New Jersey StatutesTITLE 17B - INSURANCE
- Section 17B:17
- Section 17B:18
- 17B:18-1 - Scope of chapter
- 17B:18-10 - Election of directors of mutual insurer pursuant to provision in certificate of incorporation
- 17B:18-11 - Nomination of candidates for director
- 17B:18-12 - Death, withdrawal or incapacity of candidates for director
- 17B:18-13 - Qualified voters; "policyholder" defined
- 17B:18-14 - Elections of directors of mutual insurers; procedure, ballots
- 17B:18-15 - Nominations by others than board of directors; notice of election
- 17B:18-16 - Canvass of votes; tie vote
- 17B:18-17 - Report of result of election
- 17B:18-18 - Choosing of directors for mutual life insurers having in excess of ten million policies in force
- 17B:18-19 - Number of directors; appointment of public directors; ex officio directors
- 17B:18-2 - Stock insurer defined
- 17B:18-20 - Public directors; carry-overs; appointments; terms; vacancies; powers
- 17B:18-21 - Elected directors; carry-overs; terms; vacancies
- 17B:18-22 - Elected directors; manner of electing
- 17B:18-23 - Qualified voters; "policyholder" for purpose of election defined
- 17B:18-24 - Nomination of candidates; demand by public directors
- 17B:18-25 - Method of electing when no demand is made by public directors
- 17B:18-26 - Method of election when demand is made by public directors that other candidates be nominated
- 17B:18-27 - Mailing of ballot; effect
- 17B:18-28 - Filing certificate on number of policies; copy delivered to Chief Justice
- 17B:18-29 - Election of directors in mutual insurer issuing temporary stock
- 17B:18-3 - Mutual insurer defined
- 17B:18-30 - Proxy voting permitted at elections
- 17B:18-31 - Emergency by-laws
- 17B:18-32 - Failure to adopt emergency by-laws; procedure
- 17B:18-33 - National emergency; succession
- 17B:18-34 - National emergency; relocation of principal place of business
- 17B:18-37 - Definitions; deposit prerequisite to authorization
- 17B:18-38 - Deposits; interest on; substitution of
- 17B:18-39 - Deposits to do business in other jurisdictions
- 17B:18-39.1 - Fees for services of custodian required pursuant to N.J.S.17B:18-37 et seq.
- 17B:18-4 - Organization of stock or mutual insurer
- 17B:18-41 - Examination before commencing business
- 17B:18-42 - Certificate of authority; when issuable
- 17B:18-43 - Domestic insurers, powers, duties--general corporation law
- 17B:18-44 - Stock of other insurance company
- 17B:18-45 - Authority to acquire, hold and convey real estate
- 17B:18-46 - Limitation on dividends to stockholders
- 17B:18-47 - Increase or decrease of capital stock
- 17B:18-48 - Advertisement of assets to include liabilities
- 17B:18-49 - Cash disbursements to be evidenced by voucher
- 17B:18-5 - Approval of certificate by commissioner; recording and filing
- 17B:18-50 - Payment of taxes, charges and fees prior to determination of invalidity
- 17B:18-51 - Compensation of directors
- 17B:18-52 - Insurer payments to senior officers restricted
- 17B:18-53 - Reporting amount of stock owned and changes therein by director, officer, and principal stockholders of domestic stock insurers
- 17B:18-54 - Suit for profits realized by director, officer, and principal stockholders
- 17B:18-55 - Limitation on sale of stock by director, officer and principal stockholders
- 17B:18-56 - Stock insurers; change of name, extension of corporate existence or amendment of charter or certificate of incorporation
- 17B:18-57 - Mutual insurers; change of name, extension of corporate existence or amendment of charter or certificate of incorporation
- 17B:18-58 - Mutual insurers; adoption of amended charter or certificate of incorporation
- 17B:18-59 - Mutualization of stock insurers
- 17B:18-6 - Stipulations in stock subscriptions and applications
- 17B:18-60 - Merger and consolidation of stock insurers
- 17B:18-61 - Merger and consolidation of mutual insurers
- 17B:18-62 - "Reinsurance" defined
- 17B:18-63 - Reinsurance of risks
- 17B:18-64 - Prerequisites to reinsurance
- 17B:18-65 - Extended reinsurance
- 17B:18-65.1 - Rules and regulations
- 17B:18-66 - Reinsurance pooling
- 17B:18-67 - Short title
- 17B:18-69 - Temporary waiver of capital, surplus requirements
- 17B:18-7 - Certificate of incorporation of mutual insurer; election of directors
- 17B:18-70 - Increase in amount of required capital, surplus
- 17B:18-71 - Factors for determination of increase, revision, redetermination
- 17B:18-72 - Suspension, revocation of authority to do business
- 17B:18-8 - Loan to mutual insurer for organizational expenses
- Section 17B:19
- Section 17B:20
- Section 17B:21
- Section 17B:23
- Section 17B:24
- Section 17B:25
- 17B:25-1 - "Industrial life insurance" ; definition
- 17B:25-10 - Payment of premiums
