17B:23-6. Purpose
Sections 17B:23-6 through 17B:23-11 are deemed and declared to be remedial legislation for the protection of the health and welfare of persons resident in this State by subjecting nonadmitted insurers which solicit, insure, or cause to be solicited such resident persons to the laws which govern all foreign insurers which do business in the State of New Jersey. These provisions shall be literally construed to effectuate its purpose and intent.
L.1971, c. 144, s. 17B:23-6. Amended by L.1973, c. 22, s. 12, eff. Feb. 8, 1973.
Structure New Jersey Revised Statutes
Section 17B:17-1 - Scope of act
Section 17B:17-2 - Insurer defined
Section 17B:17-3 - Life insurance defined
Section 17B:17-4 - Health insurance defined
Section 17B:17-5 - Annuity defined
Section 17B:17-5.1 - Definitions; funeral insurance policies
Section 17B:17-6 - Person defined
Section 17B:17-7 - Domestic insurer, foreign insurer, alien insurer defined
Section 17B:17-8 - State defined
Section 17B:17-9 - Domicile defined
Section 17B:17-10 - Principal office defined
Section 17B:17-11 - Authorized insurer, unauthorized insurer defined
Section 17B:17-12 - Certificate of authority; license defined
Section 17B:17-12.1 - Change of domicile for insurers
Section 17B:17-13 - Misdemeanor to do business unless authorized
Section 17B:17-13.1 - Charitable annuities.
Section 17B:17-14 - General penalty
Section 17B:17-15 - Conflict with other laws
Section 17B:17-16 - Separability of provisions
Section 17B:17-17 - Short title
Section 17B:17-19 - Definitions
Section 17B:17-20 - Application of act; exclusions
Section 17B:17-21 - Policy forms
Section 17B:17-22 - Issuance of policy forms after filing; construction with other laws
Section 17B:17-23 - Flesch reading ease score; authorization of lower score
Section 17B:17-24 - Content of policy forms; construction with other laws
Section 17B:17-25 - Date of application
Section 17B:17-26 - Definitions relative to life insurance.
Section 17B:17-27 - Applicability of act.
Section 17B:17-28 - Use of death index by insurer.
Section 17B:17-29 - Action of insurer upon receiving notice of death.
Section 17B:17-30 - Procedures to confirm death, location, notification of beneficiaries.
Section 17B:17-31 - Inapplicability of act.
Section 17B:18-1 - Scope of chapter
Section 17B:18-2 - Stock insurer defined
Section 17B:18-3 - Mutual insurer defined
Section 17B:18-4 - Organization of stock or mutual insurer
Section 17B:18-5 - Approval of certificate by commissioner; recording and filing
Section 17B:18-6 - Stipulations in stock subscriptions and applications
Section 17B:18-7 - Certificate of incorporation of mutual insurer; election of directors
Section 17B:18-8 - Loan to mutual insurer for organizational expenses
Section 17B:18-11 - Nomination of candidates for director
Section 17B:18-12 - Death, withdrawal or incapacity of candidates for director
Section 17B:18-13 - Qualified voters; "policyholder" defined
Section 17B:18-14 - Elections of directors of mutual insurers; procedure, ballots
Section 17B:18-15 - Nominations by others than board of directors; notice of election
Section 17B:18-16 - Canvass of votes; tie vote
Section 17B:18-17 - Report of result of election
Section 17B:18-19 - Number of directors; appointment of public directors; ex officio directors
Section 17B:18-20 - Public directors; carry-overs; appointments; terms; vacancies; powers
Section 17B:18-21 - Elected directors; carry-overs; terms; vacancies
Section 17B:18-22 - Elected directors; manner of electing
Section 17B:18-23 - Qualified voters; "policyholder" for purpose of election defined
Section 17B:18-24 - Nomination of candidates; demand by public directors
Section 17B:18-25 - Method of electing when no demand is made by public directors
Section 17B:18-27 - Mailing of ballot; effect
Section 17B:18-28 - Filing certificate on number of policies; copy delivered to Chief Justice
Section 17B:18-29 - Election of directors in mutual insurer issuing temporary stock
Section 17B:18-30 - Proxy voting permitted at elections
Section 17B:18-31 - Emergency by-laws
Section 17B:18-32 - Failure to adopt emergency by-laws; procedure
Section 17B:18-33 - National emergency; succession
Section 17B:18-34 - National emergency; relocation of principal place of business
Section 17B:18-37 - Definitions; deposit prerequisite to authorization
Section 17B:18-38 - Deposits; interest on; substitution of
Section 17B:18-39 - Deposits to do business in other jurisdictions
Section 17B:18-39.1 - Fees for services of custodian required pursuant to N.J.S.17B:18-37 et seq.
Section 17B:18-41 - Examination before commencing business
Section 17B:18-42 - Certificate of authority; when issuable.
