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Section: Failure to include affirmative action program; nullity of contract; violations; fine

Statute: 26:2J-35

5. The commissioner shall promulgate regulations to effectuate and enforce the provisions of this act and any regulations which are necessary to conform medicare supplement health care services provided under a medicare supplement contract or evidence of coverage with federal law. These regulations shall include, but not be limited to: a. Establishment of minimum standards for benefits, claim payments, marketing and reporting practices and compensation arrangements; b. Establishment of a uniform methodology for calculating and reporting loss ratios, and requiring refunds or credits if the medicare supplement contracts do not meet loss ratio requirements; c. Establishment of a process for filing of all requests for premium increases and rate changes which may include public hearings as determined appropriate by the commissioner prior to approval of any premium increases; d. Assurance of access by the public to policy, premium and loss ratio information; and e. Establishment of standards for Medicare Select contracts at such time as this State is authorized under federal law to authorize Medicare Select contracts. L.1992,c.164,s.5.

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