N.J. Admin. Code § 11:21-7A.3

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

Section 11:21-7A.3 - Filing of loss ratio reports

(a) Each carrier having standard health benefits plan policy forms, open or closed nonstandard health benefits plan policy forms or HMO plans in force at any time during the preceding calendar year shall file with the Department an annual loss ratio report on the form appearing as Exhibit GG in the Appendix to this chapter, incorporated herein by reference. The annual loss ratio report, beginning with 1997 data reported in 1998, shall:

1. Aggregate standard health benefit plans, other than alliance plans, including all standard and nonstandard riders and endorsements thereto;

2. Aggregate open nonstandard health benefits plans, including all riders and endorsements thereto;

3. Aggregate closed nonstandard health benefits plans including all riders and endorsements thereto; and

4. Aggregate alliance health benefits plans, including all riders and endorsements thereto.

(b) The loss ratio report shall be completed and filed with the Department on or before August 1 of the reporting year for the preceding calendar year.

(c) Loss ratio reports submitted pursuant to this subchapter shall be sent to the Department at the following address: Attention: SEH Loss Ratio Report Filings

Life and Health Division

New Jersey Department of Banking and Insurance

20 West State Street

PO Box 325

Trenton, NJ 08625-0325

N.J. Admin. Code § 11:21-7A.3

Amended by R.1998 d.427, effective 8/17/1998.
See: 30 N.J.R. 282(a), 30 N.J.R. 3057(a).
Rewrote (a); and in (b), deleted exception at the end of the sentence.
Amended by R.2002 d.342, effective 11/4/2002.
See: 34 N.J.R. 1310(a), 34 N.J.R. 3857(a).
In (a), inserted "other than alliance plans" preceding "including", "and endorsements" preceding "thereto" in 1 and added 4.
Amended by R.2009 d.277, effective 9/21/2009.
See: 41 N.J.R. 1147(a), 41 N.J.R. 3451(a).
In the introductory paragraph of (a), deleted "the five" preceding "standard".