State Codes and Statutes

Statutes > New-jersey > Title-26 > Section-26-2j

26:2J-1 - Short title
26:2J-2 - Definitions
26:2J-3 - Establishment of health maintenance organizations
26:2J-4 - Issuance of certificate of authority
26:2J-4.1 - Health maintenance organization to pay benefits for treatment of Wilm's tumor 
26:2J-4.2 - Health maintenance organization to offer basic health services coverage 
26:2J-4.3 - Limitations on basic health care services 
26:2J-4.4 - Health maintenance organization, mammogram examination benefits
26:2J-4.5 - Health maintenance organization, benefits for "off-label" drugs required 
26:2J-4.6 - Health maintenance organization, benefits for health promotion
26:2J-4.7 - Requirements for health maintenance organization providing benefits for pharmacy services
26:2J-4.8 - Benefits for certain cancer treatments 
26:2J-4.9 - Coverage for birth and natal care; HMO 
26:2J-4.10 - Health maintenance organization, child screening, blood lead, hearing loss; immunizations
26:2J-4.12 - HMO contracts, Pap smear benefits
26:2J-4.13 - HMO certificate of authority, prostate cancer testing
26:2J-4.14 - HMO to provide benefits for reconstructive breast surgery
26:2J-4.15 - Coverage for minimum inpatient care following mastectomy by HMO
26:2J-4.16 - Applicability of Health Care Quality Act
26:2J-4.17 - Coverage for treatment of inherited metabolic diseases by health maintenance organization
26:2J-4.18 - Coverage for treatment of domestic violence injuries by health maintenance organization
26:2J-4.19 - Coverage for certain dental procedures for the severely disabled or child age five or under by health maintenance organization
26:2J-4.20 - Health maintenance organization to provide coverage for biologically-based mental illness
26:2J-4.21 - Health maintenance organization to provide continuing nursing home care, certain
26:2J-4.22 - Coverage for hemophilia services by HMO
26:2J-4.23 - Health maintenance organization to provide coverage for treatment of infertility
26:2J-4.24 - HMO agreement to provide coverage for colorectal cancer screening
26:2J-4.25 - Health maintenance organization prescription drug plans to cover certain infant formulas
26:2J-4.26 - HMO required to cover certain out-of-network services
26:2J-4.27 - HMO to offer coverage for domestic partner
26:2J-4.28 - Health maintenance organization, high deductible, coverage for preventive care
26:2J-4.29 - Health maintenance organization, high deductible, deductible inapplicable, certain circumstances
26:2J-4.30 - Health maintenance organization, coverage for prescription female contraceptives
26:2J-4.31 - Health maintenance organizations to provide benefits for orthotic and prosthetic appliances
26:2J-4.32 - Health maintenance organization to provide coverage for hearing aids for certain persons aged 15 or younger
26:2J-4.33 - Health maintenance organization to provide installment payments to obstetrical provider for maternity services
26:2J-4.34 - Health maintenance organization to provide benefits for treatment of autism or other developmental disability
26:2J-5 - Powers of health maintenance organizations
26:2J-6 - Governing body
26:2J-7 - Protection against wrongful acts
26:2J-8 - Evidence of coverage 
26:2J-8.1 - Health maintenance organization to receive, transmit transactions electronically; standards
26:2J-9 - Annual report
26:2J-10 - Information to enrollees
26:2J-10.1 - Coverage provided by health maintenance organization for subscriber's child
26:2J-10.2 - Requirements applicable to State Medicaid
26:2J-10.3 - Coverage for certain dependents until age 31 by health maintenance organization
26:2J-11 - Annual open enrollment period 
26:2J-11.1 - Failure to agree on terms; four-month extension; notification of options 
26:2J-12 - Complaint system
26:2J-13 - Investments
26:2J-14 - Protection against insolvency
26:2J-15.1 - Health care services contract, exclusion, rates, terms based on genetic information prohibited
26:2J-16 - Regulation of agents
26:2J-17 - Powers of insurers and hospital and medical service corporations
26:2J-18 - Examinations
26:2J-18.1 - Examination of HMO by Commissioner of Banking and Insurance
26:2J-18.2 - Definitions relative to risk based capital requirements for HMOs
26:2J-18.3 - Increase of capital, surplus; methods, procedures
26:2J-18.4 - Factors in determining change in capital, surplus
26:2J-18.5 - Noncompliance, penalties
26:2J-18.6 - Regulations
26:2J-19 - Suspension or revocation of certificate of authority
26:2J-21 - Regulation
26:2J-22 - Administrative procedures
26:2J-23 - Fees
26:2J-24 - Administrative penalty; enforcement
26:2J-25 - Statutory construction and relationship to other laws
26:2J-26 - Filings and reports as public documents
26:2J-27 - Confidentiality of medical information
26:2J-28 - Commissioner of health's authority to contract
26:2J-29 - Enrollment of State employees
26:2J-30 - Severability
26:2J-31 - Definitions 
26:2J-32 - Applicability of act 
26:2J-33 - Avoidance of duplication of benefits, regulations 
26:2J-34 - Coverage for preexisting condition 
26:2J-35 - Regulations 
26:2J-36 - Authorization for health maintenance organization to offer, provide medicare supplement health care services 
26:2J-37 - Submission of underlying plan; rate filings 
26:2J-38 - Outline of coverage delivered to applicant 
26:2J-39 - 30-day return provision, refunds 
26:2J-40 - Filing of copy of advertising materials, regulations 
26:2J-41 - Additional remedies 
26:2J-42 - Health maintenance organization contract; compliance 
26:2J-43 - Filing of contract or related form 
26:2J-44 - Contract forms; certification memorandum 
26:2J-47 - Special interim assessment on HMOs, annual assessment beginning in FY2007; rates

