State RegulationsNJ specificDifficulty 1/5
Which citation identifies the New Jersey statutory framework governing group health coverage?
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Answer & full 3-part explanation (select an option above, or peek)
Why B is correct
Group health coverage in New Jersey is governed by the statutory framework beginning at N.J.S.A. 17B:27-26 et seq., which sets out how group policies are issued and operated. The New Jersey Department of Banking and Insurance supervises carriers' group health business under this framework. The other citations belong to the Medicare supplement chapter, the claims processing act, and the prompt-pay regulations respectively.
Why the other options are wrong
- A) N.J.S.A. 17B:26A-1 begins the Medicare supplement chapter, not the group health framework.
- C) N.J.S.A. 17B:30-51 et seq. is the Health Care Claims Authorization Processing and Payment Act, a claims-handling statute rather than the group coverage framework.
- D) N.J.A.C. 11:22-1.6 is a prompt-pay administrative rule, not the group health statutory framework.
Memory hook
Group health starts at 17B:27-26 — the group chapter's front door.