N.J. Admin. Code § 11:24-5A.3

Current through Register Vol. 56, No. 21, November 4, 2024

Section 11:24-5A.3 - Religious employer exclusion

(a) A religious employer may request, and the HMO shall grant, an exclusion for medical and surgical abortion coverage if coverage conflicts with the religious employer's bona fide religious beliefs and practices. An exclusion granted pursuant to this section shall not be construed to permit an HMO to exclude coverage for care that is necessary to preserve the life or health of the member, or that is the result of an act of rape or incest.

(b) An HMO that issues a policy or contract containing a religious employer exclusion shall provide written notice of such exclusion to each prospective member or covered person. Such notice shall appear in not less than 10-point type in the certificate or evidence of coverage, the member's application or enrollment form, and all sales and marketing materials.

(c) For each request that an HMO grants to a religious employer, pursuant to this section, the HMO shall make an informational filing with the Department of Banking and Insurance (Department), including a form of the written notice provided to prospective members pursuant to (b) above. Informational filings, including information that identifies the name of the employer, if such is not stated on the written notice, shall be made by the HMO and shall be submitted to the Department at the following address:

New Jersey Department of Banking and Insurance

Attention: Life and Health Division

Religious Employer Exclusion

20 West State Street

Trenton, NJ 08625-0325

lifehealth@dobi.nj.gov

N.J. Admin. Code § 11:24-5A.3

Adopted by 55 N.J.R. 2007(b), effective 9/18/2023