- In any prior, consecutive, 12 month period, dating back to 1988, eligible expenses must exceed 10% of the family's income, plus 15% of any excess income over $100,000.
- The child must have been 21 years or younger when the medical expenses were incurred.
The family must have lived in New Jersey for 3 months immediately prior to the date of application.
As described in the definition of catastrophic illness, the Fund will only reimburse incurred medical expenses that are not covered by any other source.