Proposed New Jersey Bill Establishes Special Enrollment Period for Provider Network Changes

Proposed New Jersey Bill Establishes Special Enrollment Period for Provider Network Changes - Healthcare Law Update - July 2025 - Brach Eichler
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7/1/2025

Senate Bill S4418, introduced on May 19, 2025, would provide for the creation of a special enrollment period triggered when a provider is set to leave a carrier’s network. Under the bill, this special enrollment period would begin 60 days before the expiration of the contract between the provider and the carrier. The carrier would be required to notify insured individuals of the upcoming enrollment period in a form and manner prescribed by the Department of Banking and Insurance.

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For more information, contact:
John D. Fanburg, Chair | 973.403.3107 | jfanburg@bracheichler.com
Edward Hilzenrath | 973.403.3114 | ehilzenrath@bracheichler.com
Rebecca T. Falk | 973.364.8393 | rfalk@bracheichler.com

*This is intended to provide general information, not legal advice. Please contact the authors if you need specific advice.

Related Practices:   Healthcare Law

Related Industry:   Healthcare