Title 17B, Title 17B: INSURANCE

17B:26-11. Time of payment of claims There shall be a provision as follows: Time of payment of claims: Indemnities payable under this policy for any loss other than loss for which this policy provides any periodic payment will be paid immediately upon receipt of due written proof…

17B:26-12. Payment of claims There shall be a provision as follows: Payment of claims: Indemnity for loss of life will be payable in accordance with the beneficiary designation and the provisions respecting such payment which may be prescribed herein and effective at the time of …

17B:26-13. Physical examinations and autopsy There shall be a provision as follows: Physical examinations and autopsy: The insurer at its own expense shall have the right and opportunity to examine the person of the insured when and as often as it may reasonably require during th…

17B:26-14. Legal actions There shall be a provision as follows: Legal actions: No action at law or in equity shall be brought to recover on this policy prior to the expiration of 60 days after written proof of loss has been furnished in accordance with the requirements of this po…

17B:26-15. Change of beneficiary There shall be a provision as follows: Change of beneficiary: Unless the insured makes an irrevocable designation of beneficiary, the right to change of beneficiary is reserved to the insured and the consent of the beneficiary or beneficiaries sha…

17B:26-16. Optional policy provisions Except as provided in section 17B:26-28, no policy of health insurance delivered or issued for delivery to any person in this State shall contain provisions respecting the matters set forth in sections 17B:26-17 to 17B:26-27 inclusive, unless…

17B:26-17. Change of occupation There may be a provision as follows: Change of occupation: If the insured be injured or contract sickness after having changed his occupation to one classified by the insurer as more hazardous than that stated in this policy or while doing for comp…

17B:26-18. Misstatement of age There may be a provision as follows: Misstatement of age: If the age of the insured has been misstated, all amounts payable under this policy shall be such as the premium paid would have purchased at the correct age. L.1971, c. 144, s. 17B:26-18.

17B:26-19. Other insurance in this insurer There may be a provision as follows: Other insurance in this insurer: If an accident or sickness or accident and sickness policy or policies previously issued by the insurer to the insured be in force concurrently herewith, making the ag…

17B:26-2 Form of policy; requirements. 17B:26-2. a. No such policy of insurance shall be delivered or issued for delivery to any person in this State unless: (1) The entire money and other considerations therefor are expressed therein; and (2) The time at which the insurance take…

17B:26-2.1a. Reconstructive breast surgery; benefits 1. Every health insurance policy providing hospital or medical expense benefits delivered, issued, executed or renewed in this State, or approved for issuance or renewal in this State by the Commissioner of Banking and Insuranc…

17B:26-2.1aa Individual health insurance policy to provide coverage for hearing aids, cochlear implant for covered persons. 5. a. An individual health insurance policy that provides hospital and medical expense benefits and is delivered, issued, executed or renewed in this State …

17B:26-2.1b. Health insurance policies Every health insurance policy providing hospital or medical expense benefits delivered, issued, executed or renewed in this State, or approved for issuance or renewal in this State by the Commissioner of Insurance on or after the effective d…

17B:26-2.1bb Individual health insurance policy to provide installment payments to obstetrical provider for maternity services. 4. a. Every individual health insurance policy that provides benefits for maternity services, and that is delivered, issued, executed or renewed in this…

17B:26-2.1c. Benefits for equipment for home treatment of hemophilia Every health insurance policy providing hospital expense benefits to any policy holder or other person covered thereunder for expenses incurred in connection with the treatment of routine bleeding episodes assoc…

17B:26-2.1cc Individual health insurance policy to provide benefits for treatment of autism or other developmental disability. 4. Notwithstanding any other provision of law to the contrary, every individual health insurance policy that provides hospital and medical expense benefi…

17B:26-2.1d. Individual health insurance policy to pay benefits for treatment of Wilm's tumor Every individual health insurance policy providing hospital or medical expense benefits shall provide benefits to any named insured or other person covered thereunder for expenses incurr…

17B:26-2.1dd Individual health insurance policy to provide coverage for oral anticancer medications. 4. a. An individual 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:…

17B:26-2.1e Individual health insurance policy, mammogram examination benefits. 4. a. No individual health insurance policy providing hospital or medical expense benefits shall be delivered, issued, executed, or renewed in this State or approved for issuance or renewal in this St…

17B:26-2.1ee Individual health insurance policy to provide coverage for sickle cell anemia. 5. Every individual health insurance policy that provides hospital and medical expense benefits and is delivered, issued, executed, or renewed in this State pursuant to chapter 26 of Title…

17B:26-2.1f. Individual health insurance benefits for certain nursing services 1. a. Notwithstanding any provision of a policy of individual health insurance, whenever such a policy provides for reimbursement for any service which is within the lawful scope of practice of a duly …

17B:26-2.1ff Individual health insurer to provide coverage for prescription eye drops. 4. a. An individual 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 …

17B:26-2.1g. Individual health insurance policy, benefits for "off-label" drugs required 5. a. Except as otherwise provided in P.L.1992, c.161 (C.17B:27A-2 et al.), no individual health insurance policy which provides benefits for expenses incurred in prescribing drugs approved b…

