New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 79 - NJ FAMILYCARE-CHILDREN'S PROGRAM
Subchapter 6 - BENEFICIARY RIGHTS AND RESPONSIBILITIES
Section 10:79-6.7 - Premiums

Universal Citation: NJ Admin Code 10:79-6.7

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

(a) Effective July 1, 2015, families with income above 150 percent and at or below 200 percent of the Federal poverty level eligible for NJ FamilyCare-Children's Program-Plan C do not have to pay a monthly premium.

(b) Effective July 1, 2015, for children in families with gross income above 200 percent and at or below 250 percent of the Federal poverty level eligible for NJ FamilyCare-Children's Program-Plan D, a monthly premium shall be required. There shall be a single dollar premium of $ 43.00 per month per family that applies to all families, regardless of income and regardless of the number of children in the family.

(c) Effective July 1, 2015, for children in families with gross income above 250 percent and at or below 300 percent of the Federal poverty level eligible for NJ FamilyCare-Children's Program-Plan D, a monthly premium shall be required. There shall be a single dollar premium of $ 86.00 per month per family that applies to all families, regardless of income and regardless of the number of children in the family.

(d) Effective July 1, 2014, for children in families with gross income above 300 percent and at or below 350 percent of the Federal poverty level eligible for NJ FamilyCare Children's Program-Plan D, a monthly premium shall be required. There shall be a single dollar premium of $ 144.50 per month per family that applies to all families, regardless of income and regardless of the number of children in the family.

(e) Families shall be billed in advance of the coverage month. Failure to submit the full contribution shall result in termination of coverage for the month following the coverage month that the premium has not been received by the NJ FamilyCare-Children's Program.

1. All past due premiums must be paid in full prior to a beneficiary being reenrolled in the NJ FamilyCare-Children's Program-Plans B, C or D.

(f) The premiums required in accordance with (a) through (d) above shall be adjusted each July 1 in accordance with the change in the Federal Poverty Level as published by the U.S. Department of Labor. The amounts in (a) through (d) above will be revised annually by a notice of administrative change published in the New Jersey Register.

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.
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