NJ DOBI Easy Enrollment Insurance


On Mar. 15, NJ DOBI instructed on easy enrollment health insurance.


  • NJ DOBI launched New Jersey Easy Enrollment Health Insurance Program to improve access to affordable health insurance coverage and ability to contact to quality care.
  • Also published Bulletin 24-02 on New Jersey easy enrollment health insurance program and a special enrollment period (SEP) of 60 days from Get Covered NJ notice.
  • Overview of New Program
  • New plan is called Get Covered New Jersey, the state Official Health Insurance Market and lets people choose coverage when filing their 2023 State Income Tax returns.
  • Residents without insurance can indicate their interest in health insurance coverage for themselves or one or more household members when filing their tax return.
  • Beginning this year, NJ residents can indicate on their state return that they allow GetCoveredNJ to help them obtain coverage and complete the NJ-EZ Enroll Form.
  • Shared Responsibility Payment, which NJ taxpayers are required to pay if they are uninsured, will be waived for any individual who enrolls and maintains coverage.
  • Effect of New Program
  • Per NJ LEG 17B:27A-59.2, Easy Enrollment Program creates system to assist those who do not have healthcare coverage to obtaining it in the individual marketplace.
  • Under the program, NJ residents may provide the necessary data on state tax returns or through NJ Family Care or premium tax credits and cost-sharing reductions.
  • Goal of program is to provide eligible individuals with access to affordable coverage.
  • Purpose of Bulletin
  • Advises all NJ insurers, health service corporation, HMOs, dental service corporations, dental plan organizations (carriers) offering individual coverage to offer 60-day SEP.
  • Sixty days runs from date of the notice from Get Covered New Jersey to select plan.
  • Aug. 2024 NJ DOBI Extension
  • On Aug. 9, 2024, NJ DOBI issued Bulletin 24-12 to advise carriers that NJ DOBI is extending the EZ Enroll SEP through Oct. 31, 2024, to provide opportunity to enroll.
  • Residents who enroll in coverage during SEP will have coverage for remainder of 2024.

Regulators NJ DOBI
Entity Types CNSM; Ins
Reference Bul 24-12, 8/9/2024; PR, Bul, 24-02, 3/15/2024; Citation: NJ LEG 17B:27A-59;
Functions Actuarial and Valuation; Claims/Accelerated Benefits; Compliance; Financial; Reporting
Countries United States of America
Category
State
Products Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 3/15/2024
Effective Date 10/31/2024
Rule Id 204794
Linked to N/A
Reg. Last Update 8/9/2024
Report Section US Insurance

Last substantive update on 08/13/2024