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State RegulationsNJ specificDifficulty 1/5

New Jersey's Individual Health Coverage Program, Small Employer Health Benefits Program, and state-based health exchange are all created within which body of law?

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Answer & full 3-part explanation (select an option above, or peek)

Why A is correct

The health insurance reform statutes are collected in N.J.S.A. 17B:27A-1 through -67, which houses the Individual Health Coverage Program, the Small Employer Health Benefits Program, and the state-based exchange. The New Jersey Department of Banking and Insurance administers and enforces the programs created in this chapter. Recognizing the 17B:27A family is the fastest way to orient any question about New Jersey's health reform markets.

Why the other options are wrong

  • B) The 17B:26A chapter governs Medicare supplement policies, not the individual and small-employer reform programs.
  • C) N.J.S.A. 17B:27-26 et seq. governs group health coverage generally, a separate body of law from the 17B:27A reform programs.
  • D) N.J.S.A. 17B:30-51 et seq. is the prompt-pay and claims act; it does not create the reform market programs.

Memory hook

One statute family holds all three: individual, small employer, and exchange programs.

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