New Jersey Administrative Code
Title 11 - INSURANCE
Chapter 24 - HEALTH MAINTENANCE ORGANIZATIONS
Subchapter 2 - ESTABLISHMENT OF HEALTH MAINTENANCE ORGANIZATIONS
Section 11:24-2.5 - Denial of a certificate of authority

Universal Citation: NJ Admin Code 11:24-2.5
Current through Register Vol. 56, No. 24, December 18, 2024

Subject to the provisions of N.J.S.A. 26:2J-22, an application for a certificate of authority or amendment thereto may be denied if the Commissioner finds noncompliance with these rules or any provision of N.J.S.A. 26:2J-1 et seq., or otherwise finds the HMO or other affiliated entity operating as an HMO or regulated health insurance business to be in violation of any other applicable New Jersey, other State or Federal law where these violations have resulted in an enforcement action, and the applicant owned, operated, or managed in whole or in part, the HMO which was the subject of the action during the 12 month period preceding the filing of the application.

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