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Changes to NJ Newborn Mandate

On January 16, 2018, New Jersey updated the existing NJ Newborn Mandate that provides coverage for all newborns from the moment of birth for the first 31 days to provide coverage from the moment of birth for the first 60 days. The newborn child of the subscriber or his or her spouse is covered for injury or sickness, including the necessary care and treatment of medically diagnosed congenital defects and abnormalities. This mandate does not apply to newborns born of dependent children.

For coverage to continue beyond 60 days after the date of birth, the contract or policy may require the subscriber to notify the health plan of the birth within 60 days of birth, and may require payment for the addition of the newborn to the policy.

A group plan that includes coverage for the subscriber (employee) only is not required to add this dependent coverage.

This legislation is effective:

  • For fully insured groups the mandate will be applied on renewal on or after January 16, 2018.
  • For self-insured health plans on renewal on or after January 16, 2018. Self-insured health plans may opt out of the revised mandate and have been advised by their Horizon BCBSNJ sales executive or account managers on their options and next steps.
Published on: March 19, 2018, 06:44 a.m. ET
Last updated on: April 9, 2018, 03:18 a.m. ET