New Jersey 2022-2023 Regular Session

New Jersey Assembly Bill A4063

Introduced
5/19/22  

Caption

Prohibits carriers from offering dental plans with dental benefit waiting periods.

Impact

The implications of A4063 are extensive for residents in New Jersey, as it directly addresses a common barrier encountered by individuals seeking dental insurance coverage. By eliminating waiting periods, the bill encourages more efficient use of dental services and assists in addressing oral health issues at an earlier stage. This is particularly important for individuals who may require immediate dental care but are currently hindered by insurance policies that impose arbitrary waiting periods before services can be utilized.

Summary

Assembly Bill A4063 aims to prohibit insurance carriers from offering dental plans that include waiting periods for dental benefits. Specifically, the bill stipulates that no carrier is allowed to issue, execute, or renew a dental plan that includes provisions delaying eligibility for covered services. This legislative change represents a significant shift towards increasing consumer access to necessary dental care without the limitations of waiting periods that often prevent timely treatment.

Contention

Notably, while proponents of A4063 argue that removing waiting periods enhances access to care and promotes preventive dental hygiene, opponents might raise concerns regarding the financial impacts on insurance providers. Carriers often implement waiting periods as a measure to manage costs and prevent adverse selection. Stakeholders in the insurance industry may lobby against the bill, citing potential increases in premium costs or decreased profitability, asserting that such legislative measures could lead to unintended consequences within the dental insurance market.

Companion Bills

No companion bills found.

Previously Filed As

NJ S1186

Prohibits carriers from offering dental plans with dental benefit waiting periods.

NJ A2546

Requires insurance carriers offering dental benefit plans to provide certain level of coverage and reimbursement.

NJ A3672

Requires insurance carriers offering dental benefit plans to provide certain level of coverage and reimbursement.

NJ A3025

Prohibits health insurance carriers from disclosing mental health services of adult dependents in explanation of benefits letter.

NJ A3246

Prohibits carrier from precluding dentist from billing covered person under certain circumstances.

NJ A1743

Prohibits insurers from offering stop loss insurance to small employers.

NJ S765

Prohibits carrier from precluding dentist from billing covered person under certain circumstances.

NJ S4063

Requires dental insurance carriers to report on medical loss ratio data annually.

NJ AB1048

Dental benefits and rate review.

NJ S3216

Requires health insurance carriers to provide network adequacy within health benefits plans.

Similar Bills

No similar bills found.