N.J. Admin. Code § 10:49-9.2
Current through Register Vol. 56, No. 23, December 2, 2024
Section 10:49-9.2 - NJ FamilyCare-Plans C and D-premiums(a) For children in families with income at or below 150 percent of the Federal poverty limit, there shall be no premiums under NJ FamilyCare-Plan B.(b) For families with gross income above 150 percent and at or below 200 percent of the Federal poverty level (NJ FamilyCare Plan C), a monthly premium shall be required to be paid, for enrollment, of $ 33.50 for the first parent/caretaker and $ 14.00 for the second parent/caretaker.(c) Under NJ FamilyCare-Plan D, effective July 1, 2009, the following premiums shall apply: 1. For children in families with gross income above 200 percent and at or below 250 percent of the Federal poverty level, a single monthly premium of $ 40.00 per family per month that applies to all families, regardless of the number of children in the family.2. For children in families with gross income above 250 percent and at or below 300 percent of the Federal poverty level, a single monthly premium of $ 79.00 per family per month that applies to all families, regardless of the number of children in the family.3. For children in families with gross income above 300 percent and at or below 350 percent of the Federal poverty level, a single monthly premium of $ 133.00 per family per month that applies to all families, regardless of the number of children in the family.(d) Families shall be billed in advance of the coverage month. Failure to submit the full contribution will result in termination of coverage for the month following the coverage month that the premium has not been received by the NJ FamilyCare program.(e) The premiums required in accordance with (b) through (d) above shall be adjusted each July 1, in accordance with the change in the Consumer Price Index published by the U.S. Department of Labor. The amounts in (b) through (d) above will be revised annually by a notice of administrative change published in the New Jersey Register.(f) No cost sharing shall be imposed on children who are American Indians/Alaska Natives. Proof of Federally recognized AI/AN tribal status shall be provided in the form of a tribal card or letter, in accordance with 42 C.F.R. 36a.16.N.J. Admin. Code § 10:49-9.2
New Rule, R.1998 d.154, effective 2/27/1998 (operative March 1, 1998; to expire August 31, 1998).
See: 30 N.J.R. 1060(a).
Former N.J.A.C. 10:49-9.2, Observance of religious belief, recodified to N.J.A.C. 10:49-9.5.
Adopted concurrent proposal, R.1998 d.487, effective 8/28/1998.
See: 30 N.J.R. 1060(a), 30 N.J.R. 3519(a).
Readopted the provisions of R.1998 d.154 with changes, effective 9/21/1998.
Amended by R.1999 d.211, effective 7/6/1999 (operative August 1, 1999).
See: 31 N.J.R. 998(a), 31 N.J.R. 1806(a), 31 N.J.R. 2879(b).
Added a new (c); recodified former (c) as (d).
Amended by R.2002 d.371, effective 11/18/2002.
See: 34 N.J.R. 2244(a), 34 N.J.R. 2549(b), 34 N.J.R. 3978(c).
Added (e).
Amended by R.2003 d.82, effective 2/18/2003.
See: 34 N.J.R. 2650(a), 35 N.J.R. 1118(a).
Special amendment, R.2003 d.98, operative February 1, 2003.
See: 35 N.J.R. 1303(a).
Rewrote (b) and (c); added new (e) and recodified former (e) as (f).
Administrative change.
See: 36 N.J.R. 3428(a).
Administrative correction.
See: 37 N.J.R. 1191(a).
Amended by R.2008 d.230, effective 8/4/2008.
See: 40 N.J.R. 984(a), 40 N.J.R. 4531(a).
In the introductory paragraphs of (b) and (c), substituted "2007" for "2004"; in (b)1, substituted "$ 18.50" for "$ 17.00"; in (b)2, substituted "$ 31.50" for "$ 28.50" and "$ 13.00" for "$ 11.50"; in (c)1, substituted "$ 37.50" for "$ 34.00"; in (c)2, substituted "$ 74.50" for "$ 68.00"; and in (c)3, substituted "$ 125.00" for "$ 113.50".
Administrative change.
See: 40 N.J.R. 4817(b).
Administrative change.
See: 41 N.J.R. 2484(b).
Amended by R.2009 d.357, effective 12/7/2009.
See: 41 N.J.R. 2761(a), 41 N.J.R. 4438(a).
Rewrote (b).