N.J. Admin. Code § 11:24A-2.5

Current through Register Vol. 56, No. 21, November 4, 2024

Section 11:24A-2.5 - Other rights of covered persons

(a) Every carrier shall establish and implement written policies and procedures regarding the rights of covered persons and the implementation of these rights.

(b) Carriers' policies and procedures shall address at least the following:

1. The right of covered persons to receive all of the disclosures set forth at 11:24A-2.3;

2. The right of covered person to have access to services, and payment of appropriate benefits therefor, when medically necessary, including availability of care 24 hours a day, seven days a week for urgent or emergency conditions, if covered;

3. The right of covered persons to be treated with courtesy, consideration, and with respect to the covered person's dignity and need for privacy; and

4. The right of covered persons to obtain information regarding the carrier's policies and procedures concerning (b)1 through 3 above.

N.J. Admin. Code § 11:24A-2.5