New Jersey Administrative Code
Title 11 - INSURANCE
Chapter 4 - ACTUARIAL SERVICES
Subchapter 50 - REIMBURSEMENT OF INMATE HEALTH CARE COSTS
Section 11:4-50.2 - Definitions

Universal Citation: NJ Admin Code 11:4-50.2
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 text clearly indicates otherwise:

"Confinement" means incarceration, detention or commitment to any institution.

"Correctional medical services subcontractor" and "correctional medical services health care provider" are those private associations, agencies or companies hired or contracted by the State or counties to provide medical care, services, or products to inmates.

"Covered person" means any person who is covered by a health coverage plan but not as an enrollee.

"Enrollee" means a person who receives or subscribes to a policy, contract, certificate, evidence of coverage or other proof of coverage from the health coverage plan that covers that person for health benefits and expenses.

"Health coverage plan" means any hospital or medical expense insurance policy; health, hospital or medical service corporation contract or certificate; or health maintenance organization ("HMO") subscriber contract or evidence of coverage; dental plan organization, contract or certificate ("DPO"); dental service corporation, contract or certificate ("DSC"); or vision plan.

"Inmate" means any person sentenced to confinement or held in pretrial detention in an institution.

"Institution" refers to any State correctional facility, State contracted half-way house, county jail, county correctional or detention facility.

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