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Health Insurance Coverage For Certain Student Athlete Physical

Health Insurance Coverage For Certain Student Athlete Physical

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Published by PatrickDiegnan
This bill requires certain health insurers (health, hospital, and medical service corporations, commercial individual and group health insurers, health maintenance organizations, the State Health Benefits Program, and the School Employees’ Health Benefits Program) to provide health benefits coverage for expenses for an annual physical examination for the purposes of pre-participation clearance for student athletic or camp activities .
This bill requires certain health insurers (health, hospital, and medical service corporations, commercial individual and group health insurers, health maintenance organizations, the State Health Benefits Program, and the School Employees’ Health Benefits Program) to provide health benefits coverage for expenses for an annual physical examination for the purposes of pre-participation clearance for student athletic or camp activities .

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Published by: PatrickDiegnan on Jul 25, 2012
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05/13/2014

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ASSEMBLY, No. 3046
STATE OF NEW JERSEY
215th LEGISLATURE
INTRODUCED JUNE 7, 2012
Sponsored by:Assemblyman PATRICK J. DIEGNAN, JR.District 18 (Middlesex)Co-Sponsored by:Assemblywoman StenderSYNOPSIS
Requires health insurance coverage for certain student athlete physicalexaminations.
CURRENT VERSION OF TEXT
As introduced.
 
 
A3046
DIEGNAN2
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concerning health benefits coverage for physical1examinations, and supplementing various parts of the statutory2law.34
B
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NACTED
by the Senate and General Assembly of the State
5
of New Jersey:
 671. A hospital service corporation which provides hospital or8medical expense benefits under a contract that is delivered, issued,9executed, or renewed in this State or approved for issuance or10renewal in this State, by the Commissioner of Banking and11Insurance, on or after the effective date of this act, shall provide12benefits under the contract for expenses for an annual physical13examination for the purposes of pre-participation clearance for14student athletic or camp activities.15The benefits shall be provided to the same extent as for any other16preventive health care service under the contract.17This section shall apply to those hospital service corporation18contracts in which the hospital service corporation has reserved the19right to change the premium.20212. A medical service corporation which provides hospital or22medical expense benefits under a contract that is delivered, issued,23executed, or renewed in this State or approved for issuance or24renewal in this State, by the Commissioner of Banking and25Insurance, on or after the effective date of this act, shall provide26benefits under the contract for expenses for an annual physical27examination for the purposes of pre-participation clearance for28student athletic or camp activities.29The benefits shall be provided to the same extent as for any other30preventive health care service under the contract.31This section shall apply to those medical service corporation32contracts in which the medical service corporation has reserved the33right to change the premium.34353. A health service corporation which provides hospital or36medical expense benefits under a contract that is delivered, issued,37executed, or renewed in this State or approved for issuance or38renewal in this State, by the Commissioner of Banking and39Insurance, on or after the effective date of this act, shall provide40benefits under the contract for expenses for an annual physical41examination for the purposes of pre-participation clearance for42student athletic or camp activities.43The benefits shall be provided to the same extent as for any other44preventive health care service under the contract.45This section shall apply to those health service corporation46contracts in which the health service corporation has reserved the47right to change the premium.48
 
 
A3046
DIEGNAN34. An individual health insurer which provides hospital or1medical expense benefits under a policy that is delivered, issued,2executed, or renewed in this State or approved for issuance or3renewal in this State, by the Commissioner of Banking and4Insurance, on or after the effective date of this act, shall provide5benefits under the policy for expenses for an annual physical6examination for the purposes of pre-participation clearance for7student athletic or camp activities.8The benefits shall be provided to the same extent as for any other9preventive health care service under the policy.10This section shall apply to those policies in which the insurer has11reserved the right to change the premium.12135. A group health insurer which provides hospital or medical14expense benefits under a policy that is delivered, issued, executed,15or renewed in this State, or approved for issuance or renewal in this16State by the Commissioner of Banking and Insurance, on or after17the effective date of this act, shall provide benefits under the policy18for expenses for an annual physical examination for the purposes of 19pre-participation clearance for student athletic or camp activities.20The benefits shall be provided to the same extent as for any other21preventive health care service under the policy.22This section shall apply to those policies in which the insurer has23reserved the right to change the premium.24256. A certificate of authority to establish and operate a health26maintenance organization in this State shall not be issued or27continued on or after the effective date of this act by the28Commissioner of Banking and Insurance unless the health29maintenance organization provides health care services for an30annual physical examination for the purposes of pre-participation31clearance for student athletic or camp activities.32The health care services shall be provided to the same extent as33for any other preventive health care service under the contract.34This section shall apply to those contracts for health care35services by health maintenance organizations under which the36health maintenance organization has reserved the right to change37the schedule of charges for enrollee coverage.38397. Notwithstanding any other provision of law to the contrary,40an individual health benefits plan that is delivered, issued, executed,41renewed, or approved for issuance or renewal in this State pursuant42to P.L.1992, c.161 (C.17B:27A-2 et seq.), or approved for issuance43or renewal in this State by the Commissioner of Banking and44Insurance, on or after the effective date of this act, shall provide45benefits under the policy for expenses for an annual physical46examination for the purposes of pre-participation clearance for47student athletic or camp activities.48

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