Title 17, Title 17: CORPORATIONS AND INSTITUTIONS FOR FINANCE AND INSURANCE

17:48E-35.2 Health service corporation insurance benefits for preexisting condition. 3. a. Notwithstanding any other provision of law to the contrary, no group health insurance contract issued by a health service corporation pursuant to the provisions of P.L.1985, c.236 (C.17:48E…

17:48E-35.20 Health service corporation to provide coverage for mental health conditions, substance use disorders; collaborative care model. 3. a. (1) Every individual and group health service corporation contract that provides hospital or medical expense benefits and is delivere…

17:48E-35.21. Coverage for hemophilia services by health service corporation 9. Notwithstanding the provisions of P.L.1985, c.236 (C.17:48E-1 et seq.) to the contrary, no individual or group contract shall be delivered, issued, executed or renewed on or after the effective date o…

17:48E-35.22 Health service corporation to provide coverage for treatment of infertility. 3. a. A health service corporation contract which provides hospital or medical expense benefits for groups with more than 50 persons, which includes pregnancy-related benefits, shall not be …

17:48E-35.23 Health service corporation to provide coverage for colorectal cancer screening. 3. a. Every health service corporation contract that provides hospital or medical expense benefits and is delivered, issued, executed or renewed in this State pursuant to P.L.1985, c.236 …

17:48E-35.24 Health service corporation prescription drug plans to cover certain infant formulas. 3. A health service corporation which provides hospital or medical expense benefits for expenses incurred in the purchase of prescription drugs under a contract that is delivered, is…

17:48E-35.25 Contract issued under C.17:48E-1 et seq. required to cover certain out-of-network services. 9. Notwithstanding the provisions of P.L.1985, c.236 (C.17:48E-1 et seq.) to the contrary, no individual or group contract shall be delivered, issued, executed or renewed on o…

17:48E-35.26 Health service corporation to offer coverage for domestic partner. 49. A health service corporation that provides hospital or medical expense benefits under a contract that is delivered, issued, executed or renewed in this State or approved for issuance or renewal in…

17:48E-35.27 Health service corporation, high deductible, coverage for preventive care. 2. No health service corporation contract providing hospital or medical expense benefits for groups with greater than 50 persons, that qualifies as a high deductible health plan for which qual…

17:48E-35.28 Health service corporation, high deductible, deductible inapplicable, certain circumstances. 3. Notwithstanding the provisions of section 1 of P.L.1995, c.316 (C.17:48E-35.10) regarding deductibles for a high deductible health plan, a contract offered by a health ser…

17:48E-35.29 Health service corporation, coverage for contraceptives. 3. a. A health service corporation that provides hospital or medical expense benefits shall provide coverage under every contract delivered, issued, executed or renewed in this State or approved for issuance or…

17:48E-35.3. Health service corporation to pay benefits for treatment of Wilm's tumor Every group or individual health service corporation contract providing hospital or medical expense benefits shall provide benefits to any subscriber or other person covered thereunder for expen…

17:48E-35.30 Health service corporation to provide benefits for orthotic and prosthetic appliances. 3. a. Every health service corporation contract that provides hospital or medical expense benefits and is delivered, issued, executed or renewed in this State pursuant to P.L.1985,…

17:48E-35.31 Health service corporation to provide coverage for hearing aids, cochlear implant for covered persons. 4. a. A health service corporation contract that provides hospital and medical expense benefits and is delivered, issued, executed or renewed in this State pursuant…

17:48E-35.32 Individual, group health service corporation to provide installment payments to obstetrical provider for maternity services. 3. a. Every individual or group health service corporation contract that provides benefits for maternity services, and that is delivered, issu…

17:48E-35.33 Health service corporation to provide benefits for treatment of autism or other developmental disability. 3. Notwithstanding any other provision of law to the contrary, every health service corporation contract that provides hospital and medical expense benefits and …

17:48E-35.34 Health service corporation to provide coverage for oral anticancer medications. 3. a. A health service corporation contract that provides hospital and medical expense benefits and is delivered, issued, executed, or renewed in this State pursuant to P.L.1985, c.236 (C…

17:48E-35.35 Health service corporation to provide coverage for sickle cell anemia. 3. Every health service corporation contract that provides hospital and medical expense benefits and is delivered, issued, executed, or renewed in this State pursuant to P.L.1985, c.236 (C.17:48E-…

17:48E-35.36 Health service corporation to provide coverage for prescription eye drops. 3. a. A health service corporation which provides hospital or medical expense benefits that include coverage for prescription eye drops under a contract delivered, issued, executed or renewed …

17:48E-35.37 Health service corporation contract, coverage for synchronization of prescribed medications. 3. a. Every group or individual health service corporation contract delivered, issued, executed or renewed in this State, or approved for issuance or renewal in this State on…

17:48E-35.38 Health service corporation to provide benefits for treatment of substance use disorder. 3. a. A health service corporation contract that provides hospital or medical expense benefits and is delivered, issued, executed or renewed in this State, or approved for issuanc…

17:48E-35.39 Health service corporation to provide coverage regardless of gender identity, expression. 3. a. Notwithstanding any other law or regulation to the contrary, a health service corporation contract that provides hospital and medical expense benefits and is delivered, is…

17:48E-35.4 Health service corporation contract, mammogram examination benefits. 3. a. No group or individual health service corporation contract providing hospital or medical expense benefits shall be delivered, issued, executed, or renewed in this State or approved for issuance…

