N.J. Admin. Code § 11:6-2.3

Current through Register Vol. 57, No. 1, January 6, 2025

Section 11:6-2.3 - Approval of workers' compensation managed care organizations

(a) The completion by a WCMCO of the approval process conducted by the Department under this subchapter shall authorize the approved WCMCO to provide medical services under a workers' compensation policy after the insurer has filed an application with CRIB to obtain approval of a minimum five percent overall premium reduction for the insured's election to use a Department-approved managed care system for workers' compensation medical coverage. An approval issued under this subchapter shall not be used for any purpose except as set forth in this subchapter.

(b) The approval issued to a WCMCO under this subchapter by the Department shall continue in force excepting suspension, automatic expiration or revocation pursuant to this subchapter. If the WCMCO does not contract with any insurers during the initial two years of approval, the WCMCO's approval will automatically expire on the December 31st following the two-year anniversary of that initial approval.

Amended by R.2004 d.41, effective 1/20/2004.
See: 35 N.J.R. 3541(a), 36 N.J.R. 520(a).
Rewrote (b).
Amended by R.2009 d.191, effective 6/15/2009.
See: 40 N.J.R. 5950(a), 41 N.J.R. 2490(a).
In (a), deleted ", in consultation with the Department of Health and Senior Services," following the first occurrence of "Department"; and in (b), deleted "in consultation with the Department of Health and Senior Services" following "Department".