§ 17:48E-1 Definitions
§ 17:48E-2 Establishment of health service corporation
§ 17:48E-3 Health service corporations
§ 17:48E-4 Certificate of authority
§ 17:48E-5 Merger procedure
§ 17:48E-6 Board of health service corporation formed through merger
§ 17:48E-7 Board of directors of health service corporation
§ 17:48E-8 Vacancy procedure
§ 17:48E-9 Executive committee
§ 17:48E-10 Agreements with service providers
§ 17:48E-10.1 Health service corporation to receive, transmit transactions electronically; standards
§ 17:48E-10.2 Payment of out-of-network dental benefits by health service corporation
§ 17:48E-11 Professional Advisory Committee
§ 17:48E-12 Eligible providers’ services
§ 17:48E-13 Approval of forms
§ 17:48E-13.1 Health service corporation contract; compliance
§ 17:48E-13.2 Filing of contract or related form
§ 17:48E-13.3 Contract forms; certification memorandum
§ 17:48E-14 Individual contract requirements
§ 17:48E-15 Classification permitted
§ 17:48E-15.1 Eligibility for enrollment in health service corporation
§ 17:48E-15.2 Health service corporation contract, exclusion, rates, terms based on genetic information prohibited
§ 17:48E-16 Joint ventures
§ 17:48E-17 Expense limits; investments; administrative services
§ 17:48E-17.1 Two special contingent surplus accounts
§ 17:48E-17.2 Special contingent surplus required for health service corporation
§ 17:48E-17.3 Examination of annual regulatory filings; annual audit
§ 17:48E-17.4 Health service corporation, aggregate benefits
§ 17:48E-18 Annual contract, renewal; family coverage
§ 17:48E-19 Provisions of subscription certificates
§ 17:48E-20 Coverage for newborn child
§ 17:48E-21 Coverage for former spouse
§ 17:48E-22 Coverage for child with intellectual disability, physical handicap
§ 17:48E-23 Group contracts
§ 17:48E-24 Provisions of group contract forms
§ 17:48E-25 “Employee” coverage
§ 17:48E-26 Experience rating
§ 17:48E-27 Rate schedule filing
§ 17:48E-27.1 Individual contract rate changes
§ 17:48E-28 Group coverage for newborn child
§ 17:48E-29 Nongroup coverage for former spouse
§ 17:48E-30 Group coverage for child with intellectual disability, physical handicap
§ 17:48E-30.1 Coverage for certain dependents until age 31 by health service corporation
§ 17:48E-31 Family coverage after member’s death
§ 17:48E-32 Continuation of coverage for totally disabled
§ 17:48E-32.1 Coverage provided by health service corporation for subscriber’s child
§ 17:48E-32.2 Requirements applicable to State Medicaid
§ 17:48E-33 Second, third surgical opinions
§ 17:48E-35 Reconstructive breast surgery benefits
§ 17:48E-35.1 Benefits for home treatment of hemophilia
§ 17:48E-35.2 Health service corporation insurance benefits for preexisting condition
§ 17:48E-35.3 Health service corporation to pay benefits for treatment of Wilm’s tumor
§ 17:48E-35.4 Health service corporation contract, mammogram examination benefits
§ 17:48E-35.5 Health service corporation, benefits for “off-label” drugs required
§ 17:48E-35.6 Health service corporation, benefits for health promotion
§ 17:48E-35.7 Requirements for health service corporation providing benefits for pharmacy services
§ 17:48E-35.8 Benefits for certain cancer treatments
§ 17:48E-35.9 Coverage for birth and natal care; health service corporation
§ 17:48E-35.10 Health service corporation contracts, child screening, blood lead, hearing loss; immunizations
§ 17:48E-35.11 Coverage for diabetes treatment by individual group health service corporation
§ 17:48E-35.12 Health service corporation contract, Pap smear benefits
§ 17:48E-35.13 Health service corporation contract, prostate cancer testing
§ 17:48E-35.14 Coverage for minimum inpatient care following mastectomy by individual, group health service corporation
§ 17:48E-35.15 Applicability of Health Care Quality Act
§ 17:48E-35.16 Coverage for treatment of inherited metabolic diseases by health service corporation
§ 17:48E-35.17 Health service corporation to cover certain audiology, speech-language pathology services
§ 17:48E-35.18 Coverage for treatment of domestic violence injuries by health service corporation
