N.J. Admin. Code § 11:4-28.3 - Coordination permissive
(a) The use of
COB provisions in group contracts providing health care benefits shall be
permissive; any plan may elect to be always "primary". Where COB is used, it
shall be included in group contracts providing health care benefits subject to
the following conditions:
1. If a group
contract includes a COB provision, it shall be consistent with the requirements
of this subchapter.
2. A plan that
does not include a COB provision shall not take the benefits of another plan
into account in determining its benefits.
(b) Group coverage that is designed to
supplement a part of a basic package of benefits may provide that the
supplementary coverage shall be excess to any other parts of a plan provided by
the same contract holder.
Notes
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