reglab/housing_qa huggingface dataset:
NJ Rev Stat § 17:48C-28 (2021)
2021 New Jersey Revised Statutes|Title 17 - Corporations and Institutions for Finance and Insurance|Section 17:48C-28 - Examination of assets and affairs

17:48C-28. Examination of assets and affairs  (a) The commissioner shall have the power, whenever he deems the same expedient, to make or cause to be made an examination of the assets and liabilities, method of conducting business and all other affairs of every dental service corporation authorized or which has made application for authority to transact business under the provisions of this act. For the purpose of such examination the commissioner may commission and employ such persons to conduct the same or to assist therein as he may deem advisable, which examination may be conducted in any State in which the corporation examined has an office, agent or place of business. (b) The reasonable expense of such examination shall be fixed and determined by the commissioner and he shall collect the same from the corporation examined, which shall pay same on presentation of a detailed account of such expense. In case any corporation, after such examination, shall be adjudged by the Superior Court to be insolvent, the expense of such examination, if unpaid, shall be ordered paid out of the assets of the corporation. No dental service corporation shall, either directly or indirectly, pay, by way of gift, credit or otherwise, any other or further sum to the commissioner or to any person in the employ of the Department of Banking and Insurance, for extra service or for purposes of legislation, or for any other purpose whatsoever. (c) It shall be the duty of the officers, agent and employees of any such corporation to exhibit all its books, records and accounts for the purpose of such examination and otherwise to facilitate the same so far as it may be in their power to do so, and for that purpose the commissioner and his deputies, assistants, and employees shall have the power to examine, under oath, the officers, agents and employees of any such corporation relative to its business and affairs. L.1968, c. 305, s. 28, eff. Sept. 26, 1968.
NJ Rev Stat § 17:48C-28.1 (2021)
2021 New Jersey Revised Statutes|Title 17 - Corporations and Institutions for Finance and Insurance|Section 17:48C-28.1 - Definitions.

17:48C-28.1 Definitions.  21. As used in sections 21 through 25 of P.L.2014, c.81 (C.17:48C-28.1 through C.17:48C-28.5): "Commissioner" means the Commissioner of Banking and Insurance. "Dental service corporation" means an entity authorized to transact business in this State pursuant to P.L.1968, c.305 (C.17:48C-1 et seq.). L.2014, c.81, s.21.
NJ Rev Stat § 17:48C-28.3 (2021)
2021 New Jersey Revised Statutes|Title 17 - Corporations and Institutions for Finance and Insurance|Section 17:48C-28.3 - Determination of increase, revision or redetermination; factors.

17:48C-28.3 Determination of increase, revision or redetermination; factors.  23. In determining any increase, revision or redetermination in the capital or surplus of a dental service corporation pursuant to the provisions of section 22 of P.L.2014, c.81 (C.17:48C-28.2) the commissioner shall take into account the following factors: a. Methods and techniques used to measure risk exposure and variability; b. The information available relating to the magnitude of the various risks described in section 22 of P.L.2014, c.81 (C.17:48C-28.2); c. The extent to which risks described in section 22 of P.L.2014, c.81 (C.17:48C-28.2) are independent or interrelated, and whether any dependency is direct or inverse; d. The extent to which the dental service corporation has provided protection against contingencies in ways other than the establishment of surplus, including, but not limited to: redundancy of premiums; margin in reserves and liabilities; adjustability of contracts pursuant to the terms of the contracts; voluntary or mandatory investment valuation reserves; reinsurance; the use of conservative actuarial assumptions to provide a margin of security; reserve adjustments after rate increases for policies written at earlier and less adequate rates; contingency or catastrophe reserves; and diversification of assets and underwriting risk; and e. Any other relevant factors, including the National Association of Insurance Commissioners' reports and independent judgments of the soundness of the dental service corporation's financial condition, as evidenced by the rating and reports of reliable professional financial services. L.2014, c.81, s.23.
NJ Rev Stat § 17:48C-28.4 (2021)
2021 New Jersey Revised Statutes|Title 17 - Corporations and Institutions for Finance and Insurance|Section 17:48C-28.4 - Suspension, revocation of authority to do business.

