New Jersey Administrative Code
Title 11 - INSURANCE
Chapter 10 - DENTAL SERVICES
Subchapter 2 - EMPLOYEE'S DENTAL BENEFIT PLANS; ALTERNATE COVERAGE
Section 11:10-2.3 - Definitions

Universal Citation: NJ Admin Code 11:10-2.3
Current through Register Vol. 56, No. 18, September 16, 2024

The following words and terms, when used in this subchapter, have the following meanings unless the context clearly indicates otherwise:

"Alternative coverage" means a plan that permits covered persons to obtain dental services from any licensed dentist.

"Dental plan contract" means any contract issued by a health insurer, dental plan organization, or dental service corporation which restricts covered persons in selecting the providers of dental services to a single provider or a limited number of providers.

"Enrollment period" means a period of time, of not less than one month's duration, prior to the renewal of a dental plan contract during which employees or members are afforded the option to be covered under the dental plan contract or alternative coverage.

"Other organization" means a group of 25 or more members to which a dental plan contract has been or is to be issued including, but not limited to, labor unions and associations.

"Renewal" means to begin a new term of the contract or to add an amendment to the contract.

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