Section 17B:18-43 - Domestic insurers, powers, duties--general corporation law
Section 17B:18-44 - Stock of other insurance company
Section 17B:18-45 - Authority to acquire, hold and convey real estate
Section 17B:18-46 - Limitation on dividends to stockholders
Section 17B:18-47 - Increase or decrease of capital stock
Section 17B:18-48 - Advertisement of assets to include liabilities
Section 17B:18-49 - Cash disbursements to be evidenced by voucher
Section 17B:18-50 - Payment of taxes, charges and fees prior to determination of invalidity
Section 17B:18-51 - Compensation of directors
Section 17B:18-52 - Insurer payments to senior officers restricted
Section 17B:18-54 - Suit for profits realized by director, officer, and principal stockholders
Section 17B:18-55 - Limitation on sale of stock by director, officer and principal stockholders
Section 17B:18-58 - Mutual insurers; adoption of amended charter or certificate of incorporation
Section 17B:18-59 - Mutualization of stock insurers
Section 17B:18-60 - Merger and consolidation of stock insurers
Section 17B:18-61 - Merger and consolidation of mutual insurers
Section 17B:18-62 - "Reinsurance" defined
Section 17B:18-63 - Reinsurance of risks
Section 17B:18-64 - Prerequisites to reinsurance
Section 17B:18-65 - Extended reinsurance
Section 17B:18-65.1 - Rules and regulations
Section 17B:18-66 - Reinsurance pooling
Section 17B:18-67 - Short title
Section 17B:18-68 - Surplus, capital required
Section 17B:18-69 - Temporary waiver of capital, surplus requirements
Section 17B:18-70 - Increase in amount of required capital, surplus
Section 17B:18-71 - Factors for determination of increase, revision, redetermination
Section 17B:18-72 - Suspension, revocation of authority to do business
Section 17B:19-1 - Expenses of investigation, analyses, and valuation of securities
Section 17B:19-1.1 - Definitions.
Section 17B:19-2.1 - Annual valuation of reserve liabilities.
Section 17B:19-3 - Additional reserves
Section 17B:19-4 - Preliminary term insurance; amount of reserve
Section 17B:19-5 - Calculations of policy and loss reserves for accident and health insurance.
Section 17B:19-7 - Abandonment of standard of valuation adopted
Section 17B:19-8 - Standard valuation law
Section 17B:19-10 - Reserves, related actuarial items; annual opinion of qualified actuary.
Section 17B:19-11 - Standards for policies issued on or after operative date of valuation manual.
Section 17B:19-12 - Establishment of reserves using principle-based valuation.
Section 17B:19-13 - Submission of certain data.
Section 17B:19-14 - "Confidential information."
Section 17B:20-1 - Investments of domestic insurers.
Section 17B:20-2 - Limitation of investments.
Section 17B:20-3 - Incidental acquisition of corporate stock or securities, construction of chapter
Section 17B:20-4 - Stock of subsidiary or alien corporations
Section 17B:20-5 - Securities of foreign country or property therein
Section 17B:20-6 - Reasonable and temporary additional restrictions
Section 17B:20-7 - Securities of domestic insurers
Section 17B:20-8 - Valuation of securities; violations; penalties
Section 17B:21-1 - Annual statement; forms
Section 17B:21-2 - Penalty for not filing annual statement; penalty for other violations
Section 17B:23-1 - Translation of business by foreign and alien insurers
Section 17B:23-2 - Prerequisites to admission
Section 17B:23-3 - Deposit by alien insurers
Section 17B:23-4 - Revocation of authority to do business
Section 17B:23-5 - Retaliatory provision.
Section 17B:23-7 - Definitions
Section 17B:23-8 - Conditions precedent to doing business in State
Section 17B:23-9 - Actions deemed doing business in the State
Section 17B:23-10 - Enforcement
Section 17B:23-11 - Excluded actions
Section 17B:24-1.1 - Insurable interests
Section 17B:24-3 - Application as evidence
Section 17B:24-4 - Assignments
Section 17B:24-5 - Payment discharges insurer
Section 17B:24-6 - Exemption of proceeds--life insurance
Section 17B:24-7 - Exemption of proceeds--annuity contracts
Section 17B:24-8 - Exemption of proceeds--health insurance and disability provisions
Section 17B:24-9 - Exemption of proceeds--group insurance
Section 17B:24-10 - Policy settlements
Section 17B:24-12 - Separate risks and premiums
Section 17B:25-1 - "Industrial life insurance" ; definition
Section 17B:25-2 - Standard provisions required
Section 17B:25-2.1 - Cancellation of policy within 10 days after receipt
Section 17B:25-3 - Grace period
Section 17B:25-4 - Incontestability
Section 17B:25-5 - Entire contract
Section 17B:25-6 - Misstatement of age
Section 17B:25-8 - Policy loan
Section 17B:25-9 - Reinstatement
Section 17B:25-10 - Payment of premiums
Section 17B:25-10.1 - Notice mailed to holders of life insurance policy
Section 17B:25-11 - Payment of claims
Section 17B:25-12 - Beneficiary; industrial policies
Section 17B:25-13 - Nonforfeiture benefits and cash surrender values
Section 17B:25-15 - Provision prohibited
Section 17B:25-16 - Excluded or restricted coverage
Section 17B:25-17 - Incontestability; limitation of liability after reinstatement
Section 17B:25-18 - Filing of forms
Section 17B:25-18.1 - Life, health insurance policy, contract; compliance
Section 17B:25-18.2 - Filing of policy, contract or related form
Section 17B:25-18.3 - Policies, contract forms; certification memorandums; exceptions
Section 17B:25-18.4 - Filing of certain forms of life insurance approved in other states.
Section 17B:25-18.5 - Certain actions taken by department employees to result in termination.
Section 17B:25-19 - Standard nonforfeiture law for life insurance.
Section 17B:25-20 - Standard nonforfeiture law for individual deferred annuities.
Section 17B:25-20.1 - Supersedure of standard nonforfeiture law, certain.
Section 17B:25-21 - Short title.
Section 17B:25-22 - Inapplicability of act.
Section 17B:25-23 - Required provisions for contract of annuity.
Section 17B:25-24 - Minimum values.
