reglab/housing_qa huggingface dataset:
NJ Rev Stat § 17B:27B-25 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27B-25 - Rules, regulations.

17B:27B-25 Rules, regulations.  25. The commissioner shall adopt rules and regulations pursuant to the "Administrative Procedure Act," P.L.1968, c.410 (C.52:14B-1 et seq.) to carry out the purposes of this act. L.2001,c.267,s.25.
NJ Rev Stat § 17B:27C-1 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27C-1 - Short title.

17B:27C-1 Short title.  1. This act shall be known and may be cited as the "Self-Funded Multiple Employer Welfare Arrangement Regulation Act." L.2001,c.352,s.1.
NJ Rev Stat § 17B:27C-2 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27C-2 - Purposes of act.

17B:27C-2 Purposes of act.  2. The purposes of this act are to: a. provide for the registration of self-funded or partially self-funded multiple employer welfare arrangements; b. regulate self-funded or partially self-funded multiple employer welfare arrangements in order to ensure the financial integrity of the arrangements; c. provide reporting requirements for self-funded or partially self-funded multiple employer welfare arrangements; and d. provide for sanctions against self-funded or partially self-funded multiple employer welfare arrangements that do not comply with the provisions of this act. L.2001,c.352,s.2.
NJ Rev Stat § 17B:27C-3 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27C-3 - Definitions relative to self-funded multiple employer welfare arrangements.

17B:27C-3 Definitions relative to self-funded multiple employer welfare arrangements.  3. For purposes of this act: "Association" means a group of 100 or more persons organized and maintained in good faith for purposes other than that of obtaining insurance, in active existence for more than one year, having a constitution and bylaws that provide that: the association holds regular meetings not less than annually to further the purposes of the members; except for credit unions, the association collects dues or solicits contributions from members; and the members have voting privileges and representation on the governing board and committees. "Commissioner" means the Commissioner of Banking and Insurance. "Employee welfare benefit plan" has the meaning set forth in subsection (1) of 29 U.S.C. s.1002. "Large employer" means a member employer with more than 50 eligible employees, as defined by section 1 of P.L.1992, c.162 (C.17B:27A-17). "Multiple employer welfare arrangement" has the meaning set forth in subsection (40) of 29 U.S.C. s.1002. "Self-funded multiple employer welfare arrangement" means a self-funded or partially self-funded multiple employer welfare arrangement that provides for health benefits plans that has two or more employers who each have two or more employees and that has one or more of the employer members either domiciled in this State or its principal headquarters or principal administrative office located in this State. "Small employer" means the same as defined in section 1 of P.L.1992, c.162 (C.17B:27A-17). L.2001, c.352, s.3; amended 2015, c. 172, s.1.
NJ Rev Stat § 17B:27C-4 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27C-4 - Annual registration, fee.

17B:27C-4 Annual registration, fee.  4. A self-funded multiple employer welfare arrangement shall register annually with the commissioner and pay a registration fee established by the commissioner which shall not exceed $1,000. L.2001,c.352,s.4.
NJ Rev Stat § 17B:27C-5 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27C-5 - Deposit, maintenance of cash, securities.

17B:27C-5 Deposit, maintenance of cash, securities.  5. a. A self-funded multiple employer welfare arrangement shall deposit and continuously maintain with a financial institution licensed in this State, cash or securities as defined in N.J.S. 17B:18-37, having an admitted asset value of not less than $200,000. The deposit shall be held for the benefit and protection of all covered members of the self-funded multiple employer welfare arrangement. The self-funded multiple employer welfare arrangement shall further maintain a cash reserve for loss in an amount established by a qualified actuary as being adequate to provide for all incurred losses including unpaid claims. b. A self-funded multiple employer welfare arrangement shall maintain aggregate stop-loss coverage, with a retention level of 125 percent of expected claims per year, including provisions to cover incurred, unpaid claims liability in the event of the termination or liquidation of the self-funded multiple employer welfare arrangement, and specific stop-loss coverage, with a retention level determined annually by a qualified actuary based on sound actuarial principles. Any stop-loss contract maintained pursuant to this subsection shall contain a provision that the stop-loss insurer shall give the self-funded multiple employer welfare arrangement and the commissioner a minimum of 180 days' notice of cancellation or nonrenewal. If the self-funded multiple employer welfare arrangement fails to secure replacement coverage within 90 days after receipt of the notice of cancellation or nonrenewal, the trustees of the self-funded multiple employer welfare arrangement shall provide for the orderly liquidation of the self-funded multiple employer welfare arrangement. L.2001, c.352, s.5; amended 2015, c.172, s.2.
NJ Rev Stat § 17B:27C-6 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27C-6 - Required filings.

