New Jersey Statutes 52:14-17.46.5a. Definitions
Terms Used In New Jersey Statutes 52:14-17.46.5a
- Contract: A legal written agreement that becomes binding when signed.
- 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
In addition, as used in this act:
“Competitive range” means the group of responsive proposals to a request for proposal that are among the most highly rated proposals as determined by the evaluation committee. The commission, or its designee, shall include an economic component to the established competitive range to ensure the group of responsive proposals deliver competitive pricing beneficial to the State Health Benefits Program and the School Employees’ Health Benefits Program.
“Early retiree” means a retired employee of the State or participating employer who is retired, under 65 years of age, and not yet eligible to enroll in Medicare.
“Evaluation committee” means a group of individuals assigned, pursuant to section 3 of P.L.2005, c.336 (C. 52:34-10.3), to review and evaluate quotes submitted in response to a request for proposal and recommend a contract award.
“Medicare retiree” means a retired employee of the State or participating employer who is 65 years of age or older, or otherwise qualified to enroll in Medicare due to health status, and is currently enrolled in Medicare. Eligible retirees include those who are enrolled in a self-insured Medicare Supplement plan.
“Plan type” means preferred provider organization (PPO), health maintenance organization (HMO), tiered network plan, high-deductible health plan, and Medicare supplemental PPO and HMO plans as those terms may be defined in law.
“Request for proposal” refers to all documents, whether attached or incorporated by reference, used for a publicly advertised procurement process that solicits proposals or offers to provide the goods or services specified therein.
“Responsive proposal” refers to a proposal that is deemed to have adequately addressed all material provisions of a request for proposal’s terms and conditions, specifications, and other requirements.
“Third-party administrator” means a vendor that conducts claims administration, network management, claims processing, or other related services for an organization contracted by the State to provide health care services and benefits.
L.2023, c.195, s.4.