell Anemia
- N.J.S. § 17B:27A-7.19 Individual Health Benefits Plan to Provide Coverage For Prescription Eye Drops
- N.J.S. § 17B:27A-7.20 Individual Health Benefits Plan, Coverage For Synchronization of Prescribed Medications
- N.J.S. § 17B:27A-7.21 Individual Health Benefits Plan to Provide Benefits For Treatment of Substance Use Disorder
- N.J.S. § 17B:27A-7.22 Individual Health Benefits Plan to Provide Coverage Regardless of Gender Identity, Expression
- N.J.S. § 17B:27A-7.23 Individual Health Benefits Plan to Cover Digital Tomosynthesis of the Breast
- N.J.S. § 17B:27A-7.24 Individual Health Benefits Plan to Provide Coverage For Donated Human Breast Milk
- N.J.S. § 17B:27A-7.25 Individual Health Benefits Plan to Provide Coverage For Breastfeeding Support
- N.J.S. § 17B:27A-7.26 Individual Health Benefits Plan to Meet Essential Health Benefits Requirements
- N.J.S. § 17B:27A-7.27 Individual Health Benefits Plan to Cover Preventive Services
- N.J.S. § 17B:27A-7.28 Individual Health Benefits Plan to Provide Coverage For Certain Prescription Drugs
- N.J.S. § 17B:27A-7.29 Individual Health Benefits Plan to Cover Adolescent Depression Screenings
- N.J.S. § 17B:27A-7.30 Individual Health Benefits Plan to Cover Newborn Home Nurse Visitation
- N.J.S. § 17B:27A-7.31 Individual Health Benefits Plan, Coverage, Insulin For Diabetes Treatment
- N.J.S. § 17B:27A-7.32 Individual Health Benefits Plan, Coverage, Epinephrine Auto-Injector Device
- N.J.S. § 17B:27A-7.33 Individual Health Benefits Plan, Coverage, Prescription Asthma Inhaler
- N.J.S. § 17B:27A-8 Offering of Certain Coverage Not Required
- N.J.S. § 17B:27A-9 Determination of Rates
- N.J.S. § 17B:27A-10 New Jersey Individual Health Coverage Program; Board of Directors
- N.J.S. § 17B:27A-10.1 Short Title
- N.J.S. § 17B:27A-10.2 Purpose of Act
- N.J.S. § 17B:27A-10.3 Definitions Relative to Health Insurance Premiums
- N.J.S. § 17B:27A-10.4 Health Insurance Premium Security Plan
- N.J.S. § 17B:27A-10.5 Payment Parameters
- N.J.S. § 17B:27A-10.6 Calculation of Reinsurance Payment
- N.J.S. § 17B:27A-10.7 Requests For Reinsurance Payments
- N.J.S. § 17B:27A-10.8 Accounting For Each Benefit Year
- N.J.S. § 17B:27A-10.9 Application For Waiver of Aca
- N.J.S. § 17B:27A-10.10 New Jersey Health Insurance Premium Security Fund
- N.J.S. § 17B:27A-10.11 Annual Report
- N.J.S. § 17B:27A-10.12 Violations, Penalties
- N.J.S. § 17B:27A-10.13 Rules, Regulations
- N.J.S. § 17B:27A-10.14 Study, Department of Banking and Insurance, New Jersey Individual Health Coverage Program, New Jersey Small Employer Health Benefits Program; Report, Governor, Legislature
- N.J.S. § 17B:27A-11 Powers, Authority of Program, Board
- N.J.S. § 17B:27A-12 Procedures For Equitable Sharing of Program Losses
- N.J.S. § 17B:27A-12.1 Exemption From Liability, Certain, For Hmo Formed By Umdnj
- N.J.S. § 17B:27A-13 Statement of Net Paid Losses
- N.J.S. § 17B:27A-14 Determination of Disproportionate Share of Substandard Risks
- N.J.S. § 17B:27A-15 Sale of Health Benefits Plan