- 17B:25-10.1 - Notice mailed to holders of life insurance policy
- 17B:25-11 - Payment of claims
- 17B:25-12 - Beneficiary; industrial policies
- 17B:25-13 - Nonforfeiture benefits and cash surrender values
- 17B:25-14 - Title
- 17B:25-15 - Provision prohibited
- 17B:25-16 - Excluded or restricted coverage
- 17B:25-17 - Incontestability; limitation of liability after reinstatement
- 17B:25-18 - Filing of forms
- 17B:25-18.1 - Life, health insurance policy, contract; compliance
- 17B:25-18.2 - Filing of policy, contract or related form
- 17B:25-18.3 - Policies, contract forms; certification memorandums; exceptions
- 17B:25-18.4 - Filing of certain forms of life insurance approved in other states
- 17B:25-18.5 - Certain actions taken by department employees to result in termination
- 17B:25-19 - Standard nonforfeiture law for life insurance
- 17B:25-2 - Standard provisions required
- 17B:25-2.1 - Cancellation of policy within 10 days after receipt
- 17B:25-20 - Standard nonforfeiture law for individual deferred annuities
- 17B:25-20.1 - Supersedure of standard nonforfeiture law, certain
- 17B:25-21 - Short title
- 17B:25-22 - Inapplicability of act
- 17B:25-23 - Required provisions for contract of annuity
- 17B:25-24 - Minimum values
- 17B:25-25 - Paid-up annuity benefit
- 17B:25-26 - Cash surrender benefits, determination of present value
- 17B:25-27 - Determination of present value
- 17B:25-28 - Determination of benefits
- 17B:25-29 - Notice of benefits not provided in contract
- 17B:25-3 - Grace period
- 17B:25-30 - Benefits allowance for lapse of time and payments beyond schedule
- 17B:25-31 - Minimum nonforfeiture benefits
- 17B:25-32 - Rules
- 17B:25-33 - Effective date, applicability
- 17B:25-34 - Findings, declarations relative to certain annuity products
- 17B:25-35 - Definitions relative to certain annuity products
- 17B:25-36 - Use of certain terms regulated; exceptions
- 17B:25-37 - Certain annuities excluded; annuities buyer's guide; annuity contract disclosure statement
- 17B:25-38 - Certain annuities excluded, information recorded; determination as to suitability of annuity for consumer; system of supervision
- 17B:25-39 - Cancellation provision for certain annuities
- 17B:25-4 - Incontestability
- 17B:25-40 - Certain annuities excluded; report to owner
- 17B:25-41 - Collection, maintenance of information
- 17B:25-42 - Violations, penalties
- 17B:25-5 - Entire contract
- 17B:25-6 - Misstatement of age
- 17B:25-7 - Dividends
- 17B:25-8 - Policy loan
- 17B:25-9 - Reinstatement
- Section 17B:26
- 17B:26-1 - Filing of forms
- 17B:26-10 - Proofs of loss
- 17B:26-11 - Time of payment of claims
- 17B:26-12 - Payment of claims
- 17B:26-13 - Physical examinations and autopsy
- 17B:26-14 - Legal actions
- 17B:26-15 - Change of beneficiary
- 17B:26-16 - Optional policy provisions
- 17B:26-17 - Change of occupation
- 17B:26-18 - Misstatement of age
- 17B:26-19 - Other insurance in this insurer
- 17B:26-2 - Form of policy; requirements
- 17B:26-2.1 - Treatment of alcoholism; benefits
- 17B:26-2.1a - Reconstructive breast surgery; benefits
- 17B:26-2.1aa - Individual health insurance policy to provide coverage for hearing aids for certain persons aged 15 or younger
- 17B:26-2.1b - Health insurance policies
- 17B:26-2.1bb - Individual health insurance policy to provide installment payments to obstetrical provider for maternity services
- 17B:26-2.1c - Benefits for equipment for home treatment of hemophilia
- 17B:26-2.1cc - Individual health insurance policy to provide benefits for treatment of autism or other developmental disability
- 17B:26-2.1d - Individual health insurance policy to pay benefits for treatment of Wilm's tumor
- 17B:26-2.1e - Individual health insurance policy, mammogram examination benefits
- 17B:26-2.1f - Individual health insurance benefits for certain nursing services
- 17B:26-2.1g - Individual health insurance policy, benefits for "off-label" drugs required
- 17B:26-2.1h - Individual health insurer, benefits for health promotion
- 17B:26-2.1i - Requirements for individual health insurer providing benefits for pharmacy services
- 17B:26-2.1j - Benefits for certain cancer treatments
- 17B:26-2.1k - Coverage for birth and natal care; health insurance policy
- 17B:26-2.1m - Coverage for minimum inpatient care following mastectomy by individual hospital, medical expense benefits policy
- 17B:26-2.1n - Applicability of Health Care Quality Act
- 17B:26-2.1o - Coverage for treatment of inherited metabolic diseases by individual health insurance policy
- 17B:26-2.1p - Health insurance policy to cover certain audiology, speech-language pathology services
- 17B:26-2.1q - Coverage for treatment of domestic violence injuries by individual health insurance policy
