N.J. Admin. Code § 13:45B-13.3

Current through Register Vol. 56, No. 21, November 4, 2024

Section 13:45B-13.3 - Initial registration requirements

(a) Except as set forth in 13:45B-13.4, each health care service firm shall register with the Division by submitting the following, on forms provided by the Director:

1. A registration form, which shall include the following information:

i. The name of the health care service firm and any fictitious or trade name used in its operation and the names of health care companies related through joint ownership, boards of directors, officers or principals;

ii. Each primary location including street and street number of the building(s) and place(s) where its business is to be conducted and the addresses of all health care companies related through joint ownership, boards of directors, officers or principals;

iii. The name and residence address of each officer, director, and principal;

iv. The name, residence and business street address, and business telephone number of each person with an ownership interest of 10 percent or more in the agency and the percentage of ownership held; and

v. The name, residence and business street address and business telephone number of each person who is a managing agent of the agency; or, if the managing agent is a corporation, association or other company, its name, street address and telephone number and the names and addresses of its officers and directors;

2. A certification of each officer, director, principal or owner setting forth whether he or she has ever been convicted of a crime as set forth in 34:8-44;

3. A bond of $ 10,000 to secure compliance with the Act. The Director may waive the bond requirement for any corporation or entity having a net worth of $ 100,000 or more. In order to obtain a waiver, the health care service firm shall provide a copy of a certified financial report prepared by a certified public accountant or licensed accountant establishing a net worth of $ 100,000 or greater; and

4. A list of any licenses held in another state by the health care service firm, or by any officer, director, owner or principal of the health care service firm, to provide health care services in another state, a description of any actions taken by another state on those licenses, including violations of health or labor laws, and a description of any violations of Federal law by the health care service firm or any principal of the health care service firm.

(b) A health care service firm shall provide the information set forth in (a)1iv and v above prior to any change in ownership or management.

(c) If any information required to be included on the application changes, the health care service firm shall provide that information to the Section, in writing, within 30 calendar days of the change.

(d) In the event an officer, director, principal or owner is convicted of a crime subsequent to filing the affidavit required by (a) above, the health care service firm shall obtain a new affidavit from that individual and shall file the affidavit with the Section within 30 days of the conviction.

N.J. Admin. Code § 13:45B-13.3

Amended by R.2005 d.53, effective 2/7/2005.
See: 36 N.J.R. 2584(a), 37 N.J.R. 504(a).
In (a), rewrote i and ii in 1, added 4.
Recodified from N.J.A.C. 13:45B-14.3 and amended by R.2008 d.92, effective 4/21/2008.
See: 40 N.J.R. 91(b), 40 N.J.R. 2118(a).
In the introductory paragraph of (a), updated the N.J.A.C. reference.
Amended by R.2008 d.254, effective 8/18/2008.
See: 40 N.J.R. 1762(a), 40 N.J.R. 4819(a).
In the introductory paragraph of (a)1, inserted a comma following "form"; in (a)1i and (a)1ii, deleted ", incorporators" following "officers"; and in (a)3, substituted "the Act" for "P.L. 1989, c.331 (N.J.S.A. 34:8-43 et seq.)".