N.J. Admin. Code § 11:3-14.5

Current through Register Vol. 56, No. 23, December 2, 2024

Section 11:3-14.5 - Option to choose health care insurance coverage as primary coverage

(a) Pursuant to 39:6A-4.3, for policies issued or renewed on or after January 1, 1991, an insurer shall provide the option that other health insurance coverage or benefits of the insured, including health care services provided by a health maintenance organization and any coverage or benefits provided under any Federal or State program, are the primary coverage for medical expense benefits for personal injury protection coverage; provided, however, that this option shall not apply to any coverage or benefits provided pursuant to Medicare or Medicaid.

(b) The Coverage Selection Form (see 11:3-15.7 ) shall require insureds or prospective insureds to identify the health insurer(s) providing primary personal injury protection medical expense benefits. This identification shall fulfill the requirement in 39:6A-4.3 that named insureds provide proof that they and members of their family residing in the household are covered by health insurance coverage or benefits.

As amended, R.1984 d.480, eff. 11/5/1984.
See: 16 N.J.R. 1692(a), 16 N.J.R. 3037(b).
(b): added "who is not ... insurance policy".
Repealed by R.1989 d.117, effective 2/21/1989.
See: 20 N.J.R. 2984(a), 21 N.J.R. 558(b).
This section was "Setoff option entitling an automobile insurer paying PIP medical expense benefits to reimbursement under certain conditions".
New Rule, R.1990 d.580, effective 11/19/1990 (operative January 1, 1991).
See: 22 N.J.R. 1681(a), 22 N.J.R. 3488(b).