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Section 17:48-6f - Hospital service corporation to pay benefits for treatment of Wilm's tumor - 17:48-6f. Hospital service corporation to pay benefits for treatment of...
Section 17:48-6g - Hospital service corporation contract, mammogram examination benefits. - 17:48-6g Hospital service corporation contract, mammogram examination benefits. 1. a....
Section 17:48-6h - Hospital service corporation, benefits for "off-label" drugs required - 17:48-6h. Hospital service corporation, benefits for "off-label" drugs required 2....
Section 17:48-6i - Hospital service corporation, benefits of health promotion - 17:48-6i. Hospital service corporation, benefits of health promotion 3. a....
Section 17:48-6j - Requirements for hospital service corporation providing benefits for pharmacy services. - 17:48-6j Requirements for hospital service corporation providing benefits for pharmacy...
Section 17:48-6k - Benefits for certain cancer treatments - 17:48-6k Benefits for certain cancer treatments 1. In addition to...
Section 17:48-6l - Coverage for birth and natal care; hospital service corporation - 17:48-6l. Coverage for birth and natal care; hospital service corporation...
Section 17:48-6m - Hospital service corporation contracts, child screening, blood lead, hearing loss; immunizations. - 17:48-6m Hospital service corporation contracts, child screening, blood lead, hearing...
Section 17:48-6n - Coverage for diabetes treatment by individual, group hospital service corporation - 17:48-6n. Coverage for diabetes treatment by individual, group hospital service...
Section 17:48-6o - Hospital service corporation contract, Pap smear benefits - 17:48-6o. Hospital service corporation contract, Pap smear benefits 2. No...
Section 17:48-6p - Hospital service corporation contract, prostate cancer testing - 17:48-6p. Hospital service corporation contract, prostate cancer testing 2. No...
Section 17:48-6q - Coverage for minimum inpatient care following mastectomy by individual, group hospital service corporation - 17:48-6q. Coverage for minimum inpatient care following mastectomy by individual,...
Section 17:48-6r - Applicability of Health Care Quality Act - 17:48-6r Applicability of Health Care Quality Act 25. Notwithstanding the...
Section 17:48-6s - Coverage for treatment of inherited metabolic diseases by hospital service corporation. - 17:48-6s Coverage for treatment of inherited metabolic diseases by hospital...
Section 17:48-6t - Coverage for treatment of domestic violence injuries by hospital service corporation. - 17:48-6t Coverage for treatment of domestic violence injuries by hospital...
Section 17:48-6u - Coverage for certain dental procedures for the severely disabled or child age five or under by hospital service corporation - 17:48-6u. Coverage for certain dental procedures for the severely disabled...
Section 17:48-6v - Hospital service corporation to provide coverage for mental health conditions, substance use disorders; collaborative care model. - 17:48-6v Hospital service corporation to provide coverage for mental health...
Section 17:48-6w - Coverage for hemophilia services by hospital service corporations - 17:48-6w. Coverage for hemophilia services by hospital service corporations 7....
Section 17:48-6x - Hospital service corporation to provide coverage for treatment of infertility. - 17:48-6x Hospital service corporation to provide coverage for treatment of...
Section 17:48-6y - Hospital service corporation to provide coverage for colorectal cancer screening. - 17:48-6y Hospital service corporation to provide coverage for colorectal cancer...
Section 17:48-6z - Hospital service corporation prescription drug plans to cover certain infant formulas. - 17:48-6z Hospital service corporation prescription drug plans to cover certain...
Section 17:48-6aa - Contracts issued under C.17:48-1 et seq. required to cover certain out-of-network services. - 17:48-6aa Contracts issued under C.17:48-1 et seq. required to cover...
Section 17:48-6bb - Hospital service corporation to offer coverage for domestic partner. - 17:48-6bb Hospital service corporation to offer coverage for domestic partner....
Section 17:48-6cc - Hospital service corporation, high deductible, coverage for preventive care. - 17:48-6cc Hospital service corporation, high deductible, coverage for preventive care....
Section 17:48-6dd - Hospital service corporation, high deductible, deductible inapplicable, certain circumstances. - 17:48-6dd Hospital service corporation, high deductible, deductible inapplicable, certain circumstances....
Section 17:48-6ee - Hospital service corporation, coverage for contraceptives. - 17:48-6ee Hospital service corporation, coverage for contraceptives. 1. a. A...
Section 17:48-6ff - Hospital service corporation to provide benefits for orthotic and prosthetic appliances. - 17:48-6ff Hospital service corporation to provide benefits for orthotic and...
Section 17:48-6gg - Hospital service corporation to provide coverage for hearing aids for certain persons aged 15 or younger. - 17:48-6gg Hospital service corporation to provide coverage for hearing aids...
Section 17:48-6hh - Hospital service corporation to provide installment payments to obstetrical provider for maternity services. - 17:48-6hh Hospital service corporation to provide installment payments to obstetrical...
Section 17:48-6ii - Hospital service corporation to provide benefits for treatment of autism or other developmental disability. - 17:48-6ii Hospital service corporation to provide benefits for treatment of...
Section 17:48-6jj - Hospital service corporation to provide coverage for oral anticancer medications. - 17:48-6jj Hospital service corporation to provide coverage for oral anticancer...
Section 17:48-6kk - Hospital service corporation to provide coverage for sickle cell anemia. - 17:48-6kk Hospital service corporation to provide coverage for sickle cell...
Section 17:48-6ll - Hospital service corporation to provide coverage for prescription eye drops. - 17:48-6ll Hospital service corporation to provide coverage for prescription eye...
Section 17:48-6mm - Hospital service corporation contract, coverage for synchronization of prescribed medications. - 17:48-6mm Hospital service corporation contract, coverage for synchronization of prescribed...
Section 17:48-6nn - Hospital service corporation to provide benefits for treatment of substance use disorder. - 17:48-6nn Hospital service corporation to provide benefits for treatment of...
Section 17:48-6oo - Hospital service corporation to provide coverage regardless of gender identity, expression. - 17:48-6oo Hospital service corporation to provide coverage regardless of gender...
Section 17:48-6pp - Hospital service corporation to cover digital tomosynthesis of the breast. - 17:48-6pp Hospital service corporation to cover digital tomosynthesis of the...
Section 17:48-6qq - Hospital service corporation to provide coverage for donated human breast milk. - 17:48-6qq Hospital service corporation to provide coverage for donated human...
Section 17:48-6rr - Hospital service corporation to provide coverage for standard fertility preservation services. - 17:48-6rr Hospital service corporation to provide coverage for standard fertility...
Section 17:48-6ss - Hospital service corporation to provide coverage for breastfeeding support. - 17:48-6ss Hospital service corporation to provide coverage for breastfeeding support....
Section 17:48-6tt - Hospital service corporation to cover preventive services. - 17:48-6tt Hospital service corporation to cover preventive services. 1. a....
Section 17:48-6uu - Hospital service corporation to provide certain coverage for prescription drugs. - 17:48-6uu Hospital service corporation to provide certain coverage for prescription...
Section 17:48-6vv - Hospital service corporation contract to cover adolescent depression screenings. - 17:48-6vv Hospital service corporation contract to cover adolescent depression screenings....
Section 17:48-6ww - Hospital service corporation contract to cover newborn home nurse visitation program. - 17:48-6ww Hospital service corporation contract to cover newborn home nurse...
Section 17:48-6.1 - Group contracts issued by hospital service corporation. - 17:48-6.1 Group contracts issued by hospital service corporation. 2. A...
Section 17:48-6.2 - Provisions applicable to group contracts; subscriber defined - 17:48-6.2. Provisions applicable to group contracts; subscriber defined The provisions...
Section 17:48-6.3 - Group contract form - 17:48-6.3. Group contract form Every group contract entered into by...
Section 17:48-6.4 - Participation agreements - 17:48-6.4. Participation agreements A hospital service corporation of this State...
Section 17:48-6.5 - Schedule of rates - 17:48-6.5. Schedule of rates No hospital service corporation shall issue...
Section 17:48-6.6 - Combined hospital-medical contracts - 17:48-6.6. Combined hospital-medical contracts A hospital service corporation and a...
Section 17:48-6.7 - Review of determinations of commissioner of banking and insurance - 17:48-6.7. Review of determinations of commissioner of banking and insurance...
Section 17:48-6.8 - Review of practices, rules and procedures of hospital service corporation - 17:48-6.8. Review of practices, rules and procedures of hospital service...
Section 17:48-6.9 - Adjustment of rates; experience rating formulas; approval - 17:48-6.9. Adjustment of rates; experience rating formulas; approval Any group...
Section 17:48-6.10 - Definitions - 17:48-6.10. Definitions As used in this act: a. "Group policy"...
Section 17:48-6.11 - Group contract or individual group certificate; total disability of employee or member; continuation of coverage; conditions - 17:48-6.11. Group contract or individual group certificate; total disability of...
Section 17:48-6.12 - Inapplicability of act if insurer not have right to terminate contract or certificate without consent of insured - 17:48-6.12. Inapplicability of act if insurer not have right to...
Section 17:48-6.15 - Coverage provided by hospital service corporation for subscriber's child. - 17:48-6.15 Coverage provided by hospital service corporation for subscriber's child....
Section 17:48-6.16 - Requirements applicable to State Medicaid - 17:48-6.16. Requirements applicable to State Medicaid 2. A hospital service...