- N.J.S. § 17B:27A-16 Submission of Rate Filings By Health Maintenance Organization Not Required
- N.J.S. § 17B:27A-16.1 Board Actions Subject to Provisions of Section; "Action" Defined; Procedure
- N.J.S. § 17B:27A-16.2 Adoption of Temporary Plan of Operation
- N.J.S. § 17B:27A-16.3 Purchase of Other Insurance Coverage Not Required
- N.J.S. § 17B:27A-16.4 Adoption of Standard Claim Form
- N.J.S. § 17B:27A-16.5 Hospital, Medical Insurance Policy Renewals; Filing of Rates
- N.J.S. § 17B:27A-17 Definitions Relative to Small Employer Health Benefits Plans
- N.J.S. § 17B:27A-18 Providers of Health Benefits, Services Subject to Provisions of Act
- N.J.S. § 17B:27A-18.1 Provision of Benefits to Subscriber's Child Under Small Employer Policy, Contract
- N.J.S. § 17B:27A-18.2 Requirements Applicable to State Medicaid
- N.J.S. § 17B:27A-19 Health Benefits Plans Offered to Small Employers; Exceptions
- N.J.S. § 17B:27A-19a Small Employer Carrier, Offering of High Deductible Plan
- N.J.S. § 17B:27A-19.1 Hospital Confinement, Other Supplemental Limited Benefit Insurance Plans; Requirements
- N.J.S. § 17B:27A-19.2 Coverage For Birth and Natal Care; Small Employer Health Policy
- N.J.S. § 17B:27A-19.3 Regulations Governing Rating Methodology, Calculation of Loss Ratios
- N.J.S. § 17B:27A-19.4 Coverage For Minimum Inpatient Care Following Mastectomy By Small Employer Health Benefits Plan
- N.J.S. § 17B:27A-19.5 Applicability of Health Care Quality Act
- N.J.S. § 17B:27A-19.6 Coverage For Treatment of Inherited Metabolic Diseases By Small Employer Health Benefits Plan
- N.J.S. § 17B:27A-19.7 Small Employer Health Benefits Plan to Provide Coverage For Mental Health Conditions, Substance Use Disorders; Collaborative Care Model
- N.J.S. § 17B:27A-19.8 Coverage For Hemophilia Services By Small Employer Plan
- N.J.S. § 17B:27A-19.9 Small Employer Health Benefits Plan to Provide Coverage For Colorectal Cancer Screening
- N.J.S. § 17B:27A-19.10 Policy, Contract Issued Under C.17b:27a-17 Et Seq. Required to Cover Certain Out-Of-Network Services
- N.J.S. § 17B:27A-19.11 Carrier Offering Plans Pursuant to C17b:27a-17 Et Seq May Offer Additional Plan With Certain Limited Benefits
- N.J.S. § 17B:27A-19.12 Small Employer Health Benefits Plan to Offer Coverage For Domestic Partner
- N.J.S. § 17B:27A-19.13 Small Employer Health Benefits Plan, Mammogram Examination Benefits
- N.J.S. § 17B:27A-19.14 High Deductible Health Plan, Small Employer, Deductible Inapplicable, Certain Circumstances
- N.J.S. § 17B:27A-19.15 Small Employer Health Benefits Plan, Coverage For Contraceptives
- N.J.S. § 17B:27A-19.16 Coverage For Certain Dependents Until Age 31 By Small Employer Health Benefits Plan
- N.J.S. § 17B:27A-19.17 Small Employer Health Benefits Plans to Provide Benefits For Orthotic and Prosthetic Appliances
- N.J.S. § 17B:27A-19.18 Small Employer Health Benefits Plan to Provide Coverage For Hearing Aids For Certain Persons Aged 15 Or Younger
- N.J.S. § 17B:27A-19.19 Small Employer Health Benefits Plan to Provide Installment Payments to Obstetrical Provider For Maternity Services
