New Jersey Administrative Code
Title 11 - INSURANCE
Chapter 21 - SMALL EMPLOYER HEALTH BENEFITS PROGRAM
Subchapter 21 - SMALL EMPLOYER PURCHASING ALLIANCES
Section 11:21-21.3 - Filing requirements

Universal Citation: NJ Admin Code 11:21-21.3

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

(a) Within 30 days of formation, a small employer purchasing alliance shall file the following with the Commissioner:

1. A certification of an officer or director of the purchasing alliance, which shall include:
i. The name of the purchasing alliance;

ii. The members of the purchasing alliance;

iii. The names of the board of directors, chairman, treasurer and secretary of the purchasing alliance;

iv. The New Jersey mailing address at which communications for the purchasing alliance are to be received;

v. The toll free telephone number for prospective members to use to contact the purchasing alliance;

vi. The eligibility requirements for membership in the purchasing alliance;

vii. The fees charged to members of the purchasing alliance; and

viii. A description of the SEH standard plans, and any optional benefit riders, for which the purchasing alliance negotiates or intends to negotiate premiums for its members;

2. A copy of the certificate of incorporation, if any, of the purchasing alliance;

3. A copy of the joint contract executed by all members of the purchasing alliance;

4. A description of the eligible small employers that constitute the purchasing alliance, including their common or similar type of trade or business; the common trade association, professional association or other associations; or common geographic area;

5. A copy of the bylaws of the purchasing alliance, which shall include:
i. The procedures for the organization and administration of the purchasing alliance; and

ii. The procedures for the qualification and admission of additional members of the purchasing alliance; and

6. Information about the procedures a small employer should follow to join the purchasing alliance, including a contact person, address, telephone number, and eligibility requirements for membership.

(b) Filings shall be submitted to:

NJ Department of Banking and Insurance

Att: SEH Rate Filings

20 West State Street

PO Box 325

Trenton, NJ 08625-0325

(c) A current listing of the membership of the purchasing alliance as required by (a)1ii above shall be filed with the Commissioner quarterly. Any other change in the information specified in (a) above shall be filed with the Commissioner within 30 days of the change.

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