New Jersey Administrative Code

(a) The purpose of this subchapter is to identify the procedures concerning the creation and modification of an exportable list of certain classes of insurance coverages or risks and to promulgate the list as a rule, in implementation of N.J.S.A. 17:22-6.43. (b) This subchapter s…

The following words and terms, as used in this subchapter, shall have the following meanings unless the context clearly indicates otherwise: "Annuity" means a contract not coming within the definition of life insurance as set forth in N.J.S.A. 17B:17-3, or health insurance as set…

(a) In the month of November or December of each year, the Commissioner or his or her designee shall hold a hearing, pursuant to N.J.S.A. 17:22-6.43, for the purpose of determining the extent of the existence or a reasonable or adequate market among authorized insurers for certai…

(a) The record of the hearing shall include the following: 1. Timely-received written public comments; 2. The transcript of the hearing; and 3. Any other information which the hearing officer may deem relevant. Notes N.J. Admin. Code § 11:1-34.4

(a) Upon review of the exportable list hearing record, the Commissioner shall, by rule, declare eligible for export generally, and notwithstanding the provisions of N.J.S.A. 17:22-6.43(a), (b) and (c), any class or classes of insurance coverage or risk for which he or she finds t…

(a) The exportable list is as follows: 1. Amusement Devices, Parks and Carnivals; 2. Animal Mortality; 3. Armored Cars; 4. Auto Racing and Race Tracks; 5. Day Care Center Liability; 6. Difference In Condition; 7. Environmental Impairment Liability Insurance; 8. Excess and Buffer …

(a) The purpose of this subchapter is to set forth filing and procedural requirements governing the filing of required information with respect to the acquisition of control of, or merger with, a domestic insurer, and registration, notification, and enterprise risk reporting requ…

(a) An insurer required to give notice of a proposed transaction pursuant to N.J.S.A. 17:27A-4 shall furnish the required information as set forth in Exhibit D within the applicable time frames set forth in N.J.S.A. 17:27A-4. (b) Agreements for cost sharing services and managemen…

In determining the adequacy and reasonableness of an insurer's surplus, the Commissioner shall consider the factors set forth in N.J.S.A. 17:27A-4b, among others, and need not consider any single factor as necessarily controlling. The Commissioner may consider the net effect of a…

(a) If a domestic insurer, including any person controlling a domestic insurer, is proposing a merger or acquisition pursuant to N.J.S.A. 17:27A-2a, that person shall file a pre-acquisition notification form, in the form of Appendix Exhibit E, incorporated herein by reference. (b…

The ultimate controlling person of an insurer required to file an enterprise risk report pursuant to N.J.S.A. 17:27A-3.k(1) shall furnish the required information on Exhibit F in the Appendix, incorporated herein by reference and made a part hereof, annually on April 1st of each …

(a) Where an insurance holding company system has previously filed the annual group capital calculation at least once, the lead state commissioner has the discretion to exempt the ultimate controlling person from filing the annual group capital calculation, if the lead state comm…

Failure to comply with the provisions of this subchapter may result in the imposition of penalties as authorized by law. Notes N.J. Admin. Code § 11:1-35.15 Recodified from N.J.A.C. 11:1-35.14 by 56 N.J.R. 779(b) effective 5/6/2024

The following words and terms, when used in this subchapter, shall have the following meanings, unless the context clearly indicates otherwise. "Acquisition" means any agreement, arrangement or activity, the consummation of which results in a person acquiring directly or indirect…

(a) All statements required to be filed pursuant to N.J.S.A. 17:27A-2, 17:27A-3, 17:27A-4, and N.J.S.A. 17:27A-4.1 shall be submitted in accordance with the forms set forth at Exhibits A, B, C, D, E, and F in the Appendix, incorporated herein by reference, as applicable. The form…

(a) Information required pursuant to any item set forth in Exhibits A, B, D, E, or F may be incorporated by reference in an answer or partial answer to any other item. Information contained in any financial statement, annual report, proxy statement, statement filed with a governm…

(a) In addition to the information expressly required to be included in Exhibits A, B, C, D, E, and F, the person making the filing shall include such further material information, if any, as may be necessary to make the information contained therein not misleading, as well as an…

(a) A person required to file a statement pursuant to N.J.S.A. 17:27A-2 shall furnish the required information set forth in Exhibit A. (b) The applicant shall advise the Commissioner within two business days of any changes in the facts or information submitted pursuant to (a) abo…

(a) An insurer required to file an annual registration statement pursuant to N.J.S.A. 17:27A-3 shall furnish the information set forth in Exhibit B within the time frames set forth in N.J.S.A. 17:27A-3a. (b) An insurer required to file an annual registration statement pursuant to…

(a) Any authorized insurer may file a registration statement on behalf of any affiliated insurer or insurers which are required to register pursuant to N.J.S.A. 17:27A-3. The registration statement may include information not required by N.J.S.A. 17:27A-1 et seq. regarding any in…

(a) A disclaimer of affiliation or a request for termination of registration claiming that a person does not, or will not upon the taking of some proposed action, control another person (hereinafter referred to as the "subject") shall contain the following information: 1. The num…

(a) This subchapter sets forth certain procedures and processes for the examination of the financial condition of a company, for the payment of expenses of any examination conducted pursuant to N.J.S.A. 17:23-20 et seq., and for maintaining certain information as confidential pur…

The following words and terms, as used in this subchapter, shall have the following meanings, unless the context clearly indicates otherwise. "Alien insurer" means an insurer formed under the laws of any country other than the United States, its states, districts, territories, co…

(a) For purposes of N.J.S.A. 17:23-24b, an examination of the financial condition of a company shall be deemed complete not later than 90 days after the date the examiner leaves the site of the company, or not later than 90 days after the date the company responds to the last wri…

(a) A foreign or alien insurer licensed to transact business in this State shall file with the Department a copy of the financial condition examination report prepared by the insurance department or other regulatory agency for the insurer's state of domicile or port-of-entry stat…

(a) Pursuant to N.J.S.A. 17:23-22d, the reasonable expenses of any examination and proceedings conducted under that statute shall be fixed and determined by the Commissioner, and he or she shall collect them from the company examined, which shall pay them on a presentation of an …

(a) Pursuant to N.J.S.A. 17:23-24f, working papers, recorded information, documents and copies thereof produced, obtained by, or disclosed to the Commissioner or any other person in the course of an examination made under N.J.S.A. 17:23-20 et seq. shall be confidential, except as…

Failure to comply with the provisions of this subchapter may result in the imposition of penalties as authorized by law. Notes N.J. Admin. Code § 11:1-36.7 Recodified from N.J.A.C. 11:1-36.6 by R.2001 d.135, effective 5/7/2001. See: 32 N.J.R. 4328(a), 33 N.J.R. 1387(a).

(a) The purpose of this subchapter is to establish procedures for the examination, licensing, continuing education, and conduct of persons acting as public adjusters in this State. (b) This subchapter applies to any person, who for money, a commission or anything of value, acts o…

(a) Licensed public adjusters shall file with the License Processing Unