N.J. Admin. Code § 11:21-21.4

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

Section 11:21-21.4 - Eligibility requirements

(a) No purchasing alliance shall use as a basis for exclusion from membership in the alliance any of the following characteristics of any small employer group as a whole, or any person eligible for coverage in that group:

1. Health status;

2. Medical condition, including both physical and mental illness;

3. Claims experience;

4. Receipt of health care;

5. Medical history;

6. Genetic information;

7. Evidence of insurability, including conditions arising out of acts of domestic violence;

8. Partial or total disability;

9. Group size;

10. Age;

11. Gender; or

12. Any other health status-related factor.

(b) A purchasing alliance shall not inquire as to the insured or uninsured health care claims experience or cost of any employer or employee.

N.J. Admin. Code § 11:21-21.4