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Section 26:2J-18 - Examinations

NJ Rev Stat § 26:2J-18 (2019) (N/A)
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26:2J-18. Examinations

a. Not less frequently than once every 3 years the commissioner may make an examination concerning the quality of health care services and other affairs of the health maintenance organization and providers with whom such organization has contracts, agreements, or other arrangements. The commissioner may make such examination at any time.

b. Every health maintenance organization and provider shall submit its books and records to such examinations. For the purpose of examinations, the commissioner may administer oaths to, and examine the officers and agents of the health maintenance organization and the principals of such providers concerning their business.

c. The expenses of examinations under this section up to $1,000.00 annually shall be assessed against the organization being examined and such amount shall be remitted to the commissioner.

d. In lieu of such examination, the commissioner may accept the report of an examination made by the Commissioner of Health or Commissioner of Insurance of another state.

L.1973, c. 337, s. 18, eff. Dec. 27, 1973.

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Section 26:2J-17 - Powers of insurers and hospital and medical service corporations
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Section 26:2J-18.1 - Examination of HMO by Commissioner of Banking and Insurance.