Section 17:48-6.17 - Eligibility for enrollment in hospital service corporation - 17:48-6.17. Eligibility for enrollment in hospital service corporation 1. Notwithstanding...
Section 17:48-6.18 - Hospital service corporation contract, exclusion, rates, terms based on genetic information prohibited - 17:48-6.18. Hospital service corporation contract, exclusion, rates, terms based on...
Section 17:48-6.19 - Coverage for certain dependents until age 31 by hospital service corporation. - 17:48-6.19 Coverage for certain dependents until age 31 by hospital...
Section 17:48-7 - Health care facilities eligible for contracts; approval of rates of payment - 17:48-7. Health care facilities eligible for contracts; approval of rates...
Section 17:48-8 - Filing of copy of contract or certificate and applications, etc., with commissioner; disapproval - 17:48-8. Filing of copy of contract or certificate and applications,...
Section 17:48-8.1 - Hospital service corporation contract; compliance - 17:48-8.1. Hospital service corporation contract; compliance 3. No hospital service...
Section 17:48-8.2 - Filing of contract or related form - 17:48-8.2. Filing of contract or related form 4. a. Except...
Section 17:48-8.3 - Contract forms; certification memorandum - 17:48-8.3. Contract forms; certification memorandum 5. a. Pursuant to the...
Section 17:48-8.4 - Hospital service corporation to receive, transmit transactions electronically; standards. - 17:48-8.4 Hospital service corporation to receive, transmit transactions electronically; standards....
Section 17:48-9 - Schedule of rates; filing; disapproval by Commissioner - 17:48-9. Schedule of rates; filing; disapproval by Commissioner No corporation...
Section 17:48-10 - Solicitation and administrative expenses; investment of funds; surplus - 17:48-10. Solicitation and administrative expenses; investment of funds; surplus No...
Section 17:48-10.1 - Hospital service corporation, aggregate benefits. - 17:48-10.1 Hospital service corporation, aggregate benefits. 1. a. Beginning with...
Section 17:48-11 - Statement of financial condition; inquiries by Commissioner; penalties - 17:48-11. Statement of financial condition; inquiries by Commissioner; penalties Every...
Section 17:48-12 - Examination of assets and liabilities and affairs; expenses; duty to exhibit books, records and accounts - 17:48-12. Examination of assets and liabilities and affairs; expenses; duty...
Section 17:48-12.1 - Definitions. - 17:48-12.1 Definitions. 11. As used in sections 11 through 15...
Section 17:48-12.2 - Increase in amount of capital or surplus required of hospital service corporation. - 17:48-12.2 Increase in amount of capital or surplus required of...
Section 17:48-12.3 - Determination of increase, revision or redetermination; factors. - 17:48-12.3 Determination of increase, revision or redetermination; factors. 13. In...
Section 17:48-12.4 - Suspension, revocation to do business. - 17:48-12.4 Suspension, revocation to do business. 14. The commissioner may...
Section 17:48-12.5 - Rules, regulations. - 17:48-12.5 Rules, regulations. 15. The commissioner may promulgate regulations pursuant...
Section 17:48-14 - Fees - 17:48-14. Fees Every corporation to which this chapter shall be...
Section 17:48-15 - Violations of Act; penalties; enforcement - 17:48-15. Violations of Act; penalties; enforcement Any hospital service corporation...
Section 17:48-16 - Disputes between corporation and hospitals; review - 17:48-16. Disputes between corporation and hospitals; review Any dispute arising...
Section 17:48-17 - Application of chapter - 17:48-17. Application of chapter The provisions of this chapter shall...
Section 17:48-18 - Corporation as charitable and benevolent institution; exemption from taxation - 17:48-18. Corporation as charitable and benevolent institution; exemption from taxation...
Section 17:48A-1 - Definitions; liability for medical services - 17:48A-1. Definitions; liability for medical services As used in this...
Section 17:48A-2 - Nonprofit corporation; trustees and physicians; who may operate medical service plan; certificate of authority - 17:48A-2. Nonprofit corporation; trustees and physicians; who may operate medical...
Section 17:48A-2.1 - Medical service corporation merger procedure - 17:48A-2.1. Medical service corporation merger procedure A medical service corporation...
Section 17:48A-3 - Issuance of certificate of authority; amendment; counties affected - 17:48A-3. Issuance of certificate of authority; amendment; counties affected The...
Section 17:48A-4 - Corporate funds required - 17:48A-4. Corporate funds required No certificate of authority shall be...
Section 17:48A-5 - Subscription contracts. - 17:48A-5 Subscription contracts. 5. Every individual contract made by any...
Section 17:48A-6 - Written contracts required; subscription certificates - 17:48A-6. Written contracts required; subscription certificates Every individual contract entered...
Section 17:48A-6.1 - Elective surgery; definitions - 17:48A-6.1. Elective surgery; definitions As used in this act: a....
Section 17:48A-6.2 - Second surgical opinion program - 17:48A-6.2. Second surgical opinion program Any corporation issuing a group...
Section 17:48A-6.3 - Payment for second surgical opinion - 17:48A-6.3. Payment for second surgical opinion A second surgical opinion...
Section 17:48A-6.4 - Third surgical opinion - 17:48A-6.4. Third surgical opinion If a second surgical opinion does...
Section 17:48A-6.5 - Second opinion exclusions - 17:48A-6.5. Second opinion exclusions A second surgical opinion program may...
Section 17:48A-6.6 - Physicians furnishing opinion and performing surgical procedure; payment - 17:48A-6.6. Physicians furnishing opinion and performing surgical procedure; payment If...
Section 17:48A-6.7 - Application - 17:48A-6.7. Application This act shall apply to all contracts in...
Section 17:48A-6.10 - Eligibility for enrollment in medical service corporation - 17:48A-6.10. Eligibility for enrollment in medical service corporation 2. Notwithstanding...
Section 17:48A-6.11 - Medical service corporation contract, exclusion, rates, terms based on genetic information prohibited. - 17:48A-6.11 Medical service corporation contract, exclusion, rates, terms based on...
Section 17:48A-7 - Formal requirements for subscription certificates - 17:48A-7. Formal requirements for subscription certificates In every such subscription...
Section 17:48A-7b - Reconstructive breast surgery; benefits - 17:48A-7b. Reconstructive breast surgery; benefits 1. Every subscription certificate and...
Section 17:48A-7c - Medical service contracts - 17:48A-7c. Medical service contracts Every group and individual contract providing...
Section 17:48A-7d - Medical service corporation insurance benefits for preexisting condition. - 17:48A-7d Medical service corporation insurance benefits for preexisting condition. 1....
Section 17:48A-7e - Medical service corporation to pay benefits for treatment of Wilm's tumor - 17:48A-7e. Medical service corporation to pay benefits for treatment of...
Section 17:48A-7f - Medical service corporation contract, mammogram examination benefits. - 17:48A-7f Medical service corporation contract, mammogram examination benefits. 2. a....
Section 17:48A-7g - Medical service corporation, benefits for "off-label" drugs required - 17:48A-7g. Medical service corporation, benefits for "off-label" drugs required 3....
Section 17:48A-7h - Medical service corporation, benefits for health promotion - 17:48A-7h. Medical service corporation, benefits for health promotion 4. a....
Section 17:48A-7i - Requirements for medical service corporation providing benefits for pharmacy services. - 17:48A-7i Requirements for medical service corporation providing benefits for pharmacy...
Section 17:48A-7j - Benefits for certain cancer treatments - 17:48A-7j. Benefits for certain cancer treatments 2. In addition to...
Section 17:48A-7k - Coverage for birth and natal care; medical service corporation - 17:48A-7k. Coverage for birth and natal care; medical service corporation...
Section 17:48A-7l - Coverage for diabetes treatment by individual, group medical service corporation - 17:48A-7l. Coverage for diabetes treatment by individual, group medical service...
Section 17:48A-7m - Medical service corporation contract, Pap smear benefits - 17:48A-7m. Medical service corporation contract, Pap smear benefits 3. No...
Section 17:48A-7n - Medical service corporation contract, prostate cancer testing - 17:48A-7n. Medical service corporation contract, prostate cancer testing 3. No...
Section 17:48A-7o - Coverage for minimum inpatient care following mastectomy by individual, group medical service corporation - 17:48A-7o. Coverage for minimum inpatient care following mastectomy by individual,...
Section 17:48A-7p - Applicability of Health Care Quality Act - 17:48A-7p Applicability of Health Care Quality Act 26. Notwithstanding the...
Section 17:48A-7q - Coverage for treatment of inherited metabolic diseases by medical service corporation. - 17:48A-7q Coverage for treatment of inherited metabolic diseases by medical...
Section 17:48A-7r - Medical service corporation to cover certain audiology, speech-language pathology services. - 17:48A-7r Medical service corporation to cover certain audiology, speech-language pathology...
Section 17:48A-7s - Coverage for treatment of domestic violence injuries by medical service corporation. - 17:48A-7s Coverage for treatment of domestic violence injuries by medical...
Section 17:48A-7t - Coverage for certain dental procedures for the severely disabled or child age five or under by medical service corporation - 17:48A-7t. Coverage for certain dental procedures for the severely disabled...