§ 17:48E-35.19 Coverage for certain dental procedures for the severely disabled or child age five or under by health service corporation
§ 17:48E-35.20 Health service corporation to provide coverage for mental health conditions, substance use disorders; collaborative care model
§ 17:48E-35.21 Coverage for hemophilia services by health service corporation
§ 17:48E-35.22 Health service corporation to provide coverage for treatment of infertility
§ 17:48E-35.23 Health service corporation to provide coverage for colorectal cancer screening
§ 17:48E-35.23 v2 Health service corporation to provide coverage for colorectal cancer screening
§ 17:48E-35.24 Health service corporation prescription drug plans to cover certain infant formulas
§ 17:48E-35.25 Contract issued under C.17:48E-1 et seq required to cover certain out-of-network services
§ 17:48E-35.26 Health service corporation to offer coverage for domestic partner
§ 17:48E-35.27 Health service corporation, high deductible, coverage for preventive care
§ 17:48E-35.28 Health service corporation, high deductible, deductible inapplicable, certain circumstances
§ 17:48E-35.29 Health service corporation, coverage for contraceptives
§ 17:48E-35.30 Health service corporation to provide benefits for orthotic and prosthetic appliances
§ 17:48E-35.31 Health service corporation to provide coverage for hearing aids for certain persons aged 15 or younger
§ 17:48E-35.32 Individual, group health service corporation to provide installment payments to obstetrical provider for maternity services
§ 17:48E-35.33 Health service corporation to provide benefits for treatment of autism or other developmental disability
§ 17:48E-35.34 Health service corporation to provide coverage for oral anticancer medications
§ 17:48E-35.35 Health service corporation to provide coverage for sickle cell anemia
§ 17:48E-35.36 Health service corporation to provide coverage for prescription eye drops
§ 17:48E-35.37 Health service corporation contract, coverage for synchronization of prescribed medications
§ 17:48E-35.38 Health service corporation to provide benefits for treatment of substance use disorder
§ 17:48E-35.39 Health service corporation to provide coverage regardless of gender identity, expression
§ 17:48E-35.40 Health service corporation contract to cover digital tomosynthesis of the breast
§ 17:48E-35.41 Health service corporation to provide coverage for donated human breast milk
§ 17:48E-35.42 Health service corporation to provide coverage for standard fertility preservation services
§ 17:48E-35.43 Health service corporation to provide coverage for breastfeeding support
§ 17:48E-35.44 Health service corporation to cover preventive services
§ 17:48E-35.45 Health service corporation to provide certain coverage for prescription drugs
§ 17:48E-35.46 Health service corporation to cover adolescent depression screenings
§ 17:48E-35.47 Health service corporation to cover newborn home nurse visitations
§ 17:48E-36 Annual financial statement
§ 17:48E-37 Examination authority
§ 17:48E-37.1 Definitions
§ 17:48E-37.2 Increase in amount of capital or surplus required of health service corporation
§ 17:48E-37.3 Determination of increase, revision or redetermination; factors
§ 17:48E-37.4 Suspension, revocation of authority to do business
§ 17:48E-37.5 Rules, regulations
§ 17:48E-38 Fee schedule
§ 17:48E-39 Penalties for violations
§ 17:48E-41 Health service corporation, exemption from taxes
§ 17:48E-42 For-profit corporations excluded
§ 17:48E-43 Subject to review
§ 17:48E-44 Rules, regulations
§ 17:48E-45 Definitions relative to conversion
§ 17:48E-46 Conversion of health service corporation to domestic mutual insurer
§ 17:48E-46.1 Findings, declarations relative to the reorganization of a health service corporation
§ 17:48E-46.2 Definitions relative to the reorganization of a health service corporation
§ 17:48E-46.3 Mutual holding company, not for pecuniary profit, mission
§ 17:48E-46.4 Health service corporation to reorganize into mutual holding company system
§ 17:48E-46.5 Health service corporation applicationto form mutual holding company system