17:48E-35.40 Health service corporation contract to cover digital tomosynthesis of the breast. 3. a. A health service corporation contract that provides hospital and medical expense benefits and is delivered, issued, executed or renewed in this State pursuant to P.L.1985, c.236 (…

17:48E-35.41 Health service corporation to provide coverage for donated human breast milk. 3. a. A health service corporation contract that provides hospital or medical expense benefits and is delivered, issued, executed or renewed in this State, or approved for issuance or renew…

17:48E-35.42 Health service corporation to provide coverage for standard fertility preservation services. 3. a. A health service corporation contract which provides hospital or medical expense benefits for groups with more than 50 persons and is delivered, issued, executed or ren…

17:48E-35.43 Health service corporation to provide coverage for breastfeeding support. 3. a. A health service corporation contract that provides hospital or medical expense benefits and is delivered, issued, executed or renewed in this State, or approved for issuance or renewal i…

17:48E-35.44 Health service corporation to cover preventive services. 3. a. A health service corporation contract 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 …

17:48E-35.45 Health service corporation to provide certain coverage for prescription drugs. 3. a. Notwithstanding any other provision of law to the contrary, a health service corporation that offers a contract that provides benefits for expenses incurred in the purchase of prescr…

17:48E-35.46 Health service corporation to cover adolescent depression screenings. 3. A health service corporation contract that provides hospital and medical expense benefits and is delivered, issued, executed, or renewed in this State pursuant to P.L.1985, c.236 (C.17:48E-1 et …

17:48E-35.47 Health service corporation to cover newborn home nurse visitations. 7. a. No group or individual health service corporation contract providing hospital or medical expense benefits shall be delivered, issued, executed, or renewed in this State or approved for issuance…

17:48E-35.48 Individual, group health service corporation contract, coverage, epinephrine auto-injector device. 8. An individual or group health service corporation contract providing hospital or medical expense benefits that is delivered, issued, executed, or renewed in this Sta…

17:48E-35.49 Individual, group health service corporation contract, coverage, prescription asthma inhaler. 9. An individual or group health service corporation contract providing hospital or medical expense benefits that is delivered, issued, executed, or renewed in this State pu…

17:48E-35.5. Health service corporation, benefits for "off-label" drugs required 4. a. Except as otherwise provided in P.L.1992, c.161 (C.17B:27A-2 et al.) and P.L.1992, c.162 (C.17B:27A-17 et seq.), no group or individual health service corporation contract which provides benefi…

17:48E-35.50 Biomarker precision medical testing coverage, health service corporation contracts. 3. a. Each health service corporation contract that provides hospital or medical expense benefits and is delivered, issued, executed, or renewed in this State pursuant to P.L.1985, c.…

17:48E-35.51 Group, individual health service corporation contracts, HIV preexposure prophylaxis, HIV postexposure prophylaxis. 5. a. (1) Except as provided in paragraph (2) of this subsection, no group or individual health service corporation contract providing hospital or medic…

17:48E-35.52 Benefits provided under health service corporation contracts. 3. a. Every health service corporation contract that provides hospital or medical expense benefits and is delivered, issued, executed, or renewed in this State pursuant to P.L.1985, c.236 (C.17:48E-1 et se…

17:48E-35.6. Health service corporation, benefits for health promotion 5. a. Every health service corporation contract that provides hospital and medical expense benefits and is delivered, issued, executed or renewed in this State pursuant to P.L.1985, c.236 (C.17:48E-1 et seq.),…

17:48E-35.7 Requirements for health service corporation providing benefits for pharmacy services. 3. a. Notwithstanding any other provisions of law to the contrary, no group or individual health service corporation contract which provides benefits for pharmacy services, prescript…

17:48E-35.8. Benefits for certain cancer treatments 3. In addition to benefits provided under regulations adopted pursuant to P.L.1992, c.161 (C.17B:27A-2 et seq.) and P.L.1992, c.162 (C.17B:27A-17 et seq.), a health service corporation shall offer under every group or individual…

17:48E-35.9. Coverage for birth and natal care; health service corporation 3. a. Every individual or group contract that provides maternity benefits and is delivered, issued, executed or renewed in this State pursuant to P.L.1985, c.236 (C.17:48E-1 et seq.) or approved for issuan…

17:48E-36. Annual financial statement a. Every health service corporation transacting business in this State shall annually on or before the first day of March file in the Department of Insurance a statement, subscribed and sworn to by its principal officers, showing its financia…

17:48E-37. Examination authority a. The commissioner shall have the power, whenever he deems it expedient, to make or cause to be made an examination of the assets and liabilities, method of conducting business and all other affairs of every health service corporation authorized …

17:48E-37.1 Definitions. 31. As used in sections 31 through 35 of P.L.2014, c.81 (C.17:48E-37.1 through C.17:48E-37.5): "Commissioner" means the Commissioner of Banking and Insurance. "Health service corporation" means an entity authorized to transact business in this State pursu…

17:48E-37.2 Increase in amount of capital or surplus required of health service corporation. 32. The commissioner may increase the amount of capital or surplus required of a health service corporation, or subsequently revise or redetermine that increase, using appropriate methods…

17:48E-37.3 Determination of increase, revision or redetermination; factors. 33. In determining any increase, revision or redetermination in the capital or surplus of a health service corporation pursuant to the provisions of section 32 of P.L.2014, c.81 (C.17:48E-37.2) the commi…