SI NY01730.004 (New Jersey) Third Party Liability (TPL)

SSA has agreed to obtain supplemental health insurance information, to assist the State in determining whether any third party medical insurance exists, for the individual or the individual's family which can be used to defray the costs of medical care - Health Expenses & Third Party Liability page or SSA-8019-U2.

Refer to SI 01730.045

Any SSA-8019-U2s should be mailed to:

Department of Human Services

Division of Medical Assistance and Health Services

Third Party Liability

PO Box 712

Quackerbridge Plaza, Mail Code 32

Trenton, New Jersey 08625-0712