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Life and Health Bureaus
 
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  Life Insurance Bureau Staff     Submission of Life, Health, and Annuity Forms:
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  Individual Life & Annuity Submissions Checklist    
Life & Health Actuarial
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Consumer Alert: QMedCare Enrollees

QMedCare of New Jersey QMed, Inc., (NASDAQ Symbol: QMED) today, December 27th, announced that its subsidiary, QMedCare of New Jersey, Inc., is concluding its involvement in the Special Needs Plan in New Jersey. The Company is working closely with the New Jersey Department of Banking and Insurance and the Centers for Medicare and Medicaid Services (CMS) to have an orderly wind down of the operations of the New Jersey Special Needs Plan.

Please contact QMedCare directly at 732-544-5544 concerning coverage and options. They are manned and prepared to answer all specific questions regarding the uninterrupted continuity of your Medicare Coverage including your prescription drug coverage.

The Centers for Medicare and Medicaid Services can also be contacted at 1-800-MEDICARE if you have concerns or complaints during this transition. In order to expedite your appeal it is recommended that you send the request to:

Cynthia Moreno, Director
Plan Oversight & Accountability Group
Centers for Medicare & Medicaid Services
7500 Security Boulevard, mail stop C4-23-07
Baltimore, MD 21244- 1850


The Life Insurance Bureau is responsible for the review and approval of life insurance forms, annuity contracts and synthetic guaranteed investment contract (GIC) forms issued in New Jersey to ensure that they comply with insurance laws and regulations.

This review includes individual and group forms, separate account contracts and credit insurance. The Bureau regulates the rates for credit insurance and rate changes for indeterminate premium forms where the insurer reserves the right to change premiums. The Bureau approves separate accounts for domestic insurers, and reviews forms necessary to implement rehabilitation plans and the restructuring of policies to conform to the terms of such plans.

Note: Questions on agent or broker licensing should be directed to the Insurance Licensing Section.


The Health Insurance Bureau is responsible for the review and approval of individual and group health insurance contracts and rates within the Department’s jurisdiction.

The Bureau reviews all disability income, long term care, Medicare supplement, accident-only, hospital confinement indemnity, dental care and vision care health insurance contracts sold to individuals. The Bureau also reviews and approves rates for such coverages in the individual market.

With the exception of group hospital-medical contracts sold to individuals and small employers, the Bureau is responsible for the review of all group health insurance contracts, group term life insurance contracts, and health maintenance organization contracts.

Note: Questions on producer licensing should be directed to the Insurance Licensing Section.

Note: Consumer complaints and questions involving life and health insurance must be submitted to the Consumer Inquiry and Case Preparation Unit (CICPU) in writing.

 
Life Insurance Bureau Staff
NJ Department of Banking and Insurance
20 West State Street
P.O. Box 470
Trenton, NJ 08625-0470
Phone: 609-292-5427
FAX: 609-633-0527

Reginald Young, FLMI
Insurance Analyst
Specialty: Individual General Account Annuities and Fraternal Benefit Societies form filings.
Extension: 50342

Joyce Edwards
Secretary
Extension: 50316

Kevin Clarkson, FSA, MAAA
Life Actuary
Specialty: Credit Rate Deviations, Flexible Factor Rate Changes
Extension: 50312

 
Rosemary Mastroly, FLMI
Insurance Analyst
Specialty: Individual Life Insurance including Term, Whole Life and Universal Life form filings.
Extension: 50323
 
Olukemi M. Sotimehin, FLMI
Insurance Analyst
Specialty: Credit Insurance
Extension: 50391
 
Gayatri Hariharan, FLMI
Insurance Analyst
Extension: 50444
 
Michael Becht
Actuarial Intern
Extension: 50509
 
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Health Insurance Bureau Staff
NJ Department of Banking and Insurance
20 West State Street
P.O. Box 470
Trenton, NJ 08625-0470
Phone: 609-292-5427
FAX: 609-633-0527
Michael J. Malloy, FLMI, HIA
Chief, Health Insurance Bureau
 
James A. Benyon, FLMI, HIA, MHP
Insurance Analyst
Specialty: Group Life and Health including Group Medicare Supplement, Stop-Loss, and other group form filings.
Thomas M. Frascella, FLMI, HIA
Insurance Analyst
Specialty: Individual Health Forms, including Medicare Supplement, Long Term Care, Disability Income and other Individual form filings except Individual Health Coverage (IHC) plans.

Please contact the Individual Health Board for information: 609-633-1882
Charles R. Uhl, FLMI, HIA, MHP, ALHC, PAHM
Insurance Analyst
Specialty: Group Life and Health including Group Long Term Care, Legal Insurance, TDB, Selective Contracting Arrangements, Health Service Corporations, SEH decreasing benefit riders and other group form filings
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New Jersey Department of Banking and Insurance