# N.J. Stat. § 26:2S-3.2: Definitions > New Jersey · Statutes · In force URL: https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2S_S2S-3.2 ## Section - **Citation:** N.J. Stat. § 26:2S-3.2 - **Heading:** Definitions - **Jurisdiction:** New Jersey - **Kind:** Statutes - **Status:** In force - **Text as of:** August 14, 2026 - **Source:** Compiled text - **Location:** NJ Code / Title 26 / Chapter 2S / Section 2S-3.2 ## Text 2. As used in section 3 of P.L.2025, c.199 (C.26:2S-3.3): “Carrier” means an insurance company, health service corporation, hospital service corporation, medical service corporation, or health maintenance organization authorized to issue health benefits plans in this State, or any other entity subject to the insurance laws and rules of insurance in this State or subject to the jurisdiction of the Department of Banking and Insurance, that contracts, or offers to contract, to provide, deliver, arrange for, pay for, or reimburse any of the costs of health care services under a health benefits plan in this State. “Cost-sharing amount” means any copayment, coinsurance, deductible, or other similar charges required of an enrollee for a health care service covered by a health benefits plan, including a prescription drug, and paid by or on behalf of the enrollee. “Enrollee” means any individual entitled to coverage of health care services from a carrier. “Health benefits plan” means a policy, contract, certification, or agreement offered or issued by a carrier to provide, deliver, arrange for, pay for, or reimburse any of the costs of health care services. For the purposes of P.L.2025, c.199 (C.26:2S-3.1 et al.), “health benefits plans” shall not include the following plans, policies, or contracts: accident only; credit disability; long-term care; Medicare supplemental coverage; TRICARE supplement coverage; coverage for Medicare services pursuant to a contract with the United States government; the State Medicaid program established pursuant to P.L.1968, c.413 (C.30:4D-1 et seq.); coverage arising out of a worker’s compensation or similar law; the State Health Benefits Program; the School Employees’ Health Benefits Program; a self-insured health benefits plan governed by the provisions of the federal “Employee Retirement Income Security Act of 1974,” 29 U.S.C. s.1001 et seq.; coverage under a policy of private passenger automobile insurance issued pursuant to P.L.1972, c.70 (C.39:6A-1 et seq.); or hospital confinement indemnity coverage. “Health care service” means an item or service furnished to any individual for the purpose of preventing, alleviating, curing, or healing human illness, injury, or disability. “Third-party administrator” has the same meaning as defined in N.J.S.17B:27B-1. L.2025, c.199, s.2. ## Nearby sections - [N.J. Stat. § 26:2S-1 Short title](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2S_S2S-1.md) - [N.J. Stat. § 26:2S-2 Definitions relative to health care quality.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2S_S2S-2.md) - [N.J. Stat. § 26:2S-3 Form to be filed by carrier; minimum information required](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2S_S2S-3.md) - [N.J. Stat. § 26:2S-3.1 Short title.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2S_S2S-3.1.md) - [N.J. Stat. § 26:2S-3.2 Definitions.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2S_S2S-3.2.md) - [N.J. Stat. § 26:2S-3.3 Requirements for carriers and third-party administrators.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2S_S2S-3.3.md) - [N.J. Stat. § 26:2S-4 Disclosure of terms and conditions in writing to subscriber.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2S_S2S-4.md) - [N.J. Stat. § 26:2S-5 Additional disclosure requirements.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2S_S2S-5.md) - [N.J. Stat. § 26:2S-5.1 Health insurance carriers to provide organ, tissue donation information to subscribers.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2S_S2S-5.1.md) - [N.J. Stat. § 26:2S-6 Designation of licensed physician as medical director for managed care](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2S_S2S-6.md) - [N.J. Stat. § 26:2S-6.1 Managed care plan to pay full contractual rate to out-of-network provider, direct payments, certain circumstances.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2S_S2S-6.1.md) - [N.J. Stat. § 26:2S-6.2 Waiver of health insurance copayments for certain active duty military and their families.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2S_S2S-6.2.md) - [N.J. Stat. § 26:2S-7 Review of application for participation](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2S_S2S-7.md) - [N.J. Stat. § 26:2S-7.1 Universal application for credentialing physicians for a carrier's provider network.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2S_S2S-7.1.md) --- Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2S_S2S-3.2. Check the current official text before relying on it. Not legal advice.