- 17B:26-2.1r - Coverage for certain dental procedures for the severely disabled or child age five or under by individual health insurance policy
- 17B:26-2.1s - Individual health insurers to provide coverage for biologically-based mental illness
- 17B:26-2.1t - Coverage for hemophilia services by individual health insurers
- 17B:26-2.1u - Individual policy to provide coverage for colorectal cancer screening
- 17B:26-2.1v - Individual health insurer prescription drug plans to cover certain infant formulas
- 17B:26-2.1w - Policy issued under Chapter 26 of Title 17B required to cover certain out-of-network services
- 17B:26-2.1x - Individual health insurer to offer coverage for domestic partner
- 17B:26-2.1y - Individual health insurer, coverage for prescription female contraceptives
- 17B:26-2.1z - Individual health insurance policies to provide benefits for orthotic and prosthetic appliances
- 17B:26-2.2 - Second surgical opinions; definitions
- 17B:26-2.3 - Policy benefits for second surgical opinion
- 17B:26-2.4 - Benefit payments
- 17B:26-2.5 - Third surgical opinion
- 17B:26-2.6 - Excluded surgical procedures
- 17B:26-2.7 - Payment for opinion services of physician
- 17B:26-2.8 - Application of act
- 17B:26-20 - Insurance with other insurers
- 17B:26-21 - Insurance with other insurers
- 17B:26-22 - Relation of earnings to insurance
- 17B:26-23 - Unpaid premium
- 17B:26-24 - Cancellation
- 17B:26-25 - Conformity with State statutes
- 17B:26-26 - Illegal occupation
- 17B:26-27 - Intoxicants and narcotics
- 17B:26-28 - Inapplicable or inconsistent provisions
- 17B:26-29 - Order of certain policy provisions
- 17B:26-3 - Required provisions
- 17B:26-3.1 - Cancellation of policy within 10 days after receipt
- 17B:26-3.2 - Individual health insurance policy, exclusion, rates, terms based on genetic information prohibited
- 17B:26-30 - Third party ownership
- 17B:26-31 - Requirements of other jurisdictions
- 17B:26-32 - Other policy provisions
- 17B:26-33 - Policy conflicting with this chapter
- 17B:26-34 - Time limit on certain defenses with respect to reinstatement
- 17B:26-35 - Waiver of rights of insurer
- 17B:26-36 - Age limit
- 17B:26-37 - Scope of chapter
- 17B:26-38 - Penalty
- 17B:26-39 - Legislative findings and declarations
- 17B:26-4 - Entire contract; changes
- 17B:26-40 - Definitions
- 17B:26-41 - Home health care; requirement for provisions for coverage
- 17B:26-42 - Benefits
- 17B:26-43 - Direct reimbursement to home health care providers
- 17B:26-44 - Regulations
- 17B:26-44.1 - Policy provision for reimbursement of dental services; payment regardless of discipline of provider
- 17B:26-44.2 - Application to policy or contract not limited to reimbursement of specific types of duly licensed health care professionals other than dentists
- 17B:26-44.3 - Renewal date; policy with reservation of right to change premium
- 17B:26-44.4 - Alternative dental coverage; original coverage restricted to limited number of providers
- 17B:26-44.5 - Employer contribution
- 17B:26-44.6 - Rules and regulations
- 17B:26-45 - Minimum standards for form, content and sale of individual health insurance; regulations
- 17B:26-46 - Violations; penalty; collection and enforcement
- 17B:26-47 - Injunction
- 17B:26-5 - Time limit on certain defenses
- 17B:26-6 - Grace period
- 17B:26-7 - Reinstatement
- 17B:26-8 - Notice of claim
- 17B:26-9 - Claim forms
- 17B:26-9.1 - Health insurer to receive, transmit transactions relative to individual policies electronically; standards
- Section 17B:26A
- Section 17B:26B
- Section 17B:27
- 17B:27-26 - Definitions and requirements
- 17B:27-27 - Employer, trustee, labor union, association groups
- 17B:27-28 - Other groups as permitted under group life insurance
- 17B:27-29 - Discretionary groups
- 17B:27-30 - Dependents
- 17B:27-30.1 - Benefits provided by group policy to subscriber's child
- 17B:27-30.2 - Requirements applicable to State Medicaid
- 17B:27-30.3 - Coverage provided by group health plan to subscriber's child
- 17B:27-30.4 - Requirements applicable to State Medicaid
- 17B:27-30.5 - Coverage for certain dependents until age 31 by group health insurance policy
- 17B:27-31 - "Employees" defined
- 17B:27-32 - Blanket insurance
- 17B:27-33 - Standard provisions
- 17B:27-34 - Application; statements
- 17B:27-35 - Policy changes
- 17B:27-36 - New entrants
- 17B:27-36.2 - Group health insurance, policy, exclusion, rates, terms based on genetic information prohibited
- 17B:27-37 - Payment of premiums
- 17B:27-38 - Certificate
- 17B:27-39 - Age limits
- 17B:27-40 - Notice of loss
- 17B:27-41 - Proof of loss
- 17B:27-42 - Forms for proof
- 17B:27-43 - Examination, autopsy
- 17B:27-44 - Time of benefit payment
