New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 78 - NJ FAMILYCARE
Subchapter 11 - PROVISIONS GOVERNING FORMER NEW JERSEY HEALTH ACCESS ENROLLEES
Section 10:78-11.4 - Disenrollment

Universal Citation: NJ Admin Code 10:78-11.4

Current through Register Vol. 56, No. 18, September 16, 2024

(a) Any individual who does not submit timely payment for his or her share of the premium, as determined by the State, in accordance with 10:78-7.1, shall be disenrolled.

(b) The Division may disenroll any former Access program enrollee from the NJ FamilyCare program for good cause, which shall include: failure to meet the eligibility requirements set forth in this subchapter; loss of eligibility; nonpayment of premium contribution; and fraud or abuse. The Division shall provide the enrollee with advance written notice of its intent to disenroll the enrollee specifying the reasons for the disenrollment action. Such notice shall specify an effective date of the notice, and shall describe procedures for disenrollemnt, including the enrollee's right to appeal the disenrollment decision pursuant to N.J.A.C. 10:78-8.

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