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Bill > S3903
NJ S3903
NJ S3903Establishes special enrollment period for individual health plan enrollees and dependents when health care providers become out-of-network.
summary
Introduced
12/05/2024
12/05/2024
In Committee
12/05/2024
12/05/2024
Crossed Over
Passed
Dead
01/12/2026
01/12/2026
Introduced Session
2024-2025 Regular Session
Bill Summary
This bill establishes a special enrollment period for individual health plan enrollees when their health care providers become out-of-network. Under the bill, the board of the New Jersey Individual Health Coverage Program is required to establish a special enrollment period for a covered person whose health care provider, after participating in the covered person's health benefits plan network, becomes out-of-network during the covered person's policy or contract period. The special enrollment period is to last for a certain period of time to be determined by the board, not to be shorter than 30 days. Finally, the carrier is required to provide information about the enrollment period to affected individuals.
AI Summary
This bill establishes a new special enrollment period for individuals with health insurance plans in New Jersey when their healthcare providers become out-of-network during their current policy period. Specifically, the bill requires the board of the New Jersey Individual Health Coverage Program to create a special enrollment period that allows enrollees to change their health insurance plan if their current healthcare provider is no longer in their network. The special enrollment period must be at least 30 calendar days long, giving individuals sufficient time to explore and select a new health insurance plan that includes their preferred healthcare provider. The insurance carrier (the company providing the health insurance) is obligated to communicate the details of this enrollment period, including its start and end dates, to affected enrollees. The bill will take effect 90 days after enactment and will apply to health plans that are delivered, issued, executed, or renewed on or after that date. This provision aims to provide more flexibility for consumers who might otherwise be unexpectedly disrupted by changes in their healthcare provider's network status.
Committee Categories
Business and Industry
Sponsors (2)
Last Action
Introduced in the Senate, Referred to Senate Commerce Committee (on 12/05/2024)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.njleg.state.nj.us/bill-search/2024/S3903 |
| BillText | https://pub.njleg.gov/Bills/2024/S4000/3903_I1.HTM |
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