New Jersey Revised Statutes
Title 17B - Insurance
Section 17B:25-19 - Standard nonforfeiture law for life insurance.

17B:25-19 Standard nonforfeiture law for life insurance.
17B:25-19. This section shall be known as the standard nonforfeiture law for life insurance.
a. No policy of life insurance, except as stated in subsection l., shall be delivered or issued for delivery in this State unless it shall contain in substance the following provisions, or corresponding provisions which in the opinion of the commissioner are at least as favorable to the defaulting or surrendering policyholder as are the minimum requirements hereinafter specified and are essentially in compliance with subsection k. of this section:
(1) That, in the event of default in any premium payment, the insurer will grant, upon proper request not later than 60 days after the due date of the premium in default, a paid-up nonforfeiture benefit on a plan stipulated in the policy, effective as of such due date, of such amount as may be hereinafter specified. In lieu of such stipulated paid-up nonforfeiture benefit, the insurer may substitute, upon proper request not later than 60 days after the due date of the premium in default, an actuarially equivalent alternative paid-up nonforfeiture benefit which provides a greater amount or longer period of death benefits or, if applicable, a greater amount or earlier payment of endowment benefits.
(2) That, upon surrender of the policy within 60 days after the due date of any premium payment in default after premiums have been paid for at least 3 full years in the case of ordinary insurance or 5 full years in the case of industrial insurance, the insurer will pay, in lieu of any paid-up nonforfeiture benefit, a cash surrender value of such amount as may be hereinafter specified.
(3) That a specified paid-up nonforfeiture benefit shall become effective as specified in the policy unless the person entitled to make such election elects another available option not later than 60 days after the due date of the premium in default.
(4) That, if the policy shall have become paid up by completion of all premium payments or if it is continued under any paid-up nonforfeiture benefit which became effective on or after the third policy anniversary in the case of ordinary insurance or the fifth policy anniversary in the case of industrial insurance, the insurer will pay, upon surrender of the policy within 30 days after any policy anniversary, a cash surrender value of such amount as may be hereinafter specified.
(5) In the case of policies which cause on a basis guaranteed in the policy unscheduled changes in benefits or premiums, or which provide an option for changes in benefits or premiums other than a change to a new policy, a statement of the mortality table, interest rate, and method used in calculating cash surrender values and the paid-up nonforfeiture benefits available under the policy. In the case of all other policies, a statement of the mortality tables and interest rates used in calculating the cash surrender values and the mortality tables and interest rates used in calculating the paid-up nonforfeiture benefits available under the policy, together with a table showing the cash surrender value, if any, and paid-up nonforfeiture benefit, if any, available under the policy on each policy anniversary either during the first 20 policy years or during the term of the policy, whichever is shorter, such values and benefits to be calculated upon the assumption that there are no dividends or paid-up additions credited to the policy and that there is no indebtedness to the insurer on the policy.
(6) A statement that the cash surrender values and the paid-up nonforfeiture benefits available under the policy are not less than the minimum values and benefits required by or pursuant to the insurance law of the state in which the policy is delivered; an explanation of the manner in which the cash surrender values and the paid-up nonforfeiture benefits are altered by the existence of any paid-up additions credited to the policy or any indebtedness to the insurer on the policy; if a detailed statement of the method of computation of the cash surrender values and paid-up nonforfeiture benefits shown in the policy is not stated therein, a statement that such method of computation has been filed with the insurance supervisory official of the state in which the policy is delivered; and a statement of the method to be used in calculating the cash surrender value and paid-up nonforfeiture benefit available under the policy on any policy anniversary beyond the last anniversary for which such values and benefits are consecutively shown in the policy.
Any of the foregoing provisions or portions thereof not applicable by reason of the plan of insurance may, to the extent inapplicable, be omitted from the policy.
The insurer shall reserve the right to defer the payment of any cash surrender value for a period of 6 months after demand therefor with surrender of the policy.
b. (Deleted by amendment; P.L.1981, c.285.)
c. Any cash surrender value available under any policy referred to in subsection a. in the event of default in a premium payment due on any policy anniversary, whether or not required by subsection a., shall be an amount not less than the excess, if any, of the present value, on such anniversary, of the future guaranteed benefits which would have been provided for by the policy, including any existing paid-up additions, if there had been no default, over the sum of (1) the then present value of the adjusted premiums as defined in subsection g., corresponding to premiums which would have fallen due on and after such anniversary, and (2) the amount of any indebtedness to the insurer on the policy.
Provided, however, that for any policy issued on or after the operative date provided for in paragraph (xi) of subsection h. of N.J.S.17B:25-19, which provides supplemental life insurance or annuity benefits at the option of the insured and for an identifiable additional premium by rider or supplemental policy provision, the cash surrender value referred to in the first paragraph of this subsection shall be an amount not less than the sum of the cash surrender value as defined in that paragraph for an otherwise similar policy issued at the same age without such rider or supplemental policy provision and the cash surrender value as defined in that paragraph for a policy which provides only the benefits otherwise provided by such rider or supplemental policy provision.
Provided, further, that for any family policy issued on or after the operative date provided for in paragraph (xi) of subsection h., which defines a primary insured and provides term insurance on the life of the spouse of the primary insured expiring before the spouse's age 71, the cash surrender value referred to in the first paragraph of this subsection shall be an amount not less than the sum of the cash surrender value as defined in that paragraph for an otherwise similar policy issued at the same age without such term insurance on the life of the spouse and the cash surrender value as defined in that paragraph for a policy which provides only the benefits otherwise provided by such term insurance on the life of the spouse.
Any cash surrender value available within 30 days after any policy anniversary under any policy paid up by completion of all premium payments or any policy continued under any paid-up nonforfeiture benefit, whether or nor required by subsection a., shall be an amount not less than the present value, on such anniversary, of the future guaranteed benefits provided for by the policy, including any existing paid-up additions, decreased by any indebtedness to the insurer on the policy.
d. Any paid-up nonforfeiture benefit available under any policy referred to in subsection a. in the event of default in a premium payment due on any policy anniversary shall be such that its present value as of such anniversary shall be at least equal to the cash surrender value then provided for by the policy or, if none is provided for, that cash surrender value which would have been required by this section in the absence of the condition that premiums shall have been paid for at least a specified period.
e. (Deleted by amendment; P.L.1981, c.285.)
f. (Deleted by amendment; P.L.1981, c.285.)
