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Code · New Jersey · Title 17B — Insurance · Chapter 27A

17B:27A-25.7 Restrictions on alliances

139 words·~1 min read·/nj/title-17b/chapter-27a/17b-27a-25-7·

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7. A purchasing alliance established pursuant to the provisions of this act shall not:
a. Purchase health care services, assume risk for the cost or provision of health care services or otherwise contract with health care providers for the provision of health care services to eligible employees or their dependents;
b. Exclude a small employer, eligible employee or dependent from membership in the purchasing alliance who agrees to pay fees for membership and the premium for health benefits coverage and who abides by the by-laws and rules of the purchasing alliance;
c. Engage in any act or practice that results in the selection of member small employers or eligible employees based on any health status-related factor; or
d. Engage in any trade practice or activity prohibited pursuant to chapter 30 of Title 17B of the New Jersey Statutes.
L.2001,c.225,s.7.
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