A goal of the Medicare Supplement Under 50 Program is to equitably spread the losses that are incurred by the contracting carrier among other carriers offering health coverage in New Jersey, within limits established by law. To achieve this goal, the Governing Board collects information about carrier market share, audits the reported losses of the Contracting Carrier, makes recommendations for assessments by market share to reimburse the audited losses, collects the assessments, then distributes funds to the Contracting Carrier. In addition, the Governing Board recommends certain underwriting standards for the program, responding as necessary to changes in federal law. However, the Commissioner of the Department of Banking and Insurance has final approval of the assessments and distributions, and promulgates regulations for the program.

More information...

• Plan of Operation
• Addendum (Underwriting Guidelines)

• Enrollment
  
• Revenues and Expenses
  
• Assessments made
• Claims, loss ratios, and certain trends
  
  

• Carrier Market Share Report, with Instructions and Certification

Regulations are set forth at N.J.A.C. 11:4-23A

For proposed and adopted new rules and amendments, bulletins, or public notices related to the Medicare Supplement Under 50 Program, go to the Legislative and Regulatory Affairs page

Making Contact

1. For general information, to file a complaint, media inquiries, or other submissions, use the information here.
2. For submission of Market Share Reports, follow the instructions included on the form.
3. For payment of assessments, follow the instructions included on the invoice.
   

Want more information about Medicare or the Medicare Supplement Plan?

Contact the State Health Insurance Assistance Program (1-800-792-8820), or Horizon Blue Cross Blue Shield of New Jersey (1-888-285-8020 or 1-877-234-1240; 711 (TDD/TTY)).