reglab/housing_qa huggingface dataset:
NJ Rev Stat § 17B:27-30.2 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27-30.2 - Requirements applicable to State Medicaid

17B:27-30.2. Requirements applicable to State Medicaid  12. An insurer shall not impose requirements on the Division of Medical Assistance and Health Services in the Department of Human Services which has been assigned the rights of an individual who is eligible for medical assistance under the State Medicaid program, that are different from requirements applicable to an agent or assignee of any other insured. L.1995,c.288,s.12.
NJ Rev Stat § 17B:27-30.3 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27-30.3 - Coverage provided by group health plan to subscriber's child.

17B:27-30.3 Coverage provided by group health plan to subscriber's child.  15. a. A group health plan as defined in section 607(1) of the "Employee Retirement Income Security Act of 1974," 29 U.S.C.1167(1) which provides hospital or medical expense benefits under which dependent coverage is available shall continue to make that coverage available for an adult child until the child turns 26 years of age. A plan shall not deny coverage for a covered employee's child on the grounds that: (1) The child was born out of wedlock; (2) The child is not claimed as a dependent on the covered employee's federal tax return; (3) The child does not reside with the covered employee or in the group health plan's service area, provided that, in the case of a managed care plan, the child complies with the terms and conditions of the plan with respect to the use of specified providers; (4) The child is married; (5) The child has or adopts a child; or (6) The child starts or leaves school. b. If a child has coverage through a group health plan of a noncustodial parent, the plan shall: (1) Provide such information to the custodial parent as may be necessary for the child to obtain benefits through the child's noncustodial parent's coverage; (2) Permit the custodial parent, or the health care provider with the authorization of the custodial parent, to submit claims for covered services without the approval of the noncustodial parent; and (3) Make payments on claims submitted in accordance with paragraph (2) of this subsection directly to the custodial parent, the health care provider or the Division of Medical Assistance and Health Services in the Department of Human Services which administers the State Medicaid program, as appropriate. c. When a parent who is the covered employee is eligible for dependent coverage and is required by a court or administrative order to provide health insurance coverage for his child, the group health plan shall: (1) Permit the parent to enroll his child as a dependent, without regard to any open enrollment restrictions; (2) Permit the child's other parent, or the Division of Medical Assistance and Health Services as the State Medicaid agency or the Division of Family Development as the State IV-D agency, in the Department of Human Services, to enroll the child under the group health plan if the parent who is the covered employee fails to enroll the child; and (3) Not terminate coverage of the child unless the parent who is the covered employee provides the group health plan with satisfactory written evidence that: the court or administrative order is no longer in effect; or the child is or will be enrolled in a comparable health benefits plan whose coverage will be effective on the date of the termination of coverage. L.1995, c.288, s.15; amended 2019, c.356 s.5.
NJ Rev Stat § 17B:27-30.4 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27-30.4 - Requirements applicable to State Medicaid

17B:27-30.4. Requirements applicable to State Medicaid  16. A group health plan as defined in section 607(1) of the "Employee Retirement Income Security Act of 1974," 29 U.S.C.1167(1) shall not impose requirements on the Division of Medical Assistance and Health Services in the Department of Human Services which has been assigned the rights of an individual who is eligible for medical assistance under the State Medicaid program, that are different from requirements applicable to an agent or assignee of any other covered employee. L.1995,c.288,s.16.
NJ Rev Stat § 17B:27-31 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27-31 - "Employees" defined

17B:27-31. "Employees" defined  The policy may provide that the term "employees" shall include as employees of a single employer the employees of one or more subsidiary corporations and the employees, individual proprietors and partners of affiliated corporations, proprietorships and partnerships if the business of the employer and such corporations, proprietorships or partnerships is under common control through stock ownership, contract or otherwise. The policy may provide that the term "employees" shall include the individual proprietor or partners of an individual proprietorship or a partnership. The policy may provide that the term "employees" shall include retired employees. A policy issued to trustees may provide that the term "employees" shall include the trustees or their employees, or both, if their duties are principally connected with such trusteeship. A policy issued to the trustees of a fund established by the members of an association of employers may provide that the term "employees" shall include the employees of the association. L.1971, c. 144, s. 17B:27-31.
NJ Rev Stat § 17B:27-33 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27-33 - Standard provisions

17B:27-33. Standard provisions  No policy of group health or blanket insurance and no certificate thereunder shall be delivered or issued for delivery in this State unless the policy contains in substance all the provisions specified in sections 17B:27-34 to 17B:27-46 following. L.1971, c. 144, s. 17B:27-33.
NJ Rev Stat § 17B:27-34 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27-34 - Application; statements