17:48C-28.4 Suspension, revocation of authority to do business.  24. The commissioner may suspend or revoke the authority to do business in this State of any dental service corporation that does not comply with the provisions of sections 21 through 25 of P.L.2014, c.81 (C.17:48C-28.1 through C.17:48C-28.5). L.2014, c.81, s.24.
NJ Rev Stat § 17:48C-28.5 (2021)
2021 New Jersey Revised Statutes|Title 17 - Corporations and Institutions for Finance and Insurance|Section 17:48C-28.5 - Rules, regulations.

17:48C-28.5 Rules, regulations.  25. The commissioner may promulgate regulations pursuant to the "Administrative Procedure Act," P.L.1968, c.410 (C.52:14B-1 et seq.) necessary to effectuate the purposes of sections 21 through 25 of P.L.2014, c.81 (C.17:48C-28.1 through C.17:48C-28.5). Such rules and regulations shall be consistent with the standards for risk based capital for health organizations adopted by the National Association of Insurance Commissioners. L.2014, c.81, s.25.
NJ Rev Stat § 17:48C-30 (2021)
2021 New Jersey Revised Statutes|Title 17 - Corporations and Institutions for Finance and Insurance|Section 17:48C-30 - Violations of chapter; penalty and recovery thereof; misdemeanors

17:48C-30. Violations of chapter; penalty and recovery thereof; misdemeanors  Any dental service corporation which shall have violated any of the provisions of, or shall have neglected, failed or refused to comply with, any of the requirements of this act, except the failure to file an annual statement and the failure to reply in writing to inquiries of the commissioner, shall be liable to a penalty of $500.00, to be sued for and collected by the commissioner in a civil action in the name of the State. The penalties when recovered shall be paid by the commissioner into the State Treasury for the use of the State. Any officer, agent, employee or member of any such corporation or any other person who shall issue, circulate or cause or permit to be circulated, any estimate, illustration, circular of any sort misrepresenting the terms of any contract issued by such corporation or misrepresent the benefits or advantages promised thereby, or use any name or title of any contract or class of contracts misrepresenting the true nature thereof shall be guilty of a misdemeanor. L.1968, c. 305, s. 30, eff. Sept. 26, 1968.
NJ Rev Stat § 17:48C-31 (2021)
2021 New Jersey Revised Statutes|Title 17 - Corporations and Institutions for Finance and Insurance|Section 17:48C-31 - Grants or allocation of funds

17:48C-31. Grants or allocation of funds  A dental service corporation may receive and accept from any governmental agencies, Federal, State or local, any grant or allocation of funds for the purpose of providing payment for dental services to eligible persons under such terms or conditions as shall be specified by such agency. Any dental service corporation may in its discretion accept the grant of funds from private agencies, corporations, associations, groups of individuals or individuals for the purpose of providing dental services to needy persons under such conditions as shall be satisfactory to such persons or organizations and to the corporation. All funds received under such grants shall be segregated in a separate fund or funds to be used for the purposes agreed upon. Neither the income from subscribers to the corporation, nor the assets accumulated from income received from subscribers shall be available for the payment of any obligations assumed by the corporation under such grants, nor shall any funds received through such grants be available for the payment of the obligations assumed by the corporation under its subscription certificates. The authority of the commissioner under the provisions of this act shall not extend to funds received under such grants except to such extent as is necessary to satisfy him that the requirements of this act have been complied with. L.1968, c. 305, s. 31, eff. Sept. 26, 1968.
NJ Rev Stat § 17:48C-32 (2021)
2021 New Jersey Revised Statutes|Title 17 - Corporations and Institutions for Finance and Insurance|Section 17:48C-32 - Corporation as charitable and benevolent institution; tax exemption

17:48C-32. Corporation as charitable and benevolent institution; tax exemption  Every dental service corporation is hereby declared to be a charitable and benevolent institution, and its funds and property shall be exempt from taxation by the State or any political subdivision thereof. L.1968, c. 305, s. 32, eff. Sept. 26, 1968.
NJ Rev Stat § 17:48C-33 (2021)
2021 New Jersey Revised Statutes|Title 17 - Corporations and Institutions for Finance and Insurance|Section 17:48C-33 - Partial invalidity

