Dw. Garnick et K. Swartz, Meeting information needs: Lessons learned from New Jersey's individual health insurance reform program., MED C RES R, 56(4), 1999, pp. 456-470
At national and state levels, there have been significant changes in the re
gulations governing individual and small group health insurance markets. Re
forms to the individual health insurance market in New Jersey exemplify the
challenges of informing consumers about changes in the regulation of insur
ers, where the changes are intended to simplify and broaden access to healt
h insurance. To best take advantage of expanded access to coverage under ne
w regulations governing the individual health insurance market, individuals
need to understand the changed rules under which carriers determine eligib
ility and premiums. Survey results from New Jersey indicate, however, that
a significant proportion of people who purchased policies under the restruc
tured individual health insurance market did not fully understand how the n
ew market operates.