Common use of MAJOR PREMIUM GROUPS Clause in Contracts

MAJOR PREMIUM GROUPS. The following is a list of the major premium groups. The individual rate groups (e.g. children under 2 years, etc.) with their respective rates are presented in the rate tables in the appendix. 8.5.2.1 AFDC/TANF, NJC PREGNANT WOMEN, AND NJ FAMILYCARE PLAN A CHILDREN This grouping includes capitation rates for Aid to Families with Dependent Children (AFDC)/Temporary Assistance for Needy Families (TANF), New Jersey Care Pregnant Women and Children, and NJ FamilyCare Plan A children (includes individuals under 21 in PSC 380), but excludes individuals who have AIDS or are clients of DDD. 8.5.2.2 NJ FAMILYCARE PLANS B & C This grouping includes capitation rates for NJ FamilyCare Plans B and C enrollees, excluding individuals with AIDS and/or DDD clients. 8.5.2.3 NJ FAMILYCARE PLAN D CHILDREN This grouping includes capitation rates for NJ FamilyCare Plan D children, excluding individuals with AIDS. 8.5.2.4 NJ FAMILYCARE PLAN D PARENTS/CARETAKERS This grouping includes capitation rates for NJ FamilyCare Plan D parents/caretakers, excluding individuals with AIDS, and include only enrollees 19 years of age or older.

MAJOR PREMIUM GROUPS. The following is a list of the major premium groups. The individual rate groups (e.g. , children under 2 years, etc.) with their respective rates are presented in the rate tables in the appendix. 8.5.2.1 AFDC/TANF, NJC PREGNANT WOMEN, AND NJ FAMILYCARE PLAN A CHILDREN This grouping includes capitation rates for Aid to Families with Dependent Children (AFDC)/Temporary AFDC/Temporary Assistance for Needy Families (TANF), New Jersey Care Pregnant Women and Children, and NJ FamilyCare Plan A children (includes individuals under INCLUDES INDIVIDUALS UNDER 21 in IN PSC 380), but excludes individuals who have AIDS or are clients of DDD. 8.5.2.2 NJ FAMILYCARE PLANS B & C This grouping includes capitation rates for NJ FamilyCare Plans B and C enrollees, excluding individuals with AIDS and/or AND/OR DDD clientsCLIENTS. 8.5.2.3 NJ FAMILYCARE PLAN D CHILDREN This grouping includes capitation rates for NJ FamilyCare Plan D children, excluding individuals with AIDS. 8.5.2.4 NJ FAMILYCARE PLAN D PARENTS/CARETAKERS This grouping includes capitation rates for NJ FamilyCare Plan D parents/caretakers, excluding individuals with AIDS, AND INCLUDE ONLY ENROLLEES 19 YEARS OF AGE OR OLDER,: 8.5.2.5 DYFS AND AGING OUT XXXXXX CHILDREN This grouping includes capitation rates for Division of Youth and include only enrollees 19 years Family Services, excluding individuals with AIDS and clients of age or olderDDD.

MAJOR PREMIUM GROUPS. The following is a list of the major premium groups. The individual rate groups (e.g. children under 2 years, etc.) with their respective rates are presented in the rate tables in the appendix. 8.5.2.1 AFDC/TANF, NJC PREGNANT WOMEN, AND NJ FAMILYCARE PLAN A CHILDREN This grouping includes capitation rates for Aid to Families with Dependent Children (AFDC)/Temporary Assistance for Needy Families (TANF), New Jersey Care Pregnant Women and Children, and NJ FamilyCare Plan A children (( [Reserved] includes individuals under 21 in PSC 380), but excludes individuals who have AIDS or are clients of DDD. 8.5.2.2 NJ FAMILYCARE PLANS B & C This grouping includes capitation rates for NJ FamilyCare Plans B and C enrollees, excluding individuals with AIDS and/or DDD clients. 8.5.2.3 NJ FAMILYCARE PLAN D CHILDREN This grouping includes capitation rates for NJ FamilyCare Plan D children, excluding individuals with AIDS. 8.5.2.4 NJ FAMILYCARE PLAN D PARENTS/CARETAKERS This grouping includes capitation rates for NJ FamilyCare Plan D parents/caretakers, excluding individuals with AIDS, and include only enrollees 19 years of age or older. 8.5.2.5 DYFS AND AGING OUT FOSTER CHILDREN This grouping includes capitation rates fxx Xxxision of Youth and Family Services, excluding individuals with AIDS and clients of DDD.