N.J. Admin. Code § 11:21-16.1

Current through Register Vol. 56, No. 24, December 18, 2024

Section 11:21-16.1 - Purpose and scope

(a) The purpose of this subchapter is to establish the requirements and procedures by which carriers may cease doing business in the small employer market in this State. Additionally, this subchapter establishes the requirements and procedures by which carriers may cease issuing and nonrenew: a specific standard plan issued using a particular delivery option; a plan option; a specific standard benefit rider; or a specific copayment/deductible option available under the standard plans. The subchapter applies to all small employer carriers issuing or renewing policies or contracts after November 30, 1992. Pursuant to the provisions of N.J.S.A. 17B:27A-17 et seq., every policy or contract issued to a small employer in this State shall be renewable with respect to all eligible employees or dependents at the option of the policy or contractholder or small employer, except under the circumstances prescribed by N.J.S.A. 17B:27A-23a, c, d, e, f, h, and i. One of the circumstances delineated therein is where a carrier ceases to do business in the small employer health benefits plans market in New Jersey pursuant to N.J.S.A. 17B:27A-23e.

(b) This subchapter applies to all small employer carriers as defined in this subchapter that seek to cease doing business in the small employer market.

Amended by R.1998 d.533, effective 11/16/1998.
See: 30 New Jersey Register 2978(a), 30 New Jersey Register 4045(a).
In (a), changed N.J.S.A. reference.
Amended by R.2004 d.108, effective 3/15/2004.
See: 35 New Jersey Register 4438(a), 36 New Jersey Register 1605(a).
In (a), added the second sentence and substituted "or" for "of" following "renewing policies" in the third sentence.