17B:27C-6 Required filings.  6. Each self-funded multiple employer welfare arrangement shall file all of the following with the commissioner: a. No later than May 15th of each calendar year or four months and 15 days after the end of each fiscal year of the self-funded multiple employer welfare arrangement, financial statements audited by a certified public accountant and on forms prescribed by the commissioner, an actuarial opinion rendered by a qualified actuary, a report of its Risk-Based Capital (RBC) as of the end of the immediately preceding calendar year, in a form and containing such information as is required by the instructions adopted by the National Association of Insurance Commissioners for health insurers, as amended from time to time and proof of the deposit required in accordance with section 5 of this act. The opinion shall be based on standards adopted from time to time by the Actuarial Standards Board and on any additional standards that the commissioner may prescribe by regulation. For purposes of this section and section 5 of this act, "qualified actuary" means a member in good standing of the American Academy of Actuaries who meets the requirements set forth in regulations of the commissioner. b. Within 60 days after the end of each fiscal quarter, unaudited financial statements on forms prescribed by the commissioner, affirmed by an appropriate officer or agent of the self-funded multiple employer welfare arrangement. c. Within 60 days after the end of each fiscal quarter, a report on forms prescribed by the commissioner certifying that the self-funded multiple employer welfare arrangement maintains cash or liquid assets in a claim reserve account sufficient to meet the requirements of section 5 of this act. d. The information required to be filed pursuant to subsections a., b., and c. of this section shall be certified by an officer of the self-funded multiple employer welfare arrangement.  e. A majority of the board of trustees of a self-funded multiple employer welfare arrangement shall represent participating employer members, and at least one trustee shall be a non-participating independent trustee chosen by a majority vote of the trustees. f. The self-funded multiple employer welfare arrangement shall establish and maintain a website upon which all of the filings required pursuant to this section and information concerning its governance and financial performance shall be publicly available for a period of at least five years after the reporting period. This website shall also, at all times, indicate the status of the deposit required to be continuously maintained with a financial institution licensed in this State, pursuant to subsection a. of section 5 of P.L.2001, c.352 (C.17B:27C-5) and the name of that institution. L.2001, c.352, s.6; amended 2015, c.172, s.3.
NJ Rev Stat § 17B:27C-9 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27C-9 - Examination of loss reserves.

17B:27C-9 Examination of loss reserves.  9. a. The commissioner may, upon reasonable notice, conduct an examination of the loss reserves of a self-funded multiple employer welfare arrangement as often as the commissioner in his discretion may deem necessary. The expenses of the examination shall be paid by the self-funded multiple employer welfare arrangement so examined. The commissioner shall also annually review the RBC report of the self-funded multiple employer welfare arrangement. b. If the commissioner finds that the reserves are inadequate, he shall notify the self-funded multiple employer welfare arrangement of the inadequacy. Capital and surplus shall be automatically considered inadequate if they do not meet or exceed the following: (1) for the calendar year ending December 31, 2002, 80 percent of the regulatory action level RBC determined in accordance with the RBC instructions; (2) for the calendar year ending December 31, 2003, 90 percent of the regulatory action level RBC determined in accordance with the RBC instructions; (3) for the calendar year ending December 31, 2004, 95 percent of the regulatory action level RBC determined in accordance with the RBC instructions; and (4) for the calendar years ending on or after December 31, 2005, the regulatory action level RBC determined in accordance with the RBC instructions. Within 30 days the self-funded multiple employer welfare arrangement shall file and implement a plan to correct the inadequacy. The inadequacy shall be corrected within 90 days of the implementation of the plan to correct the inadequacy. L.2001,c.352,s.9.
NJ Rev Stat § 17B:27C-10 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27C-10 - Revocation, suspension of certificate of registration; violations, penalties.

17B:27C-10 Revocation, suspension of certificate of registration; violations, penalties.  10. a. The commissioner may revoke or suspend the certificate of registration of any self-funded multiple employer welfare arrangement that fails to correct any inadequacy pursuant to section 9 of this act or violates any provision of this act. b. Any person who violates any provision of this act or the rules and regulations issued pursuant thereto shall be liable to a penalty of not more than $1,000 for a first offense and not more than $5,000 for each subsequent offense. L.2001,c.352,s.10.
NJ Rev Stat § 17B:27C-11 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27C-11 - Rehabilitation, liquidation, conservation, dissolution.

17B:27C-11 Rehabilitation, liquidation, conservation, dissolution.  11. Any rehabilitation, liquidation, conservation or dissolution of a self-funded multiple employer welfare arrangement shall be conducted under the supervision of the State Superior Court in the county in which the self-funded multiple employer welfare arrangement has its principal office. L.2001,c.352,s.11.
NJ Rev Stat § 17B:27C-12 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27C-12 - Rules, regulations.