17:48C-33. Partial invalidity  Should any provision or section of this act be held invalid for any reason, such holding shall not be construed as affecting the validity of any remaining portion of such section or of this act, it being intent of the Legislature that this act shall stand notwithstanding the invalidity of any such provision or section. L.1968, c. 305, s. 33, eff. Sept. 26, 1968.
NJ Rev Stat § 17:48C-34 (2021)
2021 New Jersey Revised Statutes|Title 17 - Corporations and Institutions for Finance and Insurance|Section 17:48C-34 - Application of act

17:48C-34. Application of act  No person, association or corporation shall engage in any activity provided for in this act unless organized and authorized in accordance with its provisions; but this shall not preclude activities authorized under other enabling acts, nor shall it apply to any arrangement or activity which is subject to regulation under other applicable law of this State or of the United States. L.1968, c. 305, s. 34, eff. Sept. 26, 1968.
NJ Rev Stat § 17:48C-35 (2021)
2021 New Jersey Revised Statutes|Title 17 - Corporations and Institutions for Finance and Insurance|Section 17:48C-35 - Liberal construction

17:48C-35. Liberal construction  This act shall be liberally construed to the end that its objectives may be achieved with maximum flexibility and variety. L.1968, c. 305, s. 35, eff. Sept. 26, 1968.
NJ Rev Stat § 17:48C-36 (2021)
2021 New Jersey Revised Statutes|Title 17 - Corporations and Institutions for Finance and Insurance|Section 17:48C-36 - Short title

17:48C-36. Short title  This act shall be known and may be referred to by its short title as the "Dental Service Corporation Act of 1968." L.1968, c. 305, s. 36, eff. Sept. 26, 1968.
NJ Rev Stat § 17:48D-1 (2021)
2021 New Jersey Revised Statutes|Title 17 - Corporations and Institutions for Finance and Insurance|Section 17:48D-1 - Title of act

17:48D-1. Title of act  This act shall be known and may be cited as the "Dental Plan Organization Act." L.1979, c. 478, s. 1.
NJ Rev Stat § 17:48D-2 (2021)
2021 New Jersey Revised Statutes|Title 17 - Corporations and Institutions for Finance and Insurance|Section 17:48D-2 - Definitions.

17:48D-2 Definitions.  2. In this act, unless the context otherwise requires: "Capitation" means a method of compensation by a dental plan organization to its contracted dentists for dental services and supplies provided to covered persons of the dental plan organization on the basis of a fixed periodic payment per covered person or enrollee; "Commissioner" means the Commissioner of Banking and Insurance; "Consultant" means a person who holds himself out as an advisor or renders advice on the organization, financing, administration or operation of a dental plan to any employer, union, trust fund or dental plan organization; "Covered person" means any person eligible to receive covered benefits or services and supplies under the terms of a dental plan; "Dental plan" means any contractual arrangement for dental services and supplies to covered persons where contracted dentists are compensated by means of capitation, salary or a method authorized, submitted to and approved by the commissioner; "Dental plan organization" or "DPO" means any person who undertakes to provide directly or to arrange for or administer one or more dental plans providing dental services and supplies; "Dental services" means services included in the practice of dentistry as defined in R.S.45:6-19; "Enrollee" means an individual whose employment or other status, except family dependency, is the basis for eligibility for enrollment in the dental plan, or in the case of an individual contract, the person in whose name the contract is issued; "Evidence of coverage" means any certificate, agreement or contract issued to an enrollee, setting out the dental services and supplies to which the enrollee and his dependents are entitled; "Finder" means a person who brings together a dental plan organization with an employer, union or trust fund for the purpose of establishing a contractual relationship to provide dental services, or facilities or equipment related to the operation of the dental plan or dental plan organization; "National Association of Insurance Commissioners" or "NAIC" means the National Association of Insurance Commissioners, its affiliates, or subsidiaries, or any agency or committee thereof, or any successor organization. L.1979,c.478,s.2; amended 1983, c.24, s.1; 2005, c.38, s.1.
NJ Rev Stat § 17:48D-3.1 (2021)
2021 New Jersey Revised Statutes|Title 17 - Corporations and Institutions for Finance and Insurance|Section 17:48D-3.1 - Consultants