Section 17:48A-7u - Medical service corporation to provide coverage for mental health conditions, substance use disorders; collaborative care model. - 17:48A-7u Medical service corporation to provide coverage for mental health...
Section 17:48A-7v - Coverage for hemophilia services by medical services corporation - 17:48A-7v. Coverage for hemophilia services by medical services corporation 8....
Section 17:48A-7w - Medical service corporation to provide coverage for treatment of infertility. - 17:48A-7w Medical service corporation to provide coverage for treatment of...
Section 17:48A-7x - Medical service corporation to provide coverage for colorectal cancer screening. - 17:48A-7x Medical service corporation to provide coverage for colorectal cancer...
Section 17:48A-7y - Medical service corporation prescription drug plans to cover certain infant formulas. - 17:48A-7y Medical service corporation prescription drug plans to cover certain...
Section 17:48A-7z - Contract issued under C.17:48A-1 et seq. required to cover certain out-of-network services. - 17:48A-7z Contract issued under C.17:48A-1 et seq. required to cover...
Section 17:48A-7aa - Medical service corporation to offer coverage for domestic partner. - 17:48A-7aa Medical service corporation to offer coverage for domestic partner....
Section 17:48A-7bb - Medical service corporation, coverage for contraceptives. - 17:48A-7bb Medical service corporation, coverage for contraceptives. 2. a. A...
Section 17:48A-7cc - Medical service corporation to provide benefits for orthotic and prosthetic appliances. - 17:48A-7cc Medical service corporation to provide benefits for orthotic and...
Section 17:48A-7dd - Medical service corporation to provide coverage for hearing aids for certain persons aged 15 or younger. - 17:48A-7dd Medical service corporation to provide coverage for hearing aids...
Section 17:48A-7ee - Individual, group medical service corporation to provide installment payments to obstetrical provider for maternity services. - 17:48A-7ee Individual, group medical service corporation to provide installment payments...
Section 17:48A-7ff - Medical service corporation to provide benefits for treatment of autism or other developmental disability. - 17:48A-7ff Medical service corporation to provide benefits for treatment of...
Section 17:48A-7gg - Medical service corporation to provide coverage for oral anticancer medications. - 17:48A-7gg Medical service corporation to provide coverage for oral anticancer...
Section 17:48A-7hh - Medical service corporation to provide coverage for sickle cell anemia. - 17:48A-7hh Medical service corporation to provide coverage for sickle cell...
Section 17:48A-7ii - Medical service corporation to provide coverage for prescription eye drops. - 17:48A-7ii Medical service corporation to provide coverage for prescription eye...
Section 17:48A-7jj - Medical service corporation contract, coverage for synchronization of prescribed medications. - 17:48A-7jj Medical service corporation contract, coverage for synchronization of prescribed...
Section 17:48A-7kk - Medical service corporation to provide benefits for treatment of substance use disorder. - 17:48A-7kk Medical service corporation to provide benefits for treatment of...
Section 17:48A-7ll - Medical service corporation to provide coverage regardless of gender identity, expression. - 17:48A-7ll Medical service corporation to provide coverage regardless of gender...
Section 17:48A-7mm - Medical service corporation contract to cover digital tomosynthesis of the breast. - 17:48A-7mm Medical service corporation contract to cover digital tomosynthesis of...
Section 17:48A-7nn - Medical service corporation to provide coverage for donated human breast milk. - 17:48A-7nn Medical service corporation to provide coverage for donated human...
Section 17:48A-7oo - Medical service corporation to provide coverage for standard fertility preservation services. - 17:48A-7oo Medical service corporation to provide coverage for standard fertility...
Section 17:48A-7pp - Medical service corporation to provide coverage for breastfeeding support. - 17:48A-7pp Medical service corporation to provide coverage for breastfeeding support....
Section 17:48A-7qq - Medical service corporation to cover preventive services. - 17:48A-7qq Medical service corporation to cover preventive services. 2. a....
Section 17:48A-7rr - Medical service corporation to provide certain coverage for prescription drugs. - 17:48A-7rr Medical service corporation to provide certain coverage for prescription...
Section 17:48A-7ss - Medical service corporation to cover adolescent depression screenings. - 17:48A-7ss Medical service corporation to cover adolescent depression screenings. 2....
Section 17:48A-7tt - Medical service corporation to cover newborn home nurse visitation. - 17:48A-7tt Medical service corporation to cover newborn home nurse visitation....
Section 17:48A-7.1 - Group contracts; issuance; description; benefits; employees defined. - 17:48A-7.1 Group contracts; issuance; description; benefits; employees defined. 1. A...
Section 17:48A-7.2 - Provisions applicable to group contracts - 17:48A-7.2. Provisions applicable to group contracts The provisions of the...
Section 17:48A-7.3 - Group contract form - 17:48A-7.3. Group contract form Every group contract entered into by...
Section 17:48A-7.4 - Participation agreements - 17:48A-7.4. Participation agreements A medical service corporation of this State...
Section 17:48A-7.5 - Schedule of rates - 17:48A-7.5. Schedule of rates No medical service corporation shall issue...
Section 17:48A-7.6 - Combined hospital-medical contract - 17:48A-7.6. Combined hospital-medical contract A medical service corporation and a...
Section 17:48A-7.7 - Review of determinations of commissioner of banking and insurance - 17:48A-7.7. Review of determinations of commissioner of banking and insurance...
Section 17:48A-7.8 - Review of practices, rules and procedures of medical service corporations - 17:48A-7.8. Review of practices, rules and procedures of medical service...
Section 17:48A-7.9 - Adjustment of rates; experience rating formula; approval - 17:48A-7.9. Adjustment of rates; experience rating formula; approval Group contracts,...
Section 17:48A-7.10 - Coverage provided by medical service corporation for subscriber's child. - 17:48A-7.10 Coverage provided by medical service corporation for subscriber's child....
Section 17:48A-7.11 - Requirements applicable to State Medicaid - 17:48A-7.11. Requirements applicable to State Medicaid 4. A medical service...
Section 17:48A-7.12 - Medical service corporation to receive, transmit transactions electronically; standards. - 17:48A-7.12 Medical service corporation to receive, transmit transactions electronically; standards....
Section 17:48A-7.13 - Coverage for certain dependents until age 31 by medical service corporation. - 17:48A-7.13 Coverage for certain dependents until age 31 by medical...
Section 17:48A-8 - Participating physicians; payments for medical services - 17:48A-8. Participating physicians; payments for medical services Any medical service...
Section 17:48A-9 - Filing form of subscription certificate, etc.; disapproval by commissioner - 17:48A-9. Filing form of subscription certificate, etc.; disapproval by commissioner...
Section 17:48A-9.1 - Medical service corporation contract; compliance - 17:48A-9.1. Medical service corporation contract; compliance 7. No medical service...
Section 17:48A-9.2 - Filing of contract or related forms - 17:48A-9.2. Filing of contract or related forms 8. a. Except...
Section 17:48A-9.3 - Contract forms; certification memorandum - 17:48A-9.3. Contract forms; certification memorandum 9. a. Pursuant to the...
Section 17:48A-10 - Schedule of rates; filing, disapproval - 17:48A-10. Schedule of rates; filing, disapproval No corporation subject to...
Section 17:48A-11 - Agreements with physicians; approval of payments; corporate records - 17:48A-11. Agreements with physicians; approval of payments; corporate records No...
Section 17:48A-12 - Expenditures in soliciting subscribers - 17:48A-12. Expenditures in soliciting subscribers No corporation subject to the...
Section 17:48A-13 - Administrative expenses - 17:48A-13. Administrative expenses No such corporation shall disburse during any...
Section 17:48A-13.1 - Medical service corporation, aggregate benefits. - 17:48A-13.1 Medical service corporation, aggregate benefits. 2. a. Beginning with...
Section 17:48A-14 - Investments; surplus - 17:48A-14. Investments; surplus The funds of any medical service corporation...
Section 17:48A-15 - Statement of financial condition; inquiries by commissioner - 17:48A-15. Statement of financial condition; inquiries by commissioner Every medical...
Section 17:48A-16 - Failure to file statement or answer inquiries; penalty - 17:48A-16. Failure to file statement or answer inquiries; penalty Any...
Section 17:48A-17 - Examination of assets and affairs; assistants - 17:48A-17. Examination of assets and affairs; assistants The Commissioner of...
Section 17:48A-18 - Expense of examination; gifts, etc., to departmental employees - 17:48A-18. Expense of examination; gifts, etc., to departmental employees The...
Section 17:48A-19 - Exhibition of records and accounts; examinations under oath - 17:48A-19. Exhibition of records and accounts; examinations under oath It...
Section 17:48A-19.1 - Definitions. - 17:48A-19.1 Definitions. 16. As used in sections 16 through 20...
Section 17:48A-19.2 - Increase in amount of capital or surplus required of medical service corporation. - 17:48A-19.2 Increase in amount of capital or surplus required of...
Section 17:48A-19.3 - Determination of increase, revision or redetermination; factors. - 17:48A-19.3 Determination of increase, revision or redetermination; factors. 18. In...
Section 17:48A-19.4 - Suspension, revocation of authority to do business. - 17:48A-19.4 Suspension, revocation of authority to do business. 19. The...
Section 17:48A-19.5 - Rules, regulations. - 17:48A-19.5 Rules, regulations. 20. The commissioner may promulgate regulations pursuant...
