New Jersey Administrative Code
Title 11 - INSURANCE
Chapter 21 - SMALL EMPLOYER HEALTH BENEFITS PROGRAM
Subchapter 21 - SMALL EMPLOYER PURCHASING ALLIANCES
Section 11:21-21.4 - Eligibility requirements

Universal Citation: NJ Admin Code 11:21-21.4

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

(a) No purchasing alliance shall use as a basis for exclusion from membership in the alliance any of the following characteristics of any small employer group as a whole, or any person eligible for coverage in that group:

1. Health status;

2. Medical condition, including both physical and mental illness;

3. Claims experience;

4. Receipt of health care;

5. Medical history;

6. Genetic information;

7. Evidence of insurability, including conditions arising out of acts of domestic violence;

8. Partial or total disability;

9. Group size;

10. Age;

11. Gender; or

12. Any other health status-related factor.

(b) A purchasing alliance shall not inquire as to the insured or uninsured health care claims experience or cost of any employer or employee.

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