State Codes and Statutes
Statutes > New-jersey > Title-17 > Section-17-48a
17:48A-1 - Definitions; liability for medical services
17:48A-2 - Nonprofit corporation; trustees and physicians; who may operate medical service plan; certificate of authority
17:48A-2.1 - Medical service corporation merger procedure
17:48A-3 - Issuance of certificate of authority; amendment; counties affected
17:48A-4 - Corporate funds required
17:48A-5 - Subscription contracts
17:48A-6 - Written contracts required; subscription certificates
17:48A-6.1 - Elective surgery; definitions
17:48A-6.2 - Second surgical opinion program
17:48A-6.3 - Payment for second surgical opinion
17:48A-6.4 - Third surgical opinion
17:48A-6.5 - Second opinion exclusions
17:48A-6.6 - Physicians furnishing opinion and performing surgical procedure; payment
17:48A-6.7 - Application
17:48A-6.8 - Medical service corporations to offer basic health care contracts
17:48A-6.9 - Basic health care contract; provisions
17:48A-6.11 - Medical service corporation contract, exclusion, rates, terms based on genetic information prohibited
17:48A-7 - Formal requirements for subscription certificates
17:48A-7a - Treatment of alcoholism; benefits
17:48A-7b - Reconstructive breast surgery; benefits
17:48A-7c - Medical service contracts
17:48A-7d - Medical service corporation insurance benefits for preexisting condition
17:48A-7e - Medical service corporation to pay benefits for treatment of Wilm's tumor
17:48A-7f - Medical service corporation contract, mammogram examination benefits
17:48A-7g - Medical service corporation, benefits for "off-label" drugs required
17:48A-7h - Medical service corporation, benefits for health promotion
17:48A-7i - Requirements for medical service corporation providing benefits for pharmacy services
17:48A-7j - Benefits for certain cancer treatments
17:48A-7k - Coverage for birth and natal care; medical service corporation
17:48A-7m - Medical service corporation contract, Pap smear benefits
17:48A-7n - Medical service corporation contract, prostate cancer testing
17:48A-7o - Coverage for minimum inpatient care following mastectomy by individual, group medical service corporation
17:48A-7p - Applicability of Health Care Quality Act
17:48A-7q - Coverage for treatment of inherited metabolic diseases by medical service corporation
17:48A-7r - Medical service corporation to cover certain audiology, speech-language pathology services
17:48A-7s - Coverage for treatment of domestic violence injuries by medical service corporation
17:48A-7t - Coverage for certain dental procedures for the severely disabled or child age five or under by medical service corporation
17:48A-7u - Medical service corporation to provide coverage for biologically-based mental illness
17:48A-7v - Coverage for hemophilia services by medical services corporation
17:48A-7w - Medical service corporation to provide coverage for treatment of infertility
17:48A-7x - Medical service corporation to provide coverage for colorectal cancer screening
17:48A-7y - Medical service corporation prescription drug plans to cover certain infant formulas
17:48A-7z - Contract issued under C.17:48A-1 et seq. required to cover certain out-of-network services
17:48A-7aa - Medical service corporation to offer coverage for domestic partner
17:48A-7bb - Medical service corporation, coverage for prescription female contraceptives
17:48A-7cc - Medical service corporation to provide benefits for orthotic and prosthetic appliances
17:48A-7dd - Medical service corporation to provide coverage for hearing aids for certain persons aged 15 or younger
17:48A-7ee - Individual, group medical service corporation to provide installment payments to obstetrical provider for maternity services
17:48A-7ff - Medical service corporation to provide benefits for treatment of autism or other developmental disability
17:48A-7.1 - Group contracts; issuance; description; benefits; employees defined
17:48A-7.2 - Provisions applicable to group contracts
17:48A-7.3 - Group contract form
17:48A-7.4 - Participation agreements
17:48A-7.5 - Schedule of rates
17:48A-7.6 - Combined hospital-medical contract
17:48A-7.7 - Review of determinations of commissioner of banking and insurance
17:48A-7.8 - Review of practices, rules and procedures of medical service corporations
17:48A-7.9 - Adjustment of rates; experience rating formula; approval
17:48A-7.10 - Coverage provided by medical service corporation for subscriber's child
17:48A-7.11 - Requirements applicable to State Medicaid
17:48A-7.12 - Medical service corporation to receive, transmit transactions electronically; standards
17:48A-7.13 - Coverage for certain dependents until age 31 by medical service corporation
17:48A-8 - Participating physicians; payments for medical services
17:48A-9 - Filing form of subscription certificate, etc.; disapproval by commissioner
17:48A-9.1 - Medical service corporation contract; compliance
17:48A-9.2 - Filing of contract or related forms