Section 17:48A-21 - Fees - 17:48A-21. Fees Every corporation to which this chapter shall be...
Section 17:48A-22 - Violations of chapter; penalty and recovery thereof; misdemeanors - 17:48A-22. Violations of chapter; penalty and recovery thereof; misdemeanors Any...
Section 17:48A-23 - Grants for needy persons - 17:48A-23. Grants for needy persons A medical service corporation may...
Section 17:48A-24 - Corporation as charitable and benevolent institution; tax exemption - 17:48A-24. Corporation as charitable and benevolent institution; tax exemption Any...
Section 17:48A-25 - Partial invalidity - 17:48A-25. Partial invalidity Should any provision or section of this...
Section 17:48A-26 - Podiatrist, services performed by. - 17:48A-26 Podiatrist, services performed by. 1. Notwithstanding any other provision...
Section 17:48A-27 - Bio-analytical laboratory, services performed by - 17:48A-27. Bio-analytical laboratory, services performed by Notwithstanding any other provision...
Section 17:48A-28 - Dentists, services performed by - 17:48A-28. Dentists, services performed by Notwithstanding any other provision of...
Section 17:48A-28.1 - Policies providing for reimbursement of services of dentist; additional applicable provisions - 17:48A-28.1. Policies providing for reimbursement of services of dentist; additional...
Section 17:48A-28.2 - Application of act to contracts with reservation of right to change premium - 17:48A-28.2. Application of act to contracts with reservation of right...
Section 17:48A-29 - Optometrist, services performed by - 17:48A-29. Optometrist, services performed by Notwithstanding any other provision of...
Section 17:48A-30 - Psychologist, services performed by - 17:48A-30. Psychologist, services performed by Notwithstanding any other provision of...
Section 17:48A-31 - Physical therapist, services performed by - 17:48A-31. Physical therapist, services performed by Notwithstanding any other provision...
Section 17:48A-32 - Chiropractors; authorization for payment for diagnostic X-rays; inclusion in act as physician licensed to practice medicine or surgery; liberal construction - 17:48A-32. Chiropractors; authorization for payment for diagnostic X-rays; inclusion in...
Section 17:48A-33 - Chiropractors, services performed by - 17:48A-33. Chiropractors, services performed by Notwithstanding any other provision of...
Section 17:48A-34 - Nurse-midwives, services performed by - 17:48A-34. Nurse-midwives, services performed by Notwithstanding any other provision of...
Section 17:48A-35 - Services provided by registered professional nurse; benefits - 17:48A-35. Services provided by registered professional nurse; benefits Notwithstanding any...
Section 17:48B-1 - Additional powers - 17:48B-1. Additional powers Any hospital service corporation and any medical...
Section 17:48B-2 - Rules and regulations - 17:48B-2. Rules and regulations The Commissioner of Banking and Insurance...
Section 17:48C-1 - Objects and purposes - 17:48C-1. Objects and purposes The objects and purposes of a...
Section 17:48C-2 - Definitions. - 17:48C-2 Definitions. 2. As used in this act the following...
Section 17:48C-3 - Nonprofit corporation; restrictions as to methods of diagnosis and treatment; dissolution - 17:48C-3. Nonprofit corporation; restrictions as to methods of diagnosis and...
Section 17:48C-4 - Certificate of authority; application; issuance; amendment - 17:48C-4. Certificate of authority; application; issuance; amendment A nonprofit corporation...
Section 17:48C-4.1 - Supplying administrative services by dental service corporation - 17:48C-4.1. Supplying administrative services by dental service corporation 1. A...
Section 17:48C-5 - Standards in reviewing application. - 17:48C-5 Standards in reviewing application. 5. In reviewing any application...
Section 17:48C-6 - Board of trustees; membership; chairman. - 17:48C-6 Board of trustees; membership; chairman. 6. The activities and...
Section 17:48C-7 - Contracts; provisions. - 17:48C-7 Contracts; provisions. 7. Every contract made by any dental...
Section 17:48C-8 - Written contracts required; subscription certificate; provisions required - 17:48C-8. Written contracts required; subscription certificate; provisions required Every contract...
Section 17:48C-8.1 - Dental service corporation to receive, transmit transactions electronically. - 17:48C-8.1 Dental service corporation to receive, transmit transactions electronically. 8....
Section 17:48C-8.2 - Dental service corporation to offer coverage for domestic partner. - 17:48C-8.2 Dental service corporation to offer coverage for domestic partner....
Section 17:48C-8.3 - Payment of out-of-network benefits by dental service corporation. - 17:48C-8.3 Payment of out-of-network benefits by dental service corporation. 1....
Section 17:48C-9 - Additional payments by subscribers - 17:48C-9. Additional payments by subscribers Any dental service corporation may...
Section 17:48C-10 - Liability of corporation for injuries - 17:48C-10. Liability of corporation for injuries Any subscription certificate may...
Section 17:48C-11 - Formal requirements for subscription certificates - 17:48C-11. Formal requirements for subscription certificates In every subscription certificate...
Section 17:48C-12 - Participating dentists; payments for dental services - 17:48C-12. Participating dentists; payments for dental services Any dental service...
Section 17:48C-13 - Filing form of subscription certificate; disapproval - 17:48C-13. Filing form of subscription certificate; disapproval No subscription certificate...
Section 17:48C-14 - Schedule of rates; filing; disapproval - 17:48C-14. Schedule of rates; filing; disapproval No dental service corporation...
Section 17:48C-15 - Agreements with dentists; approval of payments; corporate records. - 17:48C-15 Agreements with dentists; approval of payments; corporate records. 15....
Section 17:48C-16 - Group contract; benefits; "employees" defined. - 17:48C-16 Group contract; benefits; "employees" defined. 16. A dental service...
Section 17:48C-17 - Application of act to group contracts; "subscriber" defined - 17:48C-17. Application of act to group contracts; "subscriber" defined The...
Section 17:48C-18 - Written group contracts; statements. - 17:48C-18 Written group contracts; statements. 18. Every group contract entered...
Section 17:48C-18.1 - Alternative dental coverage; original coverage restricted to limited number of providers - 17:48C-18.1. Alternative dental coverage; original coverage restricted to limited number...
Section 17:48C-18.2 - Employer contribution - 17:48C-18.2. Employer contribution An employer or other organization shall be...
Section 17:48C-18.3 - Rules and regulations - 17:48C-18.3. Rules and regulations Within 120 days of the effective...
Section 17:48C-19.1 - Adjustment of rate of premium for dental service corporations, certain circumstances. - 17:48C-19.1 Adjustment of rate of premium for dental service corporations,...
Section 17:48C-20 - Agreements for participation with other corporations for issuance of group contracts. - 17:48C-20 Agreements for participation with other corporations for issuance of...
Section 17:48C-21 - Experience rates, commissioner's determination. - 17:48C-21 Experience rates, commissioner's determination. 21. No dental service corporation...
Section 17:48C-22 - Practices, rules and procedures subject to review; orders; disapproval; judicial review - 17:48C-22. Practices, rules and procedures subject to review; orders; disapproval;...
Section 17:48C-23 - Fees - 17:48C-23. Fees Every corporation to which this act shall be...
Section 17:48C-24 - Disbursements by corporation - 17:48C-24. Disbursements by corporation If the commissioner shall determine that...
Section 17:48C-25 - Investments; surplus - 17:48C-25. Investments; surplus The funds of any dental service corporation...
Section 17:48C-26 - Statement of financial condition; inquiries by commissioner - 17:48C-26. Statement of financial condition; inquiries by commissioner Every dental...
Section 17:48C-27 - Failure to file statement or answer inquiries; penalty - 17:48C-27. Failure to file statement or answer inquiries; penalty Any...
Section 17:48C-28 - Examination of assets and affairs - 17:48C-28. Examination of assets and affairs (a) The commissioner shall...
Section 17:48C-28.1 - Definitions. - 17:48C-28.1 Definitions. 21. As used in sections 21 through 25...
Section 17:48C-28.2 - Increase in amount of capital or surplus required of dental service corporation. - 17:48C-28.2 Increase in amount of capital or surplus required of...
Section 17:48C-28.3 - Determination of increase, revision or redetermination; factors. - 17:48C-28.3 Determination of increase, revision or redetermination; factors. 23. In...
Section 17:48C-28.4 - Suspension, revocation of authority to do business. - 17:48C-28.4 Suspension, revocation of authority to do business. 24. The...
Section 17:48C-28.5 - Rules, regulations. - 17:48C-28.5 Rules, regulations. 25. The commissioner may promulgate regulations pursuant...
Section 17:48C-30 - Violations of chapter; penalty and recovery thereof; misdemeanors - 17:48C-30. Violations of chapter; penalty and recovery thereof; misdemeanors Any...
Section 17:48C-31 - Grants or allocation of funds - 17:48C-31. Grants or allocation of funds A dental service corporation...
Section 17:48C-32 - Corporation as charitable and benevolent institution; tax exemption - 17:48C-32. Corporation as charitable and benevolent institution; tax exemption Every...
Section 17:48C-33 - Partial invalidity - 17:48C-33. Partial invalidity Should any provision or section of this...
Section 17:48C-34 - Application of act - 17:48C-34. Application of act No person, association or corporation shall...
Section 17:48C-35 - Liberal construction - 17:48C-35. Liberal construction This act shall be liberally construed to...
