17:35C-5 - Regulations - New-jersey Statutes

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Statutes > New-jersey > Title-17 > Section-17-35c > 17-35c-5

17:35C-5.    Regulations      5.   The commissioner shall promulgate regulations to effectuate and enforce the provisions of P.L.1982, c.95 (C. 17:35C-1 et seq.) and any regulations which are necessary to conform medicare supplement contracts and certificates with federal law. These regulations shall include, but not be limited to:

    a.   Establishment of minimum standards for benefits, claim payments, marketing and reporting practices and compensation arrangements;

    b.   Establishment of a uniform methodology for calculating and reporting loss ratios, and requiring refunds or credits if the contracts or certificates do not meet loss ratio requirements;

    c.   Establishment of a process for filing of all requests for premium increases and rate changes, which may include public hearings as determined appropriate by the commissioner prior to approval of any premium increases;

    d.   Assurance of access by the public to contract, premium and loss ratio information; and

    e.   Establishment of standards for Medicare Select contracts and certificates at such time as this State is authorized under federal law to authorize Medicare Select contracts and certificates.

    L.1982,c.95,s.5; amended 1992,c.144,s.4.

State Codes and Statutes

Statutes > New-jersey > Title-17 > Section-17-35c > 17-35c-5

17:35C-5.    Regulations      5.   The commissioner shall promulgate regulations to effectuate and enforce the provisions of P.L.1982, c.95 (C. 17:35C-1 et seq.) and any regulations which are necessary to conform medicare supplement contracts and certificates with federal law. These regulations shall include, but not be limited to:

    a.   Establishment of minimum standards for benefits, claim payments, marketing and reporting practices and compensation arrangements;

    b.   Establishment of a uniform methodology for calculating and reporting loss ratios, and requiring refunds or credits if the contracts or certificates do not meet loss ratio requirements;

    c.   Establishment of a process for filing of all requests for premium increases and rate changes, which may include public hearings as determined appropriate by the commissioner prior to approval of any premium increases;

    d.   Assurance of access by the public to contract, premium and loss ratio information; and

    e.   Establishment of standards for Medicare Select contracts and certificates at such time as this State is authorized under federal law to authorize Medicare Select contracts and certificates.

    L.1982,c.95,s.5; amended 1992,c.144,s.4.

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State Codes and Statutes

Statutes > New-jersey > Title-17 > Section-17-35c > 17-35c-5

17:35C-5.    Regulations      5.   The commissioner shall promulgate regulations to effectuate and enforce the provisions of P.L.1982, c.95 (C. 17:35C-1 et seq.) and any regulations which are necessary to conform medicare supplement contracts and certificates with federal law. These regulations shall include, but not be limited to:

    a.   Establishment of minimum standards for benefits, claim payments, marketing and reporting practices and compensation arrangements;

    b.   Establishment of a uniform methodology for calculating and reporting loss ratios, and requiring refunds or credits if the contracts or certificates do not meet loss ratio requirements;

    c.   Establishment of a process for filing of all requests for premium increases and rate changes, which may include public hearings as determined appropriate by the commissioner prior to approval of any premium increases;

    d.   Assurance of access by the public to contract, premium and loss ratio information; and

    e.   Establishment of standards for Medicare Select contracts and certificates at such time as this State is authorized under federal law to authorize Medicare Select contracts and certificates.

    L.1982,c.95,s.5; amended 1992,c.144,s.4.