State Codes and Statutes

Statutes > New-jersey > Title-26 > Section-26-2j

26:2J-1 - Short title
26:2J-2 - Definitions
26:2J-3 - Establishment of health maintenance organizations
26:2J-4 - Issuance of certificate of authority
26:2J-4.1 - Health maintenance organization to pay benefits for treatment of Wilm's tumor 
26:2J-4.2 - Health maintenance organization to offer basic health services coverage 
26:2J-4.3 - Limitations on basic health care services 
26:2J-4.4 - Health maintenance organization, mammogram examination benefits
26:2J-4.5 - Health maintenance organization, benefits for "off-label" drugs required 
26:2J-4.6 - Health maintenance organization, benefits for health promotion
26:2J-4.7 - Requirements for health maintenance organization providing benefits for pharmacy services
26:2J-4.8 - Benefits for certain cancer treatments 
26:2J-4.9 - Coverage for birth and natal care; HMO 
26:2J-4.10 - Health maintenance organization, child screening, blood lead, hearing loss; immunizations
26:2J-4.12 - HMO contracts, Pap smear benefits
26:2J-4.13 - HMO certificate of authority, prostate cancer testing
26:2J-4.14 - HMO to provide benefits for reconstructive breast surgery
26:2J-4.15 - Coverage for minimum inpatient care following mastectomy by HMO
26:2J-4.16 - Applicability of Health Care Quality Act
26:2J-4.17 - Coverage for treatment of inherited metabolic diseases by health maintenance organization
26:2J-4.18 - Coverage for treatment of domestic violence injuries by health maintenance organization
26:2J-4.19 - Coverage for certain dental procedures for the severely disabled or child age five or under by health maintenance organization
26:2J-4.20 - Health maintenance organization to provide coverage for biologically-based mental illness
26:2J-4.21 - Health maintenance organization to provide continuing nursing home care, certain
26:2J-4.22 - Coverage for hemophilia services by HMO
26:2J-4.23 - Health maintenance organization to provide coverage for treatment of infertility
26:2J-4.24 - HMO agreement to provide coverage for colorectal cancer screening
26:2J-4.25 - Health maintenance organization prescription drug plans to cover certain infant formulas
26:2J-4.26 - HMO required to cover certain out-of-network services
26:2J-4.27 - HMO to offer coverage for domestic partner
26:2J-4.28 - Health maintenance organization, high deductible, coverage for preventive care
26:2J-4.29 - Health maintenance organization, high deductible, deductible inapplicable, certain circumstances
26:2J-4.30 - Health maintenance organization, coverage for prescription female contraceptives
26:2J-4.31 - Health maintenance organizations to provide benefits for orthotic and prosthetic appliances
26:2J-4.32 - Health maintenance organization to provide coverage for hearing aids for certain persons aged 15 or younger
26:2J-4.33 - Health maintenance organization to provide installment payments to obstetrical provider for maternity services
26:2J-4.34 - Health maintenance organization to provide benefits for treatment of autism or other developmental disability
26:2J-5 - Powers of health maintenance organizations
26:2J-6 - Governing body
26:2J-7 - Protection against wrongful acts
26:2J-8 - Evidence of coverage 
26:2J-8.1 - Health maintenance organization to receive, transmit transactions electronically; standards
26:2J-9 - Annual report
26:2J-10 - Information to enrollees
26:2J-10.1 - Coverage provided by health maintenance organization for subscriber's child
26:2J-10.2 - Requirements applicable to State Medicaid
26:2J-10.3 - Coverage for certain dependents until age 31 by health maintenance organization
26:2J-11 - Annual open enrollment period 
26:2J-11.1 - Failure to agree on terms; four-month extension; notification of options 
26:2J-12 - Complaint system
26:2J-13 - Investments
26:2J-14 - Protection against insolvency
26:2J-15.1 - Health care services contract, exclusion, rates, terms based on genetic information prohibited
26:2J-16 - Regulation of agents
26:2J-17 - Powers of insurers and hospital and medical service corporations
26:2J-18 - Examinations
26:2J-18.1 - Examination of HMO by Commissioner of Banking and Insurance
26:2J-18.2 - Definitions relative to risk based capital requirements for HMOs
26:2J-18.3 - Increase of capital, surplus; methods, procedures
26:2J-18.4 - Factors in determining change in capital, surplus
26:2J-18.5 - Noncompliance, penalties
26:2J-18.6 - Regulations
26:2J-19 - Suspension or revocation of certificate of authority
26:2J-21 - Regulation
26:2J-22 - Administrative procedures
26:2J-23 - Fees
26:2J-24 - Administrative penalty; enforcement
26:2J-25 - Statutory construction and relationship to other laws
26:2J-26 - Filings and reports as public documents
26:2J-27 - Confidentiality of medical information
26:2J-28 - Commissioner of health's authority to contract
26:2J-29 - Enrollment of State employees
26:2J-30 - Severability
26:2J-31 - Definitions 
26:2J-32 - Applicability of act 
26:2J-33 - Avoidance of duplication of benefits, regulations 
26:2J-34 - Coverage for preexisting condition 
26:2J-35 - Regulations 
26:2J-36 - Authorization for health maintenance organization to offer, provide medicare supplement health care services 
26:2J-37 - Submission of underlying plan; rate filings 
26:2J-38 - Outline of coverage delivered to applicant 
26:2J-39 - 30-day return provision, refunds 
26:2J-40 - Filing of copy of advertising materials, regulations 
26:2J-41 - Additional remedies 
26:2J-42 - Health maintenance organization contract; compliance 
26:2J-43 - Filing of contract or related form 
26:2J-44 - Contract forms; certification memorandum 
26:2J-47 - Special interim assessment on HMOs, annual assessment beginning in FY2007; rates

