Chapter

Chapter 27A

N.J. Stat. Ann. § 17B:27A-1— Filing of paid hospital expense claims; definitions
N.J. Stat. Ann. § 17B:27A-2— Definitions
N.J. Stat. Ann. § 17B:27A-2.1— Regulations
N.J. Stat. Ann. § 17B:27A-2.2— Effective date
N.J. Stat. Ann. § 17B:27A-3— Individual health benefits plans, applicability of act
N.J. Stat. Ann. § 17B:27A-4— Offering of individual health benefits required by issuer of small employer health benefits plans
N.J. Stat. Ann. § 17B:27A-4.1— Individual policy, contract for hospital, medical expense benefits, coverage of subscriber's child
N.J. Stat. Ann. § 17B:27A-4.2— Requirements applicable to State Medicaid
N.J. Stat. Ann. § 17B:27A-4.3— Eligibility for enrollment in individual health benefits plan
N.J. Stat. Ann. § 17B:27A-5— Laws not applicable to managed care health benefits plans
N.J. Stat. Ann. § 17B:27A-6— Individual health benefits plans, requirements
N.J. Stat. Ann. § 17B:27A-6.1— Individual Health Coverage Program, open enrollment period established
N.J. Stat. Ann. § 17B:27A-7— Approval of policy and contract forms, benefit levels
N.J. Stat. Ann. § 17B:27A-7.1— Coverage for birth and natal care; individual health policy
N.J. Stat. Ann. § 17B:27A-7.2— Coverage for minimum inpatient care following mastectomy by individual health benefits plan
N.J. Stat. Ann. § 17B:27A-7.3— Applicability of Health Care Quality Act
N.J. Stat. Ann. § 17B:27A-7.4— Coverage for treatment of inherited metabolic diseases by individual health benefits plan
N.J. Stat. Ann. § 17B:27A-7.5— Individual health benefits plan to provide coverage for mental health conditions, substance use disorders; collaborative care model
N.J. Stat. Ann. § 17B:27A-7.6— Coverage for hemophilia services by individual health policy
N.J. Stat. Ann. § 17B:27A-7.7— Individual health benefits plan to provide coverage for colorectal cancer screening
N.J. Stat. Ann. § 17B:27A-7.8— Policy, contract issued under C.17B:27A-2 et seq. required to cover certain out-of-network services
N.J. Stat. Ann. § 17B:27A-7.9— Individual health benefits plan to offer coverage for domestic partner
N.J. Stat. Ann. § 17B:27A-7.10— Individual health benefits plan, mammogram examination benefits
N.J. Stat. Ann. § 17B:27A-7.11— Individual health benefits plan, high deductible, deductible inapplicable, certain circumstances
N.J. Stat. Ann. § 17B:27A-7.12— Individual health benefits plan, coverage for contraceptives
N.J. Stat. Ann. § 17B:27A-7.13— Individual health benefits plans to provide benefits for orthotic and prosthetic appliances
N.J. Stat. Ann. § 17B:27A-7.14— Individual health benefits plan to provide coverage for hearing aids, cochlear implant for covered persons
N.J. Stat. Ann. § 17B:27A-7.15— Individual health benefits plan to provide installment payments to obstetrical provider for maternity services
N.J. Stat. Ann. § 17B:27A-7.16— Individual health benefits plan to provide benefits for treatment of autism or other developmental disability
N.J. Stat. Ann. § 17B:27A-7.17— Individual health benefits plan to provide coverage for oral anticancer medication
N.J. Stat. Ann. § 17B:27A-7.18— Individual health benefits plan to provide coverage for sickle cell anemia
N.J. Stat. Ann. § 17B:27A-7.19— Individual health benefits plan to provide coverage for prescription eye drops
N.J. Stat. Ann. § 17B:27A-7.20— Individual health benefits plan, coverage for synchronization of prescribed medications
N.J. Stat. Ann. § 17B:27A-7.21— Individual health benefits plan to provide benefits for treatment of substance use disorder
