Title 17B, Title 17B: INSURANCE

17B:27-46.1ll Group health insurer to provide coverage for prescription eye drops. 5. a. A group health insurer which provides hospital or medical expense benefits that include coverage for prescription eye drops, under a policy delivered, issued, executed or renewed in this Stat…

17B:27-46.1m. Coverage, diabetes treatment, group health insurance policy. 5. a. Every group health insurance policy providing hospital or medical expense benefits that is delivered, issued, executed or renewed in this State pursuant to Chapter 27 of Title 17B of the New Jersey S…

17B:27-46.1mm Group health insurance policy, contract, coverage for synchronization of prescribed medications. 5. a. Every group health insurance policy or contract delivered, issued, executed or renewed in this State, or approved for issuance or renewal in this State on or after…

17B:27-46.1n. Group health insurance policy, Pap smear benefits 4. No group health insurance policy providing hospital or medical expense benefits for groups with greater than 50 persons shall be delivered, issued, executed or renewed in this State, or approved for issuance or re…

17B:27-46.1nn Group health insurance to provide benefits for treatment of substance use disorder. 5. a. A group health insurance policy that provides hospital or medical expense benefits and is delivered, issued, executed or renewed in this State, or approved for issuance or rene…

17B:27-46.1o. Group health insurance policy, prostate cancer testing 4. No group health insurance policy providing hospital or medical expense benefits for groups with greater than 49 persons shall be delivered, issued, executed or renewed in this State, or approved for issuance …

17B:27-46.1oo Group health insurance policy to provide coverage regardless of gender identity, expression. 5. a. Notwithstanding any other law or regulation to the contrary, a group health insurance policy that provides hospital and medical expense benefits and is delivered, issu…

17B:27-46.1p. Coverage for minimum inpatient care following mastectomy by group policy 5. a. Every group policy that provides hospital or medical expense benefits and is delivered, issued, executed or renewed in this State pursuant to N.J.S.17B:27-26 et seq., or approved for issu…

17B:27-46.1pp Group health insurance policy to cover digital tomosynthesis of the breast. 5. a. A group health insurance policy that provides hospital and medical expense benefits and is delivered, issued, executed or renewed in this State pursuant to N.J.S.17B:27-26 et seq., or …

17B:27-46.1q Applicability of Health Care Quality Act 22. Notwithstanding the provisions of chapter 27 of Title 17B of the New Jersey Statutes to the contrary, no policy shall be delivered, issued, executed or renewed on or after the effective date of this act unless the policy m…

17B:27-46.1qq Group health insurance policy to provide coverage for donated human breast milk. 5. a. A group health insurance policy that provides hospital or medical expense benefits and is delivered, issued, executed or renewed in this State, or approved for issuance or renewal…

17B:27-46.1r Coverage for treatment of inherited metabolic diseases by group health insurance policy. 5. No group health insurance policy providing hospital or medical expense benefits shall be delivered, issued, executed or renewed in this State, or approved for issuance or rene…

17B:27-46.1rr Group health insurance policy to provide coverage for standard fertility preservation services. 4. a. A group health insurance policy which provides hospital or medical expense benefits for groups with more than 50 persons and is delivered, issued, executed or renew…

17B:27-46.1s Group health insurer to cover certain audiology, speech-language pathology services. 5. Notwithstanding any other provision of chapter 27 of Title 17B of the New Jersey Statutes, benefits shall not be denied to any eligible individual for eligible services, as determ…

17B:27-46.1ss Group health insurer to provide coverage for breastfeeding support. 5. a. A group health insurer policy that provides hospital or medical expense benefits and is delivered, issued, executed or renewed in this State, or approved for issuance or renewal in this State …

17B:27-46.1t Coverage for treatment of domestic violence injuries by group health insurance policy. 5. Except as otherwise provided in P.L.1992, c.162 (C.17B:27A-17 et seq.), no group health insurance policy providing hospital or medical expense benefits shall contain any provisi…

17B:27-46.1tt Group health insurer policy to cover preventive services. 5. a. A group health insurer policy that provides hospital or medical expense benefits and is delivered, issued, executed, or renewed in this State, or approved for issuance or renewal in this State by the Co…

17B:27-46.1u. Coverage for certain dental procedures for the severely disabled or child age five or under by group health insurance policy 5. a. No group health insurance policy providing hospital or medical benefits shall be delivered, issued, executed or renewed in this State p…

17B:27-46.1uu Group health insurance policy to provide certain coverage for prescription drugs. 5. a. Notwithstanding any other provision of law to the contrary, an insurer that offers a group health insurance policy that provides benefits for expenses incurred in the purchase of…

17B:27-46.1v Group health insurers to provide coverage for mental health conditions, substance use disorders; collaborative care model. 5. a. (1) Every group health insurance policy that provides hospital or medical expense benefits and is delivered, issued, executed or renewed i…

17B:27-46.1vv Group health insurance policy to cover adolescent depression screenings. 5. A group health insurance policy that provides hospital and medical expense benefits and is delivered, issued, executed, or renewed in this State pursuant to chapter 27 of Title 17B of the Ne…

17B:27-46.1w. Coverage for hemophilia services by group health insurers 4. Notwithstanding the provisions of chapter 27 of Title 17B of the New Jersey Statutes to the contrary, no policy shall be delivered, issued, executed or renewed on or after the effective date of P.L.2000, c…