- N.J.S. § 17B:27A-19.20 Small Employer Health Benefits Plan to Provide Benefits For Treatment of Autism Or Other Developmental Disability
- N.J.S. § 17B:27A-19.21 Small Employer Health Benefits Plan to Provide Coverage For Oral Anticancer Medications
- N.J.S. § 17B:27A-19.22 Small Employer Health Benefits Plan to Provide Coverage For Sickle Cell Anemia
- N.J.S. § 17B:27A-19.23 Small Employer Health Benefits Plan to Provide Coverage For Prescription Eye Drops
- N.J.S. § 17B:27A-19.24 Small Employer Health Benefits Plan, Coverage For Synchronization of Prescribed Medications
- N.J.S. § 17B:27A-19.24a Carrier, Small-Employer Health Benefits Plan, Prescription Drug Formulary, Flexibility, Limitations
- N.J.S. § 17B:27A-19.24b Carrier, Prescription Drug Formulary, Exceptions and Appeals Process
- N.J.S. § 17B:27A-19.25 Small Employer Health Benefits Plan to Provide Benefits For Treatment of Substance Use Disorder
- N.J.S. § 17B:27A-19.26 Small Employer Health Benefits Plan to Provide Coverage Regardless of Gender Identity, Expression
- N.J.S. § 17B:27A-19.27 Small Employer Health Benefits Plan to Cover Digital Tomosynthesis of the Breast
- N.J.S. § 17B:27A-19.28 Small Employer Health Benefits Plan to Provide Coverage For Donated Human Breast Milk
- N.J.S. § 17B:27A-19.29 Small Employer Health Benefits Plan to Provide Coverage For Breastfeeding Support
- N.J.S. § 17B:27A-19.30 Small Employer Health Benefits Plan to Meet Essential Health Benefits Requirements
- N.J.S. § 17B:27A-19.31 Small Employer Health Benefits Plan to Cover Preventive Services
- N.J.S. § 17B:27A-19.32 Small Employer Health Benefits Plan to Provide Certain Coverage For Prescription Drugs
- N.J.S. § 17B:27A-19.33 Small Employer Health Benefits Plan to Cover Adolescent Depression Screenings
- N.J.S. § 17B:27A-19.34 Small Employer Health Benefits Plan to Cover Newborn Home Nurse Visitation
- N.J.S. § 17B:27A-19.35 Small Employer Health Benefits Plan, Coverage, Insulin For Diabetes Treatment
- N.J.S. § 17B:27A-19.36 Small Employer Health Benefits Plan, Coverage, Epinephrine Auto-Injector Device
- N.J.S. § 17B:27A-19.37 Small Employer Health Benefits Plan, Coverage, Prescription Asthma Inhaler
- N.J.S. § 17B:27A-20 Coinsurance, Deductibles Applicable
- N.J.S. § 17B:27A-20.1 Rules, Regulations
- N.J.S. § 17B:27A-21 Standard Coordination of Benefits Provisions Applicable
- N.J.S. § 17B:27A-21.1 Eligibility For Enrollment In Small Employer Health Benefits Plan
- N.J.S. § 17B:27A-22 Preexisting Condition Provisions
- N.J.S. § 17B:27A-23 Policies, Contracts Renewable; Exceptions
- N.J.S. § 17B:27A-24 Reasonable Specified Minimum Participation
- N.J.S. § 17B:27A-25 Premium Rates; Other Plan Requirements
- N.J.S. § 17B:27A-25.1 Findings, Declarations Relative to Small Employer Health Benefits Purchasing Alliances
- N.J.S. § 17B:27A-25.2 Definitions Relative to Small Employer Benefits Purchasing Alliances
- N.J.S. § 17B:27A-25.3 "Small Employer Purchasing Alliance Formation."
