New Jersey Administrative Code
Title 11 - INSURANCE
Chapter 21 - SMALL EMPLOYER HEALTH BENEFITS PROGRAM
Subchapter 10 - THE MARKET SHARE REPORT
Section 11:21-10.3 - Filing of the Market Share Report
Universal Citation: NJ Admin Code 11:21-10.3
Current through Register Vol. 56, No. 18, September 16, 2024
(a) Every member of the SEH Program shall file the Market Share Report set forth as Exhibit CC in the Appendix to this chapter, incorporated herein by reference, on or before April 1. Every member shall complete Parts A, B, C and D of the Market Share Report.
1. Affiliated carriers shall submit a
combined Market Share Report, except as stated in (a)2 below. The combined
Market Share Report shall be submitted under the name of one of the affiliated
carriers' members.
2. Any insurance
company, health service corporation, hospital service corporation, or medical
service corporation that is an affiliate of a health maintenance organization
located in the State, and any health maintenance organization located in the
State that is affiliated with an insurance company, health service corporation,
hospital service corporation, or medical service corporation shall submit
separate Market Share Reports.
(b) Certified Market Share Reports shall be submitted by mail or facsimile to the SEH Program Executive Director, as set forth at N.J.A.C. 11:21-2.
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