Section 17B:25-25 - Paid-up annuity benefit.
Section 17B:25-26 - Cash surrender benefits, determination of present value.
Section 17B:25-27 - Determination of present value.
Section 17B:25-28 - Determination of benefits.
Section 17B:25-29 - Notice of benefits not provided in contract.
Section 17B:25-30 - Benefits allowance for lapse of time and payments beyond schedule.
Section 17B:25-31 - Minimum nonforfeiture benefits.
Section 17B:25-33 - Effective date, applicability.
Section 17B:25-34 - Findings, declarations relative to certain annuity products.
Section 17B:25-35 - Definitions relative to certain annuity products.
Section 17B:25-36 - Use of certain terms regulated; exceptions.
Section 17B:25-39 - Cancellation provision for certain annuities.
Section 17B:25-40 - Certain annuities excluded; report to owner.
Section 17B:25-41 - Collection, maintenance of information.
Section 17B:25-42 - Violations, penalties.
Section 17B:26-1 - Filing of forms
Section 17B:26-2 - Form of policy; requirements.
Section 17B:26-2.1a - Reconstructive breast surgery; benefits
Section 17B:26-2.1b - Health insurance policies
Section 17B:26-2.1c - Benefits for equipment for home treatment of hemophilia
Section 17B:26-2.1e - Individual health insurance policy, mammogram examination benefits.
Section 17B:26-2.1f - Individual health insurance benefits for certain nursing services
Section 17B:26-2.1g - Individual health insurance policy, benefits for "off-label" drugs required
Section 17B:26-2.1h - Individual health insurer, benefits for health promotion
Section 17B:26-2.1j - Benefits for certain cancer treatments
Section 17B:26-2.1k - Coverage for birth and natal care; health insurance policy
Section 17B:26-2.1l - Coverage for diabetes treatment by individual health insurance policy
Section 17B:26-2.1n - Applicability of Health Care Quality Act
Section 17B:26-2.1t - Coverage for hemophilia services by individual health insurers
Section 17B:26-2.1u - Individual policy to provide coverage for colorectal cancer screening.
Section 17B:26-2.1x - Individual health insurer to offer coverage for domestic partner.
Section 17B:26-2.1y - Individual health insurer, coverage for contraceptives.
Section 17B:26-2.1ff - Individual health insurer to provide coverage for prescription eye drops.
Section 17B:26-2.1ll - Individual health insurer to provide coverage for breastfeeding support.
Section 17B:26-2.1mm - Individual health insurer policy to cover preventive services.
Section 17B:26-2.1oo - Individual health insurance policy to cover adolescent depression screenings.
Section 17B:26-2.1pp - Individual policy to cover newborn home nurse visitation.
Section 17B:26-2.2 - Second surgical opinions; definitions
Section 17B:26-2.3 - Policy benefits for second surgical opinion
Section 17B:26-2.4 - Benefit payments
Section 17B:26-2.5 - Third surgical opinion
Section 17B:26-2.6 - Excluded surgical procedures
Section 17B:26-2.7 - Payment for opinion services of physician
Section 17B:26-2.8 - Application of act
Section 17B:26-3 - Required provisions
Section 17B:26-3.1 - Cancellation of policy within 10 days after receipt
Section 17B:26-4 - Entire contract; changes
Section 17B:26-5 - Time limit on certain defenses
Section 17B:26-6 - Grace period
Section 17B:26-7 - Reinstatement
Section 17B:26-8 - Notice of claim
Section 17B:26-9 - Claim forms
Section 17B:26-10 - Proofs of loss
Section 17B:26-11 - Time of payment of claims
Section 17B:26-12 - Payment of claims
Section 17B:26-13 - Physical examinations and autopsy
Section 17B:26-14 - Legal actions
Section 17B:26-15 - Change of beneficiary
Section 17B:26-16 - Optional policy provisions
Section 17B:26-17 - Change of occupation
Section 17B:26-18 - Misstatement of age
Section 17B:26-19 - Other insurance in this insurer
Section 17B:26-20 - Insurance with other insurers
Section 17B:26-21 - Insurance with other insurers
Section 17B:26-22 - Relation of earnings to insurance
Section 17B:26-23 - Unpaid premium
Section 17B:26-24 - Cancellation
Section 17B:26-25 - Conformity with State statutes
Section 17B:26-26 - Illegal occupation
Section 17B:26-27 - Intoxicants and narcotics
Section 17B:26-28 - Inapplicable or inconsistent provisions
Section 17B:26-29 - Order of certain policy provisions
Section 17B:26-30 - Third party ownership
Section 17B:26-31 - Requirements of other jurisdictions
Section 17B:26-32 - Other policy provisions
Section 17B:26-33 - Policy conflicting with this chapter
Section 17B:26-34 - Time limit on certain defenses with respect to reinstatement
Section 17B:26-35 - Waiver of rights of insurer
Section 17B:26-37 - Scope of chapter
Section 17B:26-39 - Legislative findings and declarations
Section 17B:26-40 - Definitions
Section 17B:26-41 - Home health care; requirement for provisions for coverage
Section 17B:26-43 - Direct reimbursement to home health care providers
Section 17B:26-44 - Regulations
Section 17B:26-44.3 - Renewal date; policy with reservation of right to change premium
Section 17B:26-44.5 - Employer contribution
Section 17B:26-44.6 - Rules and regulations
Section 17B:26-46 - Violations; penalty; collection and enforcement
Section 17B:26-47 - Injunction
Section 17B:26A-1 - Definitions
Section 17B:26A-2 - Regulations; medicare supplement policies
Section 17B:26A-3 - Prohibited provisions
Section 17B:26A-4 - Preexisting condition; denial of claim for losses
Section 17B:26A-5 - Regulations
Section 17B:26A-6 - Medicare supplement policy or certificate, requirements
Section 17B:26A-7 - Outline of coverage, regulations
Section 17B:26A-8 - 30-day examination period, refunds
Section 17B:26A-9 - Applicability
Section 17B:26A-10 - Filing of copies of advertising materials, regulations
Section 17B:26A-11 - Additional remedies
Section 17B:26A-12 - Findings, declarations relative to Medicare supplement insurance.
