17B:27-64. Rules for eligibility, health status-related factors prohibited
106 words·~1 min read·
/nj/title-17b/chapter-27/17b-27-64·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
24. A health insurer which offers a group health plan may not establish rules for eligibility, including continued eligibility, of any individual to enroll under the terms of the plan based on health status-related factors in relation to the individual or a dependent of the individual.
The provisions of this section shall not be construed to require a group health plan to provide particular benefits other than those provided under the terms of its coverage or to prevent the coverage from establishing limitations or restrictions on the amount, level, extent or nature of the benefits or coverage for similarly situated individuals enrolled in the coverage.
L.1997,c.146,s.24.