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Title: 17B - INSURANCE
Chapter: 27A -
17b:27a-1: Filing of paid hospital expense claims; definitions
17b:27a-3: Individual health benefits plans, applicability of act.
17b:27a-4.2: Requirements applicable to State Medicaid
17b:27a-4.3: Eligibility for enrollment in individual health benefits plan
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-5: Laws not applicable to plans
17b:27a-6: Individual health benefits plans, requirements.
17b:27a-6.1: Individual Health Coverage Program, open enrollment period established.
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-7.3: Applicability of Health Care Quality Act
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-7.9: Individual health benefits plan to offer coverage for domestic partner.
17b:27a-7.10: Individual health benefits plan, mammogram examination benefits.
17b:27a-7.12: Individual health benefits plan, coverage for prescription female contraceptives.
17b:27a-7.17: Individual health benefits plan to provide coverage for oral anticancer medication.
17b:27a-7.18: Individual health benefits plan to provide coverage for sickle cell anemia.
17b:27a-7.19: Individual health benefit plan to provide coverage for prescription eye drops.
17b:27a-7.23: Individual health benefits plan to cover digital tomosynthesis of the breast.
17b:27a-7.24: Individual health benefits plan to provide coverage for donated human breast milk.
17b:27a-7.25: Individual health benefits plan to provide coverage for breastfeeding support.
17b:27a-7.26: Individual health benefits plan to meet essential health benefits requirements.
17b:27a-7.27: Individual health benefits plan to cover preventive services.
17b:27a-7.28: Individual health benefits plan to provide coverage for certain prescription drugs.
17b:27a-7.29: Individual health benefits plan to cover adolescent depression screenings.
17b:27a-7.30: Individual health benefits plan to cover newborn home nurse visitation.
17b:27a-7.31: Individual health benefits plan, coverage, insulin for diabetes treatment.
17b:27a-7.32: Individual health benefits plan, coverage, epinephrine auto-injector device.
17b:27a-7.33: Individual health benefits plan, coverage, prescription asthma inhaler.
17b:27a-8: Offering of certain coverage not required
17b:27a-9: Determination of rates.
17b:27a-10: New Jersey Individual Health Coverage Program; board of directors.
17b:27a-10.3: Definitions relative to health insurance premiums.
17b:27a-10.4: Health Insurance Premium Security Plan.
17b:27a-10.5: Payment parameters.
17b:27a-10.6: Calculation of reinsurance payment.
17b:27a-10.7: Requests for reinsurance payments.
17b:27a-10.8: Accounting for each benefit year.
17b:27a-10.9: Application for waiver of ACA.
17b:27a-10.10: New Jersey Health Insurance Premium Security Fund.
17b:27a-10.12: Violations, penalties.
17b:27a-10.13: Rules, regulations.
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-19a: Small employer carrier, offering of high deductible plan.
17b:27a-19.1: Hospital confinement, other supplemental limited benefit insurance plans; requirements
17b:27a-19.2: Coverage for birth and natal care; small employer health policy.
17b:27a-19.3: Regulations governing rating methodology, calculation of loss ratios
17b:27a-19.5: Applicability of Health Care Quality Act
17b:27a-19.8: Coverage for hemophilia services by small employer plan
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-19.15: 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-19.22: Small employer health benefits plan to provide coverage for sickle cell anemia.
17b:27a-19.23: Small employer health benefits plan to provide coverage for prescription eye drops.
17b:27a-19.24b: Carrier, prescription drug formulary, exceptions and appeals process.
17b:27a-19.27: Small employer health benefits plan to cover digital tomosynthesis of the breast.
17b:27a-19.29: Small employer health benefits plan to provide coverage for breastfeeding support.
17b:27a-19.30: Small employer health benefits plan to meet essential health benefits requirements.
17b:27a-19.31: Small employer health benefits plan to cover preventive services.
17b:27a-19.33: Small employer health benefits plan to cover adolescent depression screenings.
17b:27a-19.34: Small employer health benefits plan to cover newborn home nurse visitation.
17b:27a-19.35: Small employer health benefits plan, coverage, insulin for diabetes treatment.
17b:27a-19.36: Small employer health benefits plan, coverage, epinephrine auto-injector device.
17b:27a-19.37: Small employer health benefits plan, coverage, prescription asthma inhaler.
17b:27a-20: Coinsurance, deductibles applicable
17b:27a-20.1: Rules, regulations.
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-23: Policies, contracts renewable; exceptions.
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-30: Submission of plan of operation
17b:27a-31: Contents of plan of operation
17b:27a-32: Authority of board
17b:27a-33: Formulation of five health benefits plans
17b:27a-41: Violations, penalty
17b:27a-43: Violations, penalties
17b:27a-44: Assessments not charged to policyholders, public
17b:27a-45: Standard claim form
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-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-56: Provision of biannual surveys to DOBI by health insurers.
17b:27a-57: "Health Insurance Exchange Trust Fund."
17b:27a-59: Rules, regulations.
17b:27a-60: Essential health benefits defined.
17b:27a-59.3: Assistance eligibility, Department of Banking and Insurance.
17b:27a-59.7: Consenting to information sharing, system established.
17b:27a-59.2: "New Jersey Easy Enrollment Health Insurance Program" established.
17b:27a-59.6: Tax return, individual not covered, minimum essential coverage.
17b:27a-59.5: Data privacy, security safeguards.
17b:27a-59.4: Special enrollment period, New Jersey individual health insurance market, established.
17b:27a-61: Carrier seeking rate increase.
17b:27a-62: Information to support, justify rate requests.
17b:27a-63: Additional information requested by department.
17b:27a-64: Disclosure of information.
17b:27a-65: Definitions relative to certain assessments.
17b:27a-66: Filing of net written premiums.
17b:27a-67: "Health Insurance Affordability Fund."