g. This subsection shall not apply to policies issued on or after the operative date of subsection h. as defined therein. Except as provided in the third paragraph of this subsection, the adjusted premiums for any policy referred to in subsection a. shall be calculated on an annual basis and shall be such uniform percentage of the respective premiums specified in the policy for each policy year, excluding any extra premiums charged because of impairments or special hazards, that the present value, at the date of issue of the policy, of all such adjusted premiums shall be equal to the sum of (1) the then present value of the future guaranteed benefits provided for by the policy; (2) 2% of the amount of insurance, if the insurance be uniform in amount or of the equivalent uniform amount, as hereinafter defined, if the amount of insurance varies with duration of the policy; (3) 40% of the adjusted premium for the first policy year; (4) 25% of either the adjusted premium for the first policy year or the adjusted premium for a whole life policy of the same uniform or equivalent uniform amount with uniform premiums for the whole of life issued at the same age for the same amount of insurance, whichever is less; provided, however, that in applying the percentages specified in (3) and (4) above, no adjusted premium shall be deemed to exceed 4% of the amount of insurance or uniform amount equivalent thereto. The date of issue of a policy for the purpose of this subsection shall be the date as of which the rated age of the insured is determined.
In the case of a policy providing an amount of insurance varying with duration of the policy, the equivalent uniform amount thereof for the purpose of this subsection shall be deemed to be the uniform amount of insurance provided by an otherwise similar policy, containing the same endowment benefit or benefits, if any, issued at the same age and for the same term, the amount of which does not vary with duration, and the benefits under which have the same present value at the date of issue as the benefits under the policy; provided, however, that in the case of a policy providing a varying amount of insurance issued on the life of a child under age 10, the equivalent uniform amount may be computed as though the amount of insurance provided by the policy prior to the attainment of age 10 were the amount provided by such policy at age 10.
The adjusted premiums for any policy providing term insurance benefits by rider or supplemental policy provision shall be equal to (a) the adjusted premiums for an otherwise similar policy issued at the same age without such term insurance benefits, increased, during the period for which premiums for such term insurance benefits are payable, by (b) the adjusted premiums for such term insurance, the foregoing items (a) and (b) being calculated separately and as specified in the first two paragraphs of this subsection except that, for the purpose of (2), (3) and (4) of the first such paragraph, the amount of insurance or equivalent uniform amount of insurance used in the calculation of the adjusted premiums referred to in (b) shall be equal to the excess of the corresponding amount determined for the entire policy over the amount used in the calculation of the adjusted premiums in (a).
All adjusted premiums and present values referred to in this subsection shall for all policies of ordinary insurance be calculated on the basis of the Commissioners 1958 Standard Ordinary Mortality Table. Notwithstanding this provision, for any category of ordinary insurance such calculations may be made, at the option of the insurer, on the basis of the Approved Standard Ordinary Mortality Table; provided, further, that for any category of ordinary insurance issued on female risks adjusted premiums and present values may be calculated, at the option of the insurer with approval of the commissioner, according to an age not more than 6 years younger than the actual age of the insured. Such calculations for all policies of industrial insurance shall be made on the basis of the Commissioners 1961 Standard Industrial Mortality Table.
All calculations shall be made on the basis of the applicable rates of interest specified in the policy for calculating cash surrender values and paid-up nonforfeiture benefits not exceeding 5 1/2 % per annum. Provided, however, that in calculating the present value of any paid-up term insurance with accompanying pure endowment, if any, offered as a nonforfeiture benefit, the rates of mortality assumed may be not more than the rates shown in the Commissioners 1958 Extended Term Insurance Table if the adjusted premiums for the policy are calculated on the basis of the Commissioners 1958 Standard Ordinary Mortality Table, may be not more than 130% of the rates shown in the Approved Standard Ordinary Mortality Table if the adjusted premiums for the policy are calculated on the basis of said table, and may be not more than the rates shown in the Commissioners 1961 Industrial Extended Term Insurance Table if the adjusted premiums for the policy are calculated on the basis of the Commissioners 1961 Standard Industrial Mortality Table. Provided, further, that for insurance issued on a substandard basis, the calculation of any such adjusted premiums and present values may be based on such other table of mortality as may be specified by the insurer and approved by the commissioner.
h. (i) This subsection h. shall apply to all policies issued on or after the operative date established by paragraph (xi) of this subsection h. Except as provided in paragraph (vii) of this subsection, the adjusted premiums for any policy shall be calculated on an annual basis and shall be such uniform percentage of the respective premiums specified in the policy for each policy year, excluding amounts payable as extra premiums to cover impairments or special hazards and also excluding any uniform annual contract charge or policy fee specified in the policy in a statement of the method to be used in calculating the cash surrender values and paid-up nonforfeiture benefits, that the present value, at the date of the policy, of all adjusted premiums shall be equal to the sum of (A) the then present value of the future guaranteed benefits provided for by the policy; (B) 1% of either the amount of insurance, if the insurance be uniform in amount, or the average amount of insurance at the beginning of each of the first 10 policy years; and (C) 125% of the nonforfeiture net level premium as defined in paragraph (ii). Provided, however, that in applying the percentage specified in (C) above no nonforfeiture net level premium shall be deemed to exceed 4% of either the amount of insurance, if the insurance be uniform in amount, or the average amount of insurance at the beginning of each of the first 10 policy years. The date of issue of a policy for the purpose of this section shall be the date as of which the rated age of the insured is determined.
(ii) The nonforfeiture net level premium shall be equal to the present value, at the date of issue of the policy, of the guaranteed benefits provided for by the policy divided by the present value, at the date of issue of the policy, of an annuity of one per annum payable on the date of issue of the policy and on each anniversary of such policy on which a premium falls due.
(iii) In the case of policies which cause on a basis guaranteed in the policy unscheduled changes in benefits or premiums, or which provide an option for changes in benefits or premiums other than a change to a new policy, the adjusted premiums and present values shall initially be calculated on the assumption that future benefits and premiums do not change from those stipulated at the date of issue of the policy. At the time of any such change in the benefits or premiums the future adjusted premiums, nonforfeiture net level premiums and present values shall be recalculated on the assumption that future benefits and premiums do not change from those stipulated by the policy immediately after the change.
(iv) Except as otherwise provided in paragraph (vii) of this subsection, the recalculated future adjusted premiums for any such policy shall be such uniform percentage of the respective future premiums specified in the policy for each policy year, excluding amounts payable as extra premiums to cover impairments and special hazards, and also excluding any uniform annual contract charge or policy fee specified in the policy in a statement of the method to be used in calculating the cash surrender values and paid-up nonforfeiture benefits, that the present value, at the time of change to the newly defined benefits or premiums, of all such future adjusted premiums shall be equal to the excess of the sum of the then present value of the then future guaranteed benefits provided for by the policy and the additional expense allowance, if any, over the then cash surrender value, if any, or present value of any paid-up nonforfeiture benefit under the policy.
