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| Home > Insurance Division > Health Insurance Programs > IHC > Program/Regulatory Activity |
| About the IHC Program/Regulatory Activity |
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| IHC Program Board |
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| Regulations |
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| Regulatory Activity |
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| Carrier Resources (Rate Filings) |
- 2026 Rate Filing Requirements: IHC, SEH, SHP, and ACA-compliant SADP
- IHC – Individual
- SEH – Small Employer
- IHC and SEH
- Benefit Summary Table
- Exhibit A – Actuarial Summary Worksheet
- Exhibit B – Plan Relativity Worksheet
- Exhibit E – Demonstration of Copay Compliance
- Exhibit F - Trend Drivers
- Part II Justification Template
- Part III Actuarial Certification Template
- Attachment 1 - NJ OON Law Worksheet (Required also for Large Group Health Benefits Plans)
- IHC and SEH Plan Management
- Bulletin 17-05: Implementation of P.L. 2017, c. 28, Which Requires Certain Coverage for Treatment of Substance Use Disorders and Which Places Certain Restrictions on Opioid and Other Prescription Drugs
- Bulletin 18-12: Short-Term, Limited Duration Insurance
- Bulletin 18-13: Association Health Plans
- Bulletin 20-25: Amendment to Minimum Standards for Health Benefits Plans to Facilitate the Availability of Bronze High Deductible Health Plans Effective for Plan Year 2021
- Bulletin 21-14: Implementation of the Federal No Surprises Act
- P.L. 2008, c.126 Coverage of Hearing Aids. As required by §156.125(a), the age limit for this benefit was removed beginning with plan year 2023.
- Bulletin 23-02: Special Enrollment Period for Medicaid Unwinding
- P.L. 2023, c. 105 (S1614): Requires health insurance carriers to provide coverage for epinephrine auto-injector devices and asthma inhalers; limits cost sharing for health insurance coverage of insulin
- P.L. 2023, c. 194 (S3480): The Small Business Health Insurance Affordability Act
- Bulletin 23-05: Nondiscriminatory Coverage for Health Services Provided to Transgender Individuals
- Bulletin 24-04: Cyber Incident – Change Healthcare
- Bulletin 24-14: Coverage for Mental Health Conditions and Substance Use Disorders, Implementation of P.L. 2019, c. 58 and P.L. 2022, c. 33
- Bulletin 24-16: Coverage for Hearing Aids and Cochlear Implants (P.L. 2023, c. 275) and Maximum Cost Sharing for Treatment of Diabetes, Epinephrine Auto-Injector Devices, and Asthma Inhalers
- Bulletin 24-17: Ensuring Transparency in Prior Authorization Act (P.L. 2023, C.296)
- Bulletin 24-18: Carrier, Pharmacy Benefit Manager, and Pharmacy Services Administrative Organization Compliance with P.L. 2023, c.107, Pharmacy Benefits Managers
- Bulletin 25-01: Coverage for HIV Pre-Exposure Prophylaxis
- Bulletin 25-03: The Use of Artificial Intelligence Systems in Insurance
- SHP – Student
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Copyright © State of New Jersey, 1996 -
State of New Jersey
New Jersey Department of Banking and Insurance
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