§ 17:48-1 Definitions
§ 17:48-1.1 Hospital services for dental services
§ 17:48-1.2 Application
§ 17:48-1.3 Convalescent in registered nursing homes
§ 17:48-1.4 Application
§ 17:48-1.5 Health care services by voluntary visiting nurse organizations
§ 17:48-1.6 Application
§ 17:48-1.7 Additional powers; contract benefits; disapproval by commissioner; review
§ 17:48-2 Operation as non-profit corporation; who may operate hospital service plan; certificate of authority
§ 17:48-2.1 Hospital service corporation merger procedure
§ 17:48-3 Issuance of certificate of authority; conditions and requirements; alteration or amendment of certificate
§ 17:48-4 Applications for hospital service contracts as condition precedent to issuance of certificate of authority
§ 17:48-5 Filing copy of certificate of incorporation; qualification of directors
§ 17:48-6 Contracts; certificates; contents
§ 17:48-6b Benefits for reconstructive breast surgery
§ 17:48-6c Hospital service contracts
§ 17:48-6d Benefits for blood products, blood infusion equipment
§ 17:48-6e Hospital service corporation insurance benefits for preexisting condition
§ 17:48-6f Hospital service corporation to pay benefits for treatment of Wilm’s tumor
§ 17:48-6g Hospital service corporation contract, mammogram examination benefits
§ 17:48-6h Hospital service corporation, benefits for “off-label” drugs required
§ 17:48-6i Hospital service corporation, benefits of health promotion
§ 17:48-6j Requirements for hospital service corporation providing benefits for pharmacy services
§ 17:48-6k Benefits for certain cancer treatments
§ 17:48-6l Coverage for birth and natal care; hospital service corporation
§ 17:48-6m Hospital service corporation contracts, child screening, blood lead, hearing loss; immunizations
§ 17:48-6n Coverage for diabetes treatment by individual, group hospital service corporation
§ 17:48-6o Hospital service corporation contract, Pap smear benefits
§ 17:48-6p Hospital service corporation contract, prostate cancer testing
§ 17:48-6q Coverage for minimum inpatient care following mastectomy by individual, group hospital service corporation
§ 17:48-6r Applicability of Health Care Quality Act
§ 17:48-6s Coverage for treatment of inherited metabolic diseases by hospital service corporation
§ 17:48-6t Coverage for treatment of domestic violence injuries by hospital service corporation
§ 17:48-6u Coverage for certain dental procedures for the severely disabled or child age five or under by hospital service corporation
§ 17:48-6v Hospital service corporation to provide coverage for mental health conditions, substance use disorders; collaborative care model
§ 17:48-6w Coverage for hemophilia services by hospital service corporations
§ 17:48-6x Hospital service corporation to provide coverage for treatment of infertility
§ 17:48-6y Hospital service corporation to provide coverage for colorectal cancer screening
§ 17:48-6y v2 Hospital service corporation to provide coverage for colorectal cancer screening
§ 17:48-6z Hospital service corporation prescription drug plans to cover certain infant formulas
§ 17:48-6aa Contracts issued under C.17:48-1 et seq. required to cover certain out-of-network services
§ 17:48-6bb Hospital service corporation to offer coverage for domestic partner
§ 17:48-6cc Hospital service corporation, high deductible, coverage for preventive care
§ 17:48-6dd Hospital service corporation, high deductible, deductible inapplicable, certain circumstances
§ 17:48-6ee Hospital service corporation, coverage for contraceptives
§ 17:48-6ff Hospital service corporation to provide benefits for orthotic and prosthetic appliances
§ 17:48-6gg Hospital service corporation to provide coverage for hearing aids for certain persons aged 15 or younger
§ 17:48-6hh Hospital service corporation to provide installment payments to obstetrical provider for maternity services
§ 17:48-6ii Hospital service corporation to provide benefits for treatment of autism or other developmental disability
§ 17:48-6jj Hospital service corporation to provide coverage for oral anticancer medications
§ 17:48-6kk Hospital service corporation to provide coverage for sickle cell anemia
§ 17:48-6ll Hospital service corporation to provide coverage for prescription eye drops
§ 17:48-6mm Hospital service corporation contract, coverage for synchronization of prescribed medications
§ 17:48-6nn Hospital service corporation to provide benefits for treatment of substance use disorder
§ 17:48-6oo Hospital service corporation to provide coverage regardless of gender identity, expression
§ 17:48-6pp Hospital service corporation to cover digital tomosynthesis of the breast
§ 17:48-6qq Hospital service corporation to provide coverage for donated human breast milk
§ 17:48-6rr Hospital service corporation to provide coverage for standard fertility preservation services
§ 17:48-6ss Hospital service corporation to provide coverage for breastfeeding support
§ 17:48-6tt Hospital service corporation to cover preventive services
§ 17:48-6uu Hospital service corporation to provide certain coverage for prescription drugs
§ 17:48-6vv Hospital service corporation contract to cover adolescent depression screenings
§ 17:48-6ww Hospital service corporation contract to cover newborn home nurse visitation program
