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Life and Health Actuarial
 
Carrier Enrollment Reports HMO & PPO Reports HMO Reports
NJ Commercial Health Market Prompt Pay Reporting Actuarial Staff Contacts
 
Carrier Enrollment Reports by County Pursuant to the Joint Provider Negotiation Act
2022
1st Quarter
Dental Health
2nd Quarter
Dental Health
3rd Quarter
Dental Health
4th Quarter
Dental Health
2021
1st Quarter
Dental Health
2nd Quarter
Dental Health
3rd Quarter
Dental Health
4th Quarter
Dental Health
2020
1st Quarter
Dental Health
2nd Quarter
Dental Health
3rd Quarter
Dental Health
4th Quarter
Dental Health
2019
1st Quarter
Dental Health
2nd Quarter
Dental Health
3rd Quarter
Dental Health
4th Quarter
Dental Health
2018
1st Quarter
Dental Health
2nd Quarter
Dental Health
3rd Quarter
Dental Health
4th Quarter
Dental Health
2017
1st Quarter
Dental Health
2nd Quarter
Dental Health
3rd Quarter
Dental Health
4th Quarter
Dental Health
2016
1st Quarter
Dental Health
2nd Quarter
Dental Health
3rd Quarter
Dental Health
4th Quarter
Dental Health
2015
1st Quarter
Dental Health
2nd Quarter
Dental Health
3rd Quarter
Dental Health
4th Quarter
Dental Health
2014
1st Quarter
Dental Health
2nd Quarter
Dental Health
3rd Quarter
Dental Health
4th Quarter
Dental Health
2013
1st Quarter
Dental Health
2nd Quarter
Dental Health
3rd Quarter
Dental Health
4th Quarter
Dental Health
2012
1st Quarter
Dental Health
2nd Quarter
Dental Health
3rd Quarter
Dental Health
4th Quarter
Dental Health
2011
1st Quarter
Dental Health
2nd Quarter
Dental Health
3rd Quarter
Dental Health
4th Quarter
Dental Health
2010
1st Quarter
Dental> Health
2nd Quarter
Dental Health
3rd Quarter
Dental Health
4th Quarter
Dental Health
2009
1st Quarter
Dental Health
2nd Quarter
Dental Health
3rd Quarter
Dental Health
4th Quarter
Dental Health
 
HMO & PPO Reports
2018
2017
2016
2015
2014
 
HMO Reports
2013
2012
2011
2010
YTD Financial Data by HMO (12-31-2010)
2009
2008
YTD Financial Data by HMO (12-31-2008)
2007
2006
2005
2004 and Earlier
Additional enrollment and financial information on HMOs, and other managed care organizations
is on the Department's Managed Care page.
 
New Jersey Commercial Health Market
2016
2015
2014
2013
Source of Coverage
2012
Source of Coverage
2011
NJ Commercial Health Market
Source of Coverage
2010
NJ Commercial Health Market
2009
NJ Commercial Health Market
2008
NJ Commercial Health Market
2007
2006
2005
2004
 
Prompt Pay Reporting
Legislation
N.J.A.C. 11:22-1.14 Reporting requirements - More information
Health Benefit Plans
Prompt Payment of Claims
Adopted Amendment: N.J.A.C. 11:22-1.6
Bulletin 08-09: N.J.A.C. 11:22-1.9 Quarterly and Annual Reporting Requirements on the Timeliness and Reasons for Denials of Claims
Templates
Auditor's Report - Please refer to the American Institute of Certified Public Accountants - Performing Agreed-Upon Procedures Engagements That Address Annual Claims Prompt Pay Reports as Required by the New Jersey Administrative Code (SOP 02-1)
 
Carrier Market Share Report
 
  Notice of Annual Market Share Filing Requirements (Instructions)
  2023 Carrier Market Share Report (MS Excel)
 
Actuarial Staff Contacts  

NJ Department of Banking & Insurance
Life and Health - 11th Floor
20 West State St.
PO Box 325
Trenton, NJ 08625-0325

Phone: 609-292-7272
FAX: 609-633-0527

Seong-Min Eom, FSA, MAAA, PRM
Chief Actuary
Phone: 609-940-7611
E-mail: seong-min.eom@dobi.nj.gov
   
Kevin Clarkson, FSA, MAAA
Managing Actuary
Phone: 609-940-7613
E-mail: kevin.clarkson@dobi.nj.gov
Don Henson, FSA, MAAA
Managing Actuary
Phone: 609-940-7605
E-mail: don.henson@dobi.nj.gov
Fred Brinkman
Actuarial Analyst
Phone: 609-940-7626
E-mail: fred.brinkman@dobi.nj.gov


 
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New Jersey Department of Banking and Insurance