2009 New Jersey Code
TITLE 17 - CORPORATIONS AND INSTITUTIONS FOR FINANCE AND INSURANCE
Section 17:48A

• 17:48A-1 - Definitions;  liability for medical services
• 17:48A-2 - Nonprofit corporation;  trustees and physicians;  who may operate  medical service plan;  certificate of authority
• 17:48A-2.1 - Medical service corporation merger procedure
• 17:48A-3 - Issuance of certificate of authority;  amendment;  counties affected
• 17:48A-4 - Corporate funds required
• 17:48A-5 - Subscription contracts
• 17:48A-6 - Written contracts required;  subscription certificates
• 17:48A-6.1 - Elective surgery;  definitions
• 17:48A-6.2 - Second surgical opinion program
• 17:48A-6.3 - Payment for second surgical opinion
• 17:48A-6.4 - Third surgical opinion
• 17:48A-6.5 - Second opinion exclusions
• 17:48A-6.6 - Physicians furnishing opinion and performing surgical procedure;  payment
• 17:48A-6.7 - Application
• 17:48A-6.8 - Medical service corporations to offer basic health care contracts 
• 17:48A-6.9 - Basic health care contract; provisions 
• 17:48A-6.11 - Medical service corporation contract, exclusion, rates, terms based on genetic information prohibited
• 17:48A-7 - Formal requirements for subscription certificates
• 17:48A-7a - Treatment of alcoholism;  benefits
• 17:48A-7b - Reconstructive breast surgery; benefits
• 17:48A-7c - Medical service contracts
• 17:48A-7d - Medical service corporation insurance benefits for preexisting condition
• 17:48A-7e - Medical service corporation to pay benefits for treatment of Wilm's tumor 
• 17:48A-7f - Medical service corporation contract, mammogram examination benefits
• 17:48A-7g - Medical service corporation, benefits for "off-label" drugs required 
• 17:48A-7h - Medical service corporation, benefits for health promotion
• 17:48A-7i - Requirements for medical service corporation providing benefits for pharmacy services
• 17:48A-7j - Benefits for certain cancer treatments 
• 17:48A-7k - Coverage for birth and natal care; medical service corporation 
• 17:48A-6.1 - Elective surgery;  definitions
• 17:48A-6.2 - Second surgical opinion program
• 17:48A-6.3 - Payment for second surgical opinion
• 17:48A-6.4 - Third surgical opinion
• 17:48A-6.5 - Second opinion exclusions
• 17:48A-6.6 - Physicians furnishing opinion and performing surgical procedure;  payment
• 17:48A-6.7 - Application
• 17:48A-6.8 - Medical service corporations to offer basic health care contracts 
• 17:48A-6.9 - Basic health care contract; provisions 
• 17:48A-6.11 - Medical service corporation contract, exclusion, rates, terms based on genetic information prohibited
• 17:48A-7 - Formal requirements for subscription certificates
• 17:48A-7a - Treatment of alcoholism;  benefits
• 17:48A-7b - Reconstructive breast surgery; benefits
• 17:48A-7c - Medical service contracts
• 17:48A-7d - Medical service corporation insurance benefits for preexisting condition
• 17:48A-7e - Medical service corporation to pay benefits for treatment of Wilm's tumor 
• 17:48A-7f - Medical service corporation contract, mammogram examination benefits
• 17:48A-7g - Medical service corporation, benefits for "off-label" drugs required 
• 17:48A-7h - Medical service corporation, benefits for health promotion
• 17:48A-7i - Requirements for medical service corporation providing benefits for pharmacy services
• 17:48A-7j - Benefits for certain cancer treatments 
• 17:48A-7k - Coverage for birth and natal care; medical service corporation 
• 17:48A-7m - Medical service corporation contract, Pap smear benefits
• 17:48A-7n - Medical service corporation contract, prostate cancer testing
• 17:48A-7o - Coverage for minimum inpatient care following mastectomy by individual, group medical service corporation
• 17:48A-7p - Applicability of Health Care Quality Act
• 17:48A-7q - Coverage for treatment of inherited metabolic diseases by medical service corporation
• 17:48A-7r - Medical service corporation to cover certain audiology, speech-language pathology services
• 17:48A-7s - Coverage for treatment of domestic violence injuries by medical service corporation
• 17:48A-7t - Coverage for certain dental procedures for the severely disabled or child age five or under by medical service corporation