- 17B:27-44.2 - Health insurer to receive, transmit transactions relative to group policies electronically; standards
- 17B:27-45 - Beneficiary; direct payment to hospitals and other purveyors of services
- 17B:27-46 - Time limits, suits
- 17B:27-46.1 - Treatment of alcoholism; benefits
- 17B:27-46.1a - Reconstructive breast surgery; benefits
- 17B:27-46.1aa - Policy issued under Chapter 27 of Title 17B required to cover certain out-of-network services
- 17B:27-46.1b - Group health insurance policies
- 17B:27-46.1bb - Group health insurer to offer coverage for domestic partner
- 17B:27-46.1c - Benefits for purchase of blood products, infusion equipment
- 17B:27-46.1cc - Group health insurance policy, high deductible, coverage for preventive care
- 17B:27-46.1d - Commercial health insurer benefits for preexisting condition
- 17B:27-46.1dd - Group health insurance policy, high deductible, deductible inapplicable, certain circumstances
- 17B:27-46.1e - Group health insurance policy to pay benefits for treatment of Wilm's tumor
- 17B:27-46.1ee - Group health insurer, coverage for prescription female contraceptives
- 17B:27-46.1f - Group health insurance policy, mammogram examination benefits
- 17B:27-46.1ff - Group health insurance policies to provide benefits for orthotic and prosthetic appliances
- 17B:27-46.1g - Group health insurance policy, benefits for "off-label" drugs required
- 17B:27-46.1gg - Group health insurance policy to provide coverage for hearing aids for certain persons aged 15 or younger
- 17B:27-46.1h - Group health insurer, benefits for health promotion
- 17B:27-46.1hh - Group health insurance policy to provide installment payments to obstetrical provider for maternity services
- 17B:27-46.1i - Requirements for group health insurer providing benefits for pharmacy services
- 17B:27-46.1ii - Group health insurance policy to provide benefits for treatment of autism or other developmental disability
- 17B:27-46.1j - Benefits for certain cancer treatments
- 17B:27-46.1k - Coverage for birth and natal care; group insurance policy
- 17B:27-46.1l - Group health insurance policy, child screening, blood lead, hearing loss; immunizations
- 17B:27-46.1m - Coverage for diabetes treatment by group health insurance policy
- 17B:27-46.1n - Group health insurance policy, Pap smear benefits
- 17B:27-46.1o - Group health insurance policy, prostate cancer testing
- 17B:27-46.1p - Coverage for minimum inpatient care following mastectomy by group policy
- 17B:27-46.1q - Applicability of Health Care Quality Act
- 17B:27-46.1r - Coverage for treatment of inherited metabolic diseases by group health insurance policy
- 17B:27-46.1s - Group health insurer to cover certain audiology, speech-language pathology services
- 17B:27-46.1t - Coverage for treatment of domestic violence injuries by group health insurance policy
- 17B:27-46.1u - Coverage for certain dental procedures for the severely disabled or child age five or under by group health insurance policy
- 17B:27-46.1w - Coverage for hemophilia services by group health insurers
- 17B:27-46.1x - Group health insurance policy to provide coverage for treatment of infertility
- 17B:27-46.1y - Group policy to provide coverage for colorectal cancer screening
- 17B:27-46.1z - Group health insurer prescription drug plans to cover certain infant formulas
- 17B:27-46.2 - Second surgical opinions; definitions
- 17B:27-46.3 - Group insurance policies; provision of program on request
- 17B:27-46.4 - Payment for second surgical opinion services
- 17B:27-46.5 - Third surgical opinion
- 17B:27-46.6 - Reduction of benefits where no second opinion obtained
- 17B:27-46.7 - Permissible benefit exclusions
- 17B:27-46.8 - Payment for opinion services of physician
- 17B:27-46.9 - Application of act
- 17B:27-47 - Group health or blanket insurance--provisions as favorable; policies issued outside State
- 17B:27-48 - Exceptions in same type as benefits
- 17B:27-49 - Filing of forms
- 17B:27-50 - Reimbursement for service of physician or practicing psychologist
- 17B:27-50.1 - Severability
- 17B:27-51 - Reimbursement for optometric service
- 17B:27-51.1 - Reimbursement for service of chiropractor
- 17B:27-51.10 - Renewal date; policy with reservation of right to change premium
- 17B:27-51.10a - Alternative dental coverage; original coverage restricted to limited number of providers
- 17B:27-51.10b - Employer contribution
- 17B:27-51.10c - Rules and regulations
- 17B:27-51.11 - Definitions
- 17B:27-51.12 - Total disability of employee or member; continuation under group policy; conditions
- 17B:27-51.13 - Inapplicability to policy without right of insurer to terminate without consent of insured
- 17B:27-51.1a - Group health insurance benefits for certain nursing services
