Chapter

Chapter 48E

N.J. Stat. Ann. § 17:48E-1— Definitions
N.J. Stat. Ann. § 17:48E-2— Establishment of health service corporation
N.J. Stat. Ann. § 17:48E-3— Health service corporations
N.J. Stat. Ann. § 17:48E-4— Certificate of authority
N.J. Stat. Ann. § 17:48E-5— Merger procedure
N.J. Stat. Ann. § 17:48E-6— Board of health service corporation formed through merger
N.J. Stat. Ann. § 17:48E-7— Board of directors of health service corporation
N.J. Stat. Ann. § 17:48E-8— Vacancy procedure
N.J. Stat. Ann. § 17:48E-9— Executive committee
N.J. Stat. Ann. § 17:48E-10— Agreements with service providers
N.J. Stat. Ann. § 17:48E-10.1— Health service corporation to receive, transmit transactions electronically; standards
N.J. Stat. Ann. § 17:48E-10.2— Payment of out-of-network dental benefits by health service corporation
N.J. Stat. Ann. § 17:48E-11— Professional Advisory Committee
N.J. Stat. Ann. § 17:48E-12— Eligible providers' services
N.J. Stat. Ann. § 17:48E-13— Approval of forms
N.J. Stat. Ann. § 17:48E-13.1— Health service corporation contract; compliance
N.J. Stat. Ann. § 17:48E-13.2— Filing of contract or related form
N.J. Stat. Ann. § 17:48E-13.3— Contract forms; certification memorandum
N.J. Stat. Ann. § 17:48E-14— Individual contract requirements
N.J. Stat. Ann. § 17:48E-15— Classification permitted
N.J. Stat. Ann. § 17:48E-15.1— Eligibility for enrollment in health service corporation
N.J. Stat. Ann. § 17:48E-15.2— Health service corporation contract, exclusion, rates, terms based on genetic information prohibited
N.J. Stat. Ann. § 17:48E-16— Joint ventures
N.J. Stat. Ann. § 17:48E-17— Expense limits; investments; administrative services
N.J. Stat. Ann. § 17:48E-17.1— Two special contingent surplus accounts
N.J. Stat. Ann. § 17:48E-17.2— Special contingent surplus required for health service corporation
N.J. Stat. Ann. § 17:48E-17.3— Examination of annual regulatory filings; annual audit
N.J. Stat. Ann. § 17:48E-17.4— Health service corporation, aggregate benefits
N.J. Stat. Ann. § 17:48E-18— Annual contract, renewal; family coverage
N.J. Stat. Ann. § 17:48E-19— Provisions of subscription certificates
N.J. Stat. Ann. § 17:48E-20— Coverage for newborn child
N.J. Stat. Ann. § 17:48E-21— Coverage for former spouse
N.J. Stat. Ann. § 17:48E-22— Coverage for child with intellectual disability, physical handicap
N.J. Stat. Ann. § 17:48E-23— Group contracts
N.J. Stat. Ann. § 17:48E-24— Provisions of group contract forms
N.J. Stat. Ann. § 17:48E-25— "Employee" coverage
N.J. Stat. Ann. § 17:48E-26— Experience rating
N.J. Stat. Ann. § 17:48E-27— Rate schedule filing
N.J. Stat. Ann. § 17:48E-27.1— Individual contract rate changes
N.J. Stat. Ann. § 17:48E-28— Group coverage for newborn child
N.J. Stat. Ann. § 17:48E-29— Nongroup coverage for former spouse
N.J. Stat. Ann. § 17:48E-30— Group coverage for child with intellectual disability, physical handicap
N.J. Stat. Ann. § 17:48E-30.1— Coverage for certain dependents until age 31 by health service corporation
N.J. Stat. Ann. § 17:48E-31— Family coverage after member's death
N.J. Stat. Ann. § 17:48E-32— Continuation of coverage for totally disabled
N.J. Stat. Ann. § 17:48E-32.1— Coverage provided by health service corporation for subscriber's child
N.J. Stat. Ann. § 17:48E-32.2— Requirements applicable to State Medicaid
N.J. Stat. Ann. § 17:48E-33— Second, third surgical opinions
N.J. Stat. Ann. § 17:48E-35— Reconstructive breast surgery benefits
N.J. Stat. Ann. § 17:48E-35.1— Benefits for home treatment of hemophilia
N.J. Stat. Ann. § 17:48E-35.2— Health service corporation insurance benefits for preexisting condition
N.J. Stat. Ann. § 17:48E-35.3— Health service corporation to pay benefits for treatment of Wilm's tumor
N.J. Stat. Ann. § 17:48E-35.4— Health service corporation contract, mammogram examination benefits
N.J. Stat. Ann. § 17:48E-35.5— Health service corporation, benefits for "off-label" drugs required
N.J. Stat. Ann. § 17:48E-35.6— Health service corporation, benefits for health promotion
N.J. Stat. Ann. § 17:48E-35.7— Requirements for health service corporation providing benefits for pharmacy services
N.J. Stat. Ann. § 17:48E-35.8— Benefits for certain cancer treatments
N.J. Stat. Ann. § 17:48E-35.9— Coverage for birth and natal care; health service corporation
N.J. Stat. Ann. § 17:48E-35.10— Health service corporation contracts, child screening, blood lead, hearing loss; immunizations
