N.J. Admin. Code § 11:20-3A.2

Current through Register Vol. 56, No. 19, October 7, 2024

Section 11:20-3A.2 - Certification of Compliance

(a) Before marketing, issuing or renewing any of the standard policy forms, a member shall file with the Department, the Certification of Compliance set forth in the Appendix to this subchapter as Exhibit E, incorporated herein by reference. Each affiliated carrier must file a separate Certification of Compliance. A Certification of Compliance must be filed upon entry into the individual market and annually on or before March 1.

(b) Carriers that submit an Exhibit E Certification of Compliance may issue and make effective individual health benefits plans upon filing such Certification with the Department and may continue to do so until such time as the filing is disapproved in writing by the Department. The Department may disapprove an Exhibit E Certification of Compliance if the Certification is inaccurate or incomplete.

(c) Any carrier whose Certification of Compliance is disapproved may file an appeal of the Department's determination and request a hearing within 20 days of receipt of written notification of the Department's final determination.

N.J. Admin. Code § 11:20-3A.2