New Jersey Administrative Code
Title 17 - TREASURY - GENERAL
Chapter 9 - STATE HEALTH BENEFITS PROGRAM
Subchapter 13 - CHAPTER 375 DEPENDENTS
Section 17:9-13.2 - Enrollment

Universal Citation: NJ Admin Code 17:9-13.2

Current through Register Vol. 56, No. 24, December 18, 2024

(a) Enrollment of a Chapter 375 eligible dependent is voluntary. A separate election will be required for enrollment, change in, or a voluntary termination of coverage for a Chapter 375 eligible dependent. If an employee or retiree (subscriber) does not elect coverage for a Chapter 375 eligible dependent by December 31, 2007, the subscriber may thereafter enroll the dependent as follows:

1. Submission of an enrollment application and certificate of creditable coverage to the Division no later than 60 days after the dependent meets all eligibility criteria under N.J.A.C. 17:9-13.1. Coverage will be effective the first coverage period of the month, 60 days after the dependent meets all eligibility criteria, unless proof is provided that other coverage was lost; in such cases, coverage is retroactive.

2. In the event a subscriber does not submit an enrollment application to the Division within 60 days after the dependent meets all eligibility criteria under N.J.A.C. 17:9-13.1, the subscriber can only enroll the dependent during the annual October open enrollment period. If the dependent meets all eligibility criteria, coverage will be effective the first coverage period in January, following the open enrollment period.

(b) A subscriber who elects to enroll a dependent as a Chapter 375 dependent must report the dependent's qualifying status on the enrollment form and such signed enrollment form shall constitute the subscriber's certification that such dependent is the subscriber's child by blood or law and that such dependent satisfies, or will satisfy at the time of coverage, all eligibility criteria under N.J.A.C. 17:9-13.1. The subscriber is under a continuing obligation to immediately report any change in the dependent's qualifying status to the Division.

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