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2018 New Jersey Revised Statutes
Title 17 - CORPORATIONS AND INSTITUTIONS FOR FINANCE AND INSURANCE
Chapter 48E
- Section 17:48E-1 - Definitions.
- Section 17:48E-2 - Establishment of health service corporation
- Section 17:48E-3 - Health service corporations
- Section 17:48E-4 - Certificate of authority
- Section 17:48E-5 - Merger procedure
- Section 17:48E-6 - Board of health service corporation formed through merger
- Section 17:48E-7 - Board of directors of health service corporation
- Section 17:48E-8 - Vacancy procedure
- Section 17:48E-9 - Executive committee
- Section 17:48E-10 - Agreements with service providers
- Section 17:48E-10.1 - Health service corporation to receive, transmit transactions electronically; standards.
- Section 17:48E-10.2 - Payment of out-of-network dental benefits by health service corporation.
- Section 17:48E-11 - Professional Advisory Committee
- Section 17:48E-12 - Eligible providers' services.
- Section 17:48E-13 - Approval of forms
- Section 17:48E-13.1 - Health service corporation contract; compliance
- Section 17:48E-13.2 - Filing of contract or related form
- Section 17:48E-13.3 - Contract forms; certification memorandum
- Section 17:48E-14 - Individual contract requirements
- Section 17:48E-15 - Classification permitted
- Section 17:48E-15.1 - Eligibility for enrollment in health service corporation
- Section 17:48E-15.2 - Health service corporation contract, exclusion, rates, terms based on genetic information prohibited
- Section 17:48E-16 - Joint ventures
- Section 17:48E-17 - Expense limits; investments; administrative services
- Section 17:48E-17.1 - Two special contingent surplus accounts
- Section 17:48E-17.2 - Special contingent surplus required for health service corporation
- Section 17:48E-17.3 - Examination of annual regulatory filings; annual audit.
- Section 17:48E-18 - Annual contract, renewal; family coverage
- Section 17:48E-19 - Provisions of subscription certificates
- Section 17:48E-20 - Coverage for newborn child
- Section 17:48E-21 - Coverage for former spouse
- Section 17:48E-22 - Coverage for child with intellectual disability, physical handicap.
- Section 17:48E-22.1 - Health service corporations to offer basic health care contracts
- Section 17:48E-22.2 - Provisions of basic health care contract
- Section 17:48E-23 - Group contracts
- Section 17:48E-24 - Provisions of group contract forms
- Section 17:48E-25 - "Employee" coverage
- Section 17:48E-26 - Experience rating
- Section 17:48E-27 - Rate schedule filing
- Section 17:48E-27.1 - Individual contract rate changes
- Section 17:48E-28 - Group coverage for newborn child
- Section 17:48E-29 - Nongroup coverage for former spouse
- Section 17:48E-30 - Group coverage for child with intellectual disability, physical handicap.
- Section 17:48E-30.1 - Coverage for certain dependents until age 31 by health service corporation.
- Section 17:48E-31 - Family coverage after member's death
- Section 17:48E-32 - Continuation of coverage for totally disabled
- Section 17:48E-32.1 - Coverage provided by health service corporation for subscriber's child
- Section 17:48E-32.2 - Requirements applicable to State Medicaid
- Section 17:48E-33 - Second, third surgical opinions
- Section 17:48E-34 - Alcoholism treatment benefits
- Section 17:48E-35 - Reconstructive breast surgery benefits
- Section 17:48E-35.1 - Benefits for home treatment of hemophilia
- Section 17:48E-35.2 - Health service corporation insurance benefits for preexisting condition
- Section 17:48E-35.3 - Health service corporation to pay benefits for treatment of Wilm's tumor
- Section 17:48E-35.4 - Health service corporation contract, mammogram examination benefits.
- Section 17:48E-35.5 - Health service corporation, benefits for "off-label" drugs required
- Section 17:48E-35.6 - Health service corporation, benefits for health promotion
- Section 17:48E-35.7 - Requirements for health service corporation providing benefits for pharmacy services.
- Section 17:48E-35.8 - Benefits for certain cancer treatments
- Section 17:48E-35.9 - Coverage for birth and natal care; health service corporation
- Section 17:48E-35.10 - Health service corporation contracts, child screening, blood lead, hearing loss; immunizations.
- Section 17:48E-35.11 - Coverage for diabetes treatment by individual group health service corporation
- Section 17:48E-35.12 - Health service corporation contract, Pap smear benefits
- Section 17:48E-35.13 - Health service corporation contract, prostate cancer testing
- Section 17:48E-35.14 - Coverage for minimum inpatient care following mastectomy by individual, group health service corporation
- Section 17:48E-35.15 - Applicability of Health Care Quality Act
- Section 17:48E-35.16 - Coverage for treatment of inherited metabolic diseases by health service corporation.
