New Jersey Administrative Code
Title 17 - TREASURY - GENERAL
Chapter 9 - STATE HEALTH BENEFITS PROGRAM
Subchapter 13 - CHAPTER 375 DEPENDENTS
Section 17:9-13.6 - Notice of Termination of coverage for nonpayment of premiums

Universal Citation: NJ Admin Code 17:9-13.6

Current through Register Vol. 55, No. 48, December 18, 2023

(a) If a subscriber or dependent fails to make a required premium payment for a Chapter 375 dependent by the end of the month in which premium payment is due, the Division shall notify the subscriber or dependent of the overdue amount on the next billing statement. Such notice shall advise the subscriber or dependent that the Chapter 375 dependent's right to continue coverage will be terminated if payment of the overdue premium payment and the current premium payment due is not remitted to the Division within 30 days. If payment is not remitted within 30 days, the Division shall terminate the Chapter 375 dependent's coverage effective the last day of the month for which premiums were paid.

(b) A Chapter 375 dependent terminated for nonpayment of premiums is not eligible to re-enroll as a Chapter 375 dependent until the next regular open enrollment, provided the dependent still meets all Chapter 375 dependent eligibility criteria.

Amended by R.2009 d.150, effective 5/4/2009.
See: 41 N.J.R. 101(a), 41 N.J.R. 2037(a).
In (a), inserted "or dependent" three times.

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