New Jersey Revised Statutes
Title 17B - Insurance
Section 17B:32A-12 - Liabilities of impaired, insolvent insurers

17B:32A-12. Liabilities of impaired, insolvent insurers
12. a. Nothing in P.L.1991, c.208 (C.17B:32A-1 et seq.) or P.L.2022, c.98 (C.17B:32A-2 et al.) shall be construed to reduce the liability for unpaid assessments of the insureds or enrollees of an impaired or insolvent insurer operating under a plan with assessment liability.
b. Records shall be kept of all negotiations and meetings in which the association or its representatives are involved to discuss the activities of the association in carrying out its powers and duties under section 7 of P.L.1991, c.208 (C.17B:32A-7). Records of those negotiations or meetings shall be made public only upon the termination of a liquidation, rehabilitation, or conservation proceeding involving an impaired or insolvent insurer, upon the termination of the impairment or insolvency of the member insurer, or upon the order of a court of competent jurisdiction.
c. For the purpose of carrying out its obligations under P.L.1991, c.208 (C.17B:32A-1 et seq.), the association shall be deemed to be a creditor of an impaired or insolvent insurer to the extent of assets attributable to covered policies or contracts reduced by any amounts to which the association is entitled as subrogee pursuant to subsection m. of section 7 of P.L.1991, c.208 (C.17B:32A-7). Assets of an impaired or insolvent insurer attributable to covered policies or contracts shall be used to continue all covered policies or contracts and pay all contractual obligations of the impaired or insolvent insurer as required by P.L.1991, c.208 (C.17B:32A-1 et seq.). For purposes of this subsection, assets attributable to covered policies or contracts are that proportion of the assets which the reserves that should have been established for such policies or contracts bears to the reserves that should have been established for all policies or contracts of insurance or health benefit plans written by the impaired or insolvent insurer.
d. As a creditor of the impaired or insolvent insurer as established in subsection c. of this section and consistent with section 33 of P.L.1992, c.65 (C.17B:32-63), the association and other similar associations shall be entitled to receive a disbursement of assets out of the marshaled assets, from time to time as the assets become available to reimburse it, as a credit against contractual obligations under P.L.1991, c.208 (C.17B:32A-1 et seq.). If the liquidator has not, within 120 days of a final determination of insolvency of a member insurer by the receivership court, made an application to the court for the approval of a proposal to disburse assets out of marshaled assets to guaranty associations having obligations because of the insolvency, then the association shall be entitled to make application to the receivership court for approval of its own proposal to disburse these assets.
(1) Prior to the termination of any receivership, liquidation, rehabilitation or conservation proceeding, the court may take into consideration the contributions of the respective parties, including the association, the shareholders, enrollees, certificate holders, and policy or contract owners of an insolvent insurer, and any other party with a bona fide interest in making an equitable distribution of the ownership rights of that insolvent insurer. In making such a determination, consideration shall be given to the welfare of the policy or contract owners, enrollees, and certificate holders, and to the reasonable requirements of a continuing or successor member insurer.
(2) No dividend or other distribution to stockholders or policyholders of an impaired or insolvent insurer shall be made until and unless the total amount of valid claims of the association with interest thereon for funds expended in carrying out its powers and duties under section 7 of P.L.1991, c.208 (C.17B:32A-7) with respect to that member insurer have been recovered by the association.
e. (1) If an order for liquidation or rehabilitation of a member insurer domiciled in this State has been entered, the receiver appointed under that order shall have a right to recover on behalf of the member insurer, from any affiliate that controlled it, the amount of distributions, other than stock dividends paid by the member insurer on its capital stock, made at any time during the five years preceding the petition for liquidation or rehabilitation subject to the limitations of paragraphs (2) through (4) of this subsection.
(2) No such distribution shall be recoverable if the member insurer shows that the distribution was lawful and reasonable when paid, and that the member insurer did not know and could not reasonably have known that the distribution might adversely affect the ability of the member insurer to fulfill its contractual obligations.
(3) Any person who was an affiliate that controlled the member insurer at the time the distributions were paid shall be liable up to the amount of distributions received. Any person who was an affiliate that controlled the member insurer at the time the distributions were declared, shall be liable up to the amount of distributions which would have been received if they had been paid immediately. If two or more persons are liable with respect to the same distributions, they shall be jointly and severally liable.
(4) The maximum amount recoverable under this subsection shall be the amount in excess of all other available assets of the insolvent insurer needed to pay the contractual obligations of the insolvent insurer.
(5) If any person liable under paragraph (3) of this subsection is insolvent, all its affiliates that controlled it at the time the distribution was paid shall be jointly and severally liable for any resulting deficiency in the amount recovered from the insolvent affiliate.
L.1991,c.208,s.12; amended 2022, c.98, s.11.

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

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