Section 17:48C-36 - Short title - 17:48C-36. Short title This act shall be known and may...
Section 17:48D-1 - Title of act - 17:48D-1. Title of act This act shall be known and...
Section 17:48D-2 - Definitions. - 17:48D-2 Definitions. 2. In this act, unless the context otherwise...
Section 17:48D-3 - Application for certificate of authority. - 17:48D-3 Application for certificate of authority. 3. a. No person...
Section 17:48D-3.1 - Consultants - 17:48D-3.1. Consultants No person shall be employed as a consultant...
Section 17:48D-3.2 - Fiduciary capacity of consultants; compensation - 17:48D-3.2. Fiduciary capacity of consultants; compensation A consultant shall be...
Section 17:48D-3.3 - Report regarding finders - 17:48D-3.3. Report regarding finders A dental plan organization, employer, union...
Section 17:48D-4 - Notice of modification of information. - 17:48D-4 Notice of modification of information. 4. Sixty days prior...
Section 17:48D-5 - Conditions for issuance; notice of disapproval. - 17:48D-5 Conditions for issuance; notice of disapproval. 5. a. The...
Section 17:48D-6 - General surplus of plan - 17:48D-6. General surplus of plan The commissioner may determine, at...
Section 17:48D-7 - Special contingent surplus for organizations using more than 20 full-time dentists - 17:48D-7. Special contingent surplus for organizations using more than 20...
Section 17:48D-8 - Fidelity bonding of officers, etc., malpractice insurance of dentists. - 17:48D-8 Fidelity bonding of officers, etc., malpractice insurance of dentists....
Section 17:48D-9 - Evidence of coverage. - 17:48D-9 Evidence of coverage. 9. a. An enrollee shall be...
Section 17:48D-9.1 - Alternative dental coverage; original coverage restricted to limited number of providers - 17:48D-9.1. Alternative dental coverage; original coverage restricted to limited number...
Section 17:48D-9.2 - Employer contribution - 17:48D-9.2. Employer contribution An employer or other organization shall be...
Section 17:48D-9.3 - Rules and regulations - 17:48D-9.3. Rules and regulations Within 120 days of the effective...
Section 17:48D-9.4 - Dental plan organization to receive, transmit transactions electronically. - 17:48D-9.4 Dental plan organization to receive, transmit transactions electronically. 9....
Section 17:48D-9.5 - Dental plan organization to offer coverage for domestic partner. - 17:48D-9.5 Dental plan organization to offer coverage for domestic partner....
Section 17:48D-9.6 - Payment of out-of-network benefits by dental plan organization. - 17:48D-9.6 Payment of out-of-network benefits by dental plan organization. 2....
Section 17:48D-10 - Schedule of premiums, approval by commissioner; establishment of premiums. - 17:48D-10 Schedule of premiums, approval by commissioner; establishment of premiums....
Section 17:48D-11 - Books, records; examination, inspection by commissioner. - 17:48D-11 Books, records; examination, inspection by commissioner. 11. a. The...
Section 17:48D-11.1 - Definitions. - 17:48D-11.1 Definitions. 26. As used in sections 26 through 30...
Section 17:48D-11.2 - Increase in amount of capital or surplus required of dental plan organization. - 17:48D-11.2 Increase in amount of capital or surplus required of...
Section 17:48D-11.3 - Determination of increase, revision or redetermination; factors. - 17:48D-11.3 Determination of increase, revision or redetermination; factors. 28. In...
Section 17:48D-11.4 - Suspension, revocation of authority to do business. - 17:48D-11.4 Suspension, revocation of authority to do business. 29. The...
Section 17:48D-11.5 - Rules, regulations. - 17:48D-11.5 Rules, regulations. 30. The commissioner may promulgate regulations pursuant...
Section 17:48D-12 - Complaint system, records. - 17:48D-12 Complaint system, records. 12. a. A dental plan organization...
Section 17:48D-13 - Annual report; filing; forms. - 17:48D-13 Annual report; filing; forms. 13. a. Every dental plan...
Section 17:48D-14 - Percentage of premiums used for payments. - 17:48D-14 Percentage of premiums used for payments. 14. At least...
Section 17:48D-15 - False or misleading advertising; enforcement. - 17:48D-15 False or misleading advertising; enforcement. 15. a. No dental...
Section 17:48D-16 - Suspension, revocation of certificate of authority. - 17:48D-16 Suspension, revocation of certificate of authority. 16. a. The...
Section 17:48D-17 - Cease and desist orders - 17:48D-17. Cease and desist orders a. The commissioner may issue...
Section 17:48D-18 - Violations; civil penalty. - 17:48D-18 Violations; civil penalty. 18. Any dental plan organization which...
Section 17:48D-20 - Applications, filings and reports treated as public documents - 17:48D-20. Applications, filings and reports treated as public documents Applications,...
Section 17:48D-21 - Confidentiality of diagnostic, treatment information. - 17:48D-21 Confidentiality of diagnostic, treatment information. 21. Data or information...
Section 17:48D-23 - Rules and regulations - 17:48D-23. Rules and regulations The commissioner may promulgate such rules...
Section 17:48D-24 - Severability - 17:48D-24. Severability If any section, term or provision of this...
Section 17:48E-1 - Definitions. - 17:48E-1 Definitions. 1. As used in this act: a. "Commissioner"...
Section 17:48E-2 - Establishment of health service corporation - 17:48E-2. Establishment of health service corporation a. A health service...
Section 17:48E-3 - Health service corporations. - 17:48E-3 Health service corporations. 3. a. A health service corporation...
Section 17:48E-4 - Certificate of authority - 17:48E-4. Certificate of authority a. A health service corporation, other...
Section 17:48E-5 - Merger procedure - 17:48E-5. Merger procedure Upon the merger of a medical service...
Section 17:48E-6 - Board of health service corporation formed through merger. - 17:48E-6 Board of health service corporation formed through merger. 6....
Section 17:48E-7 - Board of directors of health service corporation. - 17:48E-7 Board of directors of health service corporation. 7. The...
Section 17:48E-8 - Vacancy procedure - 17:48E-8. Vacancy procedure Within 10 days after a vacancy in...
Section 17:48E-9 - Executive committee - 17:48E-9. Executive committee The board of directors of a health...
Section 17:48E-10 - Agreements with service providers - 17:48E-10. Agreements with service providers a. A health service corporation...
Section 17:48E-10.1 - Health service corporation to receive, transmit transactions electronically; standards. - 17:48E-10.1 Health service corporation to receive, transmit transactions electronically; standards....
Section 17:48E-10.2 - Payment of out-of-network dental benefits by health service corporation. - 17:48E-10.2 Payment of out-of-network dental benefits by health service corporation....
Section 17:48E-11 - Professional Advisory Committee - 17:48E-11. Professional Advisory Committee a. There is created a Professional...
Section 17:48E-12 - Eligible providers' services. - 17:48E-12 Eligible providers' services. 12. In any contract entered into...
Section 17:48E-13 - Approval of forms - 17:48E-13. Approval of forms 13. No health service corporation shall...
Section 17:48E-13.1 - Health service corporation contract; compliance - 17:48E-13.1. Health service corporation contract; compliance 11. No health service...
Section 17:48E-13.2 - Filing of contract or related form - 17:48E-13.2. Filing of contract or related form 12. a. Except...
Section 17:48E-13.3 - Contract forms; certification memorandum - 17:48E-13.3. Contract forms; certification memorandum 13. a. Pursuant to the...
Section 17:48E-14 - Individual contract requirements - 17:48E-14. Individual contract requirements In every individual contract made, issued...
Section 17:48E-15 - Classification permitted - 17:48E-15. Classification permitted A health service corporation may classify subscribers...
Section 17:48E-15.1 - Eligibility for enrollment in health service corporation - 17:48E-15.1. Eligibility for enrollment in health service corporation 3. Notwithstanding...
Section 17:48E-15.2 - Health service corporation contract, exclusion, rates, terms based on genetic information prohibited - 17:48E-15.2. Health service corporation contract, exclusion, rates, terms based on...
Section 17:48E-16 - Joint ventures - 17:48E-16. Joint ventures a. A health service corporation of this...
Section 17:48E-17 - Expense limits; investments; administrative services - 17:48E-17. Expense limits; investments; administrative services 17. a. No health...
Section 17:48E-17.1 - Two special contingent surplus accounts - 17:48E-17.1. Two special contingent surplus accounts 5. a. Every health...
Section 17:48E-17.2 - Special contingent surplus required for health service corporation - 17:48E-17.2. Special contingent surplus required for health service corporation 8....
Section 17:48E-17.3 - Examination of annual regulatory filings; annual audit. - 17:48E-17.3 Examination of annual regulatory filings; annual audit. 4. a....
Section 17:48E-17.4 - Health service corporation, aggregate benefits. - 17:48E-17.4 Health service corporation, aggregate benefits. 3. a. Beginning with...
Section 17:48E-18 - Annual contract, renewal; family coverage - 17:48E-18. Annual contract, renewal; family coverage a. Every individual contract...
Section 17:48E-19 - Provisions of subscription certificates - 17:48E-19. Provisions of subscription certificates Every individual contract entered into...
Section 17:48E-20 - Coverage for newborn child. - 17:48E-20 Coverage for newborn child. 20. a. Family type individual...
