Statute Browser
INSURANCE
: Chapter 27
- 26 : Definitions and requirements
- 27 : Employer, trustee, labor union, association groups
- 28 : Other groups as permitted under group life insurance
- 29 : Discretionary groups
- 30 : Dependents.
- 30.1 : Benefits provided by group policy to subscriber's child
- 30.2 : Requirements applicable to State Medicaid
- 30.3 : Coverage provided by group health plan to subscriber's child
- 30.4 : Requirements applicable to State Medicaid
- 30.5 : Coverage for certain dependents until age 31 by group health insurance policy.
- 31 : "Employees" defined
- 32 : Blanket insurance
- 33 : Standard provisions
- 34 : Application; statements
- 35 : Policy changes
- 36 : New entrants
- 36.1 : Eligibility for enrollment under policy providing hospital, medical expense benefits.
- 36.2 : Group health insurance, policy, exclusion, rates, terms based on genetic information prohibited
- 37 : Payment of premiums
- 38 : Certificate
- 39 : Age limits
- 40 : Notice of loss
- 41 : Proof of loss
- 42 : Forms for proof
- 43 : Examination, autopsy
- 44 : Time of benefit payment
- 44.2 : Health insurer to receive, transmit transactions relative to group policies electronically; standards.
- 45 : Beneficiary; direct payment to hospitals and other purveyors of services
- 46 : Time limits, suits
- 46.1y : Group policy to provide coverage for colorectal cancer screening.
- 46.1x : Group health insurance policy to provide coverage for treatment of infertility.
- 46.1w : Coverage for hemophilia services by group health insurers
- 46.1v : Group health insurers to provide coverage for biologically-based mental illness.
- 46.1u : Coverage for certain dental procedures for the severely disabled or child age five or under by group health insurance policy
- 46.1t : Coverage for treatment of domestic violence injuries by group health insurance policy.
- 46.1s : Group health insurer to cover certain audiology, speech-language pathology services.
- 46.1z : Group health insurer prescription drug plans to cover certain infant formulas.
- 46.1aa : Policy issued under Chapter 27 of Title 17B required to cover certain out-of-network services.
- 46.1bb : Group health insurer to offer coverage for domestic partner.
- 46.1cc : Group health insurance policy, high deductible, coverage for preventive care.
- 46.1dd : Group health insurance policy, high deductible, deductible inapplicable, certain circumstances.
- 46.1ee : Group health insurer, coverage for prescription female contraceptives.
- 46.1ff : Group health insurance policies to provide benefits for orthotic and prosthetic appliances.
- 46.1gg : Group health insurance policy to provide coverage for hearing aids for certain persons aged 15 or younger.
- 46.1hh : Group health insurance policy to provide installment payments to obstetrical provider for maternity services.
- 46.1ii : Group health insurance policy to provide benefits for treatment of autism or other developmental disability.
- 46.1r : Coverage for treatment of inherited metabolic diseases by group health insurance policy.
- 46.1q : Applicability of Health Care Quality Act
- 46.1a : Reconstructive breast surgery; benefits
- 46.1b : Group health insurance policies
- 46.1c : Benefits for purchase of blood products, infusion equipment
- 46.1d : Commercial health insurer benefits for preexisting condition
- 46.1e : Group health insurance policy to pay benefits for treatment of Wilm's tumor
- 46.1f : Group health insurance policy, mammogram examination benefits.
- 46.1g : .Group health insurance policy, benefits for "off-label" drugs required
- 46.1h : Group health insurer, benefits for health promotion
- 46.1i : Requirements for group health insurer providing benefits for pharmacy services.
- 46.1j : Benefits for certain cancer treatments
- 46.1k : Coverage for birth and natal care; group insurance policy
- 46.1l : Group health insurance policy, child screening, blood lead, hearing loss; immunizations.
- 46.1m : Coverage for diabetes treatment by group health insurance policy
- 46.1n : Group health insurance policy, Pap smear benefits
- 46.1o : Group health insurance policy, prostate cancer testing
- 46.1p : Coverage for minimum inpatient care following mastectomy by group policy
- 46.1 : Treatment of alcoholism; benefits
- 46.2 : Second surgical opinions; definitions
- 46.3 : Group insurance policies; provision of program on request
- 46.4 : Payment for second surgical opinion services
- 46.5 : Third surgical opinion
- 46.6 : Reduction of benefits where no second opinion obtained
- 46.7 : Permissible benefit exclusions
- 46.8 : Payment for opinion services of physician
- 46.9 : Application of act
- 47 : Group health or blanket insurance--provisions as favorable; policies issued outside State
- 48 : Exceptions in same type as benefits
- 49 : Filing of forms
- 50 : Reimbursement for service of physician or practicing psychologist
- 50.1 : Severability
- 51 : Reimbursement for optometric service
- 51.10b : Employer contribution
- 51.10a : Alternative dental coverage; original coverage restricted to limited number of providers
- 51.10 : Renewal date; policy with reservation of right to change premium
- 51.10c : Rules and regulations
- 51.1 : Reimbursement for service of chiropractor
- 51.1a : Group health insurance benefits for certain nursing services
- 51.11 : Definitions
- 51.12 : Total disability of employee or member; continuation under group policy; conditions
- 51.13 : Inapplicability to policy without right of insurer to terminate without consent of insured
- 51.2 : Legislative findings and declarations
- 51.3 : Definitions
- 51.4 : Home health care; requirement for coverage
- 51.5 : Benefits
- 51.6 : Direct reimbursement to home health care providers
- 51.7 : Regulations
- 51.8 : Policy provision for reimbursement of dental services; payment regardless of discipline of provider
- 51.9 : Application to policy or contract not limited to reimbursement of specific types of duly licensed health care professionals other than dentists
- 52 : Group life and health--package policies
- 53 : Group life and health--rate reductions and application of dividends; excess over employer's cost
- 54 : Application of provisions; definitions.
- 55 : Imposition of preexisting condition exclusion
- 56 : Incidents, certain, no imposition of preexisting condition exclusion
- 57 : Genetic information, not preexisting condition
- 58 : Counting of period of creditable coverage
- 59 : Application of creditable coverage
- 60 : Written certification of creditable coverage under COBRA
- 61 : Affiliation period imposed by HMO
- 62 : Permission to enroll for group coverage
- 63 : Dependent special enrollment period
- 64 : Rules for eligibility, health status-related factors prohibited
- 65 : Premiums, contributions regulated
- 66 : Renewal of coverage; exceptions
- 67 : Modification of coverage
- 68 : Conditions for issuance, delivery of group life insurance.
- 69 : Conditions for issuance, delivery of group life insurance to groups not included in C.17B:27-68.
- 70 : Written notice to prospective insureds of noncompliance with C.17B:27-68; definitions.
- 71 : Extension to dependents of group life insurance policy.
- 72 : Required provisions for delivery, issuance of group life insurance policy.
- 73 : Issuance, delivery of individual policy of life insurance.
- 74 : Filing of form required for delivery, issuance of group life insurance.
- 75 : Payment of benefits.
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