Chapter 17B:27A

Section 17B:27A-1 - Filing of paid hospital expense claims; definitions
Section 17B:27A-2 - Definitions
Section 17B:27A-2.1 - Regulations
Section 17B:27A-2.2 - Effective date
Section 17B:27A-3 - Individual health benefits plans, applicability of act
Section 17B:27A-4 - Offering of individual health benefits required by issuer of small employer health benefits plans
Section 17B:27A-4.1 - Individual policy, contract for hospital, medical expense benefits, coverage of subscriber's child
Section 17B:27A-4.2 - Requirements applicable to State Medicaid
Section 17B:27A-4.3 - Eligibility for enrollment in individual health benefits plan
Section 17B:27A-4.4 - [Repealed]
Section 17B:27A-4.5 - [Repealed]
Section 17B:27A-4.6 - [Repealed]
Section 17B:27A-4.7 - [Repealed]
Section 17B:27A-5 - Laws not applicable to managed care health benefits plans
Section 17B:27A-6 - Individual health benefits plans, requirements
Section 17B:27A-6.1 - Individual Health Coverage Program, open enrollment period established
Section 17B:27A-7 - Approval of policy and contract forms, benefit levels
Section 17B:27A-7.1 - Coverage for birth and natal care; individual health policy
Section 17B:27A-7.2 - Coverage for minimum inpatient care following mastectomy by individual health benefits plan
Section 17B:27A-7.3 - Applicability of Health Care Quality Act
Section 17B:27A-7.4 - Coverage for treatment of inherited metabolic diseases by individual health benefits plan
Section 17B:27A-7.5 - Individual health benefits plan to provide coverage for mental health conditions, substance use disorders; collaborative care model
Section 17B:27A-7.6 - Coverage for hemophilia services by individual health policy
Section 17B:27A-7.7 - Individual health benefits plan to provide coverage for colorectal cancer screening
Section 17B:27A-7.8 - Policy, contract issued under C.17B:27A-2 et seq. required to cover certain out-of-network services
Section 17B:27A-7.9 - Individual health benefits plan to offer coverage for domestic partner
Section 17B:27A-7.10 - Individual health benefits plan, mammogram examination benefits
Section 17B:27A-7.11 - Individual health benefits plan, high deductible, deductible inapplicable, certain circumstances
Section 17B:27A-7.12 - Individual health benefits plan, coverage for contraceptives
Section 17B:27A-7.13 - Individual health benefits plans to provide benefits for orthotic and prosthetic appliances
Section 17B:27A-7.14 - Individual health benefits plan to provide coverage for hearing aids for certain persons aged 15 or younger
Section 17B:27A-7.15 - Individual health benefits plan to provide installment payments to obstetrical provider for maternity services
Section 17B:27A-7.16 - Individual health benefits plan to provide benefits for treatment of autism or other developmental disability
Section 17B:27A-7.17 - Individual health benefits plan to provide coverage for oral anticancer medication
Section 17B:27A-7.18 - Individual health benefits plan to provide coverage for sickle cell anemia
Section 17B:27A-7.19 - Individual health benefits plan to provide coverage for prescription eye drops
Section 17B:27A-7.20 - Individual health benefits plan, coverage for synchronization of prescribed medications
Section 17B:27A-7.21 - Individual health benefits plan to provide benefits for treatment of substance use disorder
Section 17B:27A-7.22 - Individual health benefits plan to provide coverage regardless of gender identity, expression
Section 17B:27A-7.23 - Individual health benefits plan to cover digital tomosynthesis of the breast
Section 17B:27A-7.24 - Individual health benefits plan to provide coverage for donated human breast milk
Section 17B:27A-7.25 - Individual health benefits plan to provide coverage for breastfeeding support
Section 17B:27A-7.26 - Individual health benefits plan to meet essential health benefits requirements
Section 17B:27A-7.27 - Individual health benefits plan to cover preventive services
Section 17B:27A-7.28 - Individual health benefits plan to provide coverage for certain prescription drugs
Section 17B:27A-7.29 - Individual health benefits plan to cover adolescent depression screenings
Section 17B:27A-7.30 - Individual health benefits plan to cover newborn home nurse visitation
Section 17B:27A-7.31 - Individual health benefits plan, coverage, insulin for diabetes treatment
Section 17B:27A-7.32 - Individual health benefits plan, coverage, epinephrine auto-injector device
Section 17B:27A-7.33 - Individual health benefits plan, coverage, prescription asthma inhaler
Section 17B:27A-8 - Offering of certain coverage not required
Section 17B:27A-9 - Determination of rates
Section 17B:27A-10 - New Jersey Individual Health Coverage Program; board of directors
Section 17B:27A-10.1 - Short title
Section 17B:27A-10.2 - Purpose of act
Section 17B:27A-10.3 - Definitions relative to health insurance premiums
Section 17B:27A-10.4 - Health Insurance Premium Security Plan
Section 17B:27A-10.5 - Payment parameters
Section 17B:27A-10.6 - Calculation of reinsurance payment
Section 17B:27A-10.7 - Requests for reinsurance payments
Section 17B:27A-10.8 - Accounting for each benefit year
