64 chapters · 2,534 sections in this title.
N.J.S.A. 26:2J-6 Governing body
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26:2J-6. Governing body a. The governing body of any health maintenance organization may include providers, other individuals, or both. b. Such governing body shall establish a mechanism to afford the enrollees an opportunity to participate in matters of policy and operation thro…
N.J.S.A. 26:2J-7 Protection against wrongful acts
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26:2J-7. Protection against wrongful acts Any director, officer employee or partner of a health maintenance organization who receives, collects, disburses, or invests funds in connection with the activities of such organization shall be bonded in an amount to be determined by the…
N.J.S.A. 26:2J-8 Evidence of coverage
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26:2J-8. Evidence of coverage 8. Evidence of coverage. a. (1) Enrollees are entitled to receive evidence of coverage and evidence of the total amount of payment which the enrollee is obligated to prepay for health care services and, where applicable, for indemnity benefits. If an…
N.J.S.A. 26:2J-8.1 Health maintenance organization to receive, transmit transactions electronically; standards.
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26:2J-8.1 Health maintenance organization to receive, transmit transactions electronically; standards. 7. a. Within 180 days of the adoption of a timetable for implementation pursuant to section 1 of P.L.1999, c.154 (C.17B:30-23), a health maintenance organization or its agent or…