N.J. Admin. Code Tit. 11, ch. 22 - HEALTH BENEFIT PLANS

  1. Subchapter 1 - PROMPT PAYMENT OF CLAIMS (§ 11:22-1.1 to 11:22-1.16)
  2. Subchapter 2 - HEALTH WELLNESS PROMOTION PLANS (§ 11:22-2.1 to 11:22-2.4)
  3. Subchapter 3 - ELECTRONIC RECEIPT AND TRANSMISSION OF HEALTH CARE CLAIMS (§ 11:22-3.1 to 11:22-3.11)
  4. Subchapter 4 - ORGANIZED DELIVERY SYSTEMS (§ 11:22-4.1 to 11:22-4.14)
  5. Subchapter 5 - MINIMUM STANDARDS FOR HEALTH BENEFIT PLANS, PRESCRIPTION DRUG PLANS AND DENTAL PLANS (§ 11:22-5.1 to 11:22-5.11)
  6. Subchapter 6 - EXCLUSIONS AND PREAUTHORIZATION REQUIREMENTS (§ 11:22-6.1 to 11:22-6.5)
  7. Subchapter 7 - CARRIER/PROVIDER JOINT NEGOTIATION AGREEMENTS (§ 11:22-7.1 to 11:22-7.3)
  8. Subchapter 8 - HEALTH INSURANCE IDENTIFICATION CARDS (§ 11:22-8.1 to 11:22-8.6)
  9. Subchapter 9 - MATERNITY INSTALLMENT PAYMENTS (§ 11:22-9.1 to 11:22-9.6)

Notes

N.J. Admin. Code Tit. 11, ch. 22
CHAPTER SOURCE AND EFFECTIVE DATE:
R.2019 d.032, effective 3/20/2019.
See: 50 N.J.R. 2209(a), 51 N.J.R. 501(b).
CHAPTER HISTORICAL NOTE:
Chapter 22, Health Benefit Plans, was adopted as R.2000 d.452, effective 11/6/2000. See: 32 N.J.R. 2860(a), 32 N.J.R. 4014(a).
Subchapter 1, Prompt Payment of Claims, was adopted as new rules by R.2001 d.13, effective 1/2/2001. See: 32 N.J.R. 1985(a), 33 N.J.R. 105(a).
Subchapter 3, Electronic Receipt and Transmission of Health Care Claims, was adopted as new rules by R.2001 d.364, effective 10/1/2001. See: 33 N.J.R. 750(a), 33 N.J.R. 3461(a).
Subchapter 4, Organized Delivery Systems, was adopted as new rules by R.2002 d.336, effective 10/21/2002. See: 34 N.J.R. 20(a), 34 N.J.R. 3607(a).
Subchapter 5, Minimum Standards for Network-Based Health Benefit Plans, was adopted as new rules by R.2003 d.419, effective 11/3/2003. See: 34 N.J.R. 3485(a), 35 N.J.R. 5116(a).
Subchapter 6, Exclusions and Preauthorization Requirements, was adopted as new rules by R.2004 d.80, effective 2/17/2004. See: 35 N.J.R. 2396(a), 36 N.J.R. 958(a).
Subchapter 7, Carrier/Provider Joint Negotiation Agreements, was adopted as new rules by R.2004 d.295, effective 8/2/2004. See: 35 N.J.R. 5036(a), 36 N.J.R. 3553(a).
Chapter 22, Health Benefit Plans, was readopted by R.2006 d.199, effective 4/26/2006. See: 37 N.J.R. 3779(a), 38 N.J.R. 2499(b).
Subchapter 8, Health Insurance Identification Cards, was adopted as new rules by R.2009 d.333, effective 11/2/2009 (operative July 1, 2010). See: 40 N.J.R. 6527(a), 41 N.J.R. 4117(b).
Subchapter 5, Minimum Standards for Network-Based Health Benefit Plans, was renamed Minimum Standards for Health Benefit Plans, Prescription Drug Plans and Dental Plans by R.2009 d.265, effective 9/8/2009 (operative September 8, 2010). See: 40 N.J.R. 6915(a), 41 N.J.R. 3302(b).
In accordance with N.J.S.A. 52:14B-5.1b, Chapter 22, Health Benefit Plans, was scheduled to expire on 4/26/2013. See: 43 N.J.R. 1203(a).
Subchapter 9, Maternity Installment Payments, was adopted as new rules by R.2011 d.190, effective 7/5/2011. See: 43 N.J.R. 146(a), 43 N.J.R. 1533(a).
Chapter 22, Health Benefit Plans, was readopted as R.2011 d.256, effective 9/21/2011. See: 43 N.J.R. 1236(a), 43 N.J.R. 2668(b).
Chapter 22, Health Benefit Plans, was readopted as R.2019 d.032, effective 3/20/2019. As a part of R.2019 d.032, Subchapter 5, Minimum Standards for Health Benefit Plans, Prescription Drug Plans and Dental Plans, was renamed Minimum Standards for Health Benefits Plans, Prescription Drug Plans, and Dental Plans, effective 4/15/2019. See: Source and Effective Date. See, also, section annotations.

CHAPTER AUTHORITY:

N.J.S.A. 17:1-8.1, 17:1-15.e, 17:48H-32, 17B:27B-25, 17B:30-13.1, 17B:30-23 et seq., 17B:30-55, 17B:30-56, and 26:1A-36.11 and 36.12.

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