Section 17:48E-21 - Coverage for former spouse - 17:48E-21. Coverage for former spouse Whenever, pursuant to the provisions...
Section 17:48E-22 - Coverage for child with intellectual disability, physical handicap. - 17:48E-22 Coverage for child with intellectual disability, physical handicap. 22....
Section 17:48E-23 - Group contracts - 17:48E-23. Group contracts a. A health service corporation may issue...
Section 17:48E-24 - Provisions of group contract forms - 17:48E-24. Provisions of group contract forms a. Every group contract...
Section 17:48E-25 - "Employee" coverage - 17:48E-25. "Employee" coverage The group contract may provide that the...
Section 17:48E-26 - Experience rating - 17:48E-26. Experience rating a. A group contract, covering at least...
Section 17:48E-27 - Rate schedule filing - 17:48E-27. Rate schedule filing 27. No health service corporation shall...
Section 17:48E-27.1 - Individual contract rate changes - 17:48E-27.1. Individual contract rate changes 7. A health service corporation...
Section 17:48E-28 - Group coverage for newborn child. - 17:48E-28 Group coverage for newborn child. 28. a. Family type...
Section 17:48E-29 - Nongroup coverage for former spouse - 17:48E-29. Nongroup coverage for former spouse Whenever, pursuant to the...
Section 17:48E-30 - Group coverage for child with intellectual disability, physical handicap. - 17:48E-30 Group coverage for child with intellectual disability, physical handicap....
Section 17:48E-30.1 - Coverage for certain dependents until age 31 by health service corporation. - 17:48E-30.1 Coverage for certain dependents until age 31 by health...
Section 17:48E-31 - Family coverage after member's death - 17:48E-31. Family coverage after member's death Any group contract which...
Section 17:48E-32 - Continuation of coverage for totally disabled - 17:48E-32. Continuation of coverage for totally disabled A group contract...
Section 17:48E-32.1 - Coverage provided by health service corporation for subscriber's child. - 17:48E-32.1 Coverage provided by health service corporation for subscriber's child....
Section 17:48E-32.2 - Requirements applicable to State Medicaid - 17:48E-32.2. Requirements applicable to State Medicaid 6. A health service...
Section 17:48E-33 - Second, third surgical opinions - 17:48E-33. Second, third surgical opinions a. A health service corporation...
Section 17:48E-35 - Reconstructive breast surgery benefits - 17:48E-35. Reconstructive breast surgery benefits 35. Every subscription certificate and...
Section 17:48E-35.1 - Benefits for home treatment of hemophilia - 17:48E-35.1. Benefits for home treatment of hemophilia Every group or...
Section 17:48E-35.2 - Health service corporation insurance benefits for preexisting condition. - 17:48E-35.2 Health service corporation insurance benefits for preexisting condition. 3....
Section 17:48E-35.3 - Health service corporation to pay benefits for treatment of Wilm's tumor - 17:48E-35.3. Health service corporation to pay benefits for treatment of...
Section 17:48E-35.4 - Health service corporation contract, mammogram examination benefits. - 17:48E-35.4 Health service corporation contract, mammogram examination benefits. 3. a....
Section 17:48E-35.5 - Health service corporation, benefits for "off-label" drugs required - 17:48E-35.5. Health service corporation, benefits for "off-label" drugs required 4....
Section 17:48E-35.6 - Health service corporation, benefits for health promotion - 17:48E-35.6. Health service corporation, benefits for health promotion 5. a....
Section 17:48E-35.7 - Requirements for health service corporation providing benefits for pharmacy services. - 17:48E-35.7 Requirements for health service corporation providing benefits for pharmacy...
Section 17:48E-35.8 - Benefits for certain cancer treatments - 17:48E-35.8. Benefits for certain cancer treatments 3. In addition to...
Section 17:48E-35.9 - Coverage for birth and natal care; health service corporation - 17:48E-35.9. Coverage for birth and natal care; health service corporation...
Section 17:48E-35.10 - Health service corporation contracts, child screening, blood lead, hearing loss; immunizations. - 17:48E-35.10 Health service corporation contracts, child screening, blood lead, hearing...
Section 17:48E-35.11 - Coverage for diabetes treatment by individual group health service corporation - 17:48E-35.11. Coverage for diabetes treatment by individual group health service...
Section 17:48E-35.12 - Health service corporation contract, Pap smear benefits - 17:48E-35.12. Health service corporation contract, Pap smear benefits 1. No...
Section 17:48E-35.13 - Health service corporation contract, prostate cancer testing - 17:48E-35.13. Health service corporation contract, prostate cancer testing 1. No...
Section 17:48E-35.14 - Coverage for minimum inpatient care following mastectomy by individual, group health service corporation - 17:48E-35.14. Coverage for minimum inpatient care following mastectomy by individual,...
Section 17:48E-35.15 - Applicability of Health Care Quality Act - 17:48E-35.15 Applicability of Health Care Quality Act 27. Notwithstanding the...
Section 17:48E-35.16 - Coverage for treatment of inherited metabolic diseases by health service corporation. - 17:48E-35.16 Coverage for treatment of inherited metabolic diseases by health...
Section 17:48E-35.17 - Health service corporation to cover certain audiology, speech-language pathology services. - 17:48E-35.17 Health service corporation to cover certain audiology, speech-language pathology...
Section 17:48E-35.18 - Coverage for treatment of domestic violence injuries by health service corporation. - 17:48E-35.18 Coverage for treatment of domestic violence injuries by health...
Section 17:48E-35.19 - Coverage for certain dental procedures for the severely disabled or child age five or under by health service corporation - 17:48E-35.19. Coverage for certain dental procedures for the severely disabled...
Section 17:48E-35.20 - Health service corporation to provide coverage for mental health conditions, substance use disorders; collaborative care model. - 17:48E-35.20 Health service corporation to provide coverage for mental health...
Section 17:48E-35.21 - Coverage for hemophilia services by health service corporation - 17:48E-35.21. Coverage for hemophilia services by health service corporation 9....
Section 17:48E-35.22 - Health service corporation to provide coverage for treatment of infertility. - 17:48E-35.22 Health service corporation to provide coverage for treatment of...
Section 17:48E-35.23 - Health service corporation to provide coverage for colorectal cancer screening. - 17:48E-35.23 Health service corporation to provide coverage for colorectal cancer...
Section 17:48E-35.24 - Health service corporation prescription drug plans to cover certain infant formulas. - 17:48E-35.24 Health service corporation prescription drug plans to cover certain...
Section 17:48E-35.25 - Contract issued under C.17:48E-1 et seq. required to cover certain out-of-network services. - 17:48E-35.25 Contract issued under C.17:48E-1 et seq. required to cover...
Section 17:48E-35.26 - Health service corporation to offer coverage for domestic partner. - 17:48E-35.26 Health service corporation to offer coverage for domestic partner....
Section 17:48E-35.27 - Health service corporation, high deductible, coverage for preventive care. - 17:48E-35.27 Health service corporation, high deductible, coverage for preventive care....
Section 17:48E-35.28 - Health service corporation, high deductible, deductible inapplicable, certain circumstances. - 17:48E-35.28 Health service corporation, high deductible, deductible inapplicable, certain circumstances....
Section 17:48E-35.29 - Health service corporation, coverage for contraceptives. - 17:48E-35.29 Health service corporation, coverage for contraceptives. 3. a. A...
Section 17:48E-35.30 - Health service corporation to provide benefits for orthotic and prosthetic appliances. - 17:48E-35.30 Health service corporation to provide benefits for orthotic and...
Section 17:48E-35.31 - Health service corporation to provide coverage for hearing aids for certain persons aged 15 or younger. - 17:48E-35.31 Health service corporation to provide coverage for hearing aids...
Section 17:48E-35.32 - Individual, group health service corporation to provide installment payments to obstetrical provider for maternity services. - 17:48E-35.32 Individual, group health service corporation to provide installment payments...
Section 17:48E-35.33 - Health service corporation to provide benefits for treatment of autism or other developmental disability. - 17:48E-35.33 Health service corporation to provide benefits for treatment of...
Section 17:48E-35.34 - Health service corporation to provide coverage for oral anticancer medications. - 17:48E-35.34 Health service corporation to provide coverage for oral anticancer...
Section 17:48E-35.35 - Health service corporation to provide coverage for sickle cell anemia. - 17:48E-35.35 Health service corporation to provide coverage for sickle cell...
Section 17:48E-35.36 - Health service corporation to provide coverage for prescription eye drops. - 17:48E-35.36 Health service corporation to provide coverage for prescription eye...
Section 17:48E-35.37 - Health service corporation contract, coverage for synchronization of prescribed medications. - 17:48E-35.37 Health service corporation contract, coverage for synchronization of prescribed...
Section 17:48E-35.38 - Health service corporation to provide benefits for treatment of substance use disorder. - 17:48E-35.38 Health service corporation to provide benefits for treatment of...
Section 17:48E-35.39 - Health service corporation to provide coverage regardless of gender identity, expression. - 17:48E-35.39 Health service corporation to provide coverage regardless of gender...
Section 17:48E-35.40 - Health service corporation contract to cover digital tomosynthesis of the breast. - 17:48E-35.40 Health service corporation contract to cover digital tomosynthesis of...