17:48A-9.3 - Contract forms; certification memorandum
17:48A-10 - Schedule of rates; filing, disapproval
17:48A-11 - Agreements with physicians; approval of payments; corporate records
17:48A-12 - Expenditures in soliciting subscribers
17:48A-13 - Administrative expenses
17:48A-14 - Investments; surplus
17:48A-15 - Statement of financial condition; inquiries by commissioner
17:48A-16 - Failure to file statement or answer inquiries; penalty
17:48A-17 - Examination of assets and affairs; assistants
17:48A-18 - Expense of examination; gifts, etc., to departmental employees
17:48A-19 - Exhibition of records and accounts; examinations under oath
17:48A-21 - Fees
17:48A-22 - Violations of chapter; penalty and recovery thereof; misdemeanors
17:48A-23 - Grants for needy persons
17:48A-24 - Corporation as charitable and benevolent institution; tax exemption
17:48A-25 - Partial invalidity
17:48A-27 - Bio-analytical laboratory, services performed by
17:48A-28 - Dentists, services performed by
17:48A-28.1 - Policies providing for reimbursement of services of dentist; additional applicable provisions
17:48A-28.2 - Application of act to contracts with reservation of right to change premium
17:48A-29 - Optometrist, services performed by
17:48A-30 - Psychologist, services performed by
17:48A-31 - Physical therapist, services performed by
17:48A-32 - Chiropractors; authorization for payment for diagnostic X-rays; inclusion in act as physician licensed to practice medicine or surgery; liberal construction
17:48A-33 - Chiropractors, services performed by
17:48A-34 - Nurse-midwives, services performed by
17:48A-35 - Services provided by registered professional nurse; benefits
State Codes and Statutes
Statutes > New-jersey > Title-17 > Section-17-48a
17:48A-1 - Definitions; liability for medical services
17:48A-2 - Nonprofit corporation; trustees and physicians; who may operate medical service plan; certificate of authority
17:48A-2.1 - Medical service corporation merger procedure
17:48A-3 - Issuance of certificate of authority; amendment; counties affected
17:48A-4 - Corporate funds required
17:48A-5 - Subscription contracts
17:48A-6 - Written contracts required; subscription certificates
17:48A-6.1 - Elective surgery; definitions
17:48A-6.2 - Second surgical opinion program
17:48A-6.3 - Payment for second surgical opinion
17:48A-6.4 - Third surgical opinion
17:48A-6.5 - Second opinion exclusions
17:48A-6.6 - Physicians furnishing opinion and performing surgical procedure; payment
17:48A-6.7 - Application
17:48A-6.8 - Medical service corporations to offer basic health care contracts
17:48A-6.9 - Basic health care contract; provisions
17:48A-6.11 - Medical service corporation contract, exclusion, rates, terms based on genetic information prohibited
17:48A-7 - Formal requirements for subscription certificates
17:48A-7a - Treatment of alcoholism; benefits
17:48A-7b - Reconstructive breast surgery; benefits
17:48A-7c - Medical service contracts
17:48A-7d - Medical service corporation insurance benefits for preexisting condition
17:48A-7e - Medical service corporation to pay benefits for treatment of Wilm's tumor
17:48A-7f - Medical service corporation contract, mammogram examination benefits
17:48A-7g - Medical service corporation, benefits for "off-label" drugs required
17:48A-7h - Medical service corporation, benefits for health promotion
17:48A-7i - Requirements for medical service corporation providing benefits for pharmacy services
17:48A-7j - Benefits for certain cancer treatments
17:48A-7k - Coverage for birth and natal care; medical service corporation
17:48A-7m - Medical service corporation contract, Pap smear benefits
17:48A-7n - Medical service corporation contract, prostate cancer testing
17:48A-7o - Coverage for minimum inpatient care following mastectomy by individual, group medical service corporation
17:48A-7p - Applicability of Health Care Quality Act
17:48A-7q - Coverage for treatment of inherited metabolic diseases by medical service corporation
17:48A-7r - Medical service corporation to cover certain audiology, speech-language pathology services
17:48A-7s - Coverage for treatment of domestic violence injuries by medical service corporation
17:48A-7t - Coverage for certain dental procedures for the severely disabled or child age five or under by medical service corporation
17:48A-7u - Medical service corporation to provide coverage for biologically-based mental illness
17:48A-7v - Coverage for hemophilia services by medical services corporation
17:48A-7w - Medical service corporation to provide coverage for treatment of infertility
17:48A-7x - Medical service corporation to provide coverage for colorectal cancer screening
17:48A-7y - Medical service corporation prescription drug plans to cover certain infant formulas
17:48A-7z - Contract issued under C.17:48A-1 et seq. required to cover certain out-of-network services
17:48A-7aa - Medical service corporation to offer coverage for domestic partner
