Bill > S206

This bill, the "Health Insurance Claim Plain Language and Simplification Act," requires health insurance carriers in New Jersey to provide a written explanation of benefits form to covered persons whenever a claim is generated. The form must contain key information about the claim, such as the amounts paid and owed, the reasons for payment or denial, and instructions for the covered person. The information on the first page must be in simple, plain language that is clearly understandable, consistent with the Life and Health Insurance Policy Language Simplification Act. The bill aims to make health insurance claims more transparent and easier for consumers to understand.

Business and Industry

https://www.njleg.state.nj.us/bill-search/2022/S206