New Jersey Administrative Code
Title 11 - INSURANCE
Chapter 4 - ACTUARIAL SERVICES
Subchapter 49 - MANDATED DIABETES BENEFITS
Section 11:4-49.2 - Definitions

Universal Citation: NJ Admin Code 11:4-49.2
Current through Register Vol. 56, No. 18, September 16, 2024

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

"Commissioner" means the Commissioner of the Department of Banking and Insurance.

"Dental only policy or contract" means a policy or contract providing only benefits for dental services.

"Health benefits plan" means any hospital or medical expense insurance policy or contract; health, hospital, or medical service corporation contract; or health maintenance organization subscriber contract delivered or issued for delivery in this State by any carrier. For purposes of this subchapter, "health benefits plan" excludes the following plans, policies, or contracts: accident only, credit health, disability, long-term care, coverage for Medicare services pursuant to a contract with the United States government, Medicare supplement, dental only, vision only, insurance issued as a supplement to liability insurance, coverage arising out of a workers' compensation or similar law, hospital confinement, automobile medical payment insurance, or personal injury protection coverage issued pursuant to P.L. 1972, c.70 (39:6A-1 et seq.) and stop loss or excess risk insurance.

"Vision only policy or contract" means a policy or contract providing only benefits for vision services.

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