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Bill > S2030


NJ S2030

NJ S2030
Requires certain issuance standards and open enrollment for Medicare supplement policies.


summary

Introduced
01/09/2024
In Committee
01/09/2024
Crossed Over
Passed
Dead
01/12/2026

Introduced Session

2024-2025 Regular Session

Bill Summary

This bill requires certain issuance standards for Medicare supplement policies, and provides that those policies must have a continuous open enrollment period. Specifically, the bill prohibits issuers of Medicare supplement policies from denying or conditioning the issuance or effectiveness of a policy or discriminating in the pricing of a policy because of the health status, claims experience, receipt of health care, or medical condition of an applicant. The bill also requires applicants to be accepted at all times throughout the year for any Medicare supplement policies available from an issuer. The requirements of the bill are applicable to applicants enrolled in Medicare whether enrolled by reason of age or by reason of disability.

AI Summary

This bill mandates that insurance companies offering Medicare supplement policies, which are plans that help cover costs not covered by Original Medicare (also known as Medicare Parts A and B), must adhere to specific issuance standards and provide continuous open enrollment. Specifically, insurers are prohibited from denying or placing conditions on the sale of these policies, or charging different prices, based on an applicant's health status, past medical claims, current healthcare needs, or any existing medical conditions. Furthermore, the bill requires that individuals be accepted into any Medicare supplement policy offered by an insurer at any point during the year, regardless of whether they are enrolled in Medicare due to age or disability. While the bill generally prevents the denial of coverage based on pre-existing conditions, it allows for certain limitations as outlined in existing law, with an exception for individuals who are transitioning into a Medicare supplement policy under specific circumstances related to their Medicare enrollment and who provide proof of prior coverage or enrollment dates.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

Introduced in the Senate, Referred to Senate Commerce Committee (on 01/09/2024)

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