Insurance Law Alert

In response to legislation signed by Governor Murphy in June, 2019 to establish a state-based insurance exchange, the New Jersey Department of Banking and Insurance (the “Department”) has previously announced plans to transition to a state-based Exchange for Plan Year 2021 to improve health coverage access for New Jersey residents and allow the state greater control over its health insurance market. The state-based Exchange will be operated by the Department and will be funded by an assessment on premiums. The assessment was previously paid to the federal government to utilize the Federally Facilitated Exchange (FFE). New Jersey will operate a State-Based Exchange for the Open Enrollment Period in November of 2020. Until that time, consumers will continue to shop for and enroll in Marketplace coverage, available through Special Enrollment Periods, on

Today, the Department announced the selection of GetInsured, a health insurance marketplace platform provider, to develop and operate the technology platform for New Jersey’s State-Based Health Insurance Exchange (HIX), and MAXIMUS to operate the consumer assistance center for the state. GetInsured and MAXIMUS were selected through a competitive bidding process. The technology platform and consumer assistance center will be funded by the assessment on premiums paid by carriers.

Questions should be directed to Cynthia Borrelli.

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