N.J. Stat. Ann. § 17B:27A-7.22— Individual health benefits plan to provide coverage regardless of gender identity, expression
N.J. Stat. Ann. § 17B:27A-7.23— Individual health benefits plan to cover digital tomosynthesis of the breast
N.J. Stat. Ann. § 17B:27A-7.24— Individual health benefits plan to provide coverage for donated human breast milk
N.J. Stat. Ann. § 17B:27A-7.25— Individual health benefits plan to provide coverage for breastfeeding support
N.J. Stat. Ann. § 17B:27A-7.26— Individual health benefits plan to meet essential health benefits requirements
N.J. Stat. Ann. § 17B:27A-7.27— Individual health benefits plan to cover preventive services
N.J. Stat. Ann. § 17B:27A-7.28— Individual health benefits plan to provide coverage for certain prescription drugs
N.J. Stat. Ann. § 17B:27A-7.29— Individual health benefits plan to cover adolescent depression screenings
N.J. Stat. Ann. § 17B:27A-7.30— Individual health benefits plan to cover newborn home nurse visitation
N.J. Stat. Ann. § 17B:27A-7.31— Individual health benefits plan, coverage, insulin for diabetes treatment
N.J. Stat. Ann. § 17B:27A-7.32— Individual health benefits plan, coverage, epinephrine auto-injector device
N.J. Stat. Ann. § 17B:27A-7.33— Individual health benefits plan, coverage, prescription asthma inhaler
N.J. Stat. Ann. § 17B:27A-7.34— Biomarker precision medical testing coverage, individual health benefits plans
N.J. Stat. Ann. § 17B:27A-7.35— Individual health benefits plan, HIV preexposure prophylaxis, HIV postexposure prophylaxis
N.J. Stat. Ann. § 17B:27A-7.36— Benefits provided under individual health benefits plans
N.J. Stat. Ann. § 17B:27A-8— Offering of certain coverage not required
N.J. Stat. Ann. § 17B:27A-9— Determination of rates
N.J. Stat. Ann. § 17B:27A-10— New Jersey Individual Health Coverage Program; board of directors
N.J. Stat. Ann. § 17B:27A-10.1— Short title
N.J. Stat. Ann. § 17B:27A-10.2— Purpose of act
N.J. Stat. Ann. § 17B:27A-10.3— Definitions relative to health insurance premiums
N.J. Stat. Ann. § 17B:27A-10.4— Health Insurance Premium Security Plan
N.J. Stat. Ann. § 17B:27A-10.5— Payment parameters
N.J. Stat. Ann. § 17B:27A-10.6— Calculation of reinsurance payment
N.J. Stat. Ann. § 17B:27A-10.7— Requests for reinsurance payments
N.J. Stat. Ann. § 17B:27A-10.8— Accounting for each benefit year
N.J. Stat. Ann. § 17B:27A-10.9— Application for waiver of ACA
N.J. Stat. Ann. § 17B:27A-10.10— New Jersey Health Insurance Premium Security Fund
N.J. Stat. Ann. § 17B:27A-10.11— Annual report
N.J. Stat. Ann. § 17B:27A-10.12— Violations, penalties
N.J. Stat. Ann. § 17B:27A-10.13— Rules, regulations
N.J. Stat. Ann. § 17B:27A-10.14— Study, Department of Banking and Insurance, New Jersey Individual Health Coverage Program, New Jersey Small Employer Health Benefits Program; report, Governor, Legislature
N.J. Stat. Ann. § 17B:27A-11— Powers, authority of program, board
N.J. Stat. Ann. § 17B:27A-12— Procedures for equitable sharing of program losses
N.J. Stat. Ann. § 17B:27A-12.1— Exemption from liability, certain, for HMO formed by UMDNJ
N.J. Stat. Ann. § 17B:27A-13— Statement of net paid losses
N.J. Stat. Ann. § 17B:27A-14— Determination of disproportionate share of substandard risks
N.J. Stat. Ann. § 17B:27A-15— Sale of health benefits plan
N.J. Stat. Ann. § 17B:27A-16— Submission of rate filings by health maintenance organization not required
N.J. Stat. Ann. § 17B:27A-16.1— Board actions subject to provisions of section; "action" defined; procedure
