New Jersey S1995 sets procedures for removing health care facilities from provider networks and establishes special enrollment periods.
New Jersey S1995 outlines the process for removing a health care facility from a provider network. It mandates electronic notice to the other party and the Department of Banking and Insurance before any removal. The carrier must continue coverage for 15 business days while both parties negotiate in good faith. If no agreement is reached, a 30-day special enrollment period opens for affected individuals, allowing them to select a new health benefits plan. The carrier must cover claims during this period.
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- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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