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NJ Court Affirms Repeal Of 'Obsolete' Health Benefits Rule

Law360, New York (January 31, 2018, 8:34 PM EST) -- The New Jersey Appellate Division on Wednesday determined in a published decision that the expedited repeal of a small-employer health benefits rule constitutes a permissible action under state guidelines, backing a new requirement that insurance carriers must disclose their basis for determining allowable charges for out-of-network benefits.

The three-judge panel found that the state Small Employer Health Benefits Board’s scale-back of “obsolete standards” for determining the amount of allowable charges for the voluntary use of out-of-network benefits — a repeal that was challenged by the New...
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