§ 17:48E-46.6 Monitoring mutual holding company’s operations
§ 17:48E-46.7 Investments; supplier program; mutualization; reorganization plans
§ 17:48E-46.8 Non-obligation of distribution payment to members, policyholders
§ 17:48E-46.9 Membership in mutual holding company
§ 17:48E-46.10 Plan of dissolution
§ 17:48E-46.11 Annual statements; report to the Governor
§ 17:48E-46.12 Public records
§ 17:48E-46.13 Initial and annual assessments
§ 17:48E-46.14 Mutual holding company
§ 17:48E-46.15 Board of the mutual holding company; membership, transitional period, diversity
§ 17:48E-46.16 Full-time employees maintained for 36 months following transition
§ 17:48E-46.17 Severability
§ 17:48E-47 Filing, approval of conversion plan
§ 17:48E-48 Directors and officers, terms
§ 17:48E-49 Definitions relative to conversion of health service corporation to domestic stock insurer
§ 17:48E-50 Procedure for conversion
§ 17:48E-51 Filing of application
§ 17:48E-52 Approval of plan, certificate of authority
§ 17:48E-53 Issuance of subsequent order
§ 17:48E-54 Transfer of fair market value
§ 17:48E-55 Continuation of health service corporation
§ 17:48E-56 Conversion of policies
§ 17:48E-57 Receipt of compensation contingent upon approval of plan prohibited
§ 17:48E-58 Documents considered public records; exceptions
§ 17:48E-59 Conversion effective; conditions
§ 17:48E-60 Abandonment, amendment of plan of conversion
§ 17:48E-61 Directors, officers continue to serve
§ 17:48E-62 Participation of Attorney General
§ 17:48E-63 Orders, rules, regulations
§ 17:48E-64 Construction of act
§ 17:48E-65 Requirements prior to action constituting material change in form
§ 17:48E-66 Notification of action constituting material change in form, procedure
§ 17:48E-67 Petition for review of foundation plan
§ 17:48E-68 Foundations; board, membership

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

  • Advice and consent: Under the Constitution, presidential nominations for executive and judicial posts take effect only when confirmed by the Senate, and international treaties become effective only when the Senate approves them by a two-thirds vote.
  • 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.
  • Appraisal: A determination of property value.
  • 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
  • Common law: The legal system that originated in England and is now in use in the United States. It is based on judicial decisions rather than legislative action.
  • 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.
  • Deed: The legal instrument used to transfer title in real property from one person to another.
  • 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.
  • Entitlement: A Federal program or provision of law that requires payments to any person or unit of government that meets the eligibility criteria established by law. Entitlements constitute a binding obligation on the part of the Federal Government, and eligible recipients have legal recourse if the obligation is not fulfilled. Social Security and veterans' compensation and pensions are examples of entitlement programs.
  • 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.
  • Fair market value: The price at which an asset would change hands in a transaction between a willing, informed buyer and a willing, informed seller.
  • 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.
  • Lease: A contract transferring the use of property or occupancy of land, space, structures, or equipment in consideration of a payment (e.g., rent). Source: OCC
  • Liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity.
  • Minority leader: See Floor Leaders
  • 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.
  • Oversight: Committee review of the activities of a Federal agency or program.
  • 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.
  • Subpoena: A command to a witness to appear and give testimony.
  • sworn: includes "affirmed. See New Jersey Statutes 1:1-2
  • Trustee: A person or institution holding and administering property in trust.
  • 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.