New Jersey Administrative Code
Title 11 - INSURANCE
Chapter 4 - ACTUARIAL SERVICES
Subchapter 23B - MEDICARE SUPPLEMENT-AGE 50 THROUGH 64 COVERAGE
Section 11:4-23B.2 - Definitions

Universal Citation: NJ Admin Code 11:4-23B.2
Current through Register Vol. 56, No. 6, March 18, 2024

The following words and terms, as used in this subchapter, shall have the following meanings, unless the context clearly indicates otherwise:

"Applicant" means an individual who, at the time of application to an insurer, has attained the age of 50 years but not attained the age of 65 years. In the event that an applicant for coverage pursuant to this subchapter is disqualified solely because of age, the date of the original application to the insurer shall be deemed to apply to any application for Under 50 Plan coverage pursuant to N.J.A.C. 11:4-23A where the individual under 50 years of age, or to any application pursuant to N.J.A.C. 11:4-23 where the individual is 65 years of age or older.

"Health benefits plan" means a hospital and medical expense insurance policy, hospital service corporation contract, medical service corporation contract or health service corporation contract delivered or issued for delivery in this State or a health maintenance organization subscriber contract delivered or issued for delivery in this State.

"Insurer" means an insurance company or hospital, medical or health service corporation authorized to issue health benefits plans in this State.

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