Section 17B:27A-10.9 - Application for waiver of ACA
Section 17B:27A-10.10 - New Jersey Health Insurance Premium Security Fund
Section 17B:27A-10.11 - Annual report
Section 17B:27A-10.12 - Violations, penalties
Section 17B:27A-10.13 - Rules, regulations
Section 17B:27A-10.14 - Study, Department of Banking and Insurance, New Jersey Individual Health Coverage Program, New Jersey Small Employer Health Benefits Program; report, Governor, Legislature
Section 17B:27A-11 - Powers, authority of program, board
Section 17B:27A-12 - Procedures for equitable sharing of program losses
Section 17B:27A-12.1 - Exemption from liability, certain, for HMO formed by UMDNJ
Section 17B:27A-13 - Statement of net paid losses
Section 17B:27A-14 - Determination of disproportionate share of substandard risks
Section 17B:27A-15 - Sale of health benefits plan
Section 17B:27A-16 - Submission of rate filings by health maintenance organization not required
Section 17B:27A-16.1 - Board actions subject to provisions of section; "action" defined; procedure
Section 17B:27A-16.2 - Adoption of temporary plan of operation
Section 17B:27A-16.3 - Purchase of other insurance coverage not required
Section 17B:27A-16.4 - Adoption of standard claim form
Section 17B:27A-16.5 - Hospital, medical insurance policy renewals; filing of rates
Section 17B:27A-17 - Definitions relative to small employer health benefits plans
Section 17B:27A-18 - Providers of health benefits, services subject to provisions of act
Section 17B:27A-18.1 - Provision of benefits to subscriber's child under small employer policy, contract
Section 17B:27A-18.2 - Requirements applicable to State Medicaid
Section 17B:27A-19 - Health benefits plans offered to small employers; exceptions
Section 17B:27A-19a - Small employer carrier, offering of high deductible plan
Section 17B:27A-19.1 - Hospital confinement, other supplemental limited benefit insurance plans; requirements
Section 17B:27A-19.2 - Coverage for birth and natal care; small employer health policy
Section 17B:27A-19.3 - Regulations governing rating methodology, calculation of loss ratios
Section 17B:27A-19.4 - Coverage for minimum inpatient care following mastectomy by small employer health benefits plan
Section 17B:27A-19.5 - Applicability of Health Care Quality Act
Section 17B:27A-19.6 - Coverage for treatment of inherited metabolic diseases by small employer health benefits plan
Section 17B:27A-19.7 - Small employer health benefits plan to provide coverage for mental health conditions, substance use disorders; collaborative care model
Section 17B:27A-19.8 - Coverage for hemophilia services by small employer plan
Section 17B:27A-19.9 - Small employer health benefits plan to provide coverage for colorectal cancer screening
Section 17B:27A-19.10 - Policy, contract issued under C.17B:27A-17 et seq. required to cover certain out-of-network services
Section 17B:27A-19.11 - Carrier offering plans pursuant to C17B:27A-17 et seq may offer additional plan with certain limited benefits
Section 17B:27A-19.12 - Small employer health benefits plan to offer coverage for domestic partner
Section 17B:27A-19.13 - Small employer health benefits plan, mammogram examination benefits
Section 17B:27A-19.14 - High deductible health plan, small employer, deductible inapplicable, certain circumstances
Section 17B:27A-19.15 - Small employer health benefits plan, coverage for contraceptives
Section 17B:27A-19.16 - Coverage for certain dependents until age 31 by small employer health benefits plan
Section 17B:27A-19.17 - Small employer health benefits plans to provide benefits for orthotic and prosthetic appliances
Section 17B:27A-19.18 - Small employer health benefits plan to provide coverage for hearing aids for certain persons aged 15 or younger
Section 17B:27A-19.19 - Small employer health benefits plan to provide installment payments to obstetrical provider for maternity services
Section 17B:27A-19.20 - Small employer health benefits plan to provide benefits for treatment of autism or other developmental disability
Section 17B:27A-19.21 - Small employer health benefits plan to provide coverage for oral anticancer medications
Section 17B:27A-19.22 - Small employer health benefits plan to provide coverage for sickle cell anemia
Section 17B:27A-19.23 - Small employer health benefits plan to provide coverage for prescription eye drops
Section 17B:27A-19.24 - Small employer health benefits plan, coverage for synchronization of prescribed medications
Section 17B:27A-19.24a - Carrier, small-employer health benefits plan, prescription drug formulary, flexibility, limitations
Section 17B:27A-19.24b - Carrier, prescription drug formulary, exceptions and appeals process
Section 17B:27A-19.25 - Small employer health benefits plan to provide benefits for treatment of substance use disorder
Section 17B:27A-19.26 - Small employer health benefits plan to provide coverage regardless of gender identity, expression
Section 17B:27A-19.27 - Small employer health benefits plan to cover digital tomosynthesis of the breast
Section 17B:27A-19.28 - Small employer health benefits plan to provide coverage for donated human breast milk
