N.J. Admin. Code § 11:22-7.2
The following words and terms, when used in this subchapter, shall have the following meanings, unless the context clearly indicates otherwise:
"Carrier" means an insurance company, health service corporation, hospital service corporation, medical service corporation or health maintenance organization authorized to issue health benefits plans in this State, and a dental service corporation or dental plan organization authorized to issue dental plans in this State.
"Covered lives" means covered persons for purposes of required reporting of the number of such persons.
"Covered person" means a person on whose behalf a carrier, which offers a health benefits or dental plan, is obligated to pay benefits or provide services pursuant to that plan.
"Covered service" means a health care or dental service or supply provided to a covered person under a health benefits or dental plan for which the carrier is obligated to pay benefits or provide services subject to contractual provisions such as deductible, coinsurance and copayment.
"Department" means the New Jersey Department of Banking and Insurance.
"Dental plan" means a benefits plan that pays or provides dental expense benefits for covered services, and is delivered or issued for delivery in this State by or through a carrier.
"Health benefits plan" means a plan that pays or provides hospital, medical or dental expense benefits for covered services, and is delivered or issued for delivery in this State by or through a carrier. For purposes of this subchapter, health benefits plan shall not include the following plans, policies, or contracts: Medicare supplement coverage and Medicare risk contracts; accident only, specified disease or other limited benefits; credit; disability; long-term care; Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) supplement coverage; coverage arising out of a workers' compensation or similar law; automobile medical payment insurance; personal injury protection insurance issued pursuant to P.L. 1972, c.70 (39:6A-1 et seq.); dental or vision care coverage only; or hospital expense or confinement indemnity coverage only.
N.J. Admin. Code § 11:22-7.2