State Codes and Statutes

State Codes and Statutes

Statutes > New-jersey > Title-26 > Section-26-2j

26:2J-1 - Short title
26:2J-2 - Definitions
26:2J-3 - Establishment of health maintenance organizations
26:2J-4 - Issuance of certificate of authority
26:2J-4.1 - Health maintenance organization to pay benefits for treatment of Wilm's tumor 
26:2J-4.2 - Health maintenance organization to offer basic health services coverage 
26:2J-4.3 - Limitations on basic health care services 
26:2J-4.4 - Health maintenance organization, mammogram examination benefits
26:2J-4.5 - Health maintenance organization, benefits for "off-label" drugs required 
26:2J-4.6 - Health maintenance organization, benefits for health promotion
26:2J-4.7 - Requirements for health maintenance organization providing benefits for pharmacy services
26:2J-4.8 - Benefits for certain cancer treatments 
26:2J-4.9 - Coverage for birth and natal care; HMO 
26:2J-4.10 - Health maintenance organization, child screening, blood lead, hearing loss; immunizations
26:2J-4.12 - HMO contracts, Pap smear benefits
26:2J-4.13 - HMO certificate of authority, prostate cancer testing
26:2J-4.14 - HMO to provide benefits for reconstructive breast surgery
26:2J-4.15 - Coverage for minimum inpatient care following mastectomy by HMO
26:2J-4.16 - Applicability of Health Care Quality Act
26:2J-4.17 - Coverage for treatment of inherited metabolic diseases by health maintenance organization
26:2J-4.18 - Coverage for treatment of domestic violence injuries by health maintenance organization
26:2J-4.19 - Coverage for certain dental procedures for the severely disabled or child age five or under by health maintenance organization
26:2J-4.20 - Health maintenance organization to provide coverage for biologically-based mental illness
26:2J-4.21 - Health maintenance organization to provide continuing nursing home care, certain
26:2J-4.22 - Coverage for hemophilia services by HMO
26:2J-4.23 - Health maintenance organization to provide coverage for treatment of infertility
26:2J-4.24 - HMO agreement to provide coverage for colorectal cancer screening
26:2J-4.25 - Health maintenance organization prescription drug plans to cover certain infant formulas
26:2J-4.26 - HMO required to cover certain out-of-network services
26:2J-4.27 - HMO to offer coverage for domestic partner
26:2J-4.28 - Health maintenance organization, high deductible, coverage for preventive care
26:2J-4.29 - Health maintenance organization, high deductible, deductible inapplicable, certain circumstances
26:2J-4.30 - Health maintenance organization, coverage for prescription female contraceptives
26:2J-4.31 - Health maintenance organizations to provide benefits for orthotic and prosthetic appliances
26:2J-4.32 - Health maintenance organization to provide coverage for hearing aids for certain persons aged 15 or younger