(v) The additional expense allowance, at the time of the change to the newly defined benefits or premiums, shall be the sum of 1% of the excess of the average amount of insurance at the beginning of each of the first 10 policy years subsequent to the change over the average amount of insurance prior to the change at the beginning of each of the first 10 policy years subsequent to the time of the most recent previous change, or, if there has been no previous change, the date of issue of the policy; and 125% of the increase, if positive, in the nonforfeiture net level premium.
(vi) The recalculated nonforfeiture net level premium shall be equal to the result obtained by dividing (A) by (B) where
(A) equals the sum of the nonforfeiture net level premium applicable prior to the change times the present value of an annuity of one per annum payable on each anniversary of the policy on or subsequent to the date of the change on which a premium would have fallen due had the change not occurred, and the present value of the increase in future guaranteed benefits provided for by the policy, and
(B) equals the present value of an annuity of one per annum payable on each anniversary of the policy on or subsequent to the date or change on which a premium falls due.
(vii) Notwithstanding any other provisions of this subsection to the contrary, in the case of a policy issued on a substandard basis which provides reduced graded amounts of insurance so that, in each policy year, such policy has the same tabular mortality cost as an otherwise similar policy issued on the standard basis which provides higher uniform amounts of insurance, adjusted premiums and present values for such substandard policy may be calculated as if it were issued to provide such higher uniform amounts of insurance on the standard basis.
(viii) For purposes of this subsection, the term "operative date of the valuation manual" means the January 1 of the first calendar year that the valuation manual as defined in section 58 of P.L.2014, c.81 (C.17B:19-1.1) is effective. All adjusted premiums and present values referred to in this subsection shall for all policies of ordinary insurance be calculated on the basis of the Commissioners 1980 Standard Ordinary Mortality Table or at the election of the insurer for any one or more specified plans of life insurance, the Commissioners 1980 Standard Ordinary Mortality Table with 10-Year Select Mortality Factors; shall for all policies of industrial insurance be calculated on the basis of the Commissioners 1961 Standard Industrial Mortality Table; and shall for all policies issued in a particular calendar year be calculated on the basis of a rate of interest not exceeding the nonforfeiture interest rate as defined in paragraph (ix) of this subsection for policies issued in that calendar year. Provided, however, that:
At the option of the insurer, calculations for all policies issued in a particular calendar year may be made on the basis of a rate of interest not exceeding the nonforfeiture interest rate, as defined in this section, for policies issued in the immediately preceding calendar year.
Under any paid-up nonforfeiture benefit, including any paid-up dividend additions, any cash surrender value available, whether or not required by subsection a., shall be calculated on the basis of the mortality table and rate of interest used in determining the amount of such paid-up nonforfeiture benefit and paid-up dividend additions, if any.
An insurer may calculate the amount of any guaranteed paid-up nonforfeiture benefit including any paid-up additions under the policy on the basis of an interest rate not lower than that specified in the policy for calculating cash surrender values.
In calculating the present value of any paid-up term insurance with accompanying pure endowment, if any, offered as a nonforfeiture benefit, the rates of mortality assumed may be not more than those shown in the Commissioners 1980 Extended Term Insurance for policies of ordinary insurance and not more than the Commissioners 1961 Industrial Extended Term Insurance Table for policies of industrial insurance.
For insurance issued on a substandard basis, the calculation of such adjusted premiums and present values may be based on appropriate modifications of the aforementioned tables.
For policies issued prior to the operative date of the valuation manual, any Commissioners Standard ordinary mortality tables, adopted after 1980 by the National Association of Insurance Commissioners, that are approved by regulation promulgated by the commissioner for use in determining the minimum nonforfeiture standard may be substituted for the Commissioners 1980 Standard Ordinary Mortality Table with or without 10-Year Select Mortality Factors or for the Commissioners 1980 Extended Term Insurance Table.
For policies issued on or after the operative date of the valuation manual, the valuation manual shall provide the Commissioners Standard mortality table for use in determining the minimum nonforfeiture standard that may be substituted for the Commissioners 1980 Standard Ordinary Mortality Table with or without Ten-Year Select Mortality Factors or for the Commissioners 1980 Extended Term Insurance Table. If the commissioner approves by regulation any Commissioners Standard ordinary mortality table adopted by the National Association of Insurance Commissioners for use in determining the minimum nonforfeiture standard for policies issued on or after the operative date of the valuation manual, then that minimum nonforfeiture standard supersedes the minimum nonforfeiture standard provided by the valuation manual.
For policies issued prior to the operative date of the valuation manual, any Commissioners Standard industrial mortality tables, adopted after 1980 by the National Association of Insurance Commissioners, that are approved by regulation promulgated by the commissioner for use in determining the minimum nonforfeiture standard may be substituted for the Commissioners 1961 Standard Industrial Mortality Table or the Commissioners 1961 Industrial Extended Term Insurance Table.
For policies issued on or after the operative date of the valuation manual the valuation manual shall provide the Commissioners Standard mortality table for use in determining the minimum nonforfeiture standard that may be substituted for the Commissioners 1961 Standard Industrial Mortality Table or the Commissioners 1961 Industrial Extended Term Insurance Table. If the commissioner approves by regulation any Commissioners Standard industrial mortality table adopted by the National Association of Insurance Commissioners for use in determining the minimum nonforfeiture standard for policies issued on or after the operative date of the valuation manual then that minimum nonforfeiture standard supersedes the minimum nonforfeiture standard provided by the valuation manual.
(ix) For purposes of this subsection, the term "operative date of the valuation manual" means the January 1 of the first calendar year that the valuation manual as defined in section 58 of P.L.2014, c.81 (C.17B:19-1.1) is effective.
The nonforfeiture interest rate is defined below:
(1) For policies issued prior to the operative date of the valuation manual, the nonforfeiture interest rate per annum for any policy issued in a particular calendar year shall be equal to 125% of the calendar year statutory valuation interest rate for such policy as defined in the standard valuation law, paragraph (x) of subsection a. of N.J.S.17B:19-8, rounded to nearer 1/4 of 1%.
(2) For policies issued on or after the operative date of the valuation manual the nonforfeiture interest rate per annum for any policy issued in a particular calendar year shall be provided by the valuation manual.
(x) Notwithstanding any other provisions in this code (Title 17B) to the contrary, any refiling of nonforfeiture values or their methods of computation for any previously approved policy forms which involves only a change in the interest rate or mortality table used to compute nonforfeiture values shall not require refiling of any other provisions of that policy form.
(xi) After the effective date of this subsection, any insurer may file with the commissioner a written notice of its election to comply, with respect to any category of insurance, with the provisions of this subsection after a specified date before January 1, 1989, which shall be the operative date of this subsection for that category of insurance for such insurer. If an insurer makes no such election with respect to any category of insurance, the operative date of this subsection for that category of insurance issued by such insurer shall be January 1, 1989.
