N.J. Admin. Code § 11:4-49.1

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

Section 11:4-49.1 - Purpose and scope

(a) The purpose of this subchapter is to implement P.L. 1995, c.331 by specifically setting forth the benefits required to be provided pursuant to P.L. 1995, c.331, and by identifying the particular health insurance policy or contract responsible for payment of such benefits.

(b) This subchapter shall apply to all policies and contracts providing hospital or medical expense benefits that are delivered, issued, executed or renewed in this State as follows: all hospital service corporation contracts issued pursuant to N.J.S.A. 17:48-1 et seq.; all medical service corporation contracts issued pursuant to N.J.S.A. 17:48A-1 et seq.; all health service corporation contracts issued pursuant to N.J.S.A. 17:48E-1 et seq.; all health insurance policies issued pursuant to N.J.S.A. 17B:26-1 et seq., and 17B:27-26 et seq.; and all health maintenance organization (HMO) contracts issued pursuant to N.J.S.A. 26:2J-1 et seq.

(c) This subchapter shall not apply to any health benefits plans issued pursuant to N.J.S.A. 17B:27A-2 et seq., or 17B:27A-17 et seq., or to any dental only or vision only policy or contract.

N.J. Admin. Code § 11:4-49.1