17:48D-3.1. Consultants  No person shall be employed as a consultant by an employer, union, trust fund or dental plan organization or applicant, except in accordance with the provisions of this section. A consultant, entering into a contract or agreement to provide consulting services on a dental plan, shall provide a copy of the contract or agreement to the commissioner for his approval. In addition to the contract or agreement, the consultant shall provide the commissioner with a list of all sources and amounts of income received from consulting work within the preceding 5 years, and income received or anticipated to be received in the year the contract or agreement is submitted for approval, and such other information as may be required by the commissioner. No person shall be employed as a consultant who: a. Within 7 years of his employment as a consultant has been convicted of a crime listed in N.J.S. 2C:41-1; or b. At any time has been convicted of engaging in a pattern of racketeering activity, as defined in N.J.S. 2C:41-1 and 2C:41-2. In accordance with standards established by the commissioner, the commissioner may disapprove the contract or agreement within 90 days following receipt thereof. Any person employed as a consultant on the operative date of this act shall, within 30 days thereof, satisfy the requirements of this section. Unless the commissioner disapproves the contract or agreement as herein provided, the consultant shall continue to render consulting services under the terms and conditions of the contract or agreement insofar as its terms and conditions are not inconsistent with the provisions of this act. L.1983, c. 24, s. 7.
NJ Rev Stat § 17:48D-3.2 (2021)
2021 New Jersey Revised Statutes|Title 17 - Corporations and Institutions for Finance and Insurance|Section 17:48D-3.2 - Fiduciary capacity of consultants; compensation

17:48D-3.2. Fiduciary capacity of consultants; compensation  A consultant shall be a fiduciary of the employer, union, trust fund or dental plan organization with which employed and shall not be entitled to: a. Any compensation in excess of the amount specified in the contract or agreement for consulting services; or b. Any compensation whatsoever, either as a consultant or in any other capacity, from any person associated with the dental plan, other than with whom the contract or agreement for consulting services has been entered into. L.1983, c. 24, s. 8.
NJ Rev Stat § 17:48D-3.3 (2021)
2021 New Jersey Revised Statutes|Title 17 - Corporations and Institutions for Finance and Insurance|Section 17:48D-3.3 - Report regarding finders

17:48D-3.3. Report regarding finders  A dental plan organization, employer, union or trust fund shall report to the commissioner the name and address of, and the amount of any fee paid to a finder within 30 days of the use or employment of the finder or within 30 days of the operative date of this act, whichever is later. L.1983, c. 24, s. 9.
NJ Rev Stat § 17:48D-4 (2021)
2021 New Jersey Revised Statutes|Title 17 - Corporations and Institutions for Finance and Insurance|Section 17:48D-4 - Notice of modification of information.

17:48D-4 Notice of modification of information.  4. Sixty days prior to any significant modification of information submitted with the application for a certificate of authority or a subsequent modification, a dental plan organization shall file notice of the modification with the commissioner. L.1979,c.478,s.4; amended 2005, c.38,s.3.
NJ Rev Stat § 17:48D-5 (2021)
2021 New Jersey Revised Statutes|Title 17 - Corporations and Institutions for Finance and Insurance|Section 17:48D-5 - Conditions for issuance; notice of disapproval.

17:48D-5 Conditions for issuance; notice of disapproval.  5. a. The commissioner shall issue a certificate of authority if he is satisfied that the following conditions are met: (1) The persons responsible for conducting the affairs of the dental plan organization are competent and trustworthy and are professionally capable of providing, arranging for or administering the services offered by the plan; (2) The dental plan organization constitutes an appropriate mechanism to achieve an effective dental plan, as determined by the commissioner; (3) The dental plan organization has demonstrated the potential to provide dental services in a manner that will assure both availability and accessibility of adequate personnel and facilities; (4) The dental plan organization has arrangements for an ongoing quality of dental care assurance program; (5) The dental plan organization has a procedure to establish and maintain uniform systems of cost accounting and reports and audits that meet the requirements of the commissioner; (6) The dental plan organization is financially responsible and may reasonably be expected to meet its obligations to covered persons. In making this determination the commissioner shall consider: (a) The financial soundness of the dental plan's arrangements for services and the schedule of premiums used; (b) Any arrangement with an insurer or medical or dental service corporation for continuation of coverage in the event of discontinuance of the plan, on an indemnity basis through a group vehicle to the end of the period for which premiums were paid to the discontinued dental plan organization; and (c) The sufficiency of an agreement with dentists for the provision of dental services; (7) A general surplus is maintained as required in section 6 of this act; (8) A contingent surplus is accumulated and maintained as required in section 7 of this act; (9) The condition or methods of operation of the dental plan organization are not such as would render its operations hazardous to its enrollees or the public; and (10) The persons responsible for conducting the affairs of the dental plan organization are: (a) of good moral character, and (b) have not been convicted, within 7 years of the filing of the application for a certificate of authority, of a crime listed in N.J.S.2C:41-1 or, at any time, of engaging in a pattern of racketeering activity, as defined in N.J.S.2C:41-1 and 2C:41-2. b. When the commissioner disapproves an application for a certificate of authority, he shall notify the dental plan organization in writing of the reasons for the disapproval. c. (Deleted by amendment, P.L.2005, c.38). L.1979,c.478,s.5; amended 1983, c.24, s.3; 2005, c.38, s.4.
NJ Rev Stat § 17:48D-6 (2021)
2021 New Jersey Revised Statutes|Title 17 - Corporations and Institutions for Finance and Insurance|Section 17:48D-6 - General surplus of plan