i. In the case of any plan of life insurance which provides for future premium determination, the amounts of which are to be determined by the insurer based on then estimates of future experience, or in the case of any plan of life insurance which is of such a nature that minimum values cannot be determined by the methods described in the preceding subsections of this section, then:
the commissioner must be satisfied that the benefits provided under the plan are substantially as favorable to policyholders and insureds as the minimum benefits otherwise required by the preceding subsections of this section;
the commissioner must be satisfied that the benefits and the pattern of premiums of that plan are not such as to mislead prospective policyholders or insureds;
the cash surrender values and paid-up nonforfeiture benefits provided by such plan must not be less than the minimum values and benefits required for the plan computed by a method consistent with the principles of this standard nonforfeiture law for life insurance, as determined by regulations promulgated by the commissioner.
j. Any cash surrender value and any paid-up nonforfeiture benefit, available under the policy in the event of default in a premium payment due at any time other than on the policy anniversary, shall be calculated with allowance for the lapse of time and the payment of fractional premiums beyond the last preceding policy or contract anniversary. All values referred to in subsections c., d., g., h. and i. may be calculated upon the assumption that any death benefit is payable at the end of the policy year of death. The net value of any paid-up additions, other than paid-up term additions, shall be not less than the amounts used to provide such additions. Notwithstanding the provisions of subsection c., additional benefits payable (1) in the event of death or dismemberment by accident or accidental means, (2) in the event of total and permanent disability, (3) as reversionary annuity or deferred reversionary annuity benefits, (4) as term insurance benefits provided by a rider or supplemental policy provision to which, if issued as a separate policy, this section would not apply, (5) as term insurance on the life of a child or on the lives of children provided in a policy on the life of a parent of the child, if such term insurance expires before the child's age is 26, is uniform in amount after the child's age is one, and has not become paid-up by reason of the death of a parent of the child, and (6) as other policy benefits additional to life insurance and endowment benefits, and premiums for all such additional benefits, shall be disregarded in ascertaining cash surrender values and nonforfeiture benefits required by this section, and no such additional benefits shall be required to be included in any paid-up nonforfeiture benefits. Notwithstanding the provisions of subsection c., additional benefits providing the privilege to purchase additional insurance benefits at some future time without furnishing evidence of insurability, and premiums therefor, may, with the consent of the commissioner, be disregarded in ascertaining cash surrender values and nonforfeiture benefits required by this section, and no such additional benefits shall be required to be included in any paid-up nonforfeiture benefits.
k. This subsection shall apply to all policies issued on or after January 1, 1985. Any cash surrender value available under the policy in the event of default in a premium payment due on any policy anniversary shall be in an amount which does not differ by more than 2/10 of 1% of either the amount of insurance, if the insurance be uniform in amount, or the average amount of insurance at the beginning of each of the first 10 policy years, from the sum of (a) the greater of zero and the basic cash value hereinafter specified and (b) the present value of any existing paid-up additions less the amount of any indebtedness to the insurer under the policy.
The basic cash value shall be equal to the present value, on such anniversary, of the future guaranteed benefits which would have been provided by the policy, excluding any existing paid-up additions and before deduction of any indebtedness to the insurer, if there had been no default, less the then present value of the nonforfeiture factors, as hereinafter defined, corresponding to premiums which would have fallen due on and after such anniversary. Provided, however, that the effects on the basic cash value of supplemental life insurance or annuity benefits or of family coverage, as described in subsection c. or subsection g., whichever is applicable shall be the same as are the effects specified in subsection c. or subsection g., whichever is applicable on the cash surrender values defined therein.
The nonforfeiture factor for each policy year shall be an amount equal to a percentage of the adjusted premium for the policy year, as defined in subsection g. or h., whichever is applicable. Except as required by the next succeeding sentence of this paragraph, such percentage:
shall be the same percentage for each policy year between the second policy anniversary and the later of the fifth policy anniversary and the first policy anniversary at which there is available under the policy a cash surrender value in an amount, before including any paid-up additions and before deducting any indebtedness, of at least 2/10 of 1% of either the amount of insurance, if the insurance be uniform in amount, or the average amount of insurance at the beginning of each of the first 10 policy years; and
shall be such that no percentage after the later of the two policy anniversaries specified in the preceding item may apply to fewer than 5 consecutive policy years.
Provided, that no basic cash value may be less than the value which would be obtained if the adjusted premiums for the policy, as defined in subsection g., or h., whichever is applicable, were substituted for the nonforfeiture factors in the calculation of the basic cash value.
All adjusted premiums and present values referred to in this subsection shall for a particular policy be calculated on the same mortality and interest bases as are used in demonstrating the policy's compliance with the other sections of this amendatory and supplementary act. The cash surrender values referred to in this subsection shall include any endowment benefits provided for by the policy.
Any cash surrender value available other than in the event of default in a premium payment due on a policy anniversary, and the amount of any paid-up nonforfeiture benefit available under the policy in the event of default in a premium payment shall be determined in a manner consistent with that specified for determining the appropriate minimum amounts in subsections a., c., d., g., h. and i. The amounts of any cash surrender values and of any paid-up nonforfeiture benefits granted in connection with additional benefits such as those listed as items (1) through (6) in subsection j. shall conform with the principles of this subsection.
l. This section shall not apply to any of the following:
reinsurance,
group insurance,
annuity contract,
single premium pure endowment contract or single premium reversionary annuity contract,
term policy of uniform amount, which provides no guaranteed nonforfeiture or endowment benefits, or renewal thereof, of 20 years or less expiring before age 71, for which uniform premiums are payable during the entire term of the policy,
term policy of decreasing amount which provides no guaranteed nonforfeiture or endowment benefits, on which each adjusted premium, calculated as specified in subsections g. and h. is less than the adjusted premium so calculated on a term policy of uniform amount, or renewal thereof, which provides no guaranteed nonforfeiture endowment benefits, issued at the same age and for the same initial amount of insurance and for a term of 20 years or less expiring before age 71, for which uniform premiums are payable during the entire term of the policy,
policy which provides no guaranteed nonforfeiture or endowment benefits, for which no cash surrender value, if any, or present value of any paid-up nonforfeiture benefit, at the beginning of any policy year, calculated as specified in subsections c., g., and h. exceeds 2 1/2 % of the amount of insurance at the beginning of the same policy year,
policy which shall be delivered outside this State through an agent or other representative of the insurer issuing the policy.
For the purposes of determining the applicability of this section, the age at expiry for a joint term life insurance policy shall be the age at expiry of the oldest life.
amended 1973, c.315, s.3; 1978, c.143, s.3; 1981, c.285, s.4; 2014, c.81, s.67.

