N.J. Admin. Code § 11:21-11.4

Current through Register Vol. 56, No. 24, December 18, 2024

Section 11:21-11.4 - Certification of benefits coverage and actuarial value of nonstandard health benefits plans

(a) For nonstandard health benefits plans for which the carrier made an informational filing of a Certification of Prior Filing and Compliance with P.L. 1994, c.11, set forth as Part 3 of Exhibit BB in the Appendix to this chapter, on or before January 20, 1995 in accordance with N.J.A.C. 11:21-11.9, or made an informational filing of a Certification of Informational Filing and Compliance with P.L. 1994, c.11, as set forth as Part 4 of Exhibit BB in the Appendix to this chapter, on or before January 31, 1995 in accordance with N.J.A.C. 11:21-11.9, carriers shall file the nonstandard health benefits plan accompanied by a completed Checklist and Certification as set forth in Part 5 of Exhibit BB in the Appendix to this chapter, incorporated herein as part of this subchapter.

(b) Each such filing shall comply with N.J.A.C. 11:4-40, except that only one copy of the forms need be submitted. The forms submission shall include the nonstandard health benefits plan form, the form of all riders offered therewith, and the application for the nonstandard health benefits plan.

(c) Separate checklists and certifications and certified statements as set forth in Part 5 of Exhibit BB of the Appendix to this chapter shall be submitted for each nonstandard health benefits plan.

(d) A checklist and certification and statement certified to by an officer of the carrier submitted pursuant to this section shall not be accepted by the Commissioner until it is complete.

N.J. Admin. Code § 11:21-11.4