N.J. Admin. Code § 11:21-16.2
Words and terms, when used in this subchapter, shall have the meanings set forth in the Act or at N.J.A.C. 11:21-1.2 unless defined below or unless the context clearly indicates otherwise:
"Affiliate" or "affiliated company" means a carrier that directly or indirectly through one or more intermediaries, controls or is controlled by, or is under common control with, the carrier that initiates a withdrawal.
"Cease doing business" for purposes of these rules means withdraw or withdrawal.
"Market withdrawal" means the nonrenewal on the anniversary date of all inforce nonstandard health benefits plans or small employer health benefits plans, or both as appropriate, issued to small employers without offering replacement with a small employer health benefits plan (or a nonstandard health benefits plan, if offered through an association, multiple employer arrangement or out-of-State trust that continues to market its nonstandard health benefits plans pursuant to N.J.S.A. 17B:27A-17 et seq.), except where such action is taken pursuant to N.J.S.A. 17B:27A-23a, c, d, f, h and i or is approved by the Commissioner in accordance with N.J.A.C. 11:21-11.
"Nonstandard health benefits plan" means a health benefits plan policy or contract form under which policies, contracts or certificates were issued on or before December 31, 1993 to small employers or to one or more employees of a small employer by virtue of the employment arrangement.
"Plan option withdrawal" means a carrier's cessation of the issuance of a standard health benefits plan option and the nonrenewal on the anniversary date of all inforce standard small employer health benefits plans issued with that option.
"Plan withdrawal" means a carrier's cessation of the issuance of a standard health benefits plan and the nonrenewal on the anniversary date of all inforce small employer health benefits plans of that plan type.
"State" means the State of New Jersey.
N.J. Admin. Code § 11:21-16.2
See: 26 New Jersey Register 3118(a), 26 New Jersey Register 4620(a).
Amended by R.1998 d.533, effective 11/16/1998.
See: 30 New Jersey Register 2978(a), 30 New Jersey Register 4045(a).
In the introductory paragraph, changed N.J.A.C. reference; and in "Withdraw" or "withdrawal", substituted "nonrenewal" for "cancellation on a date certain or the termination" following "means the", and changed N.J.S.A. reference.
Amended by R.2004 d.108, effective 3/15/2004.
See: 35 New Jersey Register 4438(a), 36 New Jersey Register 1605(a).
Added "Market withdrawal", "Plan option withdrawal", and "Plan withdrawal"; deleted "'Withdraw' or 'withdrawal'".