N.J. Stat. Ann. § 17:48E-35.11— Coverage for diabetes treatment by individual group health service corporation
N.J. Stat. Ann. § 17:48E-35.12— Health service corporation contract, Pap smear benefits
N.J. Stat. Ann. § 17:48E-35.13— Health service corporation contract, prostate cancer testing
N.J. Stat. Ann. § 17:48E-35.14— Coverage for minimum inpatient care following mastectomy by individual, group health service corporation
N.J. Stat. Ann. § 17:48E-35.15— Applicability of Health Care Quality Act
N.J. Stat. Ann. § 17:48E-35.16— Coverage for treatment of inherited metabolic diseases by health service corporation
N.J. Stat. Ann. § 17:48E-35.17— Health service corporation to cover certain audiology, speech-language pathology services
N.J. Stat. Ann. § 17:48E-35.18— Coverage for treatment of domestic violence injuries by health service corporation
N.J. Stat. Ann. § 17:48E-35.19— Coverage for certain dental procedures for the severely disabled or child age five or under by health service corporation
N.J. Stat. Ann. § 17:48E-35.20— Health service corporation to provide coverage for mental health conditions, substance use disorders; collaborative care model
N.J. Stat. Ann. § 17:48E-35.21— Coverage for hemophilia services by health service corporation
N.J. Stat. Ann. § 17:48E-35.22— Health service corporation to provide coverage for treatment of infertility
N.J. Stat. Ann. § 17:48E-35.23— Health service corporation to provide coverage for colorectal cancer screening
N.J. Stat. Ann. § 17:48E-35.24— Health service corporation prescription drug plans to cover certain infant formulas
N.J. Stat. Ann. § 17:48E-35.25— Contract issued under C.17:48E-1 et seq. required to cover certain out-of-network services
N.J. Stat. Ann. § 17:48E-35.26— Health service corporation to offer coverage for domestic partner
N.J. Stat. Ann. § 17:48E-35.27— Health service corporation, high deductible, coverage for preventive care
N.J. Stat. Ann. § 17:48E-35.28— Health service corporation, high deductible, deductible inapplicable, certain circumstances
N.J. Stat. Ann. § 17:48E-35.29— Health service corporation, coverage for contraceptives
N.J. Stat. Ann. § 17:48E-35.30— Health service corporation to provide benefits for orthotic and prosthetic appliances
N.J. Stat. Ann. § 17:48E-35.31— Health service corporation to provide coverage for hearing aids, cochlear implant for covered persons
N.J. Stat. Ann. § 17:48E-35.32— Individual, group health service corporation to provide installment payments to obstetrical provider for maternity services
N.J. Stat. Ann. § 17:48E-35.33— Health service corporation to provide benefits for treatment of autism or other developmental disability
N.J. Stat. Ann. § 17:48E-35.34— Health service corporation to provide coverage for oral anticancer medications
N.J. Stat. Ann. § 17:48E-35.35— Health service corporation to provide coverage for sickle cell anemia
N.J. Stat. Ann. § 17:48E-35.36— Health service corporation to provide coverage for prescription eye drops
N.J. Stat. Ann. § 17:48E-35.37— Health service corporation contract, coverage for synchronization of prescribed medications
N.J. Stat. Ann. § 17:48E-35.38— Health service corporation to provide benefits for treatment of substance use disorder
N.J. Stat. Ann. § 17:48E-35.39— Health service corporation to provide coverage regardless of gender identity, expression
N.J. Stat. Ann. § 17:48E-35.40— Health service corporation contract to cover digital tomosynthesis of the breast
N.J. Stat. Ann. § 17:48E-35.41— Health service corporation to provide coverage for donated human breast milk
N.J. Stat. Ann. § 17:48E-35.42— Health service corporation to provide coverage for standard fertility preservation services
N.J. Stat. Ann. § 17:48E-35.43— Health service corporation to provide coverage for breastfeeding support
N.J. Stat. Ann. § 17:48E-35.44— Health service corporation to cover preventive services
N.J. Stat. Ann. § 17:48E-35.45— Health service corporation to provide certain coverage for prescription drugs
N.J. Stat. Ann. § 17:48E-35.46— Health service corporation to cover adolescent depression screenings
N.J. Stat. Ann. § 17:48E-35.47— Health service corporation to cover newborn home nurse visitations
N.J. Stat. Ann. § 17:48E-35.48— Individual, group health service corporation contract, coverage, epinephrine auto-injector device
