N.J. Admin. Code § 11:21-7.12

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

Section 11:21-7.12 - Reporting requirements

(a) A small employer carrier shall file with the Board, quarterly no later than 60 days after the end of the fiscal quarter, the following information reported with respect to standard health benefits plans:

1. The number of small employers, covered employees, and dependents that were issued health benefits plans in the previous calendar quarter, reported separately as to newly issued plans and renewals, and separately for standard health benefits plans B, C, D, and E; plans B, C, D, and E sold through or in conjunction with a selective contracting arrangement; HMO; and HMO POS; and

2. The total number of health benefits plans in force at the end of the quarter, and the total number of employees and dependents covered, reported separately for each standard health benefits plan B, C, D, and E; plans B, C, D, and E sold through or in conjunction with a selective contracting arrangement; HMO; and HMO POS.

(b) Quarterly reports shall be filed at the address listed in 11:21-1.3.

(c) An insurance company, health service corporation, hospital service corporation, or medical service corporation and affiliated health maintenance organization shall file separate reports.

N.J. Admin. Code § 11:21-7.12

Amended by R.1994 d.499, effective 9/2/1994.
See: 26 N.J.R. 3421(a), 26 N.J.R. 4047(b).
Recodified from 11:21-7.13 and amended by R.1997 d.62, effective 2/3/1997.
See: 28 N.J.R. 4344(a), 29 N.J.R. 428(a).
In (a)1, (b)1, and (b)2, inserted reference to plans sold through selective contracting and to HMO POS; in (a)2, substituted reference to geographic territory for reference to three digit zip code and amended N.J.A.C. reference; and added (d) and (e).
Amended by R.1998 d.512, effective 9/25/1998.
See: 30 N.J.R. 2815(a), 30 N.J.R. 3840(a).
In (b), deleted "Effective on the fiscal quarter ending on September 30, 1994," at the beginning; deleted a former (d); and recodified former (e) as (d).
Amended by R.2004 d.107, effective 3/15/2004.
See: 35 N.J.R. 5011(a), 36 N.J.R. 1594(a).
Deleted (a); recodified former (b) through (d) as (a) through (c); in (b), substituted "Quarterly" for "Annual and quarterly".
Amended by R.2014 d.019, effective 12/19/2013 (operative January 1, 2014).
See: 46 N.J.R. 12(a), 46 N.J.R. 228(a).
Rewrote (a).