™Your Policy Risk Impact Agent
131 chapters · 3,637 sections in this title.
N.J.S.A. 17:48G-1 Definitions relative to dental decision regulation.
1.3K chars
17:48G-1 Definitions relative to dental decision regulation. 1. As used in this act: "Adverse dental decision" means a dental decision by an insurer or a third party administrator, or any other person acting on its behalf to deny, reduce, or fail to provide payment, in whole or i…
N.J.S.A. 17:48G-2 Dental decisions made by insurer.
1.8K chars
17:48G-2 Dental decisions made by insurer. 2. a. An insurer may make dental decisions in connection with the processing or payment of dental claims or otherwise in the course of its dental benefit administration activity. Dental decisions made by an insurer shall be consistent wi…
N.J.S.A. 17:48G-3 Dental decisions made by third party administrator.
1.9K chars
17:48G-3 Dental decisions made by third party administrator. 3. a. A third party administrator may make dental decisions in connection with the processing or payment of dental claims or otherwise in the course of its dental benefit administration activity. Dental decisions made b…
N.J.S.A. 17:48G-4 Inapplicability of act relative to certain decisions of insurers, third party administrators.
0.9K chars
17:48G-4 Inapplicability of act relative to certain decisions of insurers, third party administrators. 7. This act shall not be construed: a. To regulate insurers' or third party administrators' making any decision, including, but not limited to, a decision concerning benefit or …
