A 2765 New Jersey General Assembly · 2024-2025 Regular Session

Revises certain requirements for individual and small employer health benefits plans and for small employer members of multiple employer welfare arrangements.

This bill revises New Jersey's requirements for individual and small employer health benefits plans, bringing state law into compliance with the Affordable Care Act. It limits the maximum premium rate differential for individual health plans to 300% (from 350% under current law) and requires age-based rating to use one-year increments instead of five-year increments. For small employer plans, it removes gender as a permissible rating factor, eliminates separate rating treatment for purchasing alliances, and requires one-year age increments. The bill also increases the maximum assessment for small employer members of multiple employer welfare arrangements from 200% to 300% of the lowest rated member's assessment and clarifies that these arrangements must provide hospital and medical benefits including pediatric services (oral/vision care) and maternity benefits as required by federal law.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2024
Committee Review
Floor Vote
Governor
Introduced Jan 9, 2024 Last action Jan 9, 2024
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Jan 9, 2024
Introduced
Introduced in the Assembly, Referred to Assembly Financial Institutions and Insurance Committee
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Lou Greenwald
Lou Greenwald
DDemocratic
NJ
6