Section 17B:26A-13 - Medicare supplement plans offered.
Section 17B:26A-14 - Rules, regulations; rates; plan provisions.
Section 17B:26A-15 - Procedures for equitable sharing of losses; conditions; filing statement
Section 17B:26A-16 - Audit required, conditions
Section 17B:26A-17 - Definitions.
Section 17B:27-26 - Definitions and requirements
Section 17B:27-27 - Employer, trustee, labor union, association groups
Section 17B:27-28 - Other groups as permitted under group life insurance
Section 17B:27-29 - Discretionary groups
Section 17B:27-30 - Dependents.
Section 17B:27-30.1 - Benefits provided by group policy to subscriber's child.
Section 17B:27-30.2 - Requirements applicable to State Medicaid
Section 17B:27-30.3 - Coverage provided by group health plan to subscriber's child.
Section 17B:27-30.4 - Requirements applicable to State Medicaid
Section 17B:27-30.5 - Coverage for certain dependents until age 31 by group health insurance policy.
Section 17B:27-31 - "Employees" defined
Section 17B:27-32 - Blanket insurance
Section 17B:27-33 - Standard provisions
Section 17B:27-34 - Application; statements
Section 17B:27-35 - Policy changes
Section 17B:27-36 - New entrants
Section 17B:27-37 - Payment of premiums
Section 17B:27-38 - Certificate
Section 17B:27-39 - Age limits
Section 17B:27-40 - Notice of loss
Section 17B:27-41 - Proof of loss
Section 17B:27-42 - Forms for proof
Section 17B:27-43 - Examination, autopsy
Section 17B:27-44 - Time of benefit payment
Section 17B:27-45 - Beneficiary; direct payment to hospitals and other purveyors of services
Section 17B:27-46 - Time limits, suits
Section 17B:27-46.1a - Reconstructive breast surgery; benefits
Section 17B:27-46.1b - Group health insurance policies
Section 17B:27-46.1c - Benefits for purchase of blood products, infusion equipment
Section 17B:27-46.1d - Commercial health insurer benefits for preexisting condition
Section 17B:27-46.1e - Group health insurance policy to pay benefits for treatment of Wilm's tumor
Section 17B:27-46.1f - Group health insurance policy, mammogram examination benefits.
Section 17B:27-46.1g - .Group health insurance policy, benefits for "off-label" drugs required
Section 17B:27-46.1h - Group health insurer, benefits for health promotion
Section 17B:27-46.1j - Benefits for certain cancer treatments
Section 17B:27-46.1k - Coverage for birth and natal care; group insurance policy
Section 17B:27-46.1m - Coverage for diabetes treatment by group health insurance policy
Section 17B:27-46.1n - Group health insurance policy, Pap smear benefits
Section 17B:27-46.1o - Group health insurance policy, prostate cancer testing
Section 17B:27-46.1p - Coverage for minimum inpatient care following mastectomy by group policy
Section 17B:27-46.1q - Applicability of Health Care Quality Act
Section 17B:27-46.1w - Coverage for hemophilia services by group health insurers
Section 17B:27-46.1y - Group policy to provide coverage for colorectal cancer screening.
Section 17B:27-46.1bb - Group health insurer to offer coverage for domestic partner.
Section 17B:27-46.1ee - Group health insurers, coverage for contraceptives.
Section 17B:27-46.1kk - Group health insurance policy to provide coverage for sickle cell anemia.
Section 17B:27-46.1ll - Group health insurer to provide coverage for prescription eye drops.
Section 17B:27-46.1pp - Group health insurance policy to cover digital tomosynthesis of the breast.
Section 17B:27-46.1ss - Group health insurer to provide coverage for breastfeeding support.
Section 17B:27-46.1tt - Group health insurer policy to cover preventive services.
Section 17B:27-46.1vv - Group health insurance policy to cover adolescent depression screenings.
Section 17B:27-46.2 - Second surgical opinions; definitions
Section 17B:27-46.3 - Group insurance policies; provision of program on request
Section 17B:27-46.4 - Payment for second surgical opinion services
Section 17B:27-46.5 - Third surgical opinion
Section 17B:27-46.6 - Reduction of benefits where no second opinion obtained
Section 17B:27-46.7 - Permissible benefit exclusions
Section 17B:27-46.8 - Payment for opinion services of physician
Section 17B:27-46.9 - Application of act
Section 17B:27-46.10 - Group health insurance policy to cover newborn home care visitation.
