New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 155 - CATASTROPHIC ILLNESS IN CHILDREN RELIEF FUND PROGRAM
Appendix I
Universal Citation: NJ Admin Code I
Current through Register Vol. 56, No. 18, September 16, 2024
Examples of Catastrophic Illness in Children Relief Fund Program + | |
The examples below illustrate the extent to which the Fund would assist three | |
families with different income levels. |
FAMILY #1 (with income of $ 30,000) | |
Family income:................................................... | $ 30,000 |
Eligibility Standard (Exceeding 10% of income): ................. | 3,000 |
Amount of Eligible Medical Expenses not Covered by Insurance:.... | 15,000 |
Family Responsibility (Exceeding 10% of Eligibility Standard):... | 300 |
Amount of Fund's Financial Assistance to Family: ................ | 14,700 |
Amount for which Family remains responsible: .................... | 300 |
FAMILY #2 (with income of $ 80,000) | |
Family income:................................................... | $ 80,000 |
Eligibility Standard (Exceeding 10% of income): ................. | 8,000 |
Amount of Eligible Medical Expenses not Covered by Insurance:.... | 15,000 |
Family Responsibility (Exceeding 10% of Eligibility Standard):... | 800 |
Amount of Fund's Financial Assistance to Family: ................ | 14,200 |
Amount for which Family remains responsible: .................... | 800 |
FAMILY #3 (with income of $ 120,000) | |
Family income:................................................... | $ 120,000 |
Eligibility Standard:............................................ | 13,000 |
Exceeding 10% of the first $ 100,000 or 10,000 | |
Exceeding 15% of the excess over $ 100,000 or 3,000 | |
Amount of Eligible Medical Expenses not Covered by Insurance:.... | 15,000 |
Family Responsibility (Exceeding 10% of Eligibility Standard):... | 1,300 |
Amount of Fund's Financial Assistance to Family: ................ | 13,700 |
Amount for which Family remains responsible: .................... | 1,300 |
+ Assuming: an annual $ 100,000 cap; adequate monies available in Fund | |
obviating need for additional restrictions and cost-sharing; and none of the | |
cases are in the "special" category. |
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