- N.J.S. § 17B:27A-25.4 Board of Directors
- N.J.S. § 17B:27A-25.5 Bylaws, Contents
- N.J.S. § 17B:27A-25.6 Further Authority of Alliance
- N.J.S. § 17B:27A-25.7 Restrictions On Alliances
- N.J.S. § 17B:27A-25.8 Certificate From Alliance to Commissioner
- N.J.S. § 17B:27A-25.9 Rules, Regulations
- N.J.S. § 17B:27A-26 Health Maintenance Organization Coverage; Exceptions
- N.J.S. § 17B:27A-27 Continued Coverage For Certain Terminated Employees, Dependents
- N.J.S. § 17B:27A-28 New Jersey Small Employer Health Benefits Program Created
- N.J.S. § 17B:27A-29 Meetings, Organization of Board; Terms
- N.J.S. § 17B:27A-29.1 Immunity From Liability For Board
- N.J.S. § 17B:27A-29.2 Rules, Regulations For Voluntary Risk Pooling Arrangement
- N.J.S. § 17B:27A-30 Submission of Plan of Operation
- N.J.S. § 17B:27A-31 Contents of Plan of Operation
- N.J.S. § 17B:27A-32 Authority of Board
- N.J.S. § 17B:27A-33 Formulation of Five Health Benefits Plans
- N.J.S. § 17B:27A-33.1 Short Title
- N.J.S. § 17B:27A-33.2 Annual Review, Small-Employer Health Benefits Plans, Publish Findings, Report, Department of Banking and Insurance Website
- N.J.S. § 17B:27A-41 Violations, Penalty
- N.J.S. § 17B:27A-43 Violations, Penalties
- N.J.S. § 17B:27A-44 Assessments Not Charged to Policyholders, Public
- N.J.S. § 17B:27A-45 Standard Claim Form
- N.J.S. § 17B:27A-47 Coverage Obtained Through Out-Of-State Trust, Compliance Required
- N.J.S. § 17B:27A-48 Multiple Employer Arrangement; Requirements
- N.J.S. § 17B:27A-49 Notification to Commissioner By Carrier of Multiple Employer Arrangement
- N.J.S. § 17B:27A-50 Change of Coverage By Small Employer; Restrictions
- N.J.S. § 17B:27A-51 Board Actions Subject to Provisions of Section; "Action" Defined; Procedure
- N.J.S. § 17B:27A-53 Other Insurance Purchases Not Required
- N.J.S. § 17B:27A-54 Commissioner Authorized to Approve Establishment of Arrangement; Rules, Regulations
- N.J.S. § 17B:27A-55 Written Notice Required For Issuance, Renewal of High Deductible Health Plan; Declaration of Understanding
- N.J.S. § 17B:27A-56 Provision of Biannual Surveys to Dobi By Health Insurers
- N.J.S. § 17B:27A-57 "Health Insurance Exchange Trust Fund."
- N.J.S. § 17B:27A-58 Authority to Operate a State-Based Exchange, Coordinate Operations With Other Entities; Advisory Committee
- N.J.S. § 17B:27A-59 Rules, Regulations
- N.J.S. § 17B:27A-59.1 Definitions
- N.J.S. § 17B:27A-59.2 "New Jersey Easy Enrollment Health Insurance Program" Established
- N.J.S. § 17B:27A-59.3 Assistance Eligibility, Department of Banking and Insurance
- N.J.S. § 17B:27A-59.4 Special Enrollment Period, New Jersey Individual Health Insurance Market, Established
- N.J.S. § 17B:27A-59.5 Data Privacy, Security Safeguards
- N.J.S. § 17B:27A-59.6 Tax Return, Individual Not Covered, Minimum Essential Coverage
- N.J.S. § 17B:27A-59.7 Consenting to Information Sharing, System Established
- N.J.S. § 17B:27A-59.8 Unemployment Claim, Indication of Interest In Obtaining Minimum Coverage, Information Sharing, Consent
- N.J.S. § 17B:27A-60 Essential Health Benefits Defined
- N.J.S. § 17B:27A-61 Carrier Seeking Rate Increase
- N.J.S. § 17B:27A-62 Information to Support, Justify Rate Requests
- N.J.S. § 17B:27A-63 Additional Information Requested By Department
- N.J.S. § 17B:27A-64 Disclosure of Information
- N.J.S. § 17B:27A-65 Definitions Relative to Certain Assessments
- N.J.S. § 17B:27A-66 Filing of Net Written Premiums
- N.J.S. § 17B:27A-67 "Health Insurance Affordability Fund."