Section 17:48E-35.41 - Health service corporation to provide coverage for donated human breast milk. - 17:48E-35.41 Health service corporation to provide coverage for donated human...
Section 17:48E-35.42 - Health service corporation to provide coverage for standard fertility preservation services. - 17:48E-35.42 Health service corporation to provide coverage for standard fertility...
Section 17:48E-35.43 - Health service corporation to provide coverage for breastfeeding support. - 17:48E-35.43 Health service corporation to provide coverage for breastfeeding support....
Section 17:48E-35.44 - Health service corporation to cover preventive services. - 17:48E-35.44 Health service corporation to cover preventive services. 3. a....
Section 17:48E-35.45 - Health service corporation to provide certain coverage for prescription drugs. - 17:48E-35.45 Health service corporation to provide certain coverage for prescription...
Section 17:48E-35.46 - Health service corporation to cover adolescent depression screenings. - 17:48E-35.46 Health service corporation to cover adolescent depression screenings. 3....
Section 17:48E-35.47 - Health service corporation to cover newborn home nurse visitations. - 17:48E-35.47 Health service corporation to cover newborn home nurse visitations....
Section 17:48E-36 - Annual financial statement - 17:48E-36. Annual financial statement a. Every health service corporation transacting...
Section 17:48E-37 - Examination authority - 17:48E-37. Examination authority a. The commissioner shall have the power,...
Section 17:48E-37.1 - Definitions. - 17:48E-37.1 Definitions. 31. As used in sections 31 through 35...
Section 17:48E-37.2 - Increase in amount of capital or surplus required of health service corporation. - 17:48E-37.2 Increase in amount of capital or surplus required of...
Section 17:48E-37.3 - Determination of increase, revision or redetermination; factors. - 17:48E-37.3 Determination of increase, revision or redetermination; factors. 33. In...
Section 17:48E-37.4 - Suspension, revocation of authority to do business. - 17:48E-37.4 Suspension, revocation of authority to do business. 34. The...
Section 17:48E-37.5 - Rules, regulations. - 17:48E-37.5 Rules, regulations. 35. The commissioner may promulgate regulations pursuant...
Section 17:48E-38 - Fee schedule - 17:48E-38. Fee schedule A health service corporation shall pay the...
Section 17:48E-39 - Penalties for violations - 17:48E-39. Penalties for violations Any health service corporation of this...
Section 17:48E-41 - Health service corporation, exemption from taxes - 17:48E-41. Health service corporation, exemption from taxes A health service...
Section 17:48E-42 - For-profit corporations excluded - 17:48E-42. For-profit corporations excluded The provisions of this act shall...
Section 17:48E-43 - Subject to review - 17:48E-43. Subject to review All determinations of the commissioner made...
Section 17:48E-44 - Rules, regulations - 17:48E-44. Rules, regulations The commissioner, pursuant to the "Administrative Procedure...
Section 17:48E-45 - Definitions relative to conversion - 17:48E-45. Definitions relative to conversion > 1. As used in...
Section 17:48E-46 - Conversion of health service corporation to domestic mutual insurer - 17:48E-46. Conversion of health service corporation to domestic mutual insurer...
Section 17:48E-46.1 - Findings, declarations relative to the reorganization of a health service corporation - 17:48E-46.1. Findings, declarations relative to the reorganization of a health...
Section 17:48E-46.2 - Definitions relative to the reorganization of a health service corporation - 17:48E-46.2. Definitions relative to the reorganization of a health service...
Section 17:48E-46.3 - Mutual holding company, not for pecuniary profit, mission - 17:48E-46.3. Mutual holding company, not for pecuniary profit, mission 3....
Section 17:48E-46.4 - Health service corporation to reorganize into mutual holding company system - 17:48E-46.4. Health service corporation to reorganize into mutual holding company...
Section 17:48E-46.5 - Health service corporation applicationto form mutual holding company system - 17:48E-46.5. Health service corporation applicationto form mutual holding company system...
Section 17:48E-46.6 - Monitoring mutual holding company's operations - 17:48E-46.6. Monitoring mutual holding company's operations 6. A mutual holding...
Section 17:48E-46.7 - Investments; supplier program; mutualization; reorganization plans - 17:48E-46.7. Investments; supplier program; mutualization; reorganization plans 7. a. A...
Section 17:48E-46.8 - Non-obligation of distribution payment to members, policyholders - 17:48E-46.8. Non-obligation of distribution payment to members, policyholders 8. Neither...
Section 17:48E-46.9 - Membership in mutual holding company - 17:48E-46.9. Membership in mutual holding company 9. a. Membership in...
Section 17:48E-46.10 - Plan of dissolution - 17:48E-46.10. Plan of dissolution 10. Upon any voluntary dissolution of...
Section 17:48E-46.11 - Annual statements; report to the Governor - 17:48E-46.11. Annual statements; report to the Governor 11. a. A...
Section 17:48E-46.12 - Public records - 17:48E-46.12. Public records 12. a. The application submitted pursuant to...
Section 17:48E-46.13 - Initial and annual assessments - 17:48E-46.13. Initial and annual assessments 13. a. Following regulatory approval...
Section 17:48E-46.14 - Mutual holding company - 17:48E-46.14. Mutual holding company 14. A mutual holding company formed...
Section 17:48E-46.15 - Board of the mutual holding company; membership, transitional period, diversity - 17:48E-46.15. Board of the mutual holding company; membership, transitional period,...
Section 17:48E-46.16 - Full-time employees maintained for 36 months following transition - 17:48E-46.16. Full-time employees maintained for 36 months following transition 16....
Section 17:48E-46.17 - Severability - 17:48E-46.17. Severability 19. a. The provisions of P.L.2020, c.145 (C.17:48E-46.1...
Section 17:48E-47 - Filing, approval of conversion plan - 17:48E-47. Filing, approval of conversion plan 3. a. Upon the...
Section 17:48E-48 - Directors and officers, terms - 17:48E-48. Directors and officers, terms 4. a. Public members of...
Section 17:48E-49 - Definitions relative to conversion of health service corporation to domestic stock insurer. - 17:48E-49 Definitions relative to conversion of health service corporation to...
Section 17:48E-50 - Procedure for conversion. - 17:48E-50 Procedure for conversion. 2. a. A health service corporation...
Section 17:48E-51 - Filing of application. - 17:48E-51 Filing of application. 3. a. The health service corporation...
Section 17:48E-52 - Approval of plan, certificate of authority. - 17:48E-52 Approval of plan, certificate of authority. 4. a. The...
Section 17:48E-53 - Issuance of subsequent order. - 17:48E-53 Issuance of subsequent order. 5. The order of the...
Section 17:48E-54 - Transfer of fair market value. - 17:48E-54 Transfer of fair market value. 6. a. At or...
Section 17:48E-55 - Continuation of health service corporation. - 17:48E-55 Continuation of health service corporation. 7. a. The legal...
Section 17:48E-56 - Conversion of policies. - 17:48E-56 Conversion of policies. 8. a. The policies of the...
Section 17:48E-57 - Receipt of compensation contingent upon approval of plan prohibited. - 17:48E-57 Receipt of compensation contingent upon approval of plan prohibited....
Section 17:48E-58 - Documents considered public records; exceptions. - 17:48E-58 Documents considered public records; exceptions. 10. All applications, reports,...
Section 17:48E-59 - Conversion effective; conditions. - 17:48E-59 Conversion effective; conditions. 11. The conversion shall be effective...
Section 17:48E-60 - Abandonment, amendment of plan of conversion. - 17:48E-60 Abandonment, amendment of plan of conversion. 12. The health...
Section 17:48E-61 - Directors, officers continue to serve. - 17:48E-61 Directors, officers continue to serve. 13. The directors and...
Section 17:48E-62 - Participation of Attorney General. - 17:48E-62 Participation of Attorney General. 14. The Attorney General has...
Section 17:48E-63 - Orders, rules, regulations. - 17:48E-63 Orders, rules, regulations. 15. The commissioner may issue orders...
Section 17:48E-64 - Construction of act. - 17:48E-64 Construction of act. 16. a. Nothing in this act...
Section 17:48E-65 - Requirements prior to action constituting material change in form. - 17:48E-65 Requirements prior to action constituting material change in form....
Section 17:48E-66 - Notification of action constituting material change in form, procedure. - 17:48E-66 Notification of action constituting material change in form, procedure....
Section 17:48E-67 - Petition for review of foundation plan. - 17:48E-67 Petition for review of foundation plan. 19. a. (1)...
Section 17:48E-68 - Foundations; board, membership. - 17:48E-68 Foundations; board, membership. 20. a. (Deleted by amendment, P.L.2013,...
Section 17:48F-1 - Definitions relative to prepaid prescription service organizations. - 17:48F-1 Definitions relative to prepaid prescription service organizations. 1. As...
Section 17:48F-2 - Prepaid prescription service organization, certificate of authority. - 17:48F-2 Prepaid prescription service organization, certificate of authority. 2. a....
Section 17:48F-3 - Application for certificate of authority, requirements. - 17:48F-3 Application for certificate of authority, requirements. 3. Each application...
Section 17:48F-4 - Review of application. - 17:48F-4 Review of application. 4. Following receipt of an application,...
Section 17:48F-5 - Modification of matter, document, filing required; fixing of charges; filing of benefits offered. - 17:48F-5 Modification of matter, document, filing required; fixing of charges;...