Structure New Jersey Revised Statutes

New Jersey Revised Statutes

Title 17B - Insurance

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:17-18 - Purpose

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:18-10 - Election of directors of mutual insurer pursuant to provision in certificate of incorporation

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:18-18 - Choosing of directors for mutual life insurers having in excess of ten million policies in force

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:18-26 - Method of election when demand is made by public directors that other candidates be nominated

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:18-53 - Reporting amount of stock owned and changes therein by director, officer, and principal stockholders of domestic stock insurers

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:18-56 - Stock insurers; change of name, extension of corporate existence or amendment of charter or certificate of incorporation

Section 17B:18-57 - Mutual insurers; change of name, extension of corporate existence or amendment of charter or certificate of incorporation

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 - Annual valuation of reserve liabilities for outstanding policies; foreign and alien insurers.

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:21-7 - Fees

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:23-6 - Purpose

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:24-2 - Minors

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:24-11 - Participating and nonparticipating policies--right to issue; payment of commissions thereon

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:25-7 - Dividends

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:25-14 - Title

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:25-32 - Rules.

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:25-37 - Certain annuities excluded; annuities buyer's guide; annuity contract disclosure statement.

Section 17B:25-38 - Certain annuities excluded, information recorded; determination as to suitability of annuity for consumer; system of supervision.

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:26-2.1d - Individual health insurance policy to pay benefits for treatment of Wilm's tumor

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:26-2.1i - Requirements for individual health insurer providing benefits for pharmacy services.

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:26-2.1m - Coverage for minimum inpatient care following mastectomy by individual hospital, medical expense benefits policy

Section 17B:26-2.1n - Applicability of Health Care Quality Act

Section 17B:26-2.1o - Coverage for treatment of inherited metabolic diseases by individual health insurance policy.

Section 17B:26-2.1p - Health insurance policy to cover certain audiology, speech-language pathology services.

Section 17B:26-2.1q - Coverage for treatment of domestic violence injuries by individual health insurance policy.

Section 17B:26-2.1r - Coverage for certain dental procedures for the severely disabled or child age five or under by individual health insurance policy

Section 17B:26-2.1s - Individual health insurers to provide coverage for mental health conditions, substance use disorders; collaborative care model.

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:26-2.1v - Individual health insurer prescription drug plans to cover certain infant formulas.

Section 17B:26-2.1w - Policy issued under Chapter 26 of Title 17B required to cover certain out-of-network services.

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:26-2.1z - Individual health insurance policies to provide benefits for orthotic and prosthetic appliances.

Section 17B:26-2.1aa - Individual health insurance policy to provide coverage for hearing aids for certain persons aged 15 or younger.

Section 17B:26-2.1bb - Individual health insurance policy to provide installment payments to obstetrical provider for maternity services.

Section 17B:26-2.1cc - Individual health insurance policy to provide benefits for treatment of autism or other developmental disability.

Section 17B:26-2.1dd - Individual health insurance policy to provide coverage for oral anticancer medications.

Section 17B:26-2.1ee - Individual health insurance policy to provide coverage for sickle cell anemia.

Section 17B:26-2.1ff - Individual health insurer to provide coverage for prescription eye drops.

Section 17B:26-2.1gg - Individual health insurance policy, contract, coverage for synchronization of prescribed medications.

Section 17B:26-2.1hh - Individual health insurance policy to provide benefits for treatment of substance use disorder.

Section 17B:26-2.1ii - Individual health insurance policy to provide coverage regardless of gender identity, expression.

Section 17B:26-2.1jj - Individual health insurance policy to cover digital tomosynthesis of the breast.

Section 17B:26-2.1kk - Individual health insurance policy to provide coverage for donated human breast milk.

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:26-2.1nn - Individual health insurance policy to provide certain coverage for prescription drugs.

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:26-3.2 - Individual health insurance policy, exclusion, rates, terms based on genetic information prohibited

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:26-9.1 - Health insurer to receive, transmit transactions relative to individual policies electronically; standards.

