§ 17B:27-26 Definitions and requirements
§ 17B:27-27 Employer, trustee, labor union, association groups
§ 17B:27-28 Other groups as permitted under group life insurance
§ 17B:27-29 Discretionary groups
§ 17B:27-30 Dependents
§ 17B:27-30.1 Benefits provided by group policy to subscriber’s child
§ 17B:27-30.2 Requirements applicable to State Medicaid
§ 17B:27-30.3 Coverage provided by group health plan to subscriber’s child
§ 17B:27-30.4 Requirements applicable to State Medicaid
§ 17B:27-30.5 Coverage for certain dependents until age 31 by group health insurance policy
§ 17B:27-31 “Employees” defined
§ 17B:27-32 Blanket insurance
§ 17B:27-33 Standard provisions
§ 17B:27-34 Application; statements
§ 17B:27-35 Policy changes
§ 17B:27-36 New entrants
§ 17B:27-36.1 Eligibility for enrollment under policy providing hospital, medical expense benefits
§ 17B:27-36.2 Group health insurance, policy, exclusion, rates, terms based on genetic information prohibited
§ 17B:27-37 Payment of premiums
§ 17B:27-38 Certificate
§ 17B:27-39 Age limits
§ 17B:27-40 Notice of loss
§ 17B:27-41 Proof of loss
§ 17B:27-42 Forms for proof
§ 17B:27-43 Examination, autopsy
§ 17B:27-44 Time of benefit payment
§ 17B:27-44.2 Health insurer to receive, transmit transactions relative to group policies electronically; standards
§ 17B:27-45 Beneficiary; direct payment to hospitals and other purveyors of services
§ 17B:27-46 Time limits, suits
§ 17B:27-46.1a Reconstructive breast surgery; benefits
§ 17B:27-46.1b Group health insurance policies
§ 17B:27-46.1c Benefits for purchase of blood products, infusion equipment
§ 17B:27-46.1d Commercial health insurer benefits for preexisting condition
§ 17B:27-46.1e Group health insurance policy to pay benefits for treatment of Wilm’s tumor
§ 17B:27-46.1f Group health insurance policy, mammogram examination benefits
§ 17B:27-46.1g Group health insurance policy, benefits for “off-label” drugs required
§ 17B:27-46.1h Group health insurer, benefits for health promotion
§ 17B:27-46.1i Requirements for group health insurer providing benefits for pharmacy services
§ 17B:27-46.1j Benefits for certain cancer treatments
§ 17B:27-46.1k Coverage for birth and natal care; group insurance policy
§ 17B:27-46.1l Group health insurance policy, child screening, blood lead, hearing loss; immunizations
§ 17B:27-46.1m Coverage, diabetes treatment, group health insurance policy
§ 17B:27-46.1n Group health insurance policy, Pap smear benefits
§ 17B:27-46.1o Group health insurance policy, prostate cancer testing
§ 17B:27-46.1p Coverage for minimum inpatient care following mastectomy by group policy
§ 17B:27-46.1q Applicability of Health Care Quality Act
§ 17B:27-46.1r Coverage for treatment of inherited metabolic diseases by group health insurance policy
§ 17B:27-46.1s Group health insurer to cover certain audiology, speech-language pathology services
§ 17B:27-46.1t Coverage for treatment of domestic violence injuries by group health insurance policy
§ 17B:27-46.1u Coverage for certain dental procedures for the severely disabled or child age five or under by group health insurance policy
§ 17B:27-46.1v Group health insurers to provide coverage for mental health conditions, substance use disorders; collaborative care model
§ 17B:27-46.1w Coverage for hemophilia services by group health insurers
§ 17B:27-46.1x Group health insurance policy to provide coverage for treatment of infertility
§ 17B:27-46.1y Group policy to provide coverage for colorectal cancer screening
§ 17B:27-46.1z Group health insurer prescription drug plans to cover certain infant formulas
§ 17B:27-46.1aa Policy issued under Chapter 27 of Title 17B required to cover certain out-of-network services
§ 17B:27-46.1bb Group health insurer to offer coverage for domestic partner
§ 17B:27-46.1cc Group health insurance policy, high deductible, coverage for preventive care
§ 17B:27-46.1dd Group health insurance policy, high deductible, deductible inapplicable, certain circumstances
§ 17B:27-46.1ee Group health insurers, coverage for contraceptives
§ 17B:27-46.1ff Group health insurance policies to provide benefits for orthotic and prosthetic appliances
§ 17B:27-46.1gg Group health insurance policy to provide coverage for hearing aids for certain persons aged 15 or younger
§ 17B:27-46.1hh Group health insurance policy to provide installment payments to obstetrical provider for maternity services
§ 17B:27-46.1ii Group health insurance policy to provide benefits for treatment of autism or other developmental disability
§ 17B:27-46.1jj Group health insurance policy to provide coverage for oral anticancer medications
§ 17B:27-46.1kk Group health insurance policy to provide coverage for sickle cell anemia
§ 17B:27-46.1ll Group health insurer to provide coverage for prescription eye drops
§ 17B:27-46.1mm Group health insurance policy, contract, coverage for synchronization of prescribed medications
§ 17B:27-46.1nn Group health insurance to provide benefits for treatment of substance use disorder
§ 17B:27-46.1oo Group health insurance policy to provide coverage regardless of gender identity, expression
§ 17B:27-46.1pp Group health insurance policy to cover digital tomosynthesis of the breast
§ 17B:27-46.1qq Group health insurance policy to provide coverage for donated human breast milk
§ 17B:27-46.1rr Group health insurance policy to provide coverage for standard fertility preservation services