Section 17B:27-48 - Exceptions in same type as benefits
Section 17B:27-49 - Filing of forms
Section 17B:27-50 - Reimbursement for service of physician or practicing psychologist
Section 17B:27-50.1 - Severability
Section 17B:27-51 - Reimbursement for optometric service
Section 17B:27-51.1 - Reimbursement for service of chiropractor
Section 17B:27-51.1a - Group health insurance benefits for certain nursing services
Section 17B:27-51.2 - Legislative findings and declarations
Section 17B:27-51.3 - Definitions
Section 17B:27-51.4 - Home health care; requirement for coverage
Section 17B:27-51.5 - Benefits
Section 17B:27-51.6 - Direct reimbursement to home health care providers
Section 17B:27-51.7 - Regulations
Section 17B:27-51.10 - Renewal date; policy with reservation of right to change premium
Section 17B:27-51.10b - Employer contribution
Section 17B:27-51.10c - Rules and regulations
Section 17B:27-51.11 - Definitions
Section 17B:27-51.14 - Insurer provide health benefits plan, aggregate benefits.
Section 17B:27-52 - Group life and health--package policies
Section 17B:27-54 - Application of provisions; definitions.
Section 17B:27-60 - Written certification of creditable coverage under COBRA
Section 17B:27-61 - Affiliation period imposed by HMO
Section 17B:27-62 - Permission to enroll for group coverage
Section 17B:27-63 - Dependent special enrollment period
Section 17B:27-64 - Rules for eligibility, health status-related factors prohibited
Section 17B:27-65 - Premiums, contributions regulated
Section 17B:27-66 - Renewal of coverage; exceptions
Section 17B:27-67 - Modification of coverage
Section 17B:27-68 - Conditions for issuance, delivery of group life insurance.
Section 17B:27-71 - Extension to dependents of group life insurance policy.
Section 17B:27-72 - Required provisions for delivery, issuance of group life insurance policy.
Section 17B:27-73 - Issuance, delivery of individual policy of life insurance.
Section 17B:27-74 - Filing of form required for delivery, issuance of group life insurance.
Section 17B:27-75 - Payment of benefits.
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-4.2 - Requirements applicable to State Medicaid
Section 17B:27A-4.3 - Eligibility for enrollment in individual health benefits plan
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-7.3 - Applicability of Health Care Quality Act
Section 17B:27A-7.6 - Coverage for hemophilia services by individual health policy
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-7.12 - Individual health benefits plan, coverage for contraceptives.
Section 17B:27A-7.18 - Individual health benefits plan to provide coverage for sickle cell anemia.
Section 17B:27A-7.23 - Individual health benefits plan to cover digital tomosynthesis of the breast.
Section 17B:27A-7.27 - Individual health benefits plan to cover preventive services.
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-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-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-18.2 - 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-19.2 - 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-19.5 - Applicability of Health Care Quality Act
Section 17B:27A-19.8 - Coverage for hemophilia services by small employer plan
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-19.15 - Small employer health benefits plan, coverage for contraceptives.
Section 17B:27A-19.31 - Small employer health benefits plan to cover preventive services.
Section 17B:27A-19.34 - Small employer health benefits plan to cover newborn home nurse visitation.
Section 17B:27A-20 - Coinsurance, deductibles applicable
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-25.2 - 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-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-56 - Provision of biannual surveys to DOBI by health insurers.
Section 17B:27A-57 - "Health Insurance Exchange Trust Fund."
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-59.5 - 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-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."
Section 17B:27B-1 - Definitions relative to third party administrators, billing services.
Section 17B:27B-2 - Licensure, registration required for third party administrators.
Section 17B:27B-3 - Additional information required for licensure, registration.
Section 17B:27B-4 - Issuance of license, approval of application for registration.
Section 17B:27B-5 - Denial of license, registration.
Section 17B:27B-6 - Provisions of written agreement; requirements.
Section 17B:27B-7 - Access to books, records.
Section 17B:27B-8 - Payment to third party administrators not based solely on claims denials.
Section 17B:27B-9 - Fiduciary responsibility of third party administrators.
Section 17B:27B-10 - Separate accounts for funds remitted.
Section 17B:27B-11 - Prompt delivery of communications to enrollees.
Section 17B:27B-12 - Notification of material changes to commissioner.
Section 17B:27B-13 - Annual reports.
Section 17B:27B-14 - Suspension, revocation of license, registration.
Section 17B:27B-15 - Immediate suspension of license, registration, grounds.
Section 17B:27B-16 - Certification required for third party billing services.
Section 17B:27B-17 - Additional information to be filed by third party billing services.
Section 17B:27B-18 - Approval of applications for certification.
Section 17B:27B-19 - Denial of applications for certification.
Section 17B:27B-21 - Fiduciary responsibility of third party billing services.
Section 17B:27B-22 - Notification of material changes to commissioner.
Section 17B:27B-23 - Suspension, revocation of certification.
Section 17B:27B-24 - Violations, penalties.
Section 17B:27B-25 - Rules, regulations.
Section 17B:27C-1 - Short title.
Section 17B:27C-2 - Purposes of act.
Section 17B:27C-3 - Definitions relative to self-funded multiple employer welfare arrangements.
Section 17B:27C-4 - Annual registration, fee.
Section 17B:27C-5 - Deposit, maintenance of cash, securities.
Section 17B:27C-6 - Required filings.
Section 17B:27C-7 - Liability of members.
Section 17B:27C-8 - Inapplicability of insurance laws in certain circumstances.
Section 17B:27C-9 - Examination of loss reserves.
Section 17B:27C-10 - Revocation, suspension of certificate of registration; violations, penalties.
Section 17B:27C-11 - Rehabilitation, liquidation, conservation, dissolution.
Section 17B:27C-12 - Rules, regulations.
Section 17B:27D-1 - Findings, declarations relative to mandated health benefits
Section 17B:27D-2 - Definitions relative to mandated health benefits
Section 17B:27D-3 - Mandated Health Benefits Advisory Commission
Section 17B:27D-4 - Membership; terms; vacancies.