17:48A-7bb - Medical service corporation, coverage for prescription female contraceptives
17:48A-7cc - Medical service corporation to provide benefits for orthotic and prosthetic appliances
17:48A-7dd - Medical service corporation to provide coverage for hearing aids for certain persons aged 15 or younger
17:48A-7ee - Individual, group medical service corporation to provide installment payments to obstetrical provider for maternity services
17:48A-7ff - Medical service corporation to provide benefits for treatment of autism or other developmental disability
17:48A-7.1 - Group contracts; issuance; description; benefits; employees defined
17:48A-7.2 - Provisions applicable to group contracts
17:48A-7.3 - Group contract form
17:48A-7.4 - Participation agreements
17:48A-7.5 - Schedule of rates
17:48A-7.6 - Combined hospital-medical contract
17:48A-7.7 - Review of determinations of commissioner of banking and insurance
17:48A-7.8 - Review of practices, rules and procedures of medical service corporations
17:48A-7.9 - Adjustment of rates; experience rating formula; approval
17:48A-7.10 - Coverage provided by medical service corporation for subscriber's child
17:48A-7.11 - Requirements applicable to State Medicaid
17:48A-7.12 - Medical service corporation to receive, transmit transactions electronically; standards
17:48A-7.13 - Coverage for certain dependents until age 31 by medical service corporation
17:48A-8 - Participating physicians; payments for medical services
17:48A-9 - Filing form of subscription certificate, etc.; disapproval by commissioner
17:48A-9.1 - Medical service corporation contract; compliance
17:48A-9.2 - Filing of contract or related forms
17:48A-9.3 - Contract forms; certification memorandum
17:48A-10 - Schedule of rates; filing, disapproval
17:48A-11 - Agreements with physicians; approval of payments; corporate records
17:48A-12 - Expenditures in soliciting subscribers
17:48A-13 - Administrative expenses
17:48A-14 - Investments; surplus
17:48A-15 - Statement of financial condition; inquiries by commissioner
17:48A-16 - Failure to file statement or answer inquiries; penalty
17:48A-17 - Examination of assets and affairs; assistants
17:48A-18 - Expense of examination; gifts, etc., to departmental employees
17:48A-19 - Exhibition of records and accounts; examinations under oath
17:48A-21 - Fees
17:48A-22 - Violations of chapter; penalty and recovery thereof; misdemeanors
17:48A-23 - Grants for needy persons
17:48A-24 - Corporation as charitable and benevolent institution; tax exemption
17:48A-25 - Partial invalidity
17:48A-27 - Bio-analytical laboratory, services performed by
17:48A-28 - Dentists, services performed by
17:48A-28.1 - Policies providing for reimbursement of services of dentist; additional applicable provisions
17:48A-28.2 - Application of act to contracts with reservation of right to change premium
17:48A-29 - Optometrist, services performed by
17:48A-30 - Psychologist, services performed by
17:48A-31 - Physical therapist, services performed by
17:48A-32 - Chiropractors; authorization for payment for diagnostic X-rays; inclusion in act as physician licensed to practice medicine or surgery; liberal construction
17:48A-33 - Chiropractors, services performed by
17:48A-34 - Nurse-midwives, services performed by
17:48A-35 - Services provided by registered professional nurse; benefits
State Codes and Statutes
Statutes >
New-jersey >
Title-17 >
Section-17-48a17:48A-1 - Definitions; liability for medical services17:48A-2 - Nonprofit corporation; trustees and physicians; who may operate medical service plan; certificate of authority17:48A-2.1 - Medical service corporation merger procedure17:48A-3 - Issuance of certificate of authority; amendment; counties affected17:48A-4 - Corporate funds required17:48A-5 - Subscription contracts17:48A-6 - Written contracts required; subscription certificates17:48A-6.1 - Elective surgery; definitions17:48A-6.2 - Second surgical opinion program17:48A-6.3 - Payment for second surgical opinion17:48A-6.4 - Third surgical opinion17:48A-6.5 - Second opinion exclusions17:48A-6.6 - Physicians furnishing opinion and performing surgical procedure; payment17:48A-6.7 - Application17:48A-6.8 - Medical service corporations to offer basic health care contracts 17:48A-6.9 - Basic health care contract; provisions 17:48A-6.11 - Medical service corporation contract, exclusion, rates, terms based on genetic information prohibited17:48A-7 - Formal requirements for subscription certificates17:48A-7a - Treatment of alcoholism; benefits17:48A-7b - Reconstructive breast surgery; benefits17:48A-7c - Medical service contracts17:48A-7d - Medical service corporation insurance benefits for preexisting condition17:48A-7e - Medical service corporation to pay benefits for treatment of Wilm's tumor 17:48A-7f - Medical service corporation contract, mammogram examination benefits17:48A-7g - Medical service corporation, benefits for "off-label" drugs required 17:48A-7h - Medical service corporation, benefits