• 17:48A-7u - Medical service corporation to provide coverage for biologically-based mental illness
• 17:48A-7v - Coverage for hemophilia services by medical services corporation
• 17:48A-7w - Medical service corporation to provide coverage for treatment of infertility
• 17:48A-7x - Medical service corporation to provide coverage for colorectal cancer screening
• 17:48A-7y - Medical service corporation prescription drug plans to cover certain infant formulas
• 17:48A-7z - Contract issued under C.17:48A-1 et seq. required to cover certain out-of-network services
• 17:48A-7aa - Medical service corporation to offer coverage for domestic partner
• 17:48A-7bb - Medical service corporation, coverage for prescription female contraceptives
• 17:48A-7cc - Medical service corporation to provide benefits for orthotic and prosthetic appliances
• 17:48A-7dd - Medical service corporation to provide coverage for hearing aids for certain persons aged 15 or younger
• 17:48A-7ee - Individual, group medical service corporation to provide installment payments to obstetrical provider for maternity services
• 17:48A-7ff - Medical service corporation to provide benefits for treatment of autism or other developmental disability
• 17:48A-7.1 - Group contracts; issuance; description; benefits; employees defined
• 17:48A-7.2 - Provisions applicable to group contracts
• 17:48A-7.3 - Group contract form
• 17:48A-7.4 - Participation agreements
• 17:48A-7.5 - Schedule of rates
• 17:48A-7.6 - Combined hospital-medical contract
• 17:48A-7.7 - Review of determinations of commissioner of banking and insurance
• 17:48A-7.8 - Review of practices, rules and procedures of medical service corporations
• 17:48A-7.9 - Adjustment of rates;  experience rating formula;  approval
• 17:48A-7.10 - Coverage provided by medical service corporation for subscriber's child
• 17:48A-7.11 - Requirements applicable to State Medicaid
• 17:48A-7.12 - Medical service corporation to receive, transmit transactions electronically; standards
• 17:48A-7.13 - Coverage for certain dependents until age 31 by medical service corporation
• 17:48A-8 - Participating physicians;  payments for medical services
• 17:48A-9 - Filing form of subscription certificate, etc.;  disapproval by commissioner
• 17:48A-9.1 - Medical service corporation contract; compliance 
• 17:48A-9.2 - Filing of contract or related forms 
• 17:48A-9.3 - Contract forms; certification memorandum 
• 17:48A-10 - Schedule of rates;  filing, disapproval
• 17:48A-11 - Agreements with physicians;  approval of payments; corporate records
• 17:48A-12 - Expenditures in soliciting subscribers
• 17:48A-13 - Administrative expenses
• 17:48A-14 - Investments;  surplus
• 17:48A-15 - Statement of financial condition;  inquiries by commissioner
• 17:48A-16 - Failure to file statement or answer inquiries;  penalty
• 17:48A-17 - Examination of assets and affairs;  assistants
• 17:48A-18 - Expense of examination;  gifts, etc., to departmental employees
• 17:48A-19 - Exhibition of records and accounts;  examinations under oath
• 17:48A-21 - Fees
• 17:48A-22 - Violations of chapter;  penalty and recovery thereof; misdemeanors
• 17:48A-23 - Grants for needy persons
• 17:48A-24 - Corporation as charitable and benevolent institution;  tax exemption
• 17:48A-25 - Partial invalidity
• 17:48A-27 - Bio-analytical laboratory, services performed by
• 17:48A-28 - Dentists, services performed by
• 17:48A-28.1 - Policies providing for reimbursement of services of dentist; additional applicable provisions
• 17:48A-28.2 - Application of act to contracts with reservation of right to change premium
• 17:48A-29 - Optometrist, services performed by
• 17:48A-30 - Psychologist, services performed by
• 17:48A-31 - Physical therapist, services performed by
• 17:48A-32 - Chiropractors;  authorization for payment for diagnostic X-rays;   inclusion in act as physician licensed to practice medicine or surgery;   liberal construction
• 17:48A-33 - Chiropractors, services performed by
• 17:48A-34 - Nurse-midwives, services performed by
• 17:48A-35 - Services provided by registered professional nurse; benefits