APPENDIX I -

APPENDIX I.

Examples of Catastrophic Illness in Children Relief Fund Program +
The examples below illustrate the extent to which the Fund would assist three
families with different income levels.
FAMILY #1 (with income of $ 30,000)   
Family income:................................................... $ 30,000
Eligibility Standard (Exceeding 10% of income): ................. 3,000
Amount of Eligible Medical Expenses not Covered by Insurance:.... 15,000
Family Responsibility (Exceeding 10% of Eligibility Standard):... 300
Amount of Fund's Financial Assistance to Family: ................ 14,700
Amount for which Family remains responsible: .................... 300
FAMILY #2 (with income of $ 80,000)
Family income:................................................... $ 80,000
Eligibility Standard (Exceeding 10% of income): ................. 8,000
Amount of Eligible Medical Expenses not Covered by Insurance:.... 15,000
Family Responsibility (Exceeding 10% of Eligibility Standard):... 800
Amount of Fund's Financial Assistance to Family: ................ 14,200
Amount for which Family remains responsible: .................... 800
FAMILY #3 (with income of $ 120,000)
Family income:................................................... $ 120,000
Eligibility Standard:............................................ 13,000
Exceeding 10% of the first $ 100,000 or 10,000   
Exceeding 15% of the excess over $ 100,000 or 3,000   
Amount of Eligible Medical Expenses not Covered by Insurance:.... 15,000
Family Responsibility (Exceeding 10% of Eligibility Standard):... 1,300
Amount of Fund's Financial Assistance to Family: ................ 13,700
Amount for which Family remains responsible: .................... 1,300
+ Assuming: an annual $ 100,000 cap; adequate monies available in Fund
obviating need for additional restrictions and cost-sharing; and none of the
cases are in the "special" category.
(Amended by R.1990 d.619, effective December 17, 1990. See: 22 New Jersey Register 2669(b), 22 New Jersey Register 3754(a). All examples deleted; new examples added. Amended by R.1993 d.438, effective September 7, 1993. See: 25 New Jersey Register 2169(a), 25 New Jersey Register 4128(a). Amended by R.1998 d.504, effective October 19, 1998. See: 30 New Jersey Register 2562(a), 30 New Jersey Register 3837(a). Substituted references to Eligibility Standards for references to Family Income and changed dollar amounts throughout. Amended by R.1999 d.354, effective October 18, 1999. See: 31 New Jersey Register 2164(a), 31 New Jersey Register 3090(a). Rewrote the appendix.)

The following state regulations pages link to this page.