New Jersey Administrative Code
Subchapter 2 - COVERAGE
Section 17:9-2.5 - Employee coverage requirements

Universal Citation: NJ Admin Code 17:9-2.5

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

(a) For each employee who shall elect to be covered, coverage shall become effective only after all of the following conditions have been satisfied:

1. The contract or contracts are effective;

2. In the case of local coverage, the employer's participation has been approved by the Commission;

3. The employee satisfies the definition of "employee," is eligible for coverage;

4. An enrollment form has been legibly completed by the employee and the certifying officer of the employer and filed with the Health Benefits Bureau of the Division within the prescribed time limits;

5. The employee has provided a valid Social Security number for each individual to be enrolled. A Tax Identification Number will be accepted when an employee or dependent is not eligible for a Social Security number. The employee must submit a valid Social Security number within six months of the birth or adoption of a child. Employees and dependents who are foreign nationals must provide a valid Social Security number once it is obtained; and

6. The employee has provided appropriate legal documentation for each dependent to be enrolled showing the dependent's relationship with the subscriber, as set forth in 17:9-3.3(a).

Amended by R.1973 d.8, effective 1/4/1973.
See: 4 N.J.R. 282(a), 5 N.J.R. 59(b).
Amended by R.2003 d.437, effective 11/3/2003.
See: 35 N.J.R. 2587(a), 35 N.J.R. 5149(a).
In (a): deleted the gender reference in the introductory paragraph, deleted "master" preceding "contract" in 1, rewrote 4 and added 5.
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)4, deleted "of Pensions and Benefits" following "Division", and deleted "and" from the end; in (a)5, substituted "; and" for a period at the end; and added (a)6.

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