26:2J-4.33 - Health maintenance organization to provide installment payments to obstetrical provider for maternity services
26:2J-4.34 - Health maintenance organization to provide benefits for treatment of autism or other developmental disability
26:2J-5 - Powers of health maintenance organizations
26:2J-6 - Governing body
26:2J-7 - Protection against wrongful acts
26:2J-8 - Evidence of coverage 
26:2J-8.1 - Health maintenance organization to receive, transmit transactions electronically; standards
26:2J-9 - Annual report
26:2J-10 - Information to enrollees
26:2J-10.1 - Coverage provided by health maintenance organization for subscriber's child
26:2J-10.2 - Requirements applicable to State Medicaid
26:2J-10.3 - Coverage for certain dependents until age 31 by health maintenance organization
26:2J-11 - Annual open enrollment period 
26:2J-11.1 - Failure to agree on terms; four-month extension; notification of options 
26:2J-12 - Complaint system
26:2J-13 - Investments
26:2J-14 - Protection against insolvency
26:2J-15.1 - Health care services contract, exclusion, rates, terms based on genetic information prohibited
26:2J-16 - Regulation of agents
26:2J-17 - Powers of insurers and hospital and medical service corporations
26:2J-18 - Examinations
26:2J-18.1 - Examination of HMO by Commissioner of Banking and Insurance
26:2J-18.2 - Definitions relative to risk based capital requirements for HMOs
26:2J-18.3 - Increase of capital, surplus; methods, procedures
26:2J-18.4 - Factors in determining change in capital, surplus
26:2J-18.5 - Noncompliance, penalties
26:2J-18.6 - Regulations
26:2J-19 - Suspension or revocation of certificate of authority
26:2J-21 - Regulation
26:2J-22 - Administrative procedures
26:2J-23 - Fees
26:2J-24 - Administrative penalty; enforcement
26:2J-25 - Statutory construction and relationship to other laws
26:2J-26 - Filings and reports as public documents
26:2J-27 - Confidentiality of medical information
26:2J-28 - Commissioner of health's authority to contract
26:2J-29 - Enrollment of State employees
26:2J-30 - Severability
26:2J-31 - Definitions 
26:2J-32 - Applicability of act 
26:2J-33 - Avoidance of duplication of benefits, regulations 
26:2J-34 - Coverage for preexisting condition 
26:2J-35 - Regulations 
26:2J-36 - Authorization for health maintenance organization to offer, provide medicare supplement health care services 
26:2J-37 - Submission of underlying plan; rate filings 
26:2J-38 - Outline of coverage delivered to applicant 
26:2J-39 - 30-day return provision, refunds 
26:2J-40 - Filing of copy of advertising materials, regulations 
26:2J-41 - Additional remedies 
26:2J-42 - Health maintenance organization contract; compliance 
26:2J-43 - Filing of contract or related form 
26:2J-44 - Contract forms; certification memorandum 
26:2J-47 - Special interim assessment on HMOs, annual assessment beginning in FY2007; rates