Title 17B, Title 17B: INSURANCE

17B:32B-13 Examination, regulation. 13. a. The association shall be subject to examination and regulation by the commissioner. The board of directors shall submit to the commissioner each year, not later than 120 days after the close of the association's fiscal year, a financial …

17B:32B-14 Exemption of association from certain fees, taxes. 14. The association shall be exempt from the payment of all fees and all taxes levied by this State or any of its subdivisions, except those levied on real property. L.2000,c.12,s.14.

17B:32B-15 Condition for receipt by providers of payments. 15. As a condition of receiving payment directly from the association for an eligible claim against an insolvent organization, a provider shall agree to forgive that organization of one-third of the unpaid contractual obl…

17B:32B-16 Immunity from liability for member organizations, etc. 16. There shall be no liability on the part of, and no cause of action of any nature shall arise against, any member organization or its agents or employees, the association or its agents or employees, or the commi…

17B:32B-17 Rules, regulations. 18. The commissioner shall promulgate such rules and regulations as may be necessary to effectuate the purposes of this act. L.2000,c.12,s.18.

17B:32B-2 Purpose of act. 2. The purpose of this act is to protect, subject to certain limitations, covered individuals and providers against the failure or inability of HIP Health Plan of New Jersey, Inc. and American Preferred Provider Plan, Inc. to perform certain contractual …

17B:32B-3 Definitions relative to certain insolvent health maintenance organizations. 3. As used in this act: "Association" means the New Jersey Insolvent Health Maintenance Organization Assistance Association created by section 5 of this act. "Commissioner" means the Commissione…

17B:32B-4 Payment for eligible services, benefits. 4. This act shall provide payment for eligible services or benefits under a covered health maintenance organization contract on an equitable basis to any covered individual or provider who is entitled to receive payment from HIP …

17B:32B-5 New Jersey Insolvent Health Maintenance Organization Assistance Association. 5. There is created a nonprofit legal entity to be known as the New Jersey Insolvent Health Maintenance Organization Assistance Association. All health maintenance organizations authorized to t…

17B:32B-6 New Jersey Insolvent Health Maintenance Organization Assistance Fund. 6. a. For purposes of administration and assessment, the New Jersey Insolvent Health Maintenance Organization Assistance Fund is created, and shall be held in trust and maintained by the association a…

17B:32B-7 Board of directors. 7. a. The board of directors of the association shall consist of not less than five nor more than nine members, who shall be representative of the member organizations, serving terms as established in the plan of operation. The members of the board o…

17B:32B-8 Maximum liability of association. 8. a. The maximum liability of the association for all coverage provided under this act shall be limited to the amount available from the New Jersey Insolvent Health Maintenance Organization Assistance Fund created in section 6 of this …

17B:32B-9 Assessment of member organizations. 9. a. For the purpose of providing the funds necessary to carry out the powers and duties of the association, the board of directors shall assess the member organizations an aggregate amount not to exceed $50,000,000, to be payable in…