§ 17:48-6.1 Group contracts issued by hospital service corporation
§ 17:48-6.2 Provisions applicable to group contracts; subscriber defined
§ 17:48-6.3 Group contract form
§ 17:48-6.4 Participation agreements
§ 17:48-6.5 Schedule of rates
§ 17:48-6.6 Combined hospital-medical contracts
§ 17:48-6.7 Review of determinations of commissioner of banking and insurance
§ 17:48-6.8 Review of practices, rules and procedures of hospital service corporation
§ 17:48-6.9 Adjustment of rates; experience rating formulas; approval
§ 17:48-6.10 Definitions
§ 17:48-6.11 Group contract or individual group certificate; total disability of employee or member; continuation of coverage; conditions
§ 17:48-6.12 Inapplicability of act if insurer not have right to terminate contract or certificate without consent of insured
§ 17:48-6.15 Coverage provided by hospital service corporation for subscriber’s child
§ 17:48-6.16 Requirements applicable to State Medicaid
§ 17:48-6.17 Eligibility for enrollment in hospital service corporation
§ 17:48-6.19 Coverage for certain dependents until age 31 by hospital service corporation
§ 17:48-6.18 Hospital service corporation contract, exclusion, rates, terms based on genetic information prohibited
§ 17:48-7 Health care facilities eligible for contracts; approval of rates of payment
§ 17:48-8 Filing of copy of contract or certificate and applications, etc., with commissioner; disapproval
§ 17:48-8.1 Hospital service corporation contract; compliance
§ 17:48-8.2 Filing of contract or related form
§ 17:48-8.3 Contract forms; certification memorandum
§ 17:48-8.4 Hospital service corporation to receive, transmit transactions electronically; standards
§ 17:48-9 Schedule of rates; filing; disapproval by Commissioner
§ 17:48-10 Solicitation and administrative expenses; investment of funds; surplus
§ 17:48-10.1 Hospital service corporation, aggregate benefits
§ 17:48-11 Statement of financial condition; inquiries by Commissioner; penalties
§ 17:48-12 Examination of assets and liabilities and affairs; expenses; duty to exhibit books, records and accounts
§ 17:48-14 Fees
§ 17:48-15 Violations of Act; penalties; enforcement
§ 17:48-16 Disputes between corporation and hospitals; review
§ 17:48-17 Application of chapter
§ 17:48-18 Corporation as charitable and benevolent institution; exemption from taxation

Terms Used In New Jersey Statutes > Title 17 > Chapter 48

  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • Baseline: Projection of the receipts, outlays, and other budget amounts that would ensue in the future without any change in existing policy. Baseline projections are used to gauge the extent to which proposed legislation, if enacted into law, would alter current spending and revenue levels.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Contract: A legal written agreement that becomes binding when signed.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Dependent: A person dependent for support upon another.
  • Discovery: Lawyers' examination, before trial, of facts and documents in possession of the opponents to help the lawyers prepare for trial.
  • Donor: The person who makes a gift.
  • Equitable: Pertaining to civil suits in "equity" rather than in "law." In English legal history, the courts of "law" could order the payment of damages and could afford no other remedy. See damages. A separate court of "equity" could order someone to do something or to cease to do something. See, e.g., injunction. In American jurisprudence, the federal courts have both legal and equitable power, but the distinction is still an important one. For example, a trial by jury is normally available in "law" cases but not in "equity" cases. Source: U.S. Courts
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Fraud: Intentional deception resulting in injury to another.
  • Gift: A voluntary transfer or conveyance of property without consideration, or for less than full and adequate consideration based on fair market value.
  • Liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity.
  • month: means a calendar month, and the word "year" means a calendar year. See New Jersey Statutes 1:1-2
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
  • person: includes corporations, companies, associations, societies, firms, partnerships and joint stock companies as well as individuals, unless restricted by the context to an individual as distinguished from a corporate entity or specifically restricted to one or some of the above enumerated synonyms and, when used to designate the owner of property which may be the subject of an offense, includes this State, the United States, any other State of the United States as defined infra and any foreign country or government lawfully owning or possessing property within this State. See New Jersey Statutes 1:1-2
  • State: extends to and includes any State, territory or possession of the United States, the District of Columbia and the Canal Zone. See New Jersey Statutes 1:1-2
  • Statute: A law passed by a legislature.
  • sworn: includes "affirmed. See New Jersey Statutes 1:1-2
  • Uphold: The decision of an appellate court not to reverse a lower court decision.
  • Writ: A formal written command, issued from the court, requiring the performance of a specific act.