Chapter

Chapter 2J

N.J. Stat. Ann. § 26:2J-1— Short title
N.J. Stat. Ann. § 26:2J-2— Definitions
N.J. Stat. Ann. § 26:2J-3— Establishment of health maintenance organizations
N.J. Stat. Ann. § 26:2J-4— Issuance of certificate of authority
N.J. Stat. Ann. § 26:2J-4.1— Health maintenance organization to pay benefits for treatment of Wilm's tumor
N.J. Stat. Ann. § 26:2J-4.4— Health maintenance organization, mammogram examination benefits
N.J. Stat. Ann. § 26:2J-4.5— Health maintenance organization, benefits for "off-label" drugs required
N.J. Stat. Ann. § 26:2J-4.6— Health maintenance organization, benefits for health promotion
N.J. Stat. Ann. § 26:2J-4.7— Requirements for health maintenance organization providing benefits for pharmacy services
N.J. Stat. Ann. § 26:2J-4.8— Benefits for certain cancer treatments
N.J. Stat. Ann. § 26:2J-4.9— Coverage for birth and natal care; HMO
N.J. Stat. Ann. § 26:2J-4.10— Health maintenance organization, child screening, blood lead, hearing loss; immunizations
N.J. Stat. Ann. § 26:2J-4.11— Coverage, diabetes treatment by HMO contracts
N.J. Stat. Ann. § 26:2J-4.12— HMO contracts, Pap smear benefits
N.J. Stat. Ann. § 26:2J-4.13— HMO certificate of authority, prostate cancer testing
N.J. Stat. Ann. § 26:2J-4.14— HMO to provide benefits for reconstructive breast surgery
N.J. Stat. Ann. § 26:2J-4.15— Coverage for minimum inpatient care following mastectomy by HMO
N.J. Stat. Ann. § 26:2J-4.16— Applicability of Health Care Quality Act
N.J. Stat. Ann. § 26:2J-4.17— Coverage for treatment of inherited metabolic diseases by health maintenance organization
N.J. Stat. Ann. § 26:2J-4.18— Coverage for treatment of domestic violence injuries by health maintenance organization
N.J. Stat. Ann. § 26:2J-4.19— Coverage for certain dental procedures for the severely disabled or child age five or under by HMO
N.J. Stat. Ann. § 26:2J-4.20— HMO to provide coverage for mental health conditions, substance use disorders; collaborative care model
N.J. Stat. Ann. § 26:2J-4.21— HMO to provide continuing nursing home care, certain
N.J. Stat. Ann. § 26:2J-4.22— Coverage for hemophilia services by HMO
N.J. Stat. Ann. § 26:2J-4.23— Health maintenance organization to provide coverage for treatment of infertility
N.J. Stat. Ann. § 26:2J-4.24— HMO agreement to provide coverage for colorectal cancer screening
N.J. Stat. Ann. § 26:2J-4.25— Health maintenance organization prescription drug plans to cover certain infant formulas
N.J. Stat. Ann. § 26:2J-4.26— HMO required to cover certain out-of-network services
N.J. Stat. Ann. § 26:2J-4.27— HMO to offer coverage for domestic partner
N.J. Stat. Ann. § 26:2J-4.28— HMO, high deductible, coverage for preventive care
N.J. Stat. Ann. § 26:2J-4.29— Health service corporation, coverage for prescription female contraceptives
N.J. Stat. Ann. § 26:2J-4.30— Health maintenance organization, coverage for contraceptives
N.J. Stat. Ann. § 26:2J-4.31— HMOs to provide benefits for orthotic and prosthetic appliances
N.J. Stat. Ann. § 26:2J-4.32— Health maintenance organization to provide coverage for hearing aids, cochlear implant for enrollee
N.J. Stat. Ann. § 26:2J-4.33— Health maintenance organization to provide installment payments to obstetrical provider for maternity services
N.J. Stat. Ann. § 26:2J-4.34— Health maintenance organization to provide benefits for treatment of autism or other developmental disability
N.J. Stat. Ann. § 26:2J-4.35— HMO to provide coverage for oral anticancer medications
N.J. Stat. Ann. § 26:2J-4.36— HMO to provide coverage for sickle cell anemia
N.J. Stat. Ann. § 26:2J-4.37— Health maintenance organization to provide coverage for prescription eye drops
N.J. Stat. Ann. § 26:2J-4.38— Health maintenance organization, coverage for synchronization of prescribed medications
N.J. Stat. Ann. § 26:2J-4.39— Health maintenance organization contract to provide benefits for substance use disorder
N.J. Stat. Ann. § 26:2J-4.40— Health maintenance organization to provide coverage regardless of gender identity, expression
N.J. Stat. Ann. § 26:2J-4.41— HMO to cover digital tomosynthesis of the breast
N.J. Stat. Ann. § 26:2J-4.42— HMO to provide coverage for donated human breast milk
N.J. Stat. Ann. § 26:2J-4.43— Health maintenance organization to provide coverage for standard fertility preservation services
N.J. Stat. Ann. § 26:2J-4.44— Health maintenance organization to provide coverage for breastfeeding support
N.J. Stat. Ann. § 26:2J-4.45— Health maintenance organization to cover preventive services
