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NJ S963

Bill

Status

Introduced

1/13/2026

Primary Sponsor

Jon Bramnick

Click for details

Origin

Senate

2026-2027 Regular Session

AI Summary

  • Requires New Jersey health insurance carriers to provide written explanation of benefits (EOB) forms to covered persons whenever a claim is generated under their health plan

  • Mandates that the first page of EOB forms include: insured's name, provider name, date of service, claim amount, amount paid by carrier, and amount owed by the covered person

  • Requires clear explanations on the first page for why claims were paid in full, paid partially, or denied, along with instructions for any required actions or available options for the covered person

  • Specifies that required information must appear only on the first page, use 12-point font, and be written in simple, plain language consistent with New Jersey's existing "Life and Health Insurance Policy Language Simplification Act"

  • Takes effect 90 days after enactment

Legislative Description

"Health Insurance Claim Plain Language and Simplification Act."

Commerce

Last Action

Introduced in the Senate, Referred to Senate Commerce Committee

1/13/2026

Committee Referrals

Commerce1/13/2026

Full Bill Text

No bill text available