New Jersey Administrative Code
Title 17 - TREASURY - GENERAL
Chapter 9 - STATE HEALTH BENEFITS PROGRAM
Subchapter 2 - COVERAGE
Section 17:9-2.12 - Extension of coverage charges

Universal Citation: NJ Admin Code 17:9-2.12

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

(a) For purposes of the payment of claims, if immediately prior to entry into the eligible classes, an employee or dependent was covered under the extension of coverage provisions, such coverage will be effective immediately but solely with respect to charges incurred in connection with the illness for which such person was covered under said extension if the following conditions are satisfied:

1. The charges would have been considered eligible charges had the extension not terminated;

2. The coverage under the extension would have not otherwise terminated.

(b) Full coverage subject to the regular rules shall begin on the payroll corresponding to the payroll on which deductions are resumed.

Recodified from N.J.A.C. 17:9-2.13 and amended by R.2003 d. 437, effective 11/3/2003.
See: 35 New Jersey Register 2587(a), 35 New Jersey Register 5149(a).
Former N.J.A.C. 17:9-2.12, Major Medical; eligible charges at enrollment (local employees), recodified to N.J.A.C. 17:9-2.11.

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