§ 17B:27-46.1ss Group health insurer to provide coverage for breastfeeding support
§ 17B:27-46.1tt Group health insurer policy to cover preventive services
§ 17B:27-46.1uu Group health insurance policy to provide certain coverage for prescription drugs
§ 17B:27-46.1vv Group health insurance policy to cover adolescent depression screenings
§ 17B:27-46.1ww Group health insurance policy, coverage, epinephrine auto-injector device
§ 17B:27-46.1xx Group health insurance policy, coverage, prescription asthma inhaler
§ 17B:27-46.2 Second surgical opinions; definitions
§ 17B:27-46.3 Group insurance policies; provision of program on request
§ 17B:27-46.4 Payment for second surgical opinion services
§ 17B:27-46.5 Third surgical opinion
§ 17B:27-46.6 Reduction of benefits where no second opinion obtained
§ 17B:27-46.7 Permissible benefit exclusions
§ 17B:27-46.8 Payment for opinion services of physician
§ 17B:27-46.9 Application of act
§ 17B:27-46.10 Group health insurance policy to cover newborn home care visitation
§ 17B:27-47 Group health or blanket insurance-provisions as favorable; policies issued outside State
§ 17B:27-48 Exceptions in same type as benefits
§ 17B:27-49 Filing of forms
§ 17B:27-50 Reimbursement for service of physician or practicing psychologist
§ 17B:27-50.1 Severability
§ 17B:27-51 Reimbursement for optometric service
§ 17B:27-51.1 Reimbursement for service of chiropractor
§ 17B:27-51.1a Group health insurance benefits for certain nursing services
§ 17B:27-51.2 Legislative findings and declarations
§ 17B:27-51.3 Definitions
§ 17B:27-51.4 Home health care; requirement for coverage
§ 17B:27-51.5 Benefits
§ 17B:27-51.6 Direct reimbursement to home health care providers
§ 17B:27-51.7 Regulations
§ 17B:27-51.8 Policy provision for reimbursement of dental services; payment regardless of discipline of provider
§ 17B:27-51.9 Application to policy or contract not limited to reimbursement of specific types of duly licensed health care professionals other than dentists
§ 17B:27-51.10 Renewal date; policy with reservation of right to change premium
§ 17B:27-51.10a Alternative dental coverage; original coverage restricted to limited number of providers
§ 17B:27-51.10b Employer contribution
§ 17B:27-51.10c Rules and regulations
§ 17B:27-51.11 Definitions
§ 17B:27-51.12 Total disability of employee or member; continuation under group policy; conditions
§ 17B:27-51.13 Inapplicability to policy without right of insurer to terminate without consent of insured
§ 17B:27-51.14 Insurer provide health benefits plan, aggregate benefits
§ 17B:27-52 Group life and health-package policies
§ 17B:27-53 Group life and health-rate reductions and application of dividends; excess over employer’s cost
§ 17B:27-54 Application of provisions; definitions
§ 17B:27-60 Written certification of creditable coverage under COBRA
§ 17B:27-61 Affiliation period imposed by HMO
§ 17B:27-62 Permission to enroll for group coverage
§ 17B:27-63 Dependent special enrollment period
§ 17B:27-64 Rules for eligibility, health status-related factors prohibited
§ 17B:27-65 Premiums, contributions regulated
§ 17B:27-66 Renewal of coverage; exceptions
§ 17B:27-67 Modification of coverage
§ 17B:27-68 Conditions for issuance, delivery of group life insurance
§ 17B:27-69 Conditions for issuance, delivery of group life insurance to groups not included in C. 17B:27-68
§ 17B:27-70 Written notice to prospective insureds of noncompliance with C.17B:27-68; definitions
§ 17B:27-71 Extension to dependents of group life insurance policy
§ 17B:27-72 Required provisions for delivery, issuance of group life insurance policy
§ 17B:27-73 Issuance, delivery of individual policy of life insurance
§ 17B:27-74 Filing of form required for delivery, issuance of group life insurance
§ 17B:27-75 Payment of benefits

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

  • 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.
  • Annuity: A periodic (usually annual) payment of a fixed sum of money for either the life of the recipient or for a fixed number of years. A series of payments under a contract from an insurance company, a trust company, or an individual. Annuity payments are made at regular intervals over a period of more than one full year.
  • 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.
  • 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
  • Continuance: Putting off of a hearing ot trial until a later time.
  • 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.
  • Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
  • Fraud: Intentional deception resulting in injury to another.
  • Grace period: The number of days you'll have to pay your bill for purchases in full without triggering a finance charge. Source: Federal Reserve
  • 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.
  • Open-end credit: A credit agreement (typically a credit card) that allows a customer to borrow against a preapproved credit line when purchasing goods and services. The borrower is only billed for the amount that is actually borrowed plus any interest due. (Also called a charge account or revolving credit.) Source: OCC
  • 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
  • Probable cause: A reasonable ground for belief that the offender violated a specific law.
  • 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.
  • 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.