17B:27C-12 Rules, regulations.  12. The commissioner, in accordance with the "Administrative Procedure Act," P.L.1968, c.410 (C.52:14B-1 et seq.), may adopt rules and regulations necessary to effectuate the purposes of this act. L.2001,c.352,s.12.
NJ Rev Stat § 17B:27D-1 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27D-1 - Findings, declarations relative to mandated health benefits

17B:27D-1. Findings, declarations relative to mandated health benefits  1. The Legislature finds and declares that: a. Health benefits coverage, while providing important protection for individuals, is costly for individuals and businesses that insure their employees; b. Mandated health benefits have social, financial and medical implications for patients, providers and health benefits plans; and c. It is, therefore, in the public interest to conduct a review of proposed mandated health benefits by an expert body to provide the Legislature with adequate and independent documentation defining the social and financial impact and medical efficacy of the proposed mandate. L.2003,c.193,s.1.
NJ Rev Stat § 17B:27D-2 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27D-2 - Definitions relative to mandated health benefits

17B:27D-2. Definitions relative to mandated health benefits  2. As used in this act: "Carrier" means an insurance company, health service corporation, hospital service corporation, medical service corporation or health maintenance organization authorized to issue health benefits plans in this State. "Commission" means the Mandated Health Benefits Advisory Commission established pursuant to this act. "Health benefits plan" means a benefits plan which pays or provides hospital and medical expense benefits for covered services, and is delivered or issued for delivery in this State by or through a carrier. For the purposes of this act, health benefits plan shall not include the following plans, policies or contracts: accident only, credit, disability, long-term care, coverage arising out of a workers' compensation or similar law, automobile medical payment insurance, personal injury protection insurance issued pursuant to P.L.1972, c.70 (C.39:6A-1 et seq.) or hospital confinement indemnity coverage. "Mandated health benefit" or "mandate" means: a benefit or coverage that is required by law to be provided by a carrier and includes: coverage for specific health care services, treatments or practices; or direct reimbursement to specific health care providers. L.2003,c.193,s.2.
NJ Rev Stat § 17B:27D-3 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27D-3 - Mandated Health Benefits Advisory Commission

17B:27D-3. Mandated Health Benefits Advisory Commission  3. There is established the Mandated Health Benefits Advisory Commission to study the social, financial and medical impact of proposed mandated health benefits. L.2003,c.193,s.3.
NJ Rev Stat § 17B:27D-4 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27D-4 - Membership; terms; vacancies.

17B:27D-4 Membership; terms; vacancies.  4. The commission shall consist of 17 voting members as follows: the Commissioners of Health, Human Services and Banking and Insurance or their designees, who shall serve ex officio; three public members appointed by the President of the Senate, who shall include a representative of a commercial health insurance company, a physician licensed in this State who is a member of the Medical Society of New Jersey, and a representative of the New Jersey Business and Industry Association, no more than two of whom shall be from the same political party; three public members appointed by the Speaker of the General Assembly, who shall include a representative of a health service corporation, a physician licensed in this State, and a representative of organized labor, no more than two of whom shall be from the same political party; and eight public members appointed by the Governor, who shall include a medical educator from Rutgers, The State University whose major field of expertise is the study and evaluation of the cost of health care and health insurance, a representative of the New Jersey Association of Health Plans, a representative of the New Jersey Hospital Association, a representative of the New Jersey State Nurses Association, a representative of the New Jersey Dental Association, a representative of a consumer advocacy organization and two representatives of the general public who are knowledgeable about health benefits plans. The President of the Senate may appoint two members of the Senate, no more than one of whom shall be from the same political party, to serve as nonvoting members of the commission. The Speaker of the General Assembly may appoint two members of the General Assembly, no more than one of whom shall be from the same political party, to serve as nonvoting members of the commission. The legislative members shall serve during their legislative term of office. Of the voting members first appointed, four shall serve for a term of two years, four for a term of three years, and three for a term of four years. Voting members appointed thereafter shall serve four-year terms, and any vacancy shall be filled by appointment for the unexpired term only. A member is eligible for reappointment. Vacancies in the membership of the commission shall be filled in the same manner as the original appointments were made. L.2003, c.193, s.4; amended 2012, c.17, s.61; 2012, c.45, s.66.
NJ Rev Stat § 17B:27D-5 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27D-5 - Election of chairman, vice chairman, appointment of secretary; meetings.