N.J. Stat. Ann. § 26:2J-4.46— Health maintenance organization to provide certain coverage for prescription drugs
N.J. Stat. Ann. § 26:2J-4.47— Health maintenance organization to cover adolescent depression screenings
N.J. Stat. Ann. § 26:2J-4.48— HMO to cover newborn home nurse visitation
N.J. Stat. Ann. § 26:2J-4.49— Contract, health care services, coverage, epinephrine auto-injector device
N.J. Stat. Ann. § 26:2J-4.50— Contract, health care services, coverage, prescription asthma inhaler
N.J. Stat. Ann. § 26:2J-4.51— Biomarker precision medical testing coverage, health maintenance organization contracts
N.J. Stat. Ann. § 26:2J-4.52— Certificate of authority to establish and operate a health maintenance organization, HIV preexposure prophylaxis, HIV postexposure prophylaxis
N.J. Stat. Ann. § 26:2J-4.53— Benefits provided under enrollee agreements
N.J. Stat. Ann. § 26:2J-5— Powers of health maintenance organizations
N.J. Stat. Ann. § 26:2J-6— Governing body
N.J. Stat. Ann. § 26:2J-7— Protection against wrongful acts
N.J. Stat. Ann. § 26:2J-8— Evidence of coverage
N.J. Stat. Ann. § 26:2J-8.1— Health maintenance organization to receive, transmit transactions electronically; standards
N.J. Stat. Ann. § 26:2J-9— Annual report
N.J. Stat. Ann. § 26:2J-10— Information to enrollees
N.J. Stat. Ann. § 26:2J-10.1— Coverage provided by health maintenance organization for subscriber's child
N.J. Stat. Ann. § 26:2J-10.2— Requirements applicable to State Medicaid
N.J. Stat. Ann. § 26:2J-10.3— Coverage for certain dependents until age 31 by health maintenance organization
N.J. Stat. Ann. § 26:2J-11— Annual open enrollment period
N.J. Stat. Ann. § 26:2J-11.1— Failure to agree on terms; four-month extension; notification of options
N.J. Stat. Ann. § 26:2J-12— Complaint system
N.J. Stat. Ann. § 26:2J-13— Investments
N.J. Stat. Ann. § 26:2J-14— Protection against insolvency
N.J. Stat. Ann. § 26:2J-15— Prohibited practices for health maintenance organization
N.J. Stat. Ann. § 26:2J-15.1— Health care services contract, exclusion, rates, terms based on genetic information prohibited
N.J. Stat. Ann. § 26:2J-16— Regulation of agents
N.J. Stat. Ann. § 26:2J-17— Powers of insurers and hospital and medical service corporations
N.J. Stat. Ann. § 26:2J-18— Examinations
N.J. Stat. Ann. § 26:2J-18.1— Examination of HMO by Commissioner of Banking and Insurance
N.J. Stat. Ann. § 26:2J-18.2— Definitions relative to risk based capital requirements for HMOs
N.J. Stat. Ann. § 26:2J-18.3— Increase of capital, surplus; methods, procedures
N.J. Stat. Ann. § 26:2J-18.4— Factors in determining change in capital, surplus
N.J. Stat. Ann. § 26:2J-18.5— Noncompliance, penalties
N.J. Stat. Ann. § 26:2J-18.6— Regulations
N.J. Stat. Ann. § 26:2J-19— Suspension or revocation of certificate of authority
N.J. Stat. Ann. § 26:2J-21— Regulation
N.J. Stat. Ann. § 26:2J-22— Administrative procedures
N.J. Stat. Ann. § 26:2J-23— Fees
N.J. Stat. Ann. § 26:2J-24— Administrative penalty; enforcement
N.J. Stat. Ann. § 26:2J-25— Statutory construction and relationship to other laws
N.J. Stat. Ann. § 26:2J-26— Filings and reports as public documents
N.J. Stat. Ann. § 26:2J-27— Confidentiality of medical information
N.J. Stat. Ann. § 26:2J-28— Commissioner of health's authority to contract
N.J. Stat. Ann. § 26:2J-29— Enrollment of State employees
N.J. Stat. Ann. § 26:2J-30— Severability
N.J. Stat. Ann. § 26:2J-31— Definitions
N.J. Stat. Ann. § 26:2J-32— Applicability of act
N.J. Stat. Ann. § 26:2J-33— Avoidance of duplication of benefits, regulations
N.J. Stat. Ann. § 26:2J-34— Coverage for preexisting condition
N.J. Stat. Ann. § 26:2J-35— Regulations
N.J. Stat. Ann. § 26:2J-36— Authorization for health maintenance organization to offer, provide medicare supplement health care services
N.J. Stat. Ann. § 26:2J-37— Submission of underlying plan; rate filings
N.J. Stat. Ann. § 26:2J-38— Outline of coverage delivered to applicant
N.J. Stat. Ann. § 26:2J-39— 30-day return provision, refunds
N.J. Stat. Ann. § 26:2J-40— Filing of copy of advertising materials, regulations
N.J. Stat. Ann. § 26:2J-41— Additional remedies
N.J. Stat. Ann. § 26:2J-42— Health maintenance organization contract; compliance
N.J. Stat. Ann. § 26:2J-43— Filing of contract or related form
N.J. Stat. Ann. § 26:2J-44— Contract forms; certification memorandum
N.J. Stat. Ann. § 26:2J-47— Annual assessment on HMOs
N.J. Stat. Ann. § 26:2J-48— Health maintenance organization, aggregate benefits