Search Rutgers Law Library N.J. Court Opinions

1 IN THE MATTER OF PHILIP YUCHT -- rank: 1000

... CPT code for an individual 45-50 minute psychotherapy service. N.J.S.A. 52:14-17.46.7 provides that the NJ Direct 10 plan will reimburse a ... a similar nationally recognized database of prevailing health care charges." N.J.S.A. 52:14-17.46.7. The Health Insurance Association of America is now known as ... final administrative determination, the Division's Acting Director acknowledged that N.J.S.A. 52:14-17.46.7 governed the dispute. However, relying on N.J.S.A ... capricious and unreasonable as it violates the clear mandates of N.J.S.A. 52:14-17.46.7 that a SEHBP NJ Direct 10 participant be reimbursed 80 ... 5d to make NJ Direct 10 plan changes that violate N.J.S.A. 52:14-17.46.7. The Division counters that N.J.S.A. 52:14-17.46.7 does not require that the reasonable and customary charge ...

docket:	a6298-10
court:	NJ Superior Court Appellate Division
decided:	2012-09-03
status:	unpublished
citation:
Document Size:	25176

2 In the Matter of State and School Employees’ Health Benefits Commissions’ Implementation of I/M/O Philip Yucht -- rank: 837

... health services were contrary to the legislative policies expressed in N.J.S.A. 52:14-17.46.7. After the Appellate Division decision, the Commissions each determined to ... member, the tiered reimbursement schedule was determined to have violated N.J.S.A. 52:14-17.46.7, which addresses the calculation of reimbursement rates for out- of ... which approved the change for implementation. Significantly, for purposes of N.J.S.A. 52:14-17.46.7, neither Magellan nor Horizon are nationally recognized databases for purposes ... similar nationally recognized database of prevailing health care charges.” N.J.S.A. 52:14-17.46.7. An SEHBP member, Philip Yucht, who received behavioral health services ... health services were contrary to the legislative policies expressed in N.J.S.A. 52:14-17.46.7. In declaring the adjusted reimbursement rates arbitrary, capricious, and unreasonable ... Appellate Division decision informed the Commissions that the dictates of N.J.S.A. 52:14-17.46.7 had not been 16 followed in the adjustment to ...

docket:	a_21_17
court:	NJ Supreme Court
decided:	2018-05-08
status:
citation:
Document Size:	55825

3 TEAMSTERS LOCAL 97 v. STATE OF NEW JERSEY -- rank: 795

... in the program." Section 49 (codified in relevant part at N.J.S.A. 52:14-17.46.7) provides the SEHBP Design Committee with identical discretion. The State ...

docket:	a4086-10xx
court:	NJ Superior Court Appellate Division
decided:	2013-02-27
status:	published
citation:
Document Size:	101434

4 TEAMSTERS LOCAL 97 v. STATE OF NEW JERSEY -- rank: 795

... in the program." Section 49 (codified in relevant part at N.J.S.A. 52:14-17.46.7) provides the SEHBP Design Committee with identical discretion. The State ...

docket:	a3916-10
court:	NJ Superior Court Appellate Division
decided:	2014-01-31
status:	published
citation:	434 N.J.Super. 393 84 A.3d 989
Document Size:	101618

5 TEAMSTERS LOCAL 97 v. STATE OF NEW JERSEY -- rank: 795

... in the program." Section 49 (codified in relevant part at N.J.S.A. 52:14-17.46.7) provides the SEHBP Design Committee with identical discretion. The State ...

docket:	a3274-10
court:	NJ Superior Court Appellate Division
decided:	2014-01-31
status:	published
citation:
Document Size:	101452

6 TEAMSTERS LOCAL 97 v. STATE OF NEW JERSEY -- rank: 795

... in the program." Section 49 (codified in relevant part at N.J.S.A. 52:14-17.46.7) provides the SEHBP Design Committee with identical discretion. The State ...

docket:	a3868-10
court:	NJ Superior Court Appellate Division
decided:	2014-01-31
status:	published
citation:
Document Size:	101451

7 /usr/local/share/www/libweb/collections/courts/appellate/a5550-14.opn.html -- rank: 360

... 35%. Ibid. We held that this tiered reimbursement system violated N.J.S.A. 52:14-17.46.7, which requires that participating members be reimbursed 80% of the ...

docket:
court:	NJ Superior Court Law/Chancery Division
decided:
status:
citation:
Document Size:	22956