- 17B:27-51.2 - Legislative findings and declarations
- 17B:27-51.3 - Definitions
- 17B:27-51.4 - Home health care; requirement for coverage
- 17B:27-51.5 - Benefits
- 17B:27-51.6 - Direct reimbursement to home health care providers
- 17B:27-51.7 - Regulations
- 17B:27-51.8 - Policy provision for reimbursement of dental services; payment regardless of discipline of provider
- 17B:27-51.9 - Application to policy or contract not limited to reimbursement of specific types of duly licensed health care professionals other than dentists
- 17B:27-52 - Group life and health--package policies
- 17B:27-53 - Group life and health--rate reductions and application of dividends; excess over employer's cost
- 17B:27-54 - Application of provisions; definitions
- 17B:27-55 - Imposition of preexisting condition exclusion
- 17B:27-56 - Incidents, certain, no imposition of preexisting condition exclusion
- 17B:27-57 - Genetic information, not preexisting condition
- 17B:27-58 - Counting of period of creditable coverage
- 17B:27-59 - Application of creditable coverage
- 17B:27-60 - Written certification of creditable coverage under COBRA
- 17B:27-61 - Affiliation period imposed by HMO
- 17B:27-62 - Permission to enroll for group coverage
- 17B:27-63 - Dependent special enrollment period
- 17B:27-64 - Rules for eligibility, health status-related factors prohibited
- 17B:27-65 - Premiums, contributions regulated
- 17B:27-66 - Renewal of coverage; exceptions
- 17B:27-67 - Modification of coverage
- 17B:27-68 - Conditions for issuance, delivery of group life insurance
- 17B:27-69 - Conditions for issuance, delivery of group life insurance to groups not included in C.17B:27-68
- 17B:27-70 - Written notice to prospective insureds of noncompliance with C.17B:27-68; definitions
- 17B:27-71 - Extension to dependents of group life insurance policy
- 17B:27-72 - Required provisions for delivery, issuance of group life insurance policy
- 17B:27-73 - Issuance, delivery of individual policy of life insurance
- 17B:27-74 - Filing of form required for delivery, issuance of group life insurance
- 17B:27-75 - Payment of benefits
- Section 17B:27A
- 17B:27A-1 - Filing of paid hospital expense claims; definitions
- 17B:27A-10 - New Jersey Individual Health Coverage Program; board of directors
- 17B:27A-11 - Powers, authority of program, board
- 17B:27A-12 - Procedures for equitable sharing of program losses
- 17B:27A-12.1 - Exemption from liability, certain, for HMO formed by UMDNJ
- 17B:27A-13 - Statement of net paid losses
- 17B:27A-14 - Determination of disproportionate share of substandard risks
- 17B:27A-15 - Sale of health benefits plan
- 17B:27A-16 - Submission of rate filings by health maintenance organization not required
- 17B:27A-16.1 - Board actions subject to provisions of section; "action" defined; procedure
- 17B:27A-16.2 - Adoption of temporary plan of operation
- 17B:27A-16.3 - Purchase of other insurance coverage not required
- 17B:27A-16.4 - Adoption of standard claim form
- 17B:27A-16.5 - Hospital, medical insurance policy renewals; filing of rates
- 17B:27A-17 - Definitions relative to small employer health benefits plans
- 17B:27A-18 - Providers of health benefits, services subject to provisions of act
- 17B:27A-18.1 - Provision of benefits to subscriber's child under small employer policy, contract
- 17B:27A-18.2 - Requirements applicable to State Medicaid
- 17B:27A-19 - Health benefits plans offered to small employers; exceptions
- 17B:27A-19.1 - Hospital confinement, other supplemental limited benefit insurance plans; requirements
- 17B:27A-19.10 - Policy, contract issued under C.17B:27A-17 et seq. required to cover certain out-of-network services
- 17B:27A-19.11 - Carrier offering plans pursuant to C.17B:27A-17 et seq. may offer additional plan with certain limited benefits
- 17B:27A-19.12 - Small employer health benefits plan to offer coverage for domestic partner
- 17B:27A-19.13 - Small employer health benefits plan, mammogram examination benefits
- 17B:27A-19.14 - High deductible health plan, small employer, deductible inapplicable, certain circumstances
- 17B:27A-19.15 - Small employer health benefits plan, coverage for prescription female contraceptives
- 17B:27A-19.16 - Coverage for certain dependents until age 31 by small employer health benefits plan
- 17B:27A-19.17 - Small employer health benefits plans to provide benefits for orthotic and prosthetic appliances
- 17B:27A-19.18 - Small employer health benefits plan to provide coverage for hearing aids for certain persons aged 15 or younger
- 17B:27A-19.19 - Small employer health benefits plan to provide installment payments to obstetrical provider for maternity services
- 17B:27A-19.2 - Coverage for birth and natal care; small employer health policy.