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:26-36 - Age limit

Section 17B:26-37 - Scope of chapter

Section 17B:26-38 - Penalty

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:26-42 - Benefits

Section 17B:26-43 - Direct reimbursement to home health care providers

Section 17B:26-44 - Regulations

Section 17B:26-44.1 - Policy provision for reimbursement of dental services; payment regardless of discipline of provider

Section 17B:26-44.2 - Application to policy or contract not limited to reimbursement of specific types of duly licensed health care professionals other than dentists

Section 17B:26-44.3 - Renewal date; policy with reservation of right to change premium

Section 17B:26-44.4 - Alternative dental coverage; original coverage restricted to limited number of providers

Section 17B:26-44.5 - Employer contribution

Section 17B:26-44.6 - Rules and regulations

Section 17B:26-45 - Minimum standards for form, content and sale of individual health insurance; 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:27-36.1 - Eligibility for enrollment under policy providing hospital, medical expense benefits.

Section 17B:27-36.2 - Group health insurance, policy, exclusion, rates, terms based on genetic information prohibited

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:27-44.2 - Health insurer to receive, transmit transactions relative to group policies electronically; standards.

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:27-46.1i - Requirements for group health insurer providing benefits for pharmacy services.

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:27-46.1l - Group health insurance policy, child screening, blood lead, hearing loss; immunizations.

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:27-46.1r - Coverage for treatment of inherited metabolic diseases by group health insurance policy.

Section 17B:27-46.1s - Group health insurer to cover certain audiology, speech-language pathology services.

Section 17B:27-46.1t - Coverage for treatment of domestic violence injuries by group health insurance policy.

Section 17B:27-46.1u - Coverage for certain dental procedures for the severely disabled or child age five or under by group health insurance policy

Section 17B:27-46.1v - Group health insurers to provide coverage for mental health conditions, substance use disorders; collaborative care model.

Section 17B:27-46.1w - Coverage for hemophilia services by group health insurers

Section 17B:27-46.1x - Group health insurance policy to provide coverage for treatment of infertility.

Section 17B:27-46.1y - Group policy to provide coverage for colorectal cancer screening.

Section 17B:27-46.1z - Group health insurer prescription drug plans to cover certain infant formulas.

Section 17B:27-46.1aa - Policy issued under Chapter 27 of Title 17B required to cover certain out-of-network services.

Section 17B:27-46.1bb - Group health insurer to offer coverage for domestic partner.

Section 17B:27-46.1cc - Group health insurance policy, high deductible, coverage for preventive care.

Section 17B:27-46.1dd - Group health insurance policy, high deductible, deductible inapplicable, certain circumstances.

Section 17B:27-46.1ee - Group health insurers, coverage for contraceptives.

Section 17B:27-46.1ff - Group health insurance policies to provide benefits for orthotic and prosthetic appliances.

Section 17B:27-46.1gg - Group health insurance policy to provide coverage for hearing aids for certain persons aged 15 or younger.

Section 17B:27-46.1hh - Group health insurance policy to provide installment payments to obstetrical provider for maternity services.

Section 17B:27-46.1ii - Group health insurance policy to provide benefits for treatment of autism or other developmental disability.

Section 17B:27-46.1jj - Group health insurance policy to provide coverage for oral anticancer medications.

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:27-46.1mm - Group health insurance policy, contract, coverage for synchronization of prescribed medications.

Section 17B:27-46.1nn - Group health insurance to provide benefits for treatment of substance use disorder.

Section 17B:27-46.1oo - Group health insurance policy to provide coverage regardless of gender identity, expression.

Section 17B:27-46.1pp - Group health insurance policy to cover digital tomosynthesis of the breast.

Section 17B:27-46.1qq - Group health insurance policy to provide coverage for donated human breast milk.

Section 17B:27-46.1rr - Group health insurance policy to provide coverage for standard fertility preservation services.

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:27-46.1uu - Group health insurance policy to provide certain coverage for prescription drugs.

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:27-47 - Group health or blanket insurance--provisions as favorable; policies issued outside State

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:27-51.8 - Policy provision for reimbursement of dental services; payment regardless of discipline of provider

Section 17B:27-51.9 - Application to policy or contract not limited to reimbursement of specific types of duly licensed health care professionals other than dentists

Section 17B:27-51.10 - Renewal date; policy with reservation of right to change premium

Section 17B:27-51.10a - Alternative dental coverage; original coverage restricted to limited number of providers

Section 17B:27-51.10b - Employer contribution

Section 17B:27-51.10c - Rules and regulations

Section 17B:27-51.11 - Definitions

Section 17B:27-51.12 - Total disability of employee or member; continuation under group policy; conditions

Section 17B:27-51.13 - Inapplicability to policy without right of insurer to terminate without consent of insured

Section 17B:27-51.14 - Insurer provide health benefits plan, aggregate benefits.

Section 17B:27-52 - Group life and health--package policies

Section 17B:27-53 - Group life and health--rate reductions and application of dividends; excess over employer's cost

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:27-69 - Conditions for issuance, delivery of group life insurance to groups not included in C.17B:27-68.

Section 17B:27-70 - Written notice to prospective insureds of noncompliance with C.17B:27-68; definitions.

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 - Offering of individual health benefits required by issuer of small employer health benefits plans.

Section 17B:27A-4.1 - Individual policy, contract for hospital, medical expense benefits, coverage of subscriber's child.

Section 17B:27A-4.2 - Requirements applicable to State Medicaid

Section 17B:27A-4.3 - Eligibility for enrollment in individual health benefits plan

Section 17B:27A-5 - Laws not applicable to managed care health benefits plans.

Section 17B:27A-6 - Individual health benefits plans, requirements.

Section 17B:27A-6.1 - Individual Health Coverage Program, open enrollment period established.

Section 17B:27A-7 - Approval of policy and contract forms, benefit levels.

Section 17B:27A-7.1 - Coverage for birth and natal care; individual health policy

Section 17B:27A-7.2 - Coverage for minimum inpatient care following mastectomy by individual health benefits plan

Section 17B:27A-7.3 - Applicability of Health Care Quality Act

Section 17B:27A-7.4 - Coverage for treatment of inherited metabolic diseases by individual health benefits plan.

Section 17B:27A-7.5 - Individual health benefits plan to provide coverage for mental health conditions, substance use disorders; collaborative care model.

Section 17B:27A-7.6 - Coverage for hemophilia services by individual health policy

Section 17B:27A-7.7 - Individual health benefits plan to provide coverage for colorectal cancer screening.

