Current through Register Vol. 56, No. 18, September 16, 2024
(a) Members may offer riders that increase
the coverage offered by Plans B, C, D, E, HMO, and HMO POS plan subject to the
provisions set forth in (a)1 through 6 below.
1. Before a member may sell a rider that
increases any benefits or increases the actuarial value of Plans B, C, D, E,
HMO, or HMO POS, the member shall file the rider with the Board for
informational purposes.
2.
"Coverage" offered by the four plans, the HMO plan, and the HMO POS plan for
purposes of optional benefit riders filed pursuant to (a)2 above includes, but
is not limited to:
i. The types and extent of
services and supplies described in the "Covered Charges," and "Exclusions"
sections of Plans B, C, D, and E the "Covered Services and Supplies" and
"Non-Covered Services and Supplies" sections of the HMO plan, and the "Covered
Services and Supplies," "Covered Charges," and "Non-Covered Services and
Supplies and Non-Covered Charges" sections of the HMO POS plan;
ii. Deductibles, coinsurance, copayments,
maximum out of pocket, network maximum out of pocket and non-network maximum
out of pocket of Plans B, C, D, E, HMO, and HMO POS as applicable (including,
but not limited to, deductible provisions such as deductible waiver, year-end
deductible carry-over, and first dollar coverage), and their applicability in
situations involving common accident; and
iii. Eligibility as set forth in the
"Employee coverage," "Dependent coverage," and "Continuation rights" sections
of Plans B, C, D, and E, the "Eligibility" and "Continuation Provisions" of
sections of the HMO plan, and the "Eligibility" and "Continuation Rights"
sections of the HMO POS plan.
3. "Coverage" offered by the four plans, the
HMO plan, and the HMO POS plan for purposes of optional benefit riders filed
pursuant to (a)2 above does not include:
i.
Provider networks;
ii. Coverage
which is specifically excluded from the definition of "health benefits plan" in
11:21-1.2, except for dental
coverage for persons age 19 or older where the additional dental coverage is
subject to the standard plan's deductible and coinsurance or copayment
schedule, as applicable; or
iii.
Benefits which are other than those provided under a "health benefits plan" as
defined at
11:21-1.2.
4. In addition to (a)1, 2, and 3 above, any
benefit rider shall be subject to the provisions of Sections 2, 3(b), 6, 7, 8,
9, and 11 of P.L. 1992, c.162, as amended.
5. A member making an informational filing
shall:
i. Submit one copy of the filing and
any related materials to the Board at the address specified at
11:21-1.3 through paper or
electronic means;
ii. Submit one
copy of the rider or riders which amend the standard group policy and
certificate forms, which rider or riders shall include cross-references to the
standard group policy and certificate provisions or sections and/or pages which
are being modified;
iii. Specify
whether the rider or amendment thereof is to be used in connection with
standard health benefit Plans B, C, D, E, HMO, or HMO POS plan and provide
clear and conspicuous notice of such on the forms submitted for each
rider;
iv. The standard group
policy and employee certificate language shall not be altered, and the benefit
modifications shall appear only on the rider or riders; and
v. For riders of increasing value only,
submit copies of a certification signed by a duly authorized officer of the
member that states clearly:
(1) That the
rider increases a benefit or benefits and does not include a decrease of any
benefits or decrease in the actuarial value of standard health benefits Plan B,
C, D, E, HMO, or HMO POS;
(2) That
the filing is complete and in accordance with all the requirements of this
subsection and applicable New Jersey statutes and regulations;
(3) That the member will offer all small
employers the health benefits plan the rider modifies as a plan including the
rider and as a plan without the rider;
(4) That a rate filing for plans including
and without the rider has been made with the Commissioner pursuant to N.J.A.C.
11:21-9;
(5) If amending a plan, or
a plan and a rider or riders, sold through or in conjunction with a selective
contracting arrangement or the HMO POS contract, that the plan including the
rider continues to comply with the requirements set forth in
11:4-37.3(b)
6 and 11:24-14.4(c), as applicable.
(6) That the premium or percentage change for
a ridered standard plan shall be listed separately from the premium or
percentage change for the unridered standard plan when rates are illustrated on
rate quotes prepared by the carrier.
6. The Board shall notify a member in writing
of its determination of whether an informational filing is complete and in
compliance with this subsection, within 60 days of the Board's receipt of the
member's submission of a rider or amendment thereof. If the Board does not
notify a member of its determination with respect to an informational filing
within 60 days of the Board's receipt of the submission, the informational
filing shall be deemed complete.
i. If an
informational filing is incomplete and not in compliance with the requirements
of this subchapter, the notification shall provide the reasons the filing is
incomplete and what additional information needs to be submitted by the member.
The member shall provide the Board with the information required to complete
the filing. Upon receipt of notice from the Board that a filing is incomplete
and not in substantial compliance with the requirements of this subchapter, the
member shall not sell the rider or amendment thereof until the member has
received written notice from the Board that the informational filing is
complete.
ii. If the Board takes no
action within 60 days of receipt by the Board of a member's submission of
information requested by the Board to complete an informational filing, the
filing shall be deemed to be complete.
(b) A carrier may provide for alternative
means of administering aspects of the standard forms which administration does
not affect the benefits provided in the standard policy forms and riders.
Administration includes, but is not limited to, administration of claims,
COBRA, premium collection, and issue functions. The delegation of
administrative functions shall be achieved by a separate contract between the
carrier and/or the small employer, and a third party. Such arrangements shall
not alter the standard group policy and certificate language.
(c) All carriers shall file, by March 1 of
each year, Exhibit BB Part 6, on which all optional benefit riders are
identified, regardless of whether or not the carrier has filed optional benefit
riders. Carriers shall include in such filing information that is current
through December 31 of the prior year.