N.J. Admin. Code § 11:21-7.6 - Contribution requirements

(a) A small employer carrier shall not require a minimum small employer contribution of more than 10 percent of the annual cost of the small employer's health benefits plan. This contribution requirement shall be applied by the small employer carrier uniformly among all health benefits plans and all small employers.

(b) A small employer carrier may, upon approval of the Board, require a minimum contribution of less than 10 percent provided that the small employer carrier:

1. Notifies the Board in writing of its contribution requirement;

2. Explains why the lesser requirement is reasonable; and

3. Applies the requirement uniformly to all small employer health benefits plans and to all small employers.

(c) The Board shall notify the small employer carrier in writing within 60 days of the small employer carrier's filing with the Board whether such request is approved.

(d) A small employer carrier shall not require any minimum contribution toward the annual cost of the small employer's health benefits plan with respect to employer applications received during the employer annual open enrollment period.

Notes

N.J. Admin. Code § 11:21-7.6

Administrative change, 47 N.J.R. 724(a). Amended by 48 N.J.R. 2360(a), effective 11/7/2016