When can a carrier impose Pre-Existing Condition Limitations on a NJ Small Employer Health Benefits Plan?
In groups of two to five employees, a carrier may decline to pay (for six months following the member’s eligibility date for coverage) the treatment of a medical condition which was diagnosed and/or treated in the six months prior. In groups of six or more employees, the carrier may not impose pre-existing limitations, except in the case of late enrollees.
Related Questions
- I am changing from one type of coverage to another, but staying within the same employers group health plan. Can a pre-existing condition exclusion be applied to my new coverage?
- Is group coverage in NJ Small Employer Health Benefits Program available to a self-employed husband and wife?
- What are the pre-existing condition limitations associated with the Graduate Student Health Plan?
