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17B:27A-19 Health benefits plans offered to small employers; exceptions.

New Jersey Statutes (Unannotated) / NEW JERSEY GENERAL AND PERMANENT STATUTES (UPDATED THROUGH P.L.2023, c.256, and J.R.18) / TITLE 17B INSURANCE

... 17B:27A-19 Health benefits plans offered to small employers; exceptions. 17B:27A-19 Health benefits plans offered to small employers; exceptions. 3. a. Except as provided in subsection f. of this section, every small employer carrier shall, as a...

... condition of transacting business in this State, offer to every small employer at least three of the health benefit plans established by the board, as provided in this section. The board shall establish a standard policy form for each of the plans, which...

... or after January 1, 1994. One policy form shall contain the benefits provided for in sections 55, 57, and 59 of P.L.1991, c. 187 (C.17: 48E-22.2, 17B:26B-2 and 26:2J-4.3). In the case of indemnity carriers, one policy form shall be established which contains benefits and cost sharing levels which...

... are equivalent to the health benefits plans of health maintenance organizations pursuant to the " Health Maintenance Organization Act of 1973," Pub.L.93-222 (42 U.S.C. s.300e et seq.). The remaining policy forms shall contain basic hospital and medical-surgical benefits, including, but not limited to: (1) Basic inpatient and outpatient hospital care; (2) Basic and extended medical-surgical benefits; (3) Diagnostic tests, including X-rays; (4) Maternity benefits, including prenatal and postnatal care; and (5) Preventive medicine, including periodic physical examinations and inoculations. At least three of the forms shall provide for major medical benefits in varying lifetime...

	Title
	17B:27A-19 Health benefits plans offered to small employers; exceptions.
	New Jersey Statutes (Unannotated) / NEW JERSEY GENERAL AND PERMANENT STATUTES (UPDATED THROUGH P.L.2023, c.256, and J.R.18) / TITLE 17B INSURANCE
	... 17B:27A-19 Health benefits plans offered to small employers; exceptions. 17B:27A-19 Health benefits plans offered to small employers; exceptions. 3. a. Except as provided in subsection f. of this section, every small employer carrier shall, as a...
	... condition of transacting business in this State, offer to every small employer at least three of the health benefit plans established by the board, as provided in this section. The board shall establish a standard policy form for each of the plans, which...
	... or after January 1, 1994. One policy form shall contain the benefits provided for in sections 55, 57, and 59 of P.L.1991, c. 187 (C.17: 48E-22.2, 17B:26B-2 and 26:2J-4.3). In the case of indemnity carriers, one policy form shall be established which contains benefits and cost sharing levels which...
	... are equivalent to the health benefits plans of health maintenance organizations pursuant to the " Health Maintenance Organization Act of 1973," Pub.L.93-222 (42 U.S.C. s.300e et seq.). The remaining policy forms shall contain basic hospital and medical-surgical benefits, including, but not limited to: (1) Basic inpatient and outpatient hospital care; (2) Basic and extended medical-surgical benefits; (3) Diagnostic tests, including X-rays; (4) Maternity benefits, including prenatal and postnatal care; and (5) Preventive medicine, including periodic physical examinations and inoculations. At least three of the forms shall provide for major medical benefits in varying lifetime...