New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 78 - NJ FAMILYCARE
Subchapter 9 - PREMIUM SUPPORT PROGRAM PSP
Section 10:78-9.13 - NJ FamilyCare/Premium Support Program payment formula
Current through Register Vol. 56, No. 18, September 16, 2024
(a) A monthly premium charge shall be assessed and collected for all participants in the NJ FamilyCare Premium Support Program (PSP), in accordance with 10:49-9.2 and (b) below. PSP participants shall be assessed $ 10.00 less per payment for children and $ 5.00 less per payment per adult than the standard NJ FamilyCare premium payments. The assessments shall be deducted from the premium support payments remitted to the beneficiary in accordance with 10:78-9.12.
(b) Premiums shall be paid monthly for children and parents/caretakers enrolled in NJ FamilyCare Plans C, D and H who are PSP participants in accordance with Table 1 below. The single monthly premium for children shall include all children in the family. The monthly premium for parents/ caretakers shall include the first parents/caretaker and the second parents/caretaker premiums indicated in Table 1, as applicable.
| TABLE 1 | |
| NJ FamilyCare Premium Payments for PSP Participants | |
| Effective July 1, 2006 | |
| Premiums for Children | |
| Plan C | $ 8.00 |
| Plan D (over 200 percent FPL up to and | $ 26.00 |
| including 250 percent FPL) | |
| Plan D (over 250 percent FPL up to and | $ 62.00 |
| including 300 percent FPL) | |
| Plan D (over 300 percent FPL up to and | $ 110.50 |
| including 350 percent FPL | |
| Premiums for parents/caretakers | |
| Plan D (over 150 percent FPL up to and | |
| including 200 percent FPL) | |
| First parent/caretaker in the family | 25.50 |
| Second parent/caretaker in the family | $ 7.50 |
| Plan H (over 150 percent FPL up to and | |
| including 250 percent FPL) | |
| First parent/caretaker in the family | $ 25.50 |
| Second parent/caretaker in the family | $ 7.50 |