N.J. Stat. Ann. § 17B:27A-16.2— Adoption of temporary plan of operation
N.J. Stat. Ann. § 17B:27A-16.3— Purchase of other insurance coverage not required
N.J. Stat. Ann. § 17B:27A-16.4— Adoption of standard claim form
N.J. Stat. Ann. § 17B:27A-16.5— Hospital, medical insurance policy renewals; filing of rates
N.J. Stat. Ann. § 17B:27A-17— Definitions relative to small employer health benefits plans
N.J. Stat. Ann. § 17B:27A-18— Providers of health benefits, services subject to provisions of act
N.J. Stat. Ann. § 17B:27A-18.1— Provision of benefits to subscriber's child under small employer policy, contract
N.J. Stat. Ann. § 17B:27A-18.2— Requirements applicable to State Medicaid
N.J. Stat. Ann. § 17B:27A-19— Health benefits plans offered to small employers; exceptions
N.J. Stat. Ann. § 17B:27A-19.1— Hospital confinement, other supplemental limited benefit insurance plans; requirements
N.J. Stat. Ann. § 17B:27A-19.2— Coverage for birth and natal care; small employer health policy
N.J. Stat. Ann. § 17B:27A-19.3— Regulations governing rating methodology, calculation of loss ratios
N.J. Stat. Ann. § 17B:27A-19.4— Coverage for minimum inpatient care following mastectomy by small employer health benefits plan
N.J. Stat. Ann. § 17B:27A-19.5— Applicability of Health Care Quality Act
N.J. Stat. Ann. § 17B:27A-19.6— Coverage for treatment of inherited metabolic diseases by small employer health benefits plan
N.J. Stat. Ann. § 17B:27A-19.7— Small employer health benefits plan to provide coverage for mental health conditions, substance use disorders; collaborative care model
N.J. Stat. Ann. § 17B:27A-19.8— Coverage for hemophilia services by small employer plan
N.J. Stat. Ann. § 17B:27A-19.9— Small employer health benefits plan to provide coverage for colorectal cancer screening
N.J. Stat. Ann. § 17B:27A-19.10— Policy, contract issued under C.17B:27A-17 et seq. required to cover certain out-of-network services
N.J. Stat. Ann. § 17B:27A-19.11— Carrier offering plans pursuant to C.17B:27A-17 et seq. may offer additional plan with certain limited benefits
N.J. Stat. Ann. § 17B:27A-19.12— Small employer health benefits plan to offer coverage for domestic partner
N.J. Stat. Ann. § 17B:27A-19.13— Small employer health benefits plan, mammogram examination benefits
N.J. Stat. Ann. § 17B:27A-19.14— High deductible health plan, small employer, deductible inapplicable, certain circumstances
N.J. Stat. Ann. § 17B:27A-19.15— Small employer health benefits plan, coverage for contraceptives
N.J. Stat. Ann. § 17B:27A-19.16— Coverage for certain dependents until age 31 by small employer health benefits plan
N.J. Stat. Ann. § 17B:27A-19.17— Small employer health benefits plans to provide benefits for orthotic and prosthetic appliances
N.J. Stat. Ann. § 17B:27A-19.18— Small employer health benefits plan to provide coverage for hearing aids, cochlear implant for covered persons
N.J. Stat. Ann. § 17B:27A-19.19— Small employer health benefits plan to provide installment payments to obstetrical provider for maternity services
N.J. Stat. Ann. § 17B:27A-19.20— Small employer health benefits plan to provide benefits for treatment of autism or other developmental disability
N.J. Stat. Ann. § 17B:27A-19.21— Small employer health benefits plan to provide coverage for oral anticancer medications
N.J. Stat. Ann. § 17B:27A-19.22— Small employer health benefits plan to provide coverage for sickle cell anemia
N.J. Stat. Ann. § 17B:27A-19.23— Small employer health benefits plan to provide coverage for prescription eye drops
