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Home > Insurance Division > Life and Health Bureaus |
Life and Health Bureaus |
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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
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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. |
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Life Insurance Bureau Staff |
NJ Department of Banking and Insurance
20 West State Street
P.O. Box 470
Trenton, NJ 08625-0470
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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 |
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Rosemary Mastroly, FLMI
Insurance Analyst
Specialty: Individual Life Insurance including Term, Whole Life and Universal
Life form filings.
Extension: 50323 |
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Olukemi M. Sotimehin, FLMI
Insurance Analyst
Specialty: Credit Insurance
Extension: 50391 |
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Gayatri Hariharan, FLMI
Insurance Analyst
Extension: 50444 |
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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 |
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James A. Benyon, FLMI, HIA, MHP
Insurance Analyst
Specialty: Group Life and Health including Group Medicare Supplement, Stop-Loss,
and other group form filings.
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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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