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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