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Effective Date: April 1, 2009

Approval Date: ____________ 28

and the succeeding employer has altered the terms of a noncontributory group health plan to require a premium contribution (for a class of employee to which the child's household member belongs); or

The employee-certificate holder becomes unemployed, through no fault of the employee.

The minimum employer contribution. The minimum employer contribution is 50 percent of the cost of coverage for the employee and family.

The cost-effectiveness determination. The cost-effectiveness determination performed by the State consists of a comparison of the services offered by the employer, benefit by benefit, with the services offered under NJ FamilyCare Plan D. If the employer is a large employer, both the specific services and the extent of coverage must be the same as NJ FamilyCare. If the employer is a small employer, the services must be the same, but the extent of coverage is not required to be the same as the NJ FamilyCare Plan.

4.4.5 Child health assistance is provided to targeted low-income children in the state who are American Indian and Alaska Native. (Section 2102)(b)(3)(D)) (42 CFR 457.125(a))

To support the assurance regarding child health assistance, the state has a mechanism in place for determining whether American Indian or Alaska native children (as defined in 42 CFR 457.10) are among targeted low income children in the state. The state collects this information on the NJ FamilyCare application initially and upon redetermination and notifies AI/AN applicants and beneficiaries of the exemption. In addition, the state will not impose premiums, deductibles, coinsurance, copayments or any other cost sharing charges on children who are American Indians or Alaska Natives.