§ 17B:27B-1 Definitions relative to third party administrators, billing services
§ 17B:27B-2 Licensure, registration required for third party administrators
§ 17B:27B-3 Additional information required for licensure, registration
§ 17B:27B-4 Issuance of license, approval of application for registration
§ 17B:27B-5 Denial of license, registration
§ 17B:27B-6 Provisions of written agreement; requirements
§ 17B:27B-7 Access to books, records
§ 17B:27B-8 Payment to third party administrators not based solely on claims denials
§ 17B:27B-9 Fiduciary responsibility of third party administrators
§ 17B:27B-10 Separate accounts for funds remitted
§ 17B:27B-11 Prompt delivery of communications to enrollees
§ 17B:27B-12 Notification of material changes to commissioner
§ 17B:27B-13 Annual reports
§ 17B:27B-14 Suspension, revocation of license, registration
§ 17B:27B-15 Immediate suspension of license, registration, grounds
§ 17B:27B-16 Certification required for third party billing services
§ 17B:27B-17 Additional information to be filed by third party billing services
§ 17B:27B-18 Approval of applications for certification
§ 17B:27B-19 Denial of applications for certification
§ 17B:27B-20 Written agreements required for conducting business as third party billing service
§ 17B:27B-21 Fiduciary responsibility of third party billing services
§ 17B:27B-22 Notification of material changes to commissioner
§ 17B:27B-23 Suspension, revocation of certification
§ 17B:27B-24 Violations, penalties
§ 17B:27B-25 Rules, regulations

Terms Used In New Jersey Statutes > Title 17B > Chapter 27B

  • certified mail: include private express carrier service, provided that the private express carrier service provides confirmation of mailing. See New Jersey Statutes 1:1-2
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • 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.
  • Fiduciary: A trustee, executor, or administrator.
  • Nolo contendere: No contest-has the same effect as a plea of guilty, as far as the criminal sentence is concerned, but may not be considered as an admission of guilt for any other purpose.
  • 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
  • Plea: In a criminal case, the defendant's statement pleading "guilty" or "not guilty" in answer to the charges, a declaration made in open court.
  • Power of attorney: A written instrument which authorizes one person to act as another's agent or attorney. The power of attorney may be for a definite, specific act, or it may be general in nature. The terms of the written power of attorney may specify when it will expire. If not, the power of attorney usually expires when the person granting it dies. Source: OCC
  • 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