Section 17B:27D-5 - Election of chairman, vice chairman, appointment of secretary; meetings.
Section 17B:27D-6 - Duties of commission relative to review of bills.
Section 17B:27D-7 - Contents of review of bill.
Section 17B:27D-8 - Development of system of data collection; review, comment.
Section 17B:27D-9 - Report to Governor, Legislature
Section 17B:27D-10 - Report by Mandated Health Benefits Advisory Commission.
Section 17B:27D-11 - Work group regarding risk factors for breast cancer, breast imaging options.
Section 17B:27E-1 - Purpose of act on long-term care insurance
Section 17B:27E-2 - Application of act
Section 17B:27E-3 - Short title
Section 17B:27E-4 - Definitions relative to long-term care insurance.
Section 17B:27E-5 - Compliance required
Section 17B:27E-6 - Prohibitions relative to long-term care insurance.
Section 17B:27E-7 - Grounds for rescinding policy, denying a claim
Section 17B:27E-8 - Conditions for delivery, issuance of policy
Section 17B:27E-9 - Regulations
Section 17B:27E-10 - Prior approval of commissioner required
Section 17B:27E-11 - Insurer to file rates, rating schedule, supporting documentation
Section 17B:27E-12 - Additional penalties
Section 17B:27F-1 - Definitions relative to pharmacy benefits managers.
Section 17B:27F-2 - Duties of pharmacy benefits manager relative to contracts.
Section 17B:27F-3 - Requirements for placing prescription drug on multiple source generic list.
Section 17B:27F-4 - Process for appeals, investigation and dispute.
Section 17B:27F-5 - Rules, regulations.
Section 17B:27F-6 - Regulations relative to pharmacy benefits managers.
Section 17B:27F-7 - "Clean Claim" made by a pharmacy, actions of pharmaceutical benefits managers.
Section 17B:27F-8 - Commissioner review, approval.
Section 17B:27F-9 - Applicability of C.17B:27F-1 et seq.
Section 17B:27F-10 - Violations, penalties.
Section 17B:28-2 - Qualification of insurer
Section 17B:28-3 - Certificate to sell
Section 17B:28-4 - Required statements; procedure
Section 17B:28-5 - Form of contract
Section 17B:28-6 - Administration
Section 17B:28-7 - Separate accounts; approval by commissioner
Section 17B:28-8 - Amounts placed in account; liabilities
Section 17B:28-9 - Investment of assets; eligibility; definition
Section 17B:28-10 - Valuation of assets
Section 17B:28-11 - Reserve liability
Section 17B:28A-2 - Limitation on benefit and protection
Section 17B:28A-3 - Undertaking or continuance; approval of commissioner; rules and regulations
Section 17B:28A-4 - Form of policy; submission to commissioner
Section 17B:28A-5 - Foreign or alien insurers; conditions for qualification to issue
Section 17B:28A-6 - Rules and regulations
Section 17B:29-2 - Definitions
Section 17B:29-3 - Forms of credit life insurance and credit health insurance
Section 17B:29-3.1 - Insurance offered with credit involuntary unemployment insurance
Section 17B:29-4 - Amount of credit life insurance and credit health insurance
Section 17B:29-5 - Term of credit life insurance and credit health insurance
Section 17B:29-6 - Provisions of policies and certificates of insurance: disclosure to debtors
Section 17B:29-7 - Filing of forms; premium rate schedules
Section 17B:29-8 - Premiums and refunds
Section 17B:29-9 - Issuance of policies
Section 17B:29-11 - Existing insurance--choice of insurer
Section 17B:29-12 - Enforcement
Section 17B:29-13 - Judicial review
Section 17B:30-1 - Declaration of purpose
Section 17B:30-2 - Practices prohibited
Section 17B:30-3 - Misrepresentations and false advertising of policies or annuity contracts
Section 17B:30-4 - False information and advertising
Section 17B:30-5 - False financial statements
Section 17B:30-6 - "Twisting" prohibited
Section 17B:30-8 - Boycott, coercion and intimidation
Section 17B:30-9 - Stock operations and advisory board contracts
Section 17B:30-10 - Stock acquisition, common management
Section 17B:30-11 - Interlocking directorate
Section 17B:30-12 - Discrimination prohibited; terms defined.
Section 17B:30-13 - Rebates and special inducements
Section 17B:30-13.1 - Unfair claim settlement practices
Section 17B:30-13.2 - Record of complaints
Section 17B:30-14 - Exceptions to discrimination and rebates
Section 17B:30-15 - Enumeration of acts not exclusive
Section 17B:30-16 - Commissioner's powers of investigation
Section 17B:30-17 - Desist orders for prohibited practices; penalty
Section 17B:30-18 - Procedures as to undefined practices
Section 17B:30-19 - Appeal by intervenor
Section 17B:30-20 - Violation of cease and desist order; penalty
Section 17B:30-21 - Provisions of chapter additional to existing laws
Section 17B:30-22 - Immunity from prosecution
Section 17B:30-24 - Regulations.
Section 17B:30-26 - Definitions relative to payment of health and dental insurance plans.
Section 17B:30-27 - Applicability.
Section 17B:30-28 - Provision of information.
Section 17B:30-29 - Provision of toll-free telephone number.
Section 17B:30-30 - Maintenance of claims records; audit required.
Section 17B:30-31 - Additional record of claims.
Section 17B:30-32 - Overdue capitation payment.
Section 17B:30-33 - Regulations.
