New Jersey Administrative Code
Title 11 - INSURANCE
Chapter 22 - HEALTH BENEFIT PLANS
Subchapter 7 - CARRIER/PROVIDER JOINT NEGOTIATION AGREEMENTS
Section 11:22-7.3 - Quarterly and annual reports

(a) Every carrier shall report to the Department quarterly the number of covered persons enrolled in a dental plan or health benefits plan during that quarter in a format set forth in this subchapter as Appendix A, incorporated herein by reference. Instructions for completing this report are included in Appendix A. Due dates for the reports are as follows: May 15 for the first quarter, August 15 for the second quarter, November 15 for the third quarter, and March 1 for the fourth quarter.

(b) Every carrier shall report to the Department annually the impact of provider negotiations conducted pursuant to 52:17B-196 et seq. in a format set forth in this subchapter as Appendix B, incorporated herein by reference. Instructions for completing this report are included in Appendix B. The due date for this report shall be March 1.

(c) The reports described in (a) and (b) above shall be submitted to the Department by the due dates referenced in those subsections to:

New Jersey Department of Banking and Insurance

Life & Health Actuarial Bureau

Provider Negotiation Reports

(d) An original and one copy of each report described in subsections (a) and (b) above shall be submitted in hard copy. An electronic version of the quarterly enrollment report shall be provided on one of the following media:

(e) Every carrier shall maintain in electronic form a quarterly report on the distribution of covered persons by five-digit zip code as directed in the instructions found in Appendix A.