17B:27D-5 Election of chairman, vice chairman, appointment of secretary; meetings.  5. a. The commission shall organize and hold its first meeting within 90 days after the appointment of its members and shall elect a chairman and a vice chairman from among its members. The commission may appoint a secretary, who need not be a member of the commission. b. The members of the commission shall serve without compensation but may be allowed their actual and necessary expenses incurred in the performance of their duties within the limits of funds appropriated or otherwise made available to the commission for this purpose. c. The Department of Banking and Insurance, in consultation with the Department of Health, shall assist the commission in the performance of its duties. d. The commission shall be entitled to call upon the services of any State, county or municipal department, board, commission or agency as it may require and as may be available to it for these purposes, and to incur such traveling and other miscellaneous expenses as it may deem necessary for the proper execution of its duties and as may be within the limit of funds appropriated or otherwise made available to it for these purposes. e. The commission shall meet regularly, and at a minimum of four times per year. Special meetings may be called by the chairman of the commission. L.2003, c.193, s.5; amended 2012, c.17, s.62.
NJ Rev Stat § 17B:27D-8 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27D-8 - Development of system of data collection; review, comment.

17B:27D-8 Development of system of data collection; review, comment.  8. In the course of studying and evaluating proposed mandated health benefits, the commission shall: a. develop criteria for a system and program of data collection, for use by the Departments of Health and Banking and Insurance, to assess the impact of mandated health benefits, including the cost to employers and carriers, impact of treatment, cost savings in the health care system, number of providers, and other data as may be appropriate; and b. review and comment to any State department, board, bureau, commission, or agency, with respect to any order or regulations proposed or implemented thereby that affect mandated health benefits. L.2003, c.193, s.8; amended 2012, c.17, s.65.
NJ Rev Stat § 17B:27D-9 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27D-9 - Report to Governor, Legislature

17B:27D-9. Report to Governor, Legislature  9. The commission shall report to the Governor and Legislature three years from the effective date of this act on its activities. The report shall include a summary of the bills reviewed by the commission and the commission's findings, and any recommendations the commission may have regarding the review process required pursuant to this act. L.2003,c.193,s.9.
NJ Rev Stat § 17B:27D-10 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27D-10 - Report by Mandated Health Benefits Advisory Commission.

17B:27D-10 Report by Mandated Health Benefits Advisory Commission.  13. a. Notwithstanding the provisions of any other law to the contrary, the Mandated Health Benefits Advisory Commission established pursuant to section 3 of P.L.2003, c.193 (C.17B:27D-3), shall prepare a report regarding the implementation and administration of P.L.2013, c.196 (C.26:2-184.3 et al.) at least once in each five-year period following the effective date of P.L.2013, c.196 (C.26:2-184.3 et al.).  b. The report shall provide a summary of the social and financial impact, as well as the medical efficacy, of the requirements imposed by P.L.2013, c.196 (C.26:2-184.3 et al.), and shall provide a summary of any recommendations the commission may have to improve the effectiveness of P.L.2013, c.196 (C.26:2-184.3 et al.).  c. The commission shall transmit a copy of a report prepared in accordance with this section to the Governor, and to the Legislature, in accordance with section 2 of P.L.1991, c.164 (C.52:14-19.1), within five days of the date the report is prepared. L.2013, c.196, s.13.
NJ Rev Stat § 17B:27D-11 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27D-11 - Work group regarding risk factors for breast cancer, breast imaging options.

17B:27D-11 Work group regarding risk factors for breast cancer, breast imaging options.  14. a. The Department of Health, in conjunction with the Medical Society of New Jersey, shall convene a work group to review and report on strategies to improve the dialogue between patients and health care professionals regarding risk factors for breast cancer and breast imaging options. The work group shall review breast imaging standards, the federal Mammography Quality Standards Act and breast imaging results protocols, and shall recommend strategies to improve the dialogue between patients and health care professionals regarding breast density and breast imaging options.  b. The department shall invite to participate in the work group representatives of patient advocacy groups and health care professionals' organizations. The work group shall organize as soon as practicable following the appointment of its members. The members of the work group shall serve without compensation, but shall be reimbursed for necessary expenses incurred in the performance of their duties and within the limits of funds available to the work group. c. The work group shall be entitled to call to its assistance and avail itself of the services of the employees of any State, county, or municipal department, board, bureau, commission, or agency as the work group may require and as may be available to the work group for its purposes. d. The work group shall report its findings and recommendations to the Governor, and to the Legislature pursuant to section 2 of P.L.1991, c.164 (C.52:14-19.1), along with any legislative bills that it desires to recommend for adoption by the Legislature, on an annual basis. The work group shall submit its first report no later than 12 months after the initial meeting of the work group. L.2013, c.196, s.14.
NJ Rev Stat § 17B:27E-1 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27E-1 - Purpose of act on long-term care insurance

17B:27E-1. Purpose of act on long-term care insurance  1. The purpose of this act is to promote the public interest, to promote the availability of long-term care insurance policies, to protect applicants for long-term care insurance from unfair or deceptive sales or enrollment practices, to establish standards for long-term care insurance, to facilitate public understanding and comparison of long-term care insurance policies, and to facilitate flexibility and innovation in the development of long-term care insurance coverage. L.2003,c.207,s.1.