Section 17B:30-34 - Inapplicability of act.
Section 17B:30-35 - Definitions relative to standardized pharmacy identification cards
Section 17B:30-37 - Exceptions for issuance of card
Section 17B:30-38 - Provision of new pharmacy identification card
Section 17B:30-39 - Rules, regulations
Section 17B:30-41 - Findings, declarations relative to collection of unpaid hospital accounts.
Section 17B:30-42 - Definitions relative to collection of unpaid hospital accounts.
Section 17B:30-44 - "New Jersey Hospital Care Payment Fund."
Section 17B:30-45 - Authority of department.
Section 17B:30-46 - Decisions of department constitute final agency action.
Section 17B:30-47 - Procedures for participating hospitals.
Section 17B:30-48 - Short title.
Section 17B:30-49 - Findings, declarations relative to processing health claims.
Section 17B:30-50 - Definitions relative to processing health claims.
Section 17B:30-51 - Information required from payer.
Section 17B:30-52 - Response by payer to request for authorization of health care services.
Section 17B:30-53 - Reimbursement for covered services, conditions.
Section 17B:30-54 - Reimbursement according to provider contract.
Section 17B:30-55 - Violations, penalties; rules, regulations.
Section 17B:30-56 - Rules, regulations.
Section 17B:30-57 - Liberal construction.
Section 17B:30-58 - Definitions relative to reimbursement for certain ambulance services.
Section 17B:30-60 - Definitions relative to certain dental provider networks.
Section 17B:30-61 - Third party access.
Section 17B:30-62 - Inapplicability.
Section 17B:30-63 - Rules, regulations.
Section 17B:30B-1 - Short title.
Section 17B:30B-2 - Definitions relative to viatical settlements.
Section 17B:30B-3 - License to operate as viatical settlement provider.
Section 17B:30B-4 - Refusal to issue, suspension, revocation, refusal to renew license.
Section 17B:30B-5 - Approval of viatical settlement forms by commissioner.
Section 17B:30B-6 - Filing of annual statement.
Section 17B:30B-7 - Examinations of licensees by commissioner.
Section 17B:30B-8 - Disclosures to viator, procedure.
Section 17B:30B-9 - Material required prior to entering into viatical settlement contract.
Section 17B:30B-11 - Advertisement of viatical settlement contracts; guidelines, standards.
Section 17B:30B-13 - Injunction in addition to penalties, enforcement provisions.
Section 17B:30B-14 - Violation considered unfair trade practice; penalties.
Section 17B:30B-15 - Regulations, authority of commissioner.
Section 17B:30B-16 - Construction of act with Uniform Securities Law.
Section 17B:30B-18 - Engaging in stranger-originated life insurance prohibited.
Section 17B:30B-19 - Violations, remedies, penalties.
Section 17B:30B-20 - Regulations.
Section 17B:32-31 - Short title, purpose of act
Section 17B:32-32 - Application of authorized proceedings
Section 17B:32-33 - Definitions
Section 17B:32-34 - Jurisdiction over delinquency proceedings
Section 17B:32-35 - Restraining orders, injunctions
Section 17B:32-36 - Cooperation with commissioner in proceedings
Section 17B:32-38 - Prohibitions relative to insurer subject to delinquency proceeding
Section 17B:32-39 - Filing of petition; court orders
Section 17B:32-40 - Confidentiality of documents, files, records, papers
Section 17B:32-41 - Petition for authority to rehabilitate insurer
Section 17B:32-42 - Appointment of rehabilitator
Section 17B:32-43 - Powers of rehabilitator
Section 17B:32-44 - Staying of pending actions
Section 17B:32-45 - Petition for order of liquidation
Section 17B:32-46 - Basis for order of liquidation
Section 17B:32-47 - Appointment of liquidator
Section 17B:32-48 - Policies to continue in force
Section 17B:32-49 - Petition for dissolution
Section 17B:32-50 - Powers of liquidator
Section 17B:32-51 - Notice of liquidation order
Section 17B:32-52 - Provision of information to liquidator by agents, licensing affected
Section 17B:32-53 - Actions against or by insurer, liquidator
Section 17B:32-54 - Preparation of list of insurer's assets
Section 17B:32-55 - Transfers, obligations deemed fraudulent
Section 17B:32-56 - Transfer of real property deemed valid
Section 17B:32-57 - Preferences
Section 17B:32-58 - Claims of creditor
Section 17B:32-59 - Mutual debts, credits
Section 17B:32-60 - Report by liquidator
Section 17B:32-61 - Amount recoverable not affected by delinquency proceedings
Section 17B:32-62 - Payment of unpaid premium, violations; penalties; appeals
Section 17B:32-63 - Proposal to disburse assets
Section 17B:32-64 - Filing of proof of claims
Section 17B:32-65 - Statement to proof of claim
Section 17B:32-66 - Contingent, absolute, limited claims
Section 17B:32-67 - Third party, insured claims
Section 17B:32-68 - Denial of claims
Section 17B:32-69 - Proving, filing of claim of subrogee
Section 17B:32-70 - Determination of value of security
Section 17B:32-71 - Priority of distribution of claims
Section 17B:32-72 - Review of claims
Section 17B:32-73 - Payment of distributions
Section 17B:32-74 - Distribution of unclaimed funds
Section 17B:32-75 - Application for discharge
Section 17B:32-76 - Petition for reopening of proceedings
Section 17B:32-77 - Retaining, destruction of records
Section 17B:32-78 - Audits of receiverships
Section 17B:32-79 - Grounds for appointment of conservator
Section 17B:32-80 - Grounds for liquidation of assets of insurer
Section 17B:32-81 - Vesting of title with domiciliary liquidator
Section 17B:32-82 - Petition for appointment as ancillary receiver
Section 17B:32-83 - Institution of proceedings
Section 17B:32-84 - Claims filed in liquidation proceedings begun in State
Section 17B:32-85 - Claims filed in liquidation proceedings in reciprocal state
Section 17B:32-86 - Actions, proceedings prohibited during pendency of liquidation proceeding
Section 17B:32-87 - Order of distribution of claims
Section 17B:32-88 - Failure of ancillary receiver to transfer assets
Section 17B:32-89 - Persons entitled to protection
Section 17B:32-90 - Commissioner's powers unaffected
Section 17B:32-91 - Rules, regulations
Section 17B:32-92 - Rights relative to certain financial agreements; terms defined.
