New Jersey Administrative Code
Title 11 - INSURANCE
Chapter 24A - HEALTH CARE QUALITY ACT APPLICATION TO INSURANCE COMPANIES, HEALTH SERVICE CORPORATIONS, HOSPITAL SERVICE CORPORATIONS, AND MEDICAL SERVICE CORPORATIONS
Subchapter 2A - COVERAGE FOR TERMINATION OF PREGNANCY
Section 11:24A-2A.1 - Scope and purpose
Current through Register Vol. 56, No. 6, March 18, 2024
(a) The purpose of this subchapter is to implement N.J.S.A. 26:2S-39, and having concluded a study and issued a report to the Governor and Legislature demonstrating that such a regulation is necessary, provide that health benefit plans delivered, issued, executed, or renewed in this State provide coverage for termination of pregnancy, consistent with this subchapter.
(b) This subchapter shall apply to all policies and contracts providing hospital or medical services or benefits that are delivered, issued, executed, or renewed in this State in the individual, small group, and large group markets as follows: all hospital service corporation contracts issued, pursuant to N.J.S.A. 17:48-1 et seq.; all medical service corporation contracts issued, pursuant to N.J.S.A. 17:48A-1 et seq.; all health service corporation contracts issued, pursuant to N.J.S.A. 17:48E-1 et seq.; and all health insurance policies issued, pursuant to N.J.S.A. 17B:26-1 et seq., 17B:27-26 et seq., 17B:27A-2 et seq., and 17B:27A-17 et seq.
(c) This subchapter shall not apply to any policy or contract that, pursuant to a contract between a carrier and the New Jersey Department of Human Services, provides benefits to persons who are eligible for medical assistance pursuant to P.L. 1968, c. 413 (N.J.S.A. 30:4D-1 et seq.); the Children's Health Care Coverage Program pursuant to P.L. 1997, c. 272 (N.J.S.A. 30:4I-1 et seq.); the FamilyCare Health Coverage Program pursuant to P.L. 2000, c. 71 (N.J.S.A. 30:4J-1 et seq.); or any other program administered by the Division of Medical Assistance and Health Services in the New Jersey Department of Human Services.
