N.J. Admin. Code § 11:20-8.2

Current through Register Vol. 57, No. 1, January 6, 2025

Section 11:20-8.2 - Filing of the assessment report form

(a) Every carrier with reportable accident and health premium in New Jersey shall file the N.J.A.C. 11:20 Appendix Exhibit K Assessment Report form and a copy of the N.J.A.C. 11:20 Appendix Exhibit K Part C Premium Data Worksheet, which are set forth as N.J.A.C. 11:20 Appendix Exhibit K, incorporated herein by reference, on or before April 1 of the year immediately following every two-year calculation period through the 2017-2018 calculation period. Thereafter, N.J.A.C. 11:20 Appendix Exhibit K shall be filed on or before April 1 of the year immediately following each calendar year.

(b) If a carrier with reportable accident and health premium in New Jersey is an affiliated carrier, the N.J.A.C. 11:20 Appendix Exhibit K Assessment Report and the Part C Premium Data Worksheet shall be filed as follows:

1. Each affiliated carrier shall file one copy of the N.J.A.C. 11:20 Appendix Exhibit K Part C Premium Data Worksheet whether or not that affiliated carrier reported accident and health premium in New Jersey during the two-year calculation period or one-year period, as applicable.

2. The combined affiliated carriers, identified using a single carrier name, shall file one copy of the Exhibit K Assessment Report. The information specified on the Exhibit K Assessment Report shall be the aggregated information supplied on the Premium Data Worksheets for all affiliated carriers.

3. The Exhibit K Assessment Report along with the Premium Data Worksheet(s) shall be filed together. For example, a carrier with three affiliates with reportable accident and health premium in New Jersey but only two of which issue non-group coverage, shall file one Exhibit K Assessment Report with the aggregated information for all affiliated carriers and three copies of the Exhibit K Part C Premium Data Worksheet.

(c) Certified Exhibit K Assessment Reports shall be submitted by mail, e-mail, facsimile, or by hand delivery to the Executive Director at the address listed in N.J.A.C. 11:20-2.1(h).

N.J. Admin. Code § 11:20-8.2

Amended by R.1994 d.177, effective 3/10/1994.
See: 26 N.J.R. 1294(a), 26 N.J.R. 1509(a).
Administrative Change.
See: 27 N.J.R. 1423(a).
Amended by R.1998 d.443, effective 8/7/1998.
See: 30 N.J.R. 2581(a), 30 N.J.R. 3289(a).
In (a), changed the report filing deadlines; and rewrote (b).
Repeal and New Rule, R.2003 d.91, effective 1/28/2003.
See: 35 N.J.R. 73(a), 35 N.J.R. 1290(a).
Section was "Filing of the market share and net paid gain or (loss) report form".
Amended by R.2006 d.15, effective 1/3/2006.
See: 37 N.J.R. 2994(a), 38 N.J.R. 311(a).
Rewrote (a); in (b)3, added "Exhibit K" preceding "Assessment Report" in the second sentence; rewrote (b)4; rewrote (c).
Amended by R.2011 d.163, effective 6/6/2011.
See: 43 N.J.R. 131(a), 43 N.J.R. 1353(a).
In (a), substituted "and" for a comma following "form" and deleted "and a copy of the Exhibit K Part D Enrollment Data Worksheet," preceding "which"; in the introductory paragraph of (b), substituted "and" for a comma following "Report" and deleted "and the Part D Enrollment Data Worksheet" preceding "shall"; deleted former (b)2; recodified former (b)3 and (b)4 as (b)2 and (b)3; in (b)2, deleted "and the Enrollment Data Worksheets for those affiliated carriers with non-group person enrollment" from the end; and in (b)3, deleted "and the Enrollment Data Worksheet(s)" preceding the first occurrence of "shall" and ", and two copies of the Exhibit K Part D Enrollment Data Worksheet" from the end, and substituted "and" for a comma following "carriers".
Amended by R.2016 d.127, effective 10/17/2016 (operative January 1, 2017).
See: 48 N.J.R. 1555(a), 48 N.J.R. 2153(a).
Rewrote (c).
Amended by R.2018 d.197, effective 6/12/2018.
See: 50 N.J.R. 1412(a), 50 N.J.R. 2329(a).
Rewrote (a); in the introductory paragraph of (b) and in (b)1, inserted "N.J.A.C. 11:20 Appendix"; and in (b)1, inserted "or one-year period, as applicable".