New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 78 - NJ FAMILYCARE
Subchapter 9 - PREMIUM SUPPORT PROGRAM PSP
Section 10:78-9.11 - Plan approval notification and premium support payments
Current through Register Vol. 56, No. 18, September 16, 2024
(a) If the beneficiary/employee is found eligible to participate in the Premium Support Program (PSP), a letter of notification will be sent to the employee. The notification letter will advise the employee of PSP approval and request that the beneficiary/employee and all eligible family members be enrolled in the employer-sponsored plan at the earliest possible date.
(b) The letter of notification will provide a suggested future date of plan enrollment, and a date on which the first PSP payment should be made.
(c) All PSP participants' payments to their employers shall be subject to verification by the Division.
(d) The PSP beneficiary/employee shall submit proof of employer plan participation prior to the payment by the Division of any premium support payments after the initial payment. Proof of employer plan participation shall include, but need not be limited to: payroll stubs indicating the amount of the employee's contribution to employer plan coverage, a copy of the insurance carrier identification card indicating all covered family members, or a letter of coverage from the employer or insurance carrier. All documents submitted shall be subject to verification by the Division.