17B:26-2.1gg Individual health insurance policy, contract, coverage for synchronization of prescribed medications. 4. a. Every individual health insurance policy or contract delivered, issued, executed or renewed in this State, or approved for issuance or renewal in this State on…

17B:26-2.1h. Individual health insurer, benefits for health promotion 6. a. Every individual policy that provides hospital and medical expense benefits and is delivered, issued, executed or renewed in this State pursuant to N.J.S.17B:26-1 et seq., or approved for issuance or rene…

17B:26-2.1hh Individual health insurance policy to provide benefits for treatment of substance use disorder. 4. a. An individual health insurance policy that provides hospital or medical expense benefits and is delivered, issued, executed or renewed in this State, or approved for…

17B:26-2.1i Requirements for individual health insurer providing benefits for pharmacy services. 4. a. Notwithstanding any other provision of law to the contrary, no individual health insurance policy which provides benefits for pharmacy services, prescription drugs, or for parti…

17B:26-2.1ii Individual health insurance policy to provide coverage regardless of gender identity, expression. 4. a. Notwithstanding any other law or regulation to the contrary, an individual health insurance policy that provides hospital and medical expense benefits and is deliv…

17B:26-2.1j. Benefits for certain cancer treatments 4. In addition to benefits provided under regulations adopted pursuant to P.L.1992, c.161 (C.17B:27A-2 et seq.), an insurer shall offer under every individual policy providing health insurance coverage delivered, issued, execute…

17B:26-2.1jj Individual health insurance policy to cover digital tomosynthesis of the breast. 4. a. An individual 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:26-1 et …

17B:26-2.1k. Coverage for birth and natal care; health insurance policy 4. a. Every policy that provides maternity benefits and is delivered, issued, executed or renewed in this State pursuant to N.J.S.17B:26-1 et seq., or approved for issuance or renewal in this State by the Com…

17B:26-2.1kk Individual health insurance policy to provide coverage for donated human breast milk. 4. a. An individual health insurance policy that provides hospital or medical expense benefits and is delivered, issued, executed or renewed in this State, or approved for issuance …

17B:26-2.1l. Coverage, diabetes treatment, individual health insurance policy. 4. a. Every individual health insurance policy providing hospital or medical expense benefits that is delivered, issued, executed or renewed in this State pursuant to Chapter 26 of Title 17B of the New…

17B:26-2.1ll Individual health insurer to provide coverage for breastfeeding support. 4. a. An individual 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 t…

17B:26-2.1m. Coverage for minimum inpatient care following mastectomy by individual hospital, medical expense benefits policy 4. a. Every individual policy that provides hospital or medical expense benefits and is delivered, issued, executed or renewed in this State pursuant to N…

17B:26-2.1mm Individual health insurer policy to cover preventive services. 4. a. An individual 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:26-2.1n Applicability of Health Care Quality Act 21. Notwithstanding the provisions of chapter 26 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 me…

17B:26-2.1nn Individual health insurance policy to provide certain coverage for prescription drugs. 4. a. Notwithstanding any other provision of law to the contrary, an insurer that offers an individual health insurance policy that provides benefits for expenses incurred in the p…

17B:26-2.1o Coverage for treatment of inherited metabolic diseases by individual health insurance policy. 4. No individual health insurance policy providing hospital or medical expense benefits shall be delivered, issued, executed or renewed in this State, or approved for issuanc…

17B:26-2.1oo Individual health insurance policy to cover adolescent depression screenings. 4. An individual health insurance policy that provides hospital and medical expense benefits and is delivered, issued, executed, or renewed in this State pursuant to chapter 26 of Title 17B…

17B:26-2.1p Health insurance policy to cover certain audiology, speech-language pathology services. 4. Notwithstanding any other provision of chapter 26 of Title 17B of the New Jersey Statutes, benefits shall not be denied to any eligible individual for eligible services, as dete…

17B:26-2.1pp Individual policy to cover newborn home nurse visitation. 8. a. No individual health insurance policy providing hospital or medical expense benefits shall be delivered, issued, executed, or renewed in this State or approved for issuance or renewal in this State by th…

17B:26-2.1q Coverage for treatment of domestic violence injuries by individual health insurance policy. 4. Except as otherwise provided in P.L.1992, c.161 (C.17B:27A-2 et seq.), no individual health insurance policy providing hospital or medical expense benefits shall contain any…

17B:26-2.1qq Individual health insurance policy, coverage, epinephrine auto-injector device. 11. An individual health insurance policy providing hospital or medical expense benefits that is delivered, issued, executed, or renewed in this State pursuant to Chapter 26 of Title 17B …

17B:26-2.1r. Coverage for certain dental procedures for the severely disabled or child age five or under by individual health insurance policy 4. a. No individual health insurance policy providing hospital or medical benefits shall be delivered, issued, executed or renewed in thi…

17B:26-2.1rr Individual health insurance policy, coverage, prescription asthma inhaler. 12. An individual health insurance policy providing hospital or medical expense benefits that is delivered, issued, executed, or renewed in this State pursuant to Chapter 26 of Title 17B of th…