52:17B-202 Requirements to act as joint negotiation representative.
7.A person or entity which proposes to act as a joint negotiation representative shall satisfy the following requirements:
a.Before entering into negotiations with a carrier on behalf of two or more independent physicians or dentists, the joint negotiation representative shall submit to the Attorney General, for his approval pursuant to section 8 of this act, on a form and in a manner prescribed by the Attorney General, a petition which identifies:
(1)the representative's name and business address;
(2)the names and business addresses of each physician or dentist who will be represented by the identified representative;
(3)the ratio of the physicians or dentists requesting joint representation to the total number of physicians or dentists who are practicing within the geographic service area of the carrier;
(4)the carrier with which the representative proposes to enter into negotiations on behalf of the identified physicians or dentists;
(5)the intended subject matter of the proposed negotiations with the identified carrier;
(6)the representative's plan of operation and procedures to ensure compliance with the provisions of this act;
(7)the anticipated effect of the proposed joint negotiations on the quality and availability of health or dental care among covered persons;
(8)the anticipated benefits of a contract between the identified physicians or dentists and carrier;
(9)such other data, information and documents as the petitioners desire to submit in support of their petition; and
(10) such other data, information and documents as the Attorney General deems necessary.
The joint negotiation representative, upon submitting the petition, shall pay a fee to the Attorney General in an amount, as determined by the Attorney General, which shall be reasonable and necessary to cover the costs associated with carrying out the provisions of this act.
b.After the joint negotiation representative and the carrier identified pursuant to subsection a. of this section have reached an agreement on the contractual terms or conditions that were the subject matter of their negotiations, the joint negotiation representative shall submit to the Attorney General, for his approval in accordance with the provisions of section 8 of this act, a copy of the proposed contract between the physicians or dentists identified pursuant to subsection a. of this section and the carrier, as well as any plan of action which the joint negotiation representative and the carrier may formally agree to for the purpose of implementing the terms and conditions of the contract.
c.Within 14 days after either party notifies the other party of its decision to decline or terminate negotiations entered into pursuant to this act, or after the date that a joint negotiation representative requests that a carrier enter into such negotiations to which request the plan fails to respond, the joint negotiation representative shall report to the Attorney General that the negotiations have ended, on a form and in a manner to be prescribed by the Attorney General. The joint negotiation representative may resume negotiations with the carrier no later than 60 days after reporting to the Attorney General that the negotiations have ended, on the basis of the petition submitted to the Attorney General pursuant to subsection a. of this section and approved by the Attorney General in accordance with the provisions of section 8 of this act. After that date, the joint negotiation representative shall be required to submit a new petition and pay an additional fee to the Attorney General pursuant to subsection a. of this section, in order to engage in negotiations with the carrier under this act.
L.2001,c.371,s.7; per s.15, act expires April 8, 2008.
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Last modified: October 11, 2016