Section 17B:32A-1 - Short title
Section 17B:32A-2 - Purpose; protection from hardship.
Section 17B:32A-3 - Provision of coverage
Section 17B:32A-4 - Definitions
Section 17B:32A-5 - New Jersey Life and Health Insurance Guaranty Association created
Section 17B:32A-6 - Board of Directors of association
Section 17B:32A-7 - Powers of the association
Section 17B:32A-8 - Member insurers assessed to provide funding for association
Section 17B:32A-9 - Plan of operation
Section 17B:32A-10 - Additional duties, powers of commissioner
Section 17B:32A-11 - Detection, prevention of insurer insolvencies, impairments
Section 17B:32A-12 - Liabilities of impaired, insolvent insurers
Section 17B:32A-13 - Association subject to examination, regulation
Section 17B:32A-14 - Association exempt from fees, taxes
Section 17B:32A-15 - Immunity from liability
Section 17B:32A-16 - Stay of proceedings involving insolvent insurer
Section 17B:32A-17 - Association shall not be used to promote insurance sales
Section 17B:32A-18 - Member insurer may offset assessments against premium tax liability
Section 17B:32A-19 - Provisions not applicable to certain insurers
Section 17B:32B-1 - Short title.
Section 17B:32B-2 - Purpose of act.
Section 17B:32B-3 - Definitions relative to certain insolvent health maintenance organizations.
Section 17B:32B-4 - Payment for eligible services, benefits.
Section 17B:32B-5 - New Jersey Insolvent Health Maintenance Organization Assistance Association.
Section 17B:32B-6 - New Jersey Insolvent Health Maintenance Organization Assistance Fund.
Section 17B:32B-7 - Board of directors.
Section 17B:32B-8 - Maximum liability of association.
Section 17B:32B-9 - Assessment of member organizations.
Section 17B:32B-10 - Submission of plan of operation.
Section 17B:32B-11 - Additional powers, duties of the commissioner.
Section 17B:32B-12 - Tax credit permitted for member organizations.
Section 17B:32B-13 - Examination, regulation.
Section 17B:32B-14 - Exemption of association from certain fees, taxes.
Section 17B:32B-15 - Condition for receipt by providers of payments.
Section 17B:32B-16 - Immunity from liability for member organizations, etc.
Section 17B:32B-17 - Rules, regulations.
Section 17B:33-1 - Short title
Section 17B:33-2 - Acts constituting commissioner as process agent
Section 17B:33-3 - Service of process on commissioner as process agent
Section 17B:33-4 - Service of process on persons acting on behalf of unauthorized insurer
Section 17B:33-5 - Service of process by other means
Section 17B:33-6 - Judgment by default
Section 17B:33-7 - Deposit of bond by unauthorized insurer
Section 17B:33-8 - Damages for unjustified refusal to pay
Section 17B:34-1 - Applicability of chapter
Section 17B:34-2 - General policy
Section 17B:34-3 - Subsequently enacted laws
Section 17B:34-5 - Submission for approval or determination
Section 17B:34-6 - Effect of withdrawals, approvals and the like
Section 17B:34-7 - Number of copies
Section 17B:34-9 - Orders pending hearing
Section 17B:34-10 - Judicial review; stay
Section 17B:34-11 - Matters not otherwise provided for
Section 17B:34-12 - Effect of Chapter
Section 17B:35-5 - References to repealed provisions as references to provisions of this act
Section 17B:35-7 - Insurer organized under any repealed act; continuance of existence and rights
Section 17B:36-1 - Sections and acts saved from repeal
Section 17B:36-2 - Sections and acts repealed
Section 17B:36-3 - Partial Repealers
Section 17B:36-4 - Effective date
Section 17B:37-1 - Short title, findings, declarations.
Section 17B:37-2 - Definitions relative to the "Interstate Insurance Product Regulation Compact."
Section 17B:37-3 - "Interstate Insurance Product Regulation Commission."
Section 17B:37-4 - Powers of commission.
Section 17B:37-5 - Membership of commission; organization; bylaws.
Section 17B:37-6 - Meetings, actions.
Section 17B:37-7 - Rules, uniform standards, operating procedures.
Section 17B:37-9 - Resolution of disputes, issues subject to compact.
Section 17B:37-10 - Approval process for product.
Section 17B:37-11 - Disapproved product or advertisement; appeal.
Section 17B:37-12 - Payment of reasonable expenses of establishment, organization.
Section 17B:37-13 - Eligibility of states to join compact.
Section 17B:37-14 - Withdrawal, termination, reinstatement.
Section 17B:37-15 - Severability; liberal construction.
Section 17B:37-16 - Enforcement of laws of compacting state unaffected.