Section 17B:27A-19.29 - Small employer health benefits plan to provide coverage for breastfeeding support
Section 17B:27A-19.30 - Small employer health benefits plan to meet essential health benefits requirements
Section 17B:27A-19.31 - Small employer health benefits plan to cover preventive services
Section 17B:27A-19.32 - Small employer health benefits plan to provide certain coverage for prescription drugs
Section 17B:27A-19.33 - Small employer health benefits plan to cover adolescent depression screenings
Section 17B:27A-19.34 - Small employer health benefits plan to cover newborn home nurse visitation
Section 17B:27A-19.35 - Small employer health benefits plan, coverage, insulin for diabetes treatment
Section 17B:27A-19.36 - Small employer health benefits plan, coverage, epinephrine auto-injector device
Section 17B:27A-19.37 - Small employer health benefits plan, coverage, prescription asthma inhaler
Section 17B:27A-20 - Coinsurance, deductibles applicable
Section 17B:27A-20.1 - Rules, regulations
Section 17B:27A-21 - Standard coordination of benefits provisions applicable
Section 17B:27A-21.1 - Eligibility for enrollment in small employer health benefits plan
Section 17B:27A-22 - Preexisting condition provisions
Section 17B:27A-23 - Policies, contracts renewable; exceptions
Section 17B:27A-24 - Reasonable specified minimum participation
Section 17B:27A-25 - Premium rates; other plan requirements
Section 17B:27A-25.1 - Findings, declarations relative to small employer health benefits purchasing alliances
Section 17B:27A-25.2 - Definitions relative to small employer benefits purchasing alliances
Section 17B:27A-25.3 - "Small Employer Purchasing Alliance formation."
Section 17B:27A-25.4 - Board of directors
Section 17B:27A-25.5 - Bylaws, contents
Section 17B:27A-25.6 - Further authority of alliance
Section 17B:27A-25.7 - Restrictions on alliances
Section 17B:27A-25.8 - Certificate from alliance to commissioner
Section 17B:27A-25.9 - Rules, regulations
Section 17B:27A-26 - Health maintenance organization coverage; exceptions
Section 17B:27A-27 - Continued coverage for certain terminated employees, dependents
Section 17B:27A-28 - New Jersey Small Employer Health Benefits Program created
Section 17B:27A-29 - Meetings, organization of board; terms
Section 17B:27A-29.1 - Immunity from liability for board
Section 17B:27A-29.2 - Rules, regulations for voluntary risk pooling arrangement
Section 17B:27A-30 - Submission of plan of operation
Section 17B:27A-31 - Contents of plan of operation
Section 17B:27A-32 - Authority of board
Section 17B:27A-33 - Formulation of five health benefits plans
Section 17B:27A-33.1 - Short title
Section 17B:27A-33.2 - Annual review, small-employer health benefits plans, publish findings, report, Department of Banking and Insurance website
Section 17B:27A-41 - Violations, penalty
Section 17B:27A-43 - Violations, penalties
Section 17B:27A-44 - Assessments not charged to policyholders, public
Section 17B:27A-45 - Standard claim form
Section 17B:27A-47 - Coverage obtained through out-of-State trust, compliance required
Section 17B:27A-48 - Multiple employer arrangement; requirements
Section 17B:27A-49 - Notification to commissioner by carrier of multiple employer arrangement
Section 17B:27A-50 - Change of coverage by small employer; restrictions
Section 17B:27A-51 - Board actions subject to provisions of section; "action" defined; procedure
Section 17B:27A-53 - Other insurance purchases not required
Section 17B:27A-54 - Commissioner authorized to approve establishment of arrangement; rules, regulations
Section 17B:27A-55 - Written notice required for issuance, renewal of high deductible health plan; declaration of understanding
Section 17B:27A-56 - Provision of biannual surveys to DOBI by health insurers
Section 17B:27A-57 - "Health Insurance Exchange Trust Fund."
Section 17B:27A-58 - Authority to operate a State-based exchange, coordinate operations with other entities; advisory committee
Section 17B:27A-59 - Rules, regulations
Section 17B:27A-59.1 - Definitions
Section 17B:27A-59.2 - "New Jersey Easy Enrollment Health Insurance Program" established
Section 17B:27A-59.3 - Assistance eligibility, Department of Banking and Insurance
Section 17B:27A-59.4 - Special enrollment period, New Jersey individual health insurance market, established
Section 17B:27A-59.5 - Data privacy, security safeguards
Section 17B:27A-59.6 - Tax return, individual not covered, minimum essential coverage
Section 17B:27A-59.7 - Consenting to information sharing, system established
Section 17B:27A-59.8 - Unemployment claim, indication of interest in obtaining minimum coverage, information sharing, consent
Section 17B:27A-60 - Essential health benefits defined
Section 17B:27A-61 - Carrier seeking rate increase
Section 17B:27A-62 - Information to support, justify rate requests
Section 17B:27A-63 - Additional information requested by department
Section 17B:27A-64 - Disclosure of information
Section 17B:27A-65 - Definitions relative to certain assessments
Section 17B:27A-66 - Filing of net written premiums
Section 17B:27A-67 - "Health Insurance Affordability Fund."