17B:27-46.1ww Group health insurance policy, coverage, epinephrine auto-injector device. 14. A group health insurance policy providing hospital or medical expense benefits that is delivered, issued, executed, or renewed in this State pursuant to Chapter 27 of Title 17B of the New…

17B:27-46.1x Group health insurance policy to provide coverage for treatment of infertility. 4. a. A group health insurance policy which provides hospital or medical expense benefits for groups with more than 50 persons, which includes pregnancy-related benefits, shall not be del…

17B:27-46.1xx Group health insurance policy, coverage, prescription asthma inhaler. 15. A group health insurance policy providing hospital or medical expense benefits that is delivered, issued, executed, or renewed in this State pursuant to Chapter 27 of Title 17B of the New Jers…

17B:27-46.1y Group policy to provide coverage for colorectal cancer screening. 5. a. Every group policy that provides hospital or medical expense benefits and is delivered, issued, executed or renewed in this State pursuant to N.J.S.17B:27-26 et seq., or approved for issuance or …

17B:27-46.1yy Biomarker precision medical testing coverage, group health insurance policies. 5. a. Each group health insurance policy that provides hospital or medical expense benefits and is delivered, issued, executed, or renewed in this State pursuant to chapter 27 of Title 17…

17B:27-46.1z Group health insurer prescription drug plans to cover certain infant formulas. 4. A group health insurer which provides hospital or medical expense benefits for expenses incurred in the purchase of prescription drugs under a policy that is delivered, issued, executed…

17B:27-46.1zz Group health insurance policy, HIV preexposure prophylaxis, HIV postexposure prophylaxis. 7. a. (1) Except as provided in paragraph (2) of this subsection, no group health insurance policy providing hospital or medical expense benefits shall be delivered, issued, ex…

17B:27-46.2. Second surgical opinions; definitions As used in this act: a. "Elective surgical procedure" means any nonemergency surgical procedure which may be scheduled at the convenience of the patient or the surgeon without jeopardizing the patient's life or causing serious im…

17B:27-46.3. Group insurance policies; provision of program on request Any insurer issuing a group insurance policy in accordance with chapter 27 of Title 17B of the New Jersey Statutes which provides coverage of surgical operations performed on a person while confined in a hospi…

17B:27-46.4. Payment for second surgical opinion services A second surgical opinion program shall provide for payment for the second surgical opinion services of an eligible physician and for essential laboratory and X-ray services incidental thereto, either as a benefit under th…

17B:27-46.5. Third surgical opinion If a second surgical opinion does not confirm that a proposed elective surgical procedure is medically advisable, the program must cover a third surgical opinion in the same manner as the second opinion. L.1979, c. 329, s. 4.

17B:27-46.6. Reduction of benefits where no second opinion obtained Where a second surgical opinion program is operative in connection with surgical coverage under a group insurance policy, and provides second and third surgical opinion services at no cost to the insured or patie…

17B:27-46.7. Permissible benefit exclusions A second surgical opinion program may exclude benefits while the patient is confined in a hospital as an inpatient, any surgical procedure not covered by the group insurance policy, and surgical procedures in the following categories: c…

17B:27-46.8. Payment for opinion services of physician If a physician who furnishes a second or third surgical opinion also performs the surgical procedure, the second surgical opinion program need not provide payment for the second or third opinion services of that physician. L.…

17B:27-46.9. Application of act This act shall apply to all contracts in which the insurer has reserved the right to change the premium. L.1979, c. 329, s. 8.

17B:27-47. Group health or blanket insurance--provisions as favorable; policies issued outside State No policy of group health or blanket insurance, and no certificate thereunder shall be delivered or issued for delivery in this State if such policy or certificate contains any pr…

17B:27-48. Exceptions in same type as benefits Exceptions in the policy shall be printed in the policy and in the certificate with the same prominence as the benefits to which they apply. L.1971, c. 144, s. 17B:27-48.

17B:27-49. Filing of forms 17B:27-49. a. No group health insurance policy, or blanket insurance policy, or application, if a written application is required and is to be made a part of the policy, certificate, printed rider or endorsement for use with the policy, shall be deliver…

17B:27-50. Reimbursement for service of physician or practicing psychologist a. Notwithstanding any provision of a policy or contract of group health insurance, hereafter delivered or issued for delivery in this State, whenever such a policy or contract provides for reimbursement…

17B:27-50.1. Severability If any section, subsection, paragraph, sentence, clause, phrase or word contained in this act shall be declared invalid for any reason whatsoever, such invalidity shall not effect the remaining portions of this act which shall remain in full force and ef…

17B:27-51. Reimbursement for optometric service Notwithstanding any provision of a policy or contract of group health insurance, hereafter delivered or issued for delivery in this State, whenever such a policy or contract provides for reimbursement for any optometric service whic…

17B:27-51.1. Reimbursement for service of chiropractor Notwithstanding any provision of a policy or contract of group health insurance, hereafter delivered or issued for delivery in this State, whenever such a policy or contract provides for reimbursement for any service which is…

17B:27-51.10. Renewal date; policy with reservation of right to change premium For the purposes of this act, a policy or contract in which the company has reserved the right to change the premium shall be considered renewed as of the date on which the premium is changed or is sub…

17B:27-51.10a. Alternative dental coverage; original coverage restricted to limited number of providers Each employer or other organization which employs or has 25 or more employees or members during the full preceding calendar year which contributes to a group health insurance c…