N.J.S.A. 17B:27B-8 — Payment to third party administrators not based solely on claims denials.

17B:27B-8 Payment to third party administrators not based solely on claims denials. 8. If a third party administrator adjudicates claims under a health benefits plan, the commissions, fees or charges that the benefits payer pays the administrator, shall not be based solely on the number or amount of claims denied by the administrator. This provision shall not prohibit an administrator from receiving performance-based compensation if that compensation is not predicated on denial of claims or coverage. L.2001,c.267,s.8.

This is the verbatim text of N.J.S.A. 17B:27B-8, retrieved from the New Jersey Legislature's public statute corpus. Statutes are amended periodically — for the most current version, check the external source link above. Kyzer is not a law firm and this page is not legal advice.