17:48D-6. General surplus of plan  The commissioner may determine, at his discretion, the amount of a general surplus, if any, that the dental plan organization shall be required to maintain. L.1979, c. 478, s. 6.
NJ Rev Stat § 17:48D-7 (2021)
2021 New Jersey Revised Statutes|Title 17 - Corporations and Institutions for Finance and Insurance|Section 17:48D-7 - Special contingent surplus for organizations using more than 20 full-time dentists

17:48D-7. Special contingent surplus for organizations using more than 20 full-time dentists  A dental plan organization utilizing in the aggregate the services of more than 20 full-time equivalent dentists shall accumulate and maintain a special contingent surplus in excess of its assets over liabilities at the rate of 2% annually of its net contract and certificate income until the surplus totals $100,000.00. L.1979, c. 478, s. 7.
NJ Rev Stat § 17:48D-8 (2021)
2021 New Jersey Revised Statutes|Title 17 - Corporations and Institutions for Finance and Insurance|Section 17:48D-8 - Fidelity bonding of officers, etc., malpractice insurance of dentists.

17:48D-8 Fidelity bonding of officers, etc., malpractice insurance of dentists.  8. a. Any director, officer, employee or partner of a dental plan organization who receives, collects, reimburses or invests moneys in connection with the activities of the organization shall be bonded for his fidelity, or maintain crime insurance or its equivalent, in an amount which shall be determined by the commissioner. b. Each dentist employed by a dental plan organization shall be insured against professional liability or malpractice by an insurer licensed to conduct business in this State for such minimum amounts as shall be determined by the commissioner. L.1979,c.478,s.8; amended 2005, c.38, s.5.
NJ Rev Stat § 17:48D-9 (2021)
2021 New Jersey Revised Statutes|Title 17 - Corporations and Institutions for Finance and Insurance|Section 17:48D-9 - Evidence of coverage.

17:48D-9 Evidence of coverage.  9. a. An enrollee shall be entitled to receive evidence of coverage or a certificate indicating specifically the nature and extent of coverage, and evidence of the total amount or percentage of payment, if any, which the enrollee is obligated to pay for dental services. If an individual enrollee obtains coverage through an insurance policy or through a contract issued by a medical or dental service corporation, whether by option or otherwise, the insurer or medical or dental service corporation shall issue the evidence of coverage. Otherwise, the dental plan organization shall issue the evidence of coverage. b. No evidence of coverage or amendment thereto shall be issued or delivered to any person until a copy of the form of evidence of coverage or amendment thereto has been filed with the commissioner. c. Evidence of coverage shall contain a clear and complete statement if a contract, or a reasonably complete summary if a certificate, of: (1) The dental services and the insurance or other benefits, if any, to which covered persons are entitled; (2) Any limitations on the services, kind of services, benefits, or kind of benefits to be provided, including any charge, deductible or co-payment feature; (3) Where and in what manner information is available as to how services may be obtained; and (4) A clear and understandable description of the dental plan organization's method for resolving covered persons' complaints. d. Any subsequent change in the evidence of coverage or the amount or percentage of payment which the enrollee is obligated to pay, shall be evidenced in a separate document issued to the enrollee. L.1979,c.478,s.9; amended 2005, c.38, s.6.