N.J. Stat. Ann. § 17:48E-35.49— Individual, group health service corporation contract, coverage, prescription asthma inhaler
N.J. Stat. Ann. § 17:48E-35.50— Biomarker precision medical testing coverage, health service corporation contracts
N.J. Stat. Ann. § 17:48E-35.51— Group, individual health service corporation contracts, HIV preexposure prophylaxis, HIV postexposure prophylaxis
N.J. Stat. Ann. § 17:48E-35.52— Benefits provided under health service corporation contracts
N.J. Stat. Ann. § 17:48E-36— Annual financial statement
N.J. Stat. Ann. § 17:48E-37— Examination authority
N.J. Stat. Ann. § 17:48E-37.1— Definitions
N.J. Stat. Ann. § 17:48E-37.2— Increase in amount of capital or surplus required of health service corporation
N.J. Stat. Ann. § 17:48E-37.3— Determination of increase, revision or redetermination; factors
N.J. Stat. Ann. § 17:48E-37.4— Suspension, revocation of authority to do business
N.J. Stat. Ann. § 17:48E-37.5— Rules, regulations
N.J. Stat. Ann. § 17:48E-38— Fee schedule
N.J. Stat. Ann. § 17:48E-39— Penalties for violations
N.J. Stat. Ann. § 17:48E-41— Health service corporation, exemption from taxes
N.J. Stat. Ann. § 17:48E-42— For-profit corporations excluded
N.J. Stat. Ann. § 17:48E-43— Subject to review
N.J. Stat. Ann. § 17:48E-44— Rules, regulations
N.J. Stat. Ann. § 17:48E-45— Definitions relative to conversion
N.J. Stat. Ann. § 17:48E-46— Conversion of health service corporation to domestic mutual insurer
N.J. Stat. Ann. § 17:48E-46.1— Findings, declarations relative to the reorganization of a health service corporation
N.J. Stat. Ann. § 17:48E-46.2— Definitions relative to the reorganization of a health service corporation
N.J. Stat. Ann. § 17:48E-46.3— Mutual holding company, not for pecuniary profit, mission
N.J. Stat. Ann. § 17:48E-46.4— Health service corporation to reorganize into mutual holding company system
N.J. Stat. Ann. § 17:48E-46.5— Health service corporation applicationto form mutual holding company system
N.J. Stat. Ann. § 17:48E-46.6— Monitoring mutual holding company's operations
N.J. Stat. Ann. § 17:48E-46.7— Investments; supplier program; mutualization; reorganization plans
N.J. Stat. Ann. § 17:48E-46.8— Non-obligation of distribution payment to members, policyholders
N.J. Stat. Ann. § 17:48E-46.9— Membership in mutual holding company
N.J. Stat. Ann. § 17:48E-46.10— Plan of dissolution
N.J. Stat. Ann. § 17:48E-46.11— Annual statements; report to the Governor
N.J. Stat. Ann. § 17:48E-46.12— Public records
N.J. Stat. Ann. § 17:48E-46.13— Initial and annual assessments
N.J. Stat. Ann. § 17:48E-46.14— Mutual holding company
N.J. Stat. Ann. § 17:48E-46.15— Board of the mutual holding company; membership, transitional period, diversity
N.J. Stat. Ann. § 17:48E-46.16— Full-time employees maintained for 36 months following transition
N.J. Stat. Ann. § 17:48E-46.17— Severability
N.J. Stat. Ann. § 17:48E-47— Filing, approval of conversion plan
N.J. Stat. Ann. § 17:48E-48— Directors and officers, terms
N.J. Stat. Ann. § 17:48E-49— Definitions relative to conversion of health service corporation to domestic stock insurer
N.J. Stat. Ann. § 17:48E-50— Procedure for conversion
N.J. Stat. Ann. § 17:48E-51— Filing of application
N.J. Stat. Ann. § 17:48E-52— Approval of plan, certificate of authority
N.J. Stat. Ann. § 17:48E-53— Issuance of subsequent order
N.J. Stat. Ann. § 17:48E-54— Transfer of fair market value
N.J. Stat. Ann. § 17:48E-55— Continuation of health service corporation
N.J. Stat. Ann. § 17:48E-56— Conversion of policies
N.J. Stat. Ann. § 17:48E-57— Receipt of compensation contingent upon approval of plan prohibited
N.J. Stat. Ann. § 17:48E-58— Documents considered public records; exceptions
N.J. Stat. Ann. § 17:48E-59— Conversion effective; conditions
N.J. Stat. Ann. § 17:48E-60— Abandonment, amendment of plan of conversion
N.J. Stat. Ann. § 17:48E-61— Directors, officers continue to serve
N.J. Stat. Ann. § 17:48E-62— Participation of Attorney General
N.J. Stat. Ann. § 17:48E-63— Orders, rules, regulations
N.J. Stat. Ann. § 17:48E-64— Construction of act
N.J. Stat. Ann. § 17:48E-65— Requirements prior to action constituting material change in form
N.J. Stat. Ann. § 17:48E-66— Notification of action constituting material change in form, procedure
N.J. Stat. Ann. § 17:48E-67— Petition for review of foundation plan
N.J. Stat. Ann. § 17:48E-68— Foundations; board, membership