- 17B:27A-19.20 - Small employer health benefits plan to provide benefits for treatment of autism or other developmental disability
- 17B:27A-19.4 - Coverage for minimum inpatient care following mastectomy by small employer health benefits plan
- 17B:27A-19.5 - Applicability of Health Care Quality Act
- 17B:27A-19.6 - Coverage for treatment of inherited metabolic diseases by small employer health benefits plan
- 17B:27A-19.7 - Small employer health benefits plan to provide coverage for biologically-based mental illness
- 17B:27A-19.8 - Coverage for hemophilia services by small employer plan
- 17B:27A-19.9 - Small employer health benefits plan to provide coverage for colorectal cancer screening
- 17B:27A-19a - Small employer carrier, offering of high deductible plan
- 17B:27A-2 - Definitions
- 17B:27A-2.1 - Regulations
- 17B:27A-2.2 - Effective date
- 17B:27A-20 - Coinsurance, deductibles applicable
- 17B:27A-21 - Standard coordination of benefits provisions applicable
- 17B:27A-21.1 - Eligibility for enrollment in small employer health benefits plan
- 17B:27A-22 - Preexisting condition provisions
- 17B:27A-24 - Reasonable specified minimum participation
- 17B:27A-25 - Premium rates; other plan requirements
- 17B:27A-25.1 - Findings, declarations relative to small employer health benefits purchasing alliances
- 17B:27A-25.2 - Definitions relative to small employer benefits purchasing alliances
- 17B:27A-25.3 - Small Employer Purchasing Alliance, formation
- 17B:27A-25.4 - Board of directors
- 17B:27A-25.5 - Bylaws, contents
- 17B:27A-25.6 - Further authority of alliance
- 17B:27A-25.7 - Restrictions on alliances
- 17B:27A-25.8 - Certificate from alliance to commissioner
- 17B:27A-25.9 - Rules, regulations
- 17B:27A-26 - Health maintenance organization coverage; exceptions
- 17B:27A-27 - Continued coverage for certain terminated employees, dependents
- 17B:27A-28 - New Jersey Small Employer Health Benefits Program created
- 17B:27A-29 - Meetings, organization of board; terms
- 17B:27A-29.1 - Immunity from liability for board
- 17B:27A-29.2 - Rules, regulations for voluntary risk pooling arrangement
- 17B:27A-3 - Individual health benefits plans, applicability of act
- 17B:27A-30 - Submission of plan of operation
- 17B:27A-33 - Formulation of five health benefits plans
- 17B:27A-4 - Offering of individual health benefits required by issuer of small employer health benefits plans
- 17B:27A-4.1 - Individual policy, contract for hospital, medical expense benefits, coverage of subscriber's child
- 17B:27A-4.2 - Requirements applicable to State Medicaid
- 17B:27A-4.4 - Findings, declarations relative to exclusive provider organization health benefit plans
- 17B:27A-4.5 - Carrier offering plans pursuant to C.17B:27A-2 et seq. to offer EPO; coverages
- 17B:27A-4.6 - Evaluation as to effectiveness of act
- 17B:27A-4.7 - Carrier offering plans pursuant to C.17B:27A-2 et seq. may offer additional plan with certain limited benefits
- 17B:27A-43 - Violations, penalties
- 17B:27A-44 - Assessments not charged to policyholders, public
- 17B:27A-47 - Coverage obtained through out-of-State trust, compliance required
- 17B:27A-48 - Multiple employer arrangement; requirements
- 17B:27A-49 - Notification to commissioner by carrier of multiple employer arrangement
- 17B:27A-5 - Laws not applicable to plans
- 17B:27A-50 - Change of coverage by small employer; restrictions
- 17B:27A-51 - Board actions subject to provisions of section; "action" defined; procedure
- 17B:27A-53 - Other insurance purchases not required
- 17B:27A-54 - Commissioner authorized to approve establishment of arrangement; rules, regulations
- 17B:27A-55 - Written notice required for issuance, renewal of high deductible health plan; declaration of understanding
- 17B:27A-56 - Provision of biannual surveys to DOBI by health insurers
- 17B:27A-6 - Individual health benefits plans, requirements
- 17B:27A-7 - Establishment of policy; contract forms; high deductible health plan; benefit levels
- 17B:27A-7.1 - Coverage for birth and natal care; individual health policy
- 17B:27A-7.10 - Individual health benefits plan, mammogram examination benefits
- 17B:27A-7.11 - Individual health benefits plan, high deductible, deductible inapplicable, certain circumstances
- 17B:27A-7.12 - Individual health benefits plan, coverage for prescription female contraceptives
- 17B:27A-7.13 - Individual health benefits plans to provide benefits for orthotic and prosthetic appliances
- 17B:27A-7.14 - Individual health benefits plan to provide coverage for hearing aids for certain persons aged 15 or younger
- 17B:27A-7.15 - Individual health benefits plan to provide installment payments to obstetrical provider for maternity services
- 17B:27A-7.16 - Individual health benefits plan to provide benefits for treatment of autism or other developmental disability
