New Jersey Administrative Code
Title 11 - INSURANCE
Chapter 4 - ACTUARIAL SERVICES
Subchapter 28 - GROUP COORDINATION OF BENEFITS
Section 11:4-28.4 - Model COB contract provision

Universal Citation: NJ Admin Code 11:4-28.4

Current through Register Vol. 56, No. 18, September 16, 2024

(a) Appendix A of this subchapter contains Model COB Provisions that may be used in group contracts, and is incorporated herein by reference as part of this subchapter. The use of the Model COB Provisions shall be subject to (b) below, 11:4-28.5 and 28.6.

(b) A group contract's COB provision shall not be required to use the words and format shown in Appendix A of this subchapter. Changes may be made to fit the language and style of the rest of the group contract or to reflect the differences among plans which provide services, pay benefits for expenses incurred, and which indemnify. No other changes to the Model COB Provisions in Appendix A shall be permitted.

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