17B:27-34. Application; statements  There shall be a provision that a copy of the application, if any, of the policyholder shall be attached to the policy when issued, that all statements made by the policyholder or by the persons insured shall be deemed representations and not warranties, and that no statement made by any person insured shall avoid the insurance or reduce benefits thereunder unless contained in a written instrument signed by the person insured. L.1971, c. 144, s. 17B:27-34.
NJ Rev Stat § 17B:27-35 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27-35 - Policy changes

17B:27-35. Policy changes  There shall be a provision that no agent has authority to change the policy or to waive any of its provisions and that no change in the policy shall be valid unless approved by an officer of the insurer and evidenced by endorsement on the policy, or by amendment to the policy signed by the policyholder and the insurer. L.1971, c. 144, s. 17B:27-35.
NJ Rev Stat § 17B:27-36 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27-36 - New entrants

17B:27-36. New entrants  There shall be a provision that all new employees or new members, as the case may be, in the groups or classes eligible for such insurance must be added to such eligible groups or classes. L.1971, c. 144, s. 17B:27-36.
NJ Rev Stat § 17B:27-36.1 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27-36.1 - Eligibility for enrollment under policy providing hospital, medical expense benefits.

17B:27-36.1. Eligibility for enrollment under policy providing hospital, medical expense benefits.  6. Notwithstanding any other provision of law to the contrary, an insurer shall not consider a person's eligibility for medical assistance pursuant to P.L.1968, c.413 (C.30:4D-1 et seq.), or the equivalent statute in another state, when determining the person's eligibility for enrollment in, or the provision of benefits under, a policy providing hospital or medical expense benefits delivered, issued or executed in this State, or approved for issuance in this State by the Commissioner of Insurance. L.1995,c.291,s.6.
NJ Rev Stat § 17B:27-36.2 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27-36.2 - Group health insurance, policy, exclusion, rates, terms based on genetic information prohibited

17B:27-36.2. Group health insurance, policy, exclusion, rates, terms based on genetic information prohibited  15. Every group health insurance policy providing hospital or medical expense benefits that is delivered, issued, executed or renewed in this State pursuant to Chapter 27 of Title 17B of the New Jersey Statutes or approved for issuance or renewal in this State by the Commissioner of Banking and Insurance on or after the effective date of this act shall not exclude any person or eligible dependent and shall not establish any rates or terms therefor on the basis of an actual or expected health condition or on the basis of any genetic characteristic. For the purposes of this section, "genetic characteristic" means any inherited gene or chromosome, or alteration thereof, that is scientifically or medically believed to predispose an individual to a disease, disorder or syndrome, or to be associated with statistically increased risk of development of a disease, disorder or syndrome.  L.1996,c.126,s.14.
NJ Rev Stat § 17B:27-37 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27-37 - Payment of premiums

17B:27-37. Payment of premiums  There shall be a provision that all premiums due under the policy shall be remitted by the employer or employers of the persons insured, by the policyholder, or by some other designated person acting on behalf of the association or group insured, to the insurer on or before the due date thereof with such period of grace as may be specified therein. L.1971, c. 144, s. 17B:27-37.
NJ Rev Stat § 17B:27-38 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27-38 - Certificate

17B:27-38. Certificate  There shall be a provision that the insurer shall issue to the employer, the policyholder, or other person or association in whose name such policy is issued, for delivery to each employee or member, a certificate setting forth in summary form a statement of the essential features of the insurance coverage, to whom the benefits thereunder are payable, and in substance the provisions of sections 17B:27-39 to 17B:27-46, inclusive of this chapter. This section shall not apply to blanket policies issued pursuant to section 17B:27-32a(1) and 17B:27-32a(3) of this act, nor to group health policies insuring a private plan under the Temporary Disability Benefits Law, if reasonable notice of the benefits provided thereby is furnished to the covered employees by direct notification or by conspicuous posting at the place of employment. If family members or dependents are included in the coverage, only one certificate need be issued for each family unit. L.1971, c. 144, s. 17B:27-38.
NJ Rev Stat § 17B:27-39 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27-39 - Age limits

17B:27-39. Age limits  There shall be a provision specifying the ages, if any there be, to which the insurance provided therein shall be limited; and the ages, if any there be, for which additional restrictions are placed on benefits, and the additional restrictions placed on the benefits at such ages. L.1971, c. 144, s. 17B:27-39.
NJ Rev Stat § 17B:27-40 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27-40 - Notice of loss

