New Jersey Administrative Code
Title 11 - INSURANCE
Chapter 24B - ORGANIZED DELIVERY SYSTEMS
Subchapter 4 - MANAGEMENT AGREEMENTS WITH CARRIERS
Section 11:24B-4.11 - Issuance of contracts on approved forms
Universal Citation: NJ Admin Code 11:24B-4.11
Current through Register Vol. 56, No. 24, December 18, 2024
(a) No ODS or carrier shall execute a contract or an amendment to a contract for a management agreement unless the form thereof has been approved by the Department.
(b) The following are amendments that may be effectuated without approval of the Department:
1. Amendments that are of a clerical
nature;
2. Alterations to numbers,
whether dollar amounts, enrollment amounts or the like, so long as there is no
alteration of the methodologies from which the numbers were derived;
and
3. The application of one
variable provision in lieu of another variable provision, so long as both
variable provisions were approved by the Department within the same form of
management agreement.
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