N.J. Stat. Ann. § 17B:27A-19.24— Small employer health benefits plan, coverage for synchronization of prescribed medications
N.J. Stat. Ann. § 17B:27A-19.24a— Carrier, small-employer health benefits plan, prescription drug formulary, flexibility, limitations
N.J. Stat. Ann. § 17B:27A-19.24b— Carrier, prescription drug formulary, exceptions and appeals process
N.J. Stat. Ann. § 17B:27A-19.25— Small employer health benefits plan to provide benefits for treatment of substance use disorder
N.J. Stat. Ann. § 17B:27A-19.26— Small employer health benefits plan to provide coverage regardless of gender identity, expression
N.J. Stat. Ann. § 17B:27A-19.27— Small employer health benefits plan to cover digital tomosynthesis of the breast
N.J. Stat. Ann. § 17B:27A-19.28— Small employer health benefits plan to provide coverage for donated human breast milk
N.J. Stat. Ann. § 17B:27A-19.29— Small employer health benefits plan to provide coverage for breastfeeding support
N.J. Stat. Ann. § 17B:27A-19.30— Small employer health benefits plan to meet essential health benefits requirements
N.J. Stat. Ann. § 17B:27A-19.31— Small employer health benefits plan to cover preventive services
N.J. Stat. Ann. § 17B:27A-19.32— Small employer health benefits plan to provide certain coverage for prescription drugs
N.J. Stat. Ann. § 17B:27A-19.33— Small employer health benefits plan to cover adolescent depression screenings
N.J. Stat. Ann. § 17B:27A-19.34— Small employer health benefits plan to cover newborn home nurse visitation
N.J. Stat. Ann. § 17B:27A-19.35— Small employer health benefits plan, coverage, insulin for diabetes treatment
N.J. Stat. Ann. § 17B:27A-19.36— Small employer health benefits plan, coverage, epinephrine auto-injector device
N.J. Stat. Ann. § 17B:27A-19.37— Small employer health benefits plan, coverage, prescription asthma inhaler
N.J. Stat. Ann. § 17B:27A-19.38— Biomarker precision medical testing coverage, small employer health benefits plans
N.J. Stat. Ann. § 17B:27A-19.39— Small employer health benefits plan, HIV preexposure prophylaxis, HIV postexposure prophylaxis
N.J. Stat. Ann. § 17B:27A-19.40— Benefits provided under small employer health benefits plans
N.J. Stat. Ann. § 17B:27A-19a— Small employer carrier, offering of high deductible plan
N.J. Stat. Ann. § 17B:27A-20— Coinsurance, deductibles applicable
N.J. Stat. Ann. § 17B:27A-20.1— Rules, regulations
N.J. Stat. Ann. § 17B:27A-21— Standard coordination of benefits provisions applicable
N.J. Stat. Ann. § 17B:27A-21.1— Eligibility for enrollment in small employer health benefits plan
N.J. Stat. Ann. § 17B:27A-22— Preexisting condition provisions
N.J. Stat. Ann. § 17B:27A-23— Policies, contracts renewable; exceptions
N.J. Stat. Ann. § 17B:27A-24— Reasonable specified minimum participation
N.J. Stat. Ann. § 17B:27A-25— Premium rates; other plan requirements
N.J. Stat. Ann. § 17B:27A-25.1— Findings, declarations relative to small employer health benefits purchasing alliances
N.J. Stat. Ann. § 17B:27A-25.2— Definitions relative to small employer benefits purchasing alliances
N.J. Stat. Ann. § 17B:27A-25.3— Small Employer Purchasing Alliance, formation
N.J. Stat. Ann. § 17B:27A-25.4— Board of directors
N.J. Stat. Ann. § 17B:27A-25.5— Bylaws, contents
N.J. Stat. Ann. § 17B:27A-25.6— Further authority of alliance
N.J. Stat. Ann. § 17B:27A-25.7— Restrictions on alliances
N.J. Stat. Ann. § 17B:27A-25.8— Certificate from alliance to commissioner
N.J. Stat. Ann. § 17B:27A-25.9— Rules, regulations