Section 17B:27A-7.8 - Policy, contract issued under C.17B:27A-2 et seq. required to cover certain out-of-network services.

Section 17B:27A-7.9 - Individual health benefits plan to offer coverage for domestic partner.

Section 17B:27A-7.10 - Individual health benefits plan, mammogram examination benefits.

Section 17B:27A-7.11 - Individual health benefits plan, high deductible, deductible inapplicable, certain circumstances.

Section 17B:27A-7.12 - Individual health benefits plan, coverage for contraceptives.

Section 17B:27A-7.13 - Individual health benefits plans to provide benefits for orthotic and prosthetic appliances.

Section 17B:27A-7.14 - Individual health benefits plan to provide coverage for hearing aids for certain persons aged 15 or younger.

Section 17B:27A-7.15 - Individual health benefits plan to provide installment payments to obstetrical provider for maternity services.

Section 17B:27A-7.16 - Individual health benefits plan to provide benefits for treatment of autism or other developmental disability.

Section 17B:27A-7.17 - Individual health benefits plan to provide coverage for oral anticancer medication.

Section 17B:27A-7.18 - Individual health benefits plan to provide coverage for sickle cell anemia.

Section 17B:27A-7.19 - Individual health benefits plan to provide coverage for prescription eye drops.

Section 17B:27A-7.20 - Individual health benefits plan, coverage for synchronization of prescribed medications.

Section 17B:27A-7.21 - Individual health benefits plan to provide benefits for treatment of substance use disorder.

Section 17B:27A-7.22 - Individual health benefits plan to provide coverage regardless of gender identity, expression.

Section 17B:27A-7.23 - Individual health benefits plan to cover digital tomosynthesis of the breast.

Section 17B:27A-7.24 - Individual health benefits plan to provide coverage for donated human breast milk.

Section 17B:27A-7.25 - Individual health benefits plan to provide coverage for breastfeeding support.

Section 17B:27A-7.26 - Individual health benefits plan to meet essential health benefits requirements.

Section 17B:27A-7.27 - Individual health benefits plan to cover preventive services.

Section 17B:27A-7.28 - Individual health benefits plan to provide coverage for certain prescription drugs.

Section 17B:27A-7.29 - Individual health benefits plan to cover adolescent depression screenings.

Section 17B:27A-7.30 - Individual health benefits plan to cover newborn home nurse visitation.

Section 17B:27A-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-18.1 - Provision of benefits to subscriber's child under small employer policy, contract.

Section 17B:27A-18.2 - Requirements applicable to State Medicaid

Section 17B:27A-19 - Health benefits plans offered to small employers; exceptions.

Section 17B:27A-19a - Small employer carrier, offering of high deductible plan.

Section 17B:27A-19.1 - Hospital confinement, other supplemental limited benefit insurance plans; requirements

Section 17B:27A-19.2 - Coverage for birth and natal care; small employer health policy.

Section 17B:27A-19.3 - Regulations governing rating methodology, calculation of loss ratios

Section 17B:27A-19.4 - Coverage for minimum inpatient care following mastectomy by small employer health benefits plan

Section 17B:27A-19.5 - Applicability of Health Care Quality Act

Section 17B:27A-19.6 - Coverage for treatment of inherited metabolic diseases by small employer health benefits plan.

Section 17B:27A-19.7 - Small employer health benefits plan to provide coverage for mental health conditions, substance use disorders; collaborative care model.

Section 17B:27A-19.8 - Coverage for hemophilia services by small employer plan

Section 17B:27A-19.9 - Small employer health benefits plan to provide coverage for colorectal cancer screening.

Section 17B:27A-19.10 - Policy, contract issued under C.17B:27A-17 et seq. required to cover certain out-of-network services.

Section 17B:27A-19.11 - Carrier offering plans pursuant to C.17B:27A-17 et seq. may offer additional plan with certain limited benefits.

Section 17B:27A-19.12 - Small employer health benefits plan to offer coverage for domestic partner.

Section 17B:27A-19.13 - Small employer health benefits plan, mammogram examination benefits.

Section 17B:27A-19.14 - High deductible health plan, small employer, deductible inapplicable, certain circumstances.

Section 17B:27A-19.15 - Small employer health benefits plan, coverage for contraceptives.

Section 17B:27A-19.16 - Coverage for certain dependents until age 31 by small employer health benefits plan.

Section 17B:27A-19.17 - Small employer health benefits plans to provide benefits for orthotic and prosthetic appliances.

Section 17B:27A-19.18 - Small employer health benefits plan to provide coverage for hearing aids for certain persons aged 15 or younger.

Section 17B:27A-19.19 - Small employer health benefits plan to provide installment payments to obstetrical provider for maternity services.

Section 17B:27A-19.20 - Small employer health benefits plan to provide benefits for treatment of autism or other developmental disability.

Section 17B:27A-19.21 - Small employer health benefits plan to provide coverage for oral anticancer medications.

Section 17B:27A-19.22 - Small employer health benefits plan to provide coverage for sickle cell anemia.

Section 17B:27A-19.23 - Small employer health benefits plan to provide coverage for prescription eye drops.

Section 17B:27A-19.24 - Small employer health benefits plan, coverage for synchronization of prescribed medications.

Section 17B:27A-19.25 - Small employer health benefits plan to provide benefits for treatment of substance use disorder.

Section 17B:27A-19.26 - Small employer health benefits plan to provide coverage regardless of gender identity, expression.

Section 17B:27A-19.27 - Small employer health benefits plan to cover digital tomosynthesis of the breast.

Section 17B:27A-19.28 - Small employer health benefits plan to provide coverage for donated human breast milk.

Section 17B:27A-19.29 - Small employer health benefits plan to provide coverage for breastfeeding support.

Section 17B:27A-19.30 - Small employer health benefits plan to meet essential health benefits requirements.

Section 17B:27A-19.31 - Small employer health benefits plan to cover preventive services.

Section 17B:27A-19.32 - Small employer health benefits plan to provide certain coverage for prescription drugs.

Section 17B:27A-19.33 - Small employer health benefits plan to cover adolescent depression screenings.

Section 17B:27A-19.34 - Small employer health benefits plan to cover newborn home nurse visitation.