Section 17:48F-6 - Filing for approval by other insurers, etc. - 17:48F-6 Filing for approval by other insurers, etc. 6. Any...
Section 17:48F-7 - Rights of prepaid prescription service organization. - 17:48F-7 Rights of prepaid prescription service organization. 7. A prepaid...
Section 17:48F-8 - Contract for provision of services. - 17:48F-8 Contract for provision of services. 8. A prepaid prescription...
Section 17:48F-9 - Issuance of evidence of coverage. - 17:48F-9 Issuance of evidence of coverage. 9. Every contract holder...
Section 17:48F-10 - Prepaid prescription service organization deemed domestic insurer. - 17:48F-10 Prepaid prescription service organization deemed domestic insurer. 10. a....
Section 17:48F-11 - Complaint system established. - 17:48F-11 Complaint system established. 11. A prepaid prescription service organization...
Section 17:48F-12 - Examination by commissioner. - 17:48F-12 Examination by commissioner. 12. The commissioner may conduct an...
Section 17:48F-13 - Terms, conditions required in contracts. - 17:48F-13 Terms, conditions required in contracts. 13. All prepaid prescription...
Section 17:48F-13.1 - Prepaid prescription service organization to receive, transmit transactions electronically; standards. - 17:48F-13.1 Prepaid prescription service organization to receive, transmit transactions electronically;...
Section 17:48F-13.2 - Prepaid prescription service organization; coverage for contraceptives. - 17:48F-13.2 Prepaid prescription service organization; coverage for contraceptives. 9. a....
Section 17:48F-14 - Maintenance of tangible net equity. - 17:48F-14 Maintenance of tangible net equity. 14. a. Except as...
Section 17:48F-15 - Deposit of case, securities; net worth requirement. - 17:48F-15 Deposit of case, securities; net worth requirement. 15. a....
Section 17:48F-16 - Maintenance of fidelity bond. - 17:48F-16 Maintenance of fidelity bond. 16. A prepaid prescription service...
Section 17:48F-17 - Annual report. - 17:48F-17 Annual report. 17. A prepaid prescription service organization shall...
Section 17:48F-17.1 - Definitions. - 17:48F-17.1 Definitions. 36. As used in sections 36 through 40...
Section 17:48F-17.2 - Increase in amount of capital or surplus required of prepaid prescription service organization. - 17:48F-17.2 Increase in amount of capital or surplus required of...
Section 17:48F-17.3 - Determination of increase, revision or redetermination; factors. - 17:48F-17.3 Determination of increase, revision or redetermination; factors. 38. In...
Section 17:48F-17.4 - Suspension, revocation of authority to do business. - 17:48F-17.4 Suspension, revocation of authority to do business. 39. The...
Section 17:48F-17.5 - Rules, regulations. - 17:48F-17.5 Rules, regulations. 40. The commissioner may promulgate regulations pursuant...
Section 17:48F-18 - Suspension, revocation of certificate of authority. - 17:48F-18 Suspension, revocation of certificate of authority. 18. The commissioner...
Section 17:48F-19 - Notification of suspension, revocation of certificate of authority. - 17:48F-19 Notification of suspension, revocation of certificate of authority. 19....
Section 17:48F-20 - Maintenance of insurance to cover insolvency. - 17:48F-20 Maintenance of insurance to cover insolvency. 20. The commissioner...
Section 17:48F-21 - Rehabilitation, liquidation, conservation of prepaid prescription service organization. - 17:48F-21 Rehabilitation, liquidation, conservation of prepaid prescription service organization. 21....
Section 17:48F-22 - Order of rehabilitation. - 17:48F-22 Order of rehabilitation. 22. If an order of rehabilitation...
Section 17:48F-23 - Providers enjoined from billing enrollees, beneficiaries under order of rehabilitation. - 17:48F-23 Providers enjoined from billing enrollees, beneficiaries under order of...
Section 17:48F-24 - Inapplicability of C.17B:32A-1 et seq. - 17:48F-24 Inapplicability of C.17B:32A-1 et seq. 24. A prepaid prescription...
Section 17:48F-25 - Application, examination fees. - 17:48F-25 Application, examination fees. 25. A prepaid prescription service organization...
Section 17:48F-26 - Violations; penalties. - 17:48F-26 Violations; penalties. 26. a. The commissioner may, upon notice...
Section 17:48F-27 - Cease and desist order; injunctive relief. - 17:48F-27 Cease and desist order; injunctive relief. 27. a. The...
Section 17:48F-28 - Confidentiality of data, information. - 17:48F-28 Confidentiality of data, information. 28. Any data or information...
Section 17:48F-29 - Rules, regulations. - 17:48F-29 Rules, regulations. 29. The commissioner shall adopt rules and...
Section 17:48G-1 - Definitions relative to dental decision regulation. - 17:48G-1 Definitions relative to dental decision regulation. 1. As used...
Section 17:48G-2 - Dental decisions made by insurer. - 17:48G-2 Dental decisions made by insurer. 2. a. An insurer...
Section 17:48G-3 - Dental decisions made by third party administrator. - 17:48G-3 Dental decisions made by third party administrator. 3. a....
Section 17:48G-4 - Inapplicability of act relative to certain decisions of insurers, third party administrators. - 17:48G-4 Inapplicability of act relative to certain decisions of insurers,...
Section 17:48G-5 - Applicability of act to dental decisions. - 17:48G-5 Applicability of act to dental decisions. 8. This act...
Section 17:48G-6 - Construction of act relative to board. - 17:48G-6 Construction of act relative to board. 9. Nothing in...
Section 17:48H-1 - Definitions relative to organized delivery systems for health care services benefits. - 17:48H-1 Definitions relative to organized delivery systems for health care...
Section 17:48H-2 - Certification, licensure, required - 17:48H-2. Certification, licensure, required 2. a. Beginning one year after...
Section 17:48H-3 - Application for certification. - 17:48H-3 Application for certification. 3. a. An organized delivery system...
Section 17:48H-4 - Form, contents of application. - 17:48H-4 Form, contents of application. 4. Application for certification to...
Section 17:48H-5 - Review of application. - 17:48H-5 Review of application. 5. Following receipt of an application...
Section 17:48H-6 - Notice of change, modification. - 17:48H-6 Notice of change, modification. 6. a. A certified organized...
Section 17:48H-7 - Suspension, revocation of certification, grounds. - 17:48H-7 Suspension, revocation of certification, grounds. 7. The Commissioner of...
Section 17:48H-8 - Notification of grounds for suspension, revocation of certification. - 17:48H-8 Notification of grounds for suspension, revocation of certification. 8....
Section 17:48H-9 - Fees. - 17:48H-9 Fees. 9. A certified organized delivery system shall pay...
Section 17:48H-10 - Civil administrative penalty. - 17:48H-10 Civil administrative penalty. 10. The Commissioner of Banking and...
Section 17:48H-11 - Application for licensure. - 17:48H-11 Application for licensure. 11. a. An organized delivery system...
Section 17:48H-12 - Form, contents of application. - 17:48H-12 Form, contents of application. 12. Application for a license...
Section 17:48H-13 - Review of application. - 17:48H-13 Review of application. 13. Following receipt of an application...
Section 17:48H-14 - Notice of change, modification - 17:48H-14. Notice of change, modification 14. a. A licensed organized...
Section 17:48H-15 - Services provided by licensed organized delivery system. - 17:48H-15 Services provided by licensed organized delivery system. 15. A...
Section 17:48H-16 - Treatment of organized delivery system as domestic insurer - 17:48H-16. Treatment of organized delivery system as domestic insurer 16....
Section 17:48H-17 - Examination of licensed organized delivery system - 17:48H-17. Examination of licensed organized delivery system 17. The Commissioner...
Section 17:48H-18 - Contracts with providers, mandatory terms - 17:48H-18. Contracts with providers, mandatory terms 18. All licensed organized...
Section 17:48H-19 - Minimum net worth - 17:48H-19. Minimum net worth 19. a. A licensed organized delivery...
Section 17:48H-20 - Deposit of cash, securities - 17:48H-20. Deposit of cash, securities 20. a. A licensed organized...
Section 17:48H-21 - Maintenance of fidelity bond - 17:48H-21 Maintenance of fidelity bond 21. A licensed organized delivery...
Section 17:48H-22 - Annual report - 17:48H-22. Annual report 22. A licensed organized delivery system shall...
Section 17:48H-22.1 - Definitions. - 17:48H-22.1 Definitions. 41. As used in sections 41 through 45...
Section 17:48H-22.2 - Increase in amount of capital or surplus required of licensed organized delivery system. - 17:48H-22.2 Increase in amount of capital or surplus required of...
Section 17:48H-22.3 - Determination of increase, revision or redetermination; factors. - 17:48H-22.3 Determination of increase, revision or redetermination; factors. 43. In...
Section 17:48H-22.4 - Suspension, revocation of authority to do business. - 17:48H-22.4 Suspension, revocation of authority to do business. 44. The...
Section 17:48H-22.5 - Rules, regulations. - 17:48H-22.5 Rules, regulations. 45. The commissioner may promulgate regulations pursuant...
Section 17:48H-23 - Suspension, revocation of license, grounds - 17:48H-23. Suspension, revocation of license, grounds 23. The Commissioner of...