N.J. Admin. Code § 10:78-9.13

Current through Register Vol. 56, No. 21, November 4, 2024

Section 10:78-9.13 - NJ FamilyCare/Premium Support Program payment formula

(a) A monthly premium charge shall be assessed and collected for all participants in the NJ FamilyCare Premium Support Program (PSP), in accordance with 10:49-9.2 and (b) below. PSP participants shall be assessed $ 10.00 less per payment for children and $ 5.00 less per payment per adult than the standard NJ FamilyCare premium payments. The assessments shall be deducted from the premium support payments remitted to the beneficiary in accordance with 10:78-9.12.

(b) Premiums shall be paid monthly for children and parents/caretakers enrolled in NJ FamilyCare Plans C, D and H who are PSP participants in accordance with Table 1 below. The single monthly premium for children shall include all children in the family. The monthly premium for parents/ caretakers shall include the first parents/caretaker and the second parents/caretaker premiums indicated in Table 1, as applicable.

TABLE 1
NJ FamilyCare Premium Payments for PSP Participants
Effective July 1, 2006
Premiums for Children
Plan C	$ 8.00
Plan D (over 200 percent FPL up to and	$ 26.00
including 250 percent FPL)
Plan D (over 250 percent FPL up to and	$ 62.00
including 300 percent FPL)
Plan D (over 300 percent FPL up to and	$ 110.50
including 350 percent FPL
Premiums for parents/caretakers
Plan D (over 150 percent FPL up to and
including 200 percent FPL)
First parent/caretaker in the family	25.50
Second parent/caretaker in the family	$ 7.50
Plan H (over 150 percent FPL up to and
including 250 percent FPL)
First parent/caretaker in the family	$ 25.50
Second parent/caretaker in the family	$ 7.50

N.J. Admin. Code § 10:78-9.13

Special amendment, R.2003 d.98, effective 2/1/2003 (to expire March 3, 2006).
See: 35 N.J.R. 1303(a).
Rewrote (b); in (c), (d) and (e), inserted "Effective 2/1/2003" preceding "NJ FamilyCare PSP" and amended the monthly premiums throughout; added (f).
Amended by R.2006 d.347, effective 10/2/2006.
See: 38 N.J.R. 2602(a), 38 N.J.R. 3095(a), 38 N.J.R. 4222(a).
Rewrote the section.