17:48A-11 - Agreements with physicians; approval of payments; corporate records - New Jersey Statutes

17:48A-11.  Agreements with physicians;  approval of payments; corporate records
    No corporation subject to the provisions of this chapter shall enter into any contract with a subscriber unless and until it shall have filed with the Commissioner of Banking and Insurance a copy of the agreement proposed to be entered into by the corporation and the participating physicians.  Every such agreement shall provide for the payment for medical services to subscribers and  covered dependents to the end of the subscription certificate year;  that thirty days written notice of termination of such agreement may be given to the  corporation at any time by any participating physician but shall not apply to  any subscription certificate in force at the time of such notice until the  first date thereafter when such subscription certificate may properly be  terminated by the corporation, and that the agreement of the physician to  render such service to the end of any certificate year shall not be affected by cessation of the transaction of business by reason of appropriate resolution of  the board of trustees, or directors of such corporation, injunction issued by a  court of competent authority, legislative act or by any other exercise of  judicial, administrative or legislative authority;  provided, that this  requirement shall not apply to any subscription certificate which is not  maintained in force by the payment of premiums required thereby. There shall  be included in the minutes of the board of trustees of every such corporation a  record of the approval of payments to be made to participating physicians.  The  corporation shall maintain in its office complete records of all the medical  services rendered to subscribers and covered dependents in such form as will  indicate the kind of services rendered, the amounts claimed for such services  by the participating physicians, and the amounts paid by the corporation.  No payment to any participating physicians shall be authorized by the board of trustees except in accordance with a plan of payments adopted by the board and recorded in the minutes of a meeting.

     L.1940, c. 74, p. 192, s. 11.  Amended by L.1944, c. 102, p. 264, s. 7.