17:48F-13 - Terms, conditions required in contracts - New Jersey Statutes

17:48F-13  Terms, conditions required in contracts.

13.All prepaid prescription service organization contracts with providers or with entities subcontracting for the provision of  prescription services  shall contain the following terms and conditions:

a.In the event that the organization fails to pay for prescription services for any reason whatsoever, including, but not limited to, insolvency or breach of contract, neither the contract holder nor the enrollee shall be liable to the provider for any sums owed to the provider under the contract.

b.No provider, agent, trustee or assignee thereof may maintain an action at law or attempt to collect from the contract holder or enrollee sums owed to the provider by the organization, but this shall not be construed to prohibit collection of  uncovered charges consented to or lawfully owed to providers by a contract holder or enrollee.

L.1997,c.380,s.13.