- Section 17:48E-35.17 - Health service corporation to cover certain audiology, speech-language pathology services.
- Section 17:48E-35.18 - Coverage for treatment of domestic violence injuries by health service corporation.
- Section 17:48E-35.19 - Coverage for certain dental procedures for the severely disabled or child age five or under by health service corporation
- Section 17:48E-35.20 - Health service corporation to provide coverage for biologically-based mental illness.
- Section 17:48E-35.21 - Coverage for hemophilia services by health service corporation
- Section 17:48E-35.22 - Health service corporation to provide coverage for treatment of infertility.
- Section 17:48E-35.23 - Health service corporation to provide coverage for colorectal cancer screening.
- Section 17:48E-35.24 - Health service corporation prescription drug plans to cover certain infant formulas.
- Section 17:48E-35.25 - Contract issued under C.17:48E-1 et seq. required to cover certain out-of-network services.
- Section 17:48E-35.26 - Health service corporation to offer coverage for domestic partner.
- Section 17:48E-35.27 - Health service corporation, high deductible, coverage for preventive care.
- Section 17:48E-35.28 - Health service corporation, high deductible, deductible inapplicable, certain circumstances.
- Section 17:48E-35.29 - Health service corporation, coverage for prescription female contraceptives.
- Section 17:48E-35.30 - Health service corporation to provide benefits for orthotic and prosthetic appliances.
- Section 17:48E-35.31 - Health service corporation to provide coverage for hearing aids for certain persons aged 15 or younger.
- Section 17:48E-35.32 - Individual, group health service corporation to provide installment payments to obstetrical provider for maternity services.
- Section 17:48E-35.33 - Health service corporation to provide benefits for treatment of autism or other developmental disability.
- Section 17:48E-35.34 - Health service corporation to provide coverage for oral anticancer medications.
- Section 17:48E-35.35 - Health service corporation to provide coverage for sickle cell anemia.
- Section 17:48E-35.36 - Health service corporation to provide coverage for prescription eye drops.
- Section 17:48E-35.37 - Health service corporation contract, coverage for synchronization of prescribed medications.
- Section 17:48E-35.38 - Health service corporation to provide benefits for treatment of substance use disorder.
- Section 17:48E-35.39 - Health service corporation to provide coverage regardless of gender identity, expression.
- Section 17:48E-35.40 - Health service corporation contract to cover digital tomosynthesis of the breast.
- Section 17:48E-35.41 - Health service corporation to provide coverage for donated human breast milk.
- Section 17:48E-36 - Annual financial statement
- Section 17:48E-37 - Examination authority
- Section 17:48E-37.1 - Definitions.
- Section 17:48E-37.2 - Increase in amount of capital or surplus required of health service corporation.
- Section 17:48E-37.3 - Determination of increase, revision or redetermination; factors.
- Section 17:48E-37.4 - Suspension, revocation of authority to do business.
- Section 17:48E-37.5 - Rules, regulations.
- Section 17:48E-38 - Fee schedule
- Section 17:48E-39 - Penalties for violations
- Section 17:48E-41 - Health service corporation, exemption from taxes
- Section 17:48E-42 - For-profit corporations excluded
- Section 17:48E-43 - Subject to review
- Section 17:48E-44 - Rules, regulations
- Section 17:48E-45 - Definitions relative to conversion
- Section 17:48E-46 - Conversion of health service corporation to domestic mutual insurer
- Section 17:48E-47 - Filing, approval of conversion plan
- Section 17:48E-48 - Directors and officers, terms
- Section 17:48E-49 - Definitions relative to conversion of health service corporation to domestic stock insurer.
- Section 17:48E-50 - Procedure for conversion.
- Section 17:48E-51 - Filing of application.
- Section 17:48E-52 - Approval of plan, certificate of authority.
- Section 17:48E-53 - Issuance of subsequent order.
- Section 17:48E-54 - Transfer of fair market value.
- Section 17:48E-55 - Continuation of health service corporation.
- Section 17:48E-56 - Conversion of policies.
- Section 17:48E-57 - Receipt of compensation contingent upon approval of plan prohibited.
- Section 17:48E-58 - Documents considered public records; exceptions.
- Section 17:48E-59 - Conversion effective; conditions.
- Section 17:48E-60 - Abandonment, amendment of plan of conversion.
- Section 17:48E-61 - Directors, officers continue to serve.
- Section 17:48E-62 - Participation of Attorney General.
- Section 17:48E-63 - Orders, rules, regulations.
- Section 17:48E-64 - Construction of act.
- Section 17:48E-65 - Requirements prior to action constituting material change in form.
- Section 17:48E-66 - Notification of action constituting material change in form, procedure.
- Section 17:48E-67 - Petition for review of foundation plan.
- Section 17:48E-68 - Health Service Corporation Conversion Temporary Advisory Commission; board of directors of foundation.
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