Section 17B:27A-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-25.1 - Findings, declarations relative to small employer health benefits purchasing alliances

Section 17B:27A-25.2 - Definitions relative to small employer benefits purchasing alliances

Section 17B:27A-25.3 - Small Employer Purchasing Alliance, formation

Section 17B:27A-25.4 - Board of directors

Section 17B:27A-25.5 - Bylaws, contents

Section 17B:27A-25.6 - Further authority of alliance

Section 17B:27A-25.7 - Restrictions on alliances

Section 17B:27A-25.8 - Certificate from alliance to commissioner

Section 17B:27A-25.9 - Rules, regulations

Section 17B:27A-26 - Health maintenance organization coverage; exceptions

Section 17B:27A-27 - Continued coverage for certain terminated employees, dependents.

Section 17B:27A-28 - New Jersey Small Employer Health Benefits Program created

Section 17B:27A-29 - Meetings, organization of board; terms.

Section 17B:27A-29.1 - Immunity from liability for board

Section 17B:27A-29.2 - Rules, regulations for voluntary risk pooling arrangement

Section 17B:27A-30 - Submission of plan of operation

Section 17B:27A-31 - Contents of plan of operation

Section 17B:27A-32 - Authority of board

Section 17B:27A-33 - Formulation of five health benefits plans

Section 17B:27A-41 - Violations, penalty

Section 17B:27A-43 - Violations, penalties

Section 17B:27A-44 - Assessments not charged to policyholders, public

Section 17B:27A-45 - Standard claim form

Section 17B:27A-47 - Coverage obtained through out-of-State trust, compliance required

Section 17B:27A-48 - Multiple employer arrangement; requirements

Section 17B:27A-49 - Notification to commissioner by carrier of multiple employer arrangement

Section 17B:27A-50 - Change of coverage by small employer; restrictions

Section 17B:27A-51 - Board actions subject to provisions of section; "action" defined; procedure

Section 17B:27A-53 - Other insurance purchases not required

Section 17B:27A-54 - Commissioner authorized to approve establishment of arrangement; rules, regulations

Section 17B:27A-55 - Written notice required for issuance, renewal of high deductible health plan; declaration of understanding.

Section 17B:27A-56 - Provision of biannual surveys to DOBI by health insurers.

Section 17B:27A-57 - "Health Insurance Exchange Trust Fund."

Section 17B:27A-58 - Authority to operate a State-based exchange, coordinate operations with other entities; advisory committee.

Section 17B:27A-59 - Rules, regulations.

Section 17B:27A-59.1 - Definitions.

Section 17B:27A-59.2 - "New Jersey Easy Enrollment Health Insurance Program" established.

Section 17B:27A-59.3 - Assistance eligibility, Department of Banking and Insurance.

Section 17B:27A-59.4 - Special enrollment period, New Jersey individual health insurance market, established.

Section 17B:27A-59.5 - Data privacy, security safeguards.

Section 17B:27A-59.6 - Tax return, individual not covered, minimum essential coverage.

Section 17B:27A-59.7 - Consenting to information sharing, system established.

Section 17B:27A-59.8 - Unemployment claim, indication of interest in obtaining minimum coverage, information sharing, consent.

Section 17B:27A-60 - Essential health benefits defined.

Section 17B:27A-61 - Carrier seeking rate increase.

Section 17B:27A-62 - Information to support, justify rate requests.

Section 17B:27A-63 - Additional information requested by department.

Section 17B:27A-64 - Disclosure of information.

Section 17B:27A-65 - Definitions relative to certain assessments.

Section 17B:27A-66 - Filing of net written premiums.

Section 17B:27A-67 - "Health Insurance Affordability Fund."

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-20 - Written agreements required for conducting business as third party billing service.

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:28-1 - Definition

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:28-12 - Annuities

Section 17B:28-14 - Regulation of separate account contracts, insurers issuing the same and sales agents

Section 17B:28-15 - Application to separate accounts and separate account contracts of Title 17B; required provisions for variable life insurance contracts

Section 17B:28A-1 - Insurance against risk of loss in value of redeemable securities issued by investment company

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:29-1 - Scope; differences in long-term and short-term indebtedness; 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:29-10 - Claims

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:30-7 - Defamation

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:30-23 - Timetable for implementation of electronic receipt, transmission of health care claim information; standard forms.

Section 17B:30-24 - Regulations.

Section 17B:30-25 - Thomas A. Edison State College to study, monitor effectiveness of electronic data interchange technology, electronic health records.

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:30-36 - Issuance of standardized pharmacy identification information, card to primary insured

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:30-40 - Definitions, construction, regulations on notice of premium increase to employers.

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:30-59 - Assignment of benefits to service provider of right to receive reimbursement for ambulance service.

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-10 - Two-year period required between issuance of policy and viatical settlement; exceptions.

Section 17B:30B-11 - Advertisement of viatical settlement contracts; guidelines, standards.

Section 17B:30B-12 - Fraudulent viatical settlement acts, prohibited, reporting, investigation, prosecution.

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-17 - Continuation of negotiating viatical settlements, certain circumstances prior to act.

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:32-37 - Proceedings previously commenced deemed commenced under this act; exceptions, distribution of claims

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:33-9 - Misrepresentation by unauthorized insurer; notice to domiciliary supervisory official; action

Section 17B:34-1 - Applicability of chapter

Section 17B:34-2 - General policy

Section 17B:34-3 - Subsequently enacted laws

Section 17B:34-4 - Filing

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:34-8 - Subpoenas

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:35-1 - Certificate of authority existing prior to effective date of act; expiration; renewal

Section 17B:35-2 - Licenses in force prior to effective date of act; continuance; expiration; renewal

Section 17B:35-3 - Form of insurance document, rate or filing lawfully used prior to effective date of act; continuance of use and effectiveness

Section 17B:35-4 - Deposits in compliance with condition precedent to or in connection with certificate of authority prior to effective date of act; use for similar purposes

Section 17B:35-5 - References to repealed provisions as references to provisions of this act

Section 17B:35-6 - Impairment or effect on acts, offenses, rights, penalties, etc., prior to effective date of 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:37-8 - Rules establishing conditions, procedures for public inspection, copying of information and official records.

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.

Section 17B:37-17 - Report to Legislature.