17:48E-28 Group coverage for newborn child.
28. a. Family type group coverage shall provide that the coverage applicable for children shall be payable with respect to a newly-born child of the subscriber, or his or her spouse, from the moment of birth. The coverage for newly-born children shall consist of coverage of injury or sickness including the necessary care and treatment of medically diagnosed congenital defects and abnormalitieS.If a subscription payment is required to obtain coverage for a child, the contract may require that notification of birth of a newly-born child and the required payment shall be furnished to the health service corporation within 60 days after the date of birth in order to have the coverage continue beyond that 60-day period.
b. Non-family type group coverage, other than under contracts which provide no dependent coverage whatsoever for the subscriber’s class, shall also provide coverage for newly-born children of the subscriber, which coverage shall commence with the moment of birth of each child and shall consist of coverage of injury or sickness, including the necessary care and treatment of medically diagnosed congenital defects and abnormalities, if application therefor and payment of the required subscription amount are made to include in the contract the coverage described in subsection a. of this section within 60 days from the date of birth of a newborn child.
L.1985, c.236, s.28; amended 2017, c.361, s.6.
Original Text maintained by the State of New Jersey:
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