N.J. Stat. Ann. § 17B:27A-26— Health maintenance organization coverage; exceptions
N.J. Stat. Ann. § 17B:27A-27— Continued coverage for certain terminated employees, dependents
N.J. Stat. Ann. § 17B:27A-28— New Jersey Small Employer Health Benefits Program created
N.J. Stat. Ann. § 17B:27A-29— Meetings, organization of board; terms
N.J. Stat. Ann. § 17B:27A-29.1— Immunity from liability for board
N.J. Stat. Ann. § 17B:27A-29.2— Rules, regulations for voluntary risk pooling arrangement
N.J. Stat. Ann. § 17B:27A-30— Submission of plan of operation
N.J. Stat. Ann. § 17B:27A-31— Contents of plan of operation
N.J. Stat. Ann. § 17B:27A-32— Authority of board
N.J. Stat. Ann. § 17B:27A-33— Formulation of five health benefits plans
N.J. Stat. Ann. § 17B:27A-33.1— Short title
N.J. Stat. Ann. § 17B:27A-33.2— Annual review, small-employer health benefits plans, publish findings, report, Department of Banking and Insurance website
N.J. Stat. Ann. § 17B:27A-41— Violations, penalty
N.J. Stat. Ann. § 17B:27A-43— Violations, penalties
N.J. Stat. Ann. § 17B:27A-44— Assessments not charged to policyholders, public
N.J. Stat. Ann. § 17B:27A-45— Standard claim form
N.J. Stat. Ann. § 17B:27A-47— Coverage obtained through out-of-State trust, compliance required
N.J. Stat. Ann. § 17B:27A-48— Multiple employer arrangement; requirements
N.J. Stat. Ann. § 17B:27A-49— Notification to commissioner by carrier of multiple employer arrangement
N.J. Stat. Ann. § 17B:27A-50— Change of coverage by small employer; restrictions
N.J. Stat. Ann. § 17B:27A-51— Board actions subject to provisions of section; "action" defined; procedure
N.J. Stat. Ann. § 17B:27A-53— Other insurance purchases not required
N.J. Stat. Ann. § 17B:27A-54— Commissioner authorized to approve establishment of arrangement; rules, regulations
N.J. Stat. Ann. § 17B:27A-55— Written notice required for issuance, renewal of high deductible health plan; declaration of understanding
N.J. Stat. Ann. § 17B:27A-56— Provision of biannual surveys to DOBI by health insurers
N.J. Stat. Ann. § 17B:27A-57— "Health Insurance Exchange Trust Fund."
N.J. Stat. Ann. § 17B:27A-58— Authority to operate a State-based exchange, coordinate operations with other entities; advisory committee
N.J. Stat. Ann. § 17B:27A-59— Rules, regulations
N.J. Stat. Ann. § 17B:27A-59.1— Definitions
N.J. Stat. Ann. § 17B:27A-59.2— "New Jersey Easy Enrollment Health Insurance Program" established
N.J. Stat. Ann. § 17B:27A-59.3— Assistance eligibility, Department of Banking and Insurance
N.J. Stat. Ann. § 17B:27A-59.4— Special enrollment period, New Jersey individual health insurance market, established
N.J. Stat. Ann. § 17B:27A-59.5— Data privacy, security safeguards
N.J. Stat. Ann. § 17B:27A-59.6— Tax return, individual not covered, minimum essential coverage
N.J. Stat. Ann. § 17B:27A-59.7— Consenting to information sharing, system established
N.J. Stat. Ann. § 17B:27A-59.8— Unemployment claim, indication of interest in obtaining minimum coverage, information sharing, consent
N.J. Stat. Ann. § 17B:27A-60— Essential health benefits defined
N.J. Stat. Ann. § 17B:27A-61— Carrier seeking rate increase
N.J. Stat. Ann. § 17B:27A-62— Information to support, justify rate requests
N.J. Stat. Ann. § 17B:27A-63— Additional information requested by department
N.J. Stat. Ann. § 17B:27A-64— Disclosure of information
N.J. Stat. Ann. § 17B:27A-65— Definitions relative to certain assessments
N.J. Stat. Ann. § 17B:27A-66— Filing of net written premiums
N.J. Stat. Ann. § 17B:27A-67— "Health Insurance Affordability Fund."