- 17B:27A-7.2 - Coverage for minimum inpatient care following mastectomy by individual health benefits plan
- 17B:27A-7.3 - Applicability of Health Care Quality Act
- 17B:27A-7.4 - Coverage for treatment of inherited metabolic diseases by individual health benefits plan
- 17B:27A-7.5 - Individual health benefits plan to provide coverage for biologically-based mental illness
- 17B:27A-7.6 - Coverage for hemophilia services by individual health policy
- 17B:27A-7.7 - Individual health benefits plan to provide coverage for colorectal cancer screening
- 17B:27A-7.8 - Policy, contract issued under C.17B:27A-2 et seq. required to cover certain out-of-network services
- 17B:27A-7.9 - Individual health benefits plan to offer coverage for domestic partner
- 17B:27A-8 - Offering of certain coverage not required
- 17B:27A-9 - Determination of rates
- Section 17B:27B
- 17B:27B-1 - Definitions relative to third party administrators, billing services
- 17B:27B-10 - Separate accounts for funds remitted
- 17B:27B-11 - Prompt delivery of communications to enrollees
- 17B:27B-12 - Notification of material changes to commissioner
- 17B:27B-13 - Annual reports
- 17B:27B-14 - Suspension, revocation of license, registration
- 17B:27B-15 - Immediate suspension of license, registration, grounds
- 17B:27B-16 - Certification required for third party billing services
- 17B:27B-17 - Additional information to be filed by third party billing services
- 17B:27B-18 - Approval of applications for certification
- 17B:27B-19 - Denial of applications for certification
- 17B:27B-2 - Licensure, registration required for third party administrators
- 17B:27B-20 - Written agreements required for conducting business as third party billing service
- 17B:27B-21 - Fiduciary responsibility of third party billing services
- 17B:27B-22 - Notification of material changes to commissioner
- 17B:27B-23 - Suspension, revocation of certification
- 17B:27B-24 - Violations, penalties
- 17B:27B-25 - Rules, regulations
- 17B:27B-3 - Additional information required for licensure, registration
- 17B:27B-4 - Issuance of license, approval of application for registration
- 17B:27B-5 - Denial of license, registration
- 17B:27B-6 - Provisions of written agreement; requirements
- 17B:27B-7 - Access to books, records
- 17B:27B-8 - Payment to third party administrators not based solely on claims denials
- 17B:27B-9 - Fiduciary responsibility of third party administrators
- Section 17B:27C
- Section 17B:27D
- Section 17B:27E
- Section 17B:28
- Section 17B:28A
- Section 17B:29
- Section 17B:30
- 17B:30-1 - Declaration of purpose
- 17B:30-10 - Stock acquisition, common management
- 17B:30-11 - Interlocking directorate
- 17B:30-12 - Discrimination prohibited; terms defined
- 17B:30-13 - Rebates and special inducements
- 17B:30-13.1 - Unfair claim settlement practices
- 17B:30-13.2 - Record of complaints
- 17B:30-14 - Exceptions to discrimination and rebates
- 17B:30-15 - Enumeration of acts not exclusive
- 17B:30-16 - Commissioner's powers of investigation
- 17B:30-17 - Desist orders for prohibited practices; penalty
- 17B:30-18 - Procedures as to undefined practices
- 17B:30-19 - Appeal by intervenor
- 17B:30-2 - Practices prohibited
- 17B:30-20 - Violation of cease and desist order; penalty
- 17B:30-21 - Provisions of chapter additional to existing laws
- 17B:30-22 - Immunity from prosecution
- 17B:30-23 - Timetable for implementation of electronic receipt, transmission of health care claim information; standard forms
- 17B:30-24 - Regulations
- 17B:30-25 - Thomas A. Edison State College to study, monitor effectiveness of electronic data interchange technology, electronic health records
- 17B:30-26 - Definitions relative to payment of health and dental insurance plans
- 17B:30-27 - Applicability
- 17B:30-28 - Provision of information
- 17B:30-29 - Provision of toll-free telephone number
- 17B:30-3 - Misrepresentations and false advertising of policies or annuity contracts
- 17B:30-30 - Maintenance of claims records; audit required
- 17B:30-31 - Additional record of claims
- 17B:30-32 - Overdue capitation payment
- 17B:30-33 - Regulations
- 17B:30-34 - Inapplicability of act
- 17B:30-35 - Definitions relative to standardized pharmacy identification cards
- 17B:30-36 - Issuance of standardized pharmacy identification information, card to primary insured
- 17B:30-37 - Exceptions for issuance of card
- 17B:30-38 - Provision of new pharmacy identification card
- 17B:30-39 - Rules, regulations
- 17B:30-4 - False information and advertising
- 17B:30-40 - Definitions, construction, regulations on notice of premium increase to employers
- 17B:30-41 - Findings, declarations relative to collection of unpaid hospital accounts
- 17B:30-42 - Definitions relative to collection of unpaid hospital accounts
- 17B:30-43 - "Hospital Care Payment Commission."
- 17B:30-44 - "New Jersey Hospital Care Payment Fund."