for health promotion17:48A-7i - Requirements for medical service corporation providing benefits for pharmacy services17:48A-7j - Benefits for certain cancer treatments 17:48A-7k - Coverage for birth and natal care; medical service corporation 17:48A-7m - Medical service corporation contract, Pap smear benefits17:48A-7n - Medical service corporation contract, prostate cancer testing17:48A-7o - Coverage for minimum inpatient care following mastectomy by individual, group medical service corporation17:48A-7p - Applicability of Health Care Quality Act17:48A-7q - Coverage for treatment of inherited metabolic diseases by medical service corporation17:48A-7r - Medical service corporation to cover certain audiology, speech-language pathology services17:48A-7s - Coverage for treatment of domestic violence injuries by medical service corporation17:48A-7t - Coverage for certain dental procedures for the severely disabled or child age five or under by medical service corporation17:48A-7u - Medical service corporation to provide coverage for biologically-based mental illness17:48A-7v - Coverage for hemophilia services by medical services corporation17:48A-7w - Medical service corporation to provide coverage for treatment of infertility17:48A-7x - Medical service corporation to provide coverage for colorectal cancer screening17:48A-7y - Medical service corporation prescription drug plans to cover certain infant formulas17:48A-7z - Contract issued under C.17:48A-1 et seq. required to cover certain out-of-network services17:48A-7aa - Medical service corporation to offer coverage for domestic partner17:48A-7bb - Medical service corporation, coverage for prescription female contraceptives17:48A-7cc - Medical service corporation to provide benefits for orthotic and prosthetic appliances17:48A-7dd - Medical service corporation to provide coverage for hearing aids for certain persons aged 15 or younger17:48A-7ee - Individual, group medical service corporation to provide installment payments to obstetrical provider for maternity services17:48A-7ff - Medical service corporation to provide benefits for treatment of autism or other developmental disability17:48A-7.1 - Group contracts; issuance; description; benefits; employees defined17:48A-7.2 - Provisions applicable to group contracts17:48A-7.3 - Group contract form17:48A-7.4 - Participation agreements17:48A-7.5 - Schedule of rates17:48A-7.6 - Combined hospital-medical contract17:48A-7.7 - Review of determinations of commissioner of banking and insurance17:48A-7.8 - Review of practices, rules and procedures of medical service corporations17:48A-7.9 - Adjustment of rates; experience rating formula; approval17:48A-7.10 - Coverage provided by medical service corporation for subscriber's child17:48A-7.11 - Requirements applicable to State Medicaid17:48A-7.12 - Medical service corporation to receive, transmit transactions electronically; standards17:48A-7.13 - Coverage for certain dependents until age 31 by medical service corporation17:48A-8 - Participating physicians; payments for medical services17:48A-9 - Filing form of subscription certificate, etc.; disapproval by commissioner17:48A-9.1 - Medical service corporation contract; compliance 17:48A-9.2 - Filing of contract or related forms 17:48A-9.3 - Contract forms; certification memorandum 17:48A-10 - Schedule of rates; filing, disapproval17:48A-11 - Agreements with physicians; approval of payments; corporate records17:48A-12 - Expenditures in soliciting subscribers17:48A-13 - Administrative expenses17:48A-14 - Investments; surplus17:48A-15 - Statement of financial condition; inquiries by commissioner17:48A-16 - Failure to file statement or answer inquiries; penalty17:48A-17 - Examination of assets and affairs; assistants17:48A-18 - Expense of examination; gifts, etc., to departmental employees17:48A-19 - Exhibition of records and accounts; examinations under oath17:48A-21 - Fees17:48A-22 - Violations of chapter; penalty and recovery thereof; misdemeanors17:48A-23 - Grants for needy persons17:48A-24 - Corporation as charitable and benevolent institution; tax exemption17:48A-25 - Partial invalidity17:48A-27 - Bio-analytical laboratory, services performed by17:48A-28 - Dentists, services performed by17:48A-28.1 - Policies providing for reimbursement of services of dentist; additional applicable provisions17:48A-28.2 - Application of act to contracts with reservation of right to change premium17:48A-29 - Optometrist, services performed by17:48A-30 - Psychologist, services performed by17:48A-31 - Physical therapist, services performed by17:48A-32 - Chiropractors; authorization for payment for diagnostic X-rays; inclusion in act as physician licensed to practice medicine or surgery; liberal construction17:48A-33 - Chiropractors, services performed by17:48A-34 - Nurse-midwives, services performed by17:48A-35 - Services provided by registered professional nurse; benefits
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