This bill amends current law to establish a special enrollment period for individual health plan enrollees and their dependents when their health care providers transition to out-of-network status. Specifically, the board of the New Jersey Individual Health Coverage Program is mandated to create this special enrollment period, which must last for at least 30 calendar days. The bill also requires that carriers communicate the details of this enrollment period, including its start and end dates, to the affected enrollees.

The legislation aims to provide individuals with the opportunity to adjust their health coverage in response to changes in their provider's network status, ensuring that they have access to necessary health services without facing penalties for being unable to maintain their current plan. The bill is set to take effect 90 days after enactment and will apply to health plans that are delivered, issued, executed, or renewed on or after that date.

Statutes affected:
Introduced: 17B:27A-6.1