- 17B:30-45 - Authority of commission
- 17B:30-46 - Decisions of commission constitute final agency action
- 17B:30-47 - Procedures for participating hospitals
- 17B:30-48 - Short title
- 17B:30-49 - Findings, declarations relative to processing health claims
- 17B:30-5 - False financial statements
- 17B:30-50 - Definitions relative to processing health claims
- 17B:30-51 - Information required from payer
- 17B:30-52 - Response by payer to request for authorization of health care services
- 17B:30-53 - Reimbursement for covered services, conditions
- 17B:30-54 - Reimbursement according to provider contract
- 17B:30-55 - Violations, penalties; rules, regulations
- 17B:30-56 - Rules, regulations
- 17B:30-57 - Liberal construction
- 17B:30-58 - Definitions relative to reimbursement for certain ambulance services
- 17B:30-59 - Assignment of benefits to service provider of right to receive reimbursement for ambulance service
- 17B:30-6 - "Twisting" prohibited
- 17B:30-7 - Defamation
- 17B:30-8 - Boycott, coercion and intimidation
- 17B:30-9 - Stock operations and advisory board contracts
- Section 17B:30B
- 17B:30B-1 - Short title
- 17B:30B-10 - Two-year period required between issuance of policy and viatical settlement; exceptions
- 17B:30B-11 - Advertisement of viatical settlement contracts; guidelines, standards
- 17B:30B-12 - Fraudulent viatical settlement acts, prohibited, reporting, investigation, prosecution
- 17B:30B-13 - Injunction in addition to penalties, enforcement provisions
- 17B:30B-14 - Violation considered unfair trade practice; penalties
- 17B:30B-15 - Regulations, authority of commissioner
- 17B:30B-16 - Construction of act with Uniform Securities Law
- 17B:30B-17 - Continuation of negotiating viatical settlements, certain circumstances prior to act
- 17B:30B-2 - Definitions relative to viatical settlements
- 17B:30B-3 - License to operate as viatical settlement provider
- 17B:30B-4 - Refusal to issue, suspension, revocation, refusal to renew license
- 17B:30B-5 - Approval of viatical settlement forms by commissioner
- 17B:30B-6 - Filing of annual statement
- 17B:30B-7 - Examinations of licensees by commissioner
- 17B:30B-8 - Disclosures to viator, procedure
- 17B:30B-9 - Material required prior to entering into viatical settlement contract
- Section 17B:32
- 17B:32-31 - Short title, purpose of act
- 17B:32-32 - Application of authorized proceedings
- 17B:32-33 - Definitions
- 17B:32-34 - Jurisdiction over delinquency proceedings
- 17B:32-35 - Restraining orders, injunctions
- 17B:32-36 - Cooperation with commissioner in proceedings
- 17B:32-37 - Proceedings previously commenced deemed commenced under this act; exceptions, distribution of claims
- 17B:32-38 - Prohibitions relative to insurer subject to delinquency proceeding
- 17B:32-39 - Filing of petition; court orders
- 17B:32-40 - Confidentiality of documents, files, records, papers
- 17B:32-41 - Petition for authority to rehabilitate insurer
- 17B:32-42 - Appointment of rehabilitator
- 17B:32-43 - Powers of rehabilitator
- 17B:32-44 - Staying of pending actions
- 17B:32-45 - Petition for order of liquidation
- 17B:32-46 - Basis for order of liquidation
- 17B:32-47 - Appointment of liquidator
- 17B:32-48 - Policies to continue in force
- 17B:32-49 - Petition for dissolution
- 17B:32-50 - Powers of liquidator
- 17B:32-51 - Notice of liquidation order
- 17B:32-52 - Provision of information to liquidator by agents, licensing affected
- 17B:32-53 - Actions against or by insurer, liquidator
- 17B:32-54 - Preparation of list of insurer's assets
- 17B:32-55 - Transfers, obligations deemed fraudulent
- 17B:32-56 - Transfer of real property deemed valid
- 17B:32-57 - Preferences
- 17B:32-58 - Claims of creditor
- 17B:32-59 - Mutual debts, credits
- 17B:32-60 - Report by liquidator
- 17B:32-61 - Amount recoverable not affected by delinquency proceedings
- 17B:32-62 - Payment of unpaid premium, violations; penalties; appeals
- 17B:32-63 - Proposal to disburse assets
- 17B:32-64 - Filing of proof of claims
- 17B:32-65 - Statement to proof of claim
- 17B:32-66 - Contingent, absolute, limited claims
- 17B:32-67 - Third party, insured claims
- 17B:32-68 - Denial of claims
- 17B:32-69 - Proving, filing of claim of subrogee
- 17B:32-70 - Determination of value of security
- 17B:32-71 - Priority of distribution of claims
- 17B:32-72 - Review of claims
- 17B:32-73 - Payment of distributions
- 17B:32-74 - Distribution of unclaimed funds
- 17B:32-75 - Application for discharge
- 17B:32-76 - Petition for reopening of proceedings
- 17B:32-77 - Retaining, destruction of records
- 17B:32-78 - Audits of receiverships
- 17B:32-79 - Grounds for appointment of conservator
- 17B:32-80 - Grounds for liquidation of assets of insurer
- 17B:32-81 - Vesting of title with domiciliary liquidator
- 17B:32-82 - Petition for appointment as ancillary receiver
- 17B:32-83 - Institution of proceedings
- 17B:32-84 - Claims filed in liquidation proceedings begun in State
- 17B:32-85 - Claims filed in liquidation proceedings in reciprocal state
- 17B:32-86 - Actions, proceedings prohibited during pendency of liquidation proceeding
- 17B:32-87 - Order of distribution of claims
- 17B:32-88 - Failure of ancillary receiver to transfer assets
- 17B:32-89 - Persons entitled to protection
- 17B:32-90 - Commissioner's powers unaffected
- 17B:32-91 - Rules, regulations
- Section 17B:32A
- Section 17B:32B
- Section 17B:33
- Section 17B:34
- Section 17B:35
- Section 17B:36