New Jersey 2024-2025 Regular Session

New Jersey Assembly Bill A5188

Caption

Requires availability of electronic fund transfers by health insurance carriers to reimburse covered persons.

Impact

The proposed legislation represents a significant shift in the operational framework of health insurance reimbursements within New Jersey. By instituting a requirement for electronic fund transfers, A5188 seeks to streamline the reimbursement process, potentially reducing the time it takes for covered individuals to receive their reimbursements. This change could lead to increased satisfaction among policyholders, especially those who prefer digital transactions over traditional methods like checks.

Summary

Assembly Bill A5188, introduced by Assemblyman Anthony S. Verrelli, aims to mandate that health insurance carriers provide an option for reimbursement to covered persons through electronic funds transfers (EFT). The bill requires that health benefits plans inform covered individuals about any associated fees with EFTs and offer guidance on how to initiate EFTs for receiving reimbursements. The implementation of this requirement seeks to enhance the convenience and efficiency of the reimbursement process for insured individuals.

Contention

While the bill is generally aimed at improving consumer experience, possible points of contention include concerns regarding the transparency of associated fees for EFTs, which might lead to additional costs for consumers. Stakeholders may debate whether these fees truly benefit the insured or if they represent an unnecessary burden. Additionally, the enforcement mechanisms outlined in the bill, which involve the New Jersey Department of Banking and Insurance, may raise questions about their efficacy and the potential for administrative challenges.

Companion Bills

No companion bills found.

Previously Filed As

NJ A1824

Requires availability of electronic fund transfers by health insurance carriers to reimburse covered persons.

NJ S3570

Requires availability of electronic fund transfers by health insurance carriers to reimburse covered persons.

NJ A1762

Requires health insurance carriers to provide coverage for persons 18 or younger with diagnosed complex medical needs.

NJ A4166

Requires insurance carriers offering dental benefit plans to provide certain level of coverage and reimbursement.

NJ S3331

Requires health insurance carriers to provide coverage for persons 18 or younger with diagnosed complex medical needs.

NJ A3787

Requires health insurance carriers to provide coverage for suicidal ideation and attempted suicide for postpartum women.

NJ A1018

Requires health insurance carriers to provide adequate network of physicians.

NJ A1821

Prohibits health insurance carriers from denying coverage of nonopioid prescription drugs in favor of opioid prescription drugs.

NJ LD180

An Act Regarding Reimbursements by Health Insurance Carriers or Pharmacy Benefits Managers to Pharmacies

NJ HB1174

Reimbursement Requirements for Health Insurers

Similar Bills

NJ S3570

Requires availability of electronic fund transfers by health insurance carriers to reimburse covered persons.

NJ A1824

Requires availability of electronic fund transfers by health insurance carriers to reimburse covered persons.

SC H4401

South Carolina EBT Fraud Reimbursement and Economic Protection Act

MD HB175

Electronic Benefits Transfer Cards - Restoration and Receipt of Benefits and Use at Automated Teller Machines

MD SB232

Electronic Benefits Transfer Cards - Restoration and Receipt of Benefits and Use at Automated Teller Machines

MD HB0175

Income Tax Credit - Venison Donation - Alterations

CA AB1764

Elections: voter registration.

ME LD1834

An Act to Clarify the Availability of Alternative Claims Payment Methods to Dental Care Providers