17B:27-40. Notice of loss  There shall be a provision that written notice of sickness or of injury must be given to the insurer within 20 days after the date when such sickness or injury occurred. Failure to give notice within such time shall not invalidate nor reduce any claim if it shall be shown not to have been reasonably possible to give such notice and that notice was given as soon as was reasonably possible. L.1971, c. 144, s. 17B:27-40.
NJ Rev Stat § 17B:27-41 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27-41 - Proof of loss

17B:27-41. Proof of loss  There shall be a provision that in the case of claim for loss of time for disability, written proof of such loss must be furnished to the insurer within 30 days after the commencement of the period for which the insurer is liable, and that subsequent written proofs of the continuance of such disability must be furnished to the insurer at such intervals as the insurer may reasonably require, and that in the case of claim for any other loss, written proof of such loss must be furnished to the insurer within 90 days after the date of such loss. Failure to furnish such proof within such time shall not invalidate nor reduce any claim if it shall be shown not to have been reasonably possible to furnish such proof and that such proof was furnished as soon as was reasonably possible. L.1971, c. 144, s. 17B:27-41.
NJ Rev Stat § 17B:27-42 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27-42 - Forms for proof

17B:27-42. Forms for proof  There shall be a provision that the insurer will furnish to the person making claim, or to the policyholder for delivery to such person, such forms as are usually furnished by it for filing proof of loss. If the person making claim does not receive such forms before the expiration of 15 days after the insurer receives notice of any claim under the policy, the person making such claim shall be deemed to have complied with the requirements of the policy as to proof of loss upon submitting within the time fixed in the policy for filing proof of loss, written proof covering the occurrence, character and extent of the loss for which claim is made. L.1971, c. 144, s. 17B:27-42.
NJ Rev Stat § 17B:27-43 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27-43 - Examination, autopsy

17B:27-43. Examination, autopsy  There shall be a provision that the insurer shall have the right and opportunity to examine the person of the insured when and so often as it may reasonably require during the pendency of claim under the policy and also the right and opportunity to make an autopsy in case of death where it is not prohibited by law. L.1971, c. 144, s. 17B:27-43.
NJ Rev Stat § 17B:27-44 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27-44 - Time of benefit payment

17B:27-44. Time of benefit payment  There shall be a provision that all benefits payable under the policy other than benefits for loss of time will be payable not more than 60 days after receipt of proof, and that, subject to due proof of loss, all accrued benefits payable under the policy for loss of time will be paid not later than at the expiration of each period of 30 days during the continuance of the period for which the insurer is liable, and that any balance remaining unpaid at the termination of such period will be paid immediately upon receipt of such proof. L.1971, c. 144, s. 17B:27-44.
NJ Rev Stat § 17B:27-45 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27-45 - Beneficiary; direct payment to hospitals and other purveyors of services

17B:27-45. Beneficiary; direct payment to hospitals and other purveyors of services  There shall be a provision that indemnity for loss of life of the insured shall be payable to the beneficiary or beneficiaries designated by the insured, other than the policyholder or an officer thereof as such, or if no beneficiary is designated, to such other person or persons as shall be specified in the policy; and that all other indemnities of the policy are payable to the employee or member, except that, at the request of the employee or member or in the event of his death, payment of benefits to the extent of expenses incurred on account of hospitalization may be made by the insurer to the hospital and except that the group policy may provide that all or any portion of any benefits on account of hospital, nursing, medical or surgical services may, at the insurer's option, be paid directly to the hospital or person rendering such services provided, further, that authorization for any such payments has been obtained from the insured. If a beneficiary is designated, the consent of the beneficiary shall not be requisite to change of beneficiary or to any other changes in the policy or certificate except as may be specifically provided by the policy. This section shall not apply to a blanket insurance policy issued to an airline under which the benefits are payable to the airline or a trust established by the airline and the premiums are paid from its funds. L.1971, c. 144, s. 17B:27-45.
NJ Rev Stat § 17B:27-46 (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27-46 - Time limits, suits

17B:27-46. Time limits, suits  There shall be a provision that no action at law or in equity shall be brought to recover on the policy prior to the expiration of 60 days after proof of loss has been filed in accordance with the requirements of the policy and that no such action shall be brought at all unless brought within 3 years from the expiration of the time within which proof of loss is required by the policy. L.1971, c. 144, s. 17B:27-46.
NJ Rev Stat § 17B:27-46.1a (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27-46.1a - Reconstructive breast surgery; benefits

17B:27-46.1a. Reconstructive breast surgery; benefits  1. Every group health insurance policy providing hospital or medical expense benefits delivered, issued, executed or renewed in this State, or approved for issuance or renewal in this State by the Commissioner of Banking and Insurance on or after the effective date of this act, shall provide benefits, following a mastectomy on one breast or both breasts, for reconstructive breast surgery, surgery to restore and achieve symmetry between the two breasts, and the costs of prostheses and, under any policy providing outpatient x-ray or radiation therapy, the costs of outpatient chemotherapy following surgical procedures in connection with the treatment of breast cancer shall be included as a part of the outpatient x-ray or radiation therapy coverage. The provisions of this section shall apply to all policies in which the insurer has reserved the right to change the premium. Such benefits shall be provided to the same extent as for any other sickness under the policy. L.1983,c.52,s.1; amended 1997, c.75, s.5.
NJ Rev Stat § 17B:27-46.1b (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27-46.1b - Group health insurance policies

17B:27-46.1b. Group health insurance policies  Every group health insurance policy providing hospital or medical expense benefits delivered, issued, executed or renewed in this State, or approved for issuance or renewal in this State by the Commissioner of Insurance on or after the effective date of this amendatory and supplementary act, shall offer coverage for maternity care without regard to marital status to subscribers or other persons covered thereunder for expenses incurred in pregnancy and childbirth. The benefits for the expenses of pregnancy and childbirth shall be provided to the same extent as the hospitalization benefit is provided in the policy for any other covered illness. If a fixed amount is specified in the policy for surgery, the fixed amount for a pregnancy-related surgical procedure shall be commensurate with the fixed amount payable for a surgical procedure of comparable difficulty and severity.  L. 1985, c. 277, s. 2.
NJ Rev Stat § 17B:27-46.1c (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27-46.1c - Benefits for purchase of blood products, infusion equipment

17B:27-46.1c. Benefits for purchase of blood products, infusion equipment  Every group health insurance policy providing hospital expense benefits to any policy holder or other person covered thereunder for expenses incurred in connection with the treatment of routine bleeding episodes associated with hemophilia shall provide benefits for expenses incurred in connection with the purchase of blood products and blood infusion equipment required for home treatment of routine bleeding episodes associated with hemophilia when the home treatment program is under the supervision of a State approved hemophilia treatment center. The benefits shall be provided to the same extent as for any sickness under the policy.  As used in this act, "blood product" includes, but is not limited to, Factor VIII, Factor IX and cryoprecipitate; and "blood infusion equipment" includes, but is not limited to, syringes and needles.  Participation in a home treatment program shall not preclude further or additional treatment or care at any eligible facility if the number of home treatments, in accordance with a ratio of home treatments to benefit days established by regulation by the Commissioner of Insurance, does not exceed the total number of benefit days provided for any other sickness under the policy.  L. 1987, c. 63, s. 1.
NJ Rev Stat § 17B:27-46.1d (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27-46.1d - Commercial health insurer benefits for preexisting condition

17B:27-46.1d. Commercial health insurer benefits for preexisting condition  a. Notwithstanding any other provision of law to the contrary, no group health insurance policy issued by an insurer pursuant to the provisions of Chapter 27 of Title 17B of the New Jersey Statutes, shall contain any provision which denies benefits for a preexisting condition to any person becoming a member of that group if: (1) during the period immediately preceding the person's becoming a member of the group the person was enrolled as a member under another group policy issued by the insurer; and (2) the insurer paid benefits for the condition under the group policy in which the person was previously insured.  b. Nothing in this section shall be construed to operate to add any benefit, to increase the scope of any benefit, or to increase any benefit level under any group policy.  c. This section shall apply to every group contract or policy in which the corporation or insurer has the right to change the premium.  L.1989, c.63, s.4.
NJ Rev Stat § 17B:27-46.1e (2021)
2021 New Jersey Revised Statutes|Title 17B - Insurance|Section 17B:27-46.1e - Group health insurance policy to pay benefits for treatment of Wilm's tumor

17B:27-46.1e. Group health insurance policy to pay benefits for treatment of Wilm's tumor  Every group health insurance policy providing hospital or medical expense benefits shall provide benefits to any named insured or other person covered thereunder for expenses incurred in the treatment of Wilm's tumor, including autologous bone marrow transplants when standard chemotherapy treatment is unsuccessful, notwithstanding that any such treatment may be deemed experimental or investigational. These benefits shall be provided to the same extent as for any other sickness under the policy.  L.1990,c.71,s.5.