New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 78 - NJ FAMILYCARE
Subchapter 9 - PREMIUM SUPPORT PROGRAM PSP
Section 10:78-9.6 - Applicant's responsibilities during the application process
Universal Citation: NJ Admin Code 10:78-9.6
Current through Register Vol. 56, No. 18, September 16, 2024
(a) The Premium Support Program applicant shall provide employer health benefit plan information regarding all family members for whom coverage is sought.
(b) The applicant shall assist the Division as needed in obtaining employer health benefits plan information.
(c) If the employee fails to provide the Division with the information needed to complete the application review, the application for premium support shall be denied.
1. If the application for premium support is
denied due to lack of cooperation by the employer, the applicant (and family,
if applicable) shall continue to participate in a State-contracted managed care
plan through the NJ FamilyCare program.
2. If the application for premium support is
denied due to lack of cooperation by the applicant, after three attempts by the
Premium Support Program to contact the applicant by letter (in addition, a
phone call will be made if a phone number is available), the NJ FamilyCare
participation of the applicant and any other adult eligible members of the
household shall be terminated immediately. The eligible children in the
household will continue to remain eligible until the next annual
redetermination, at which time the applicant's failure to cooperate and provide
necessary information shall result in termination of NJ FamilyCare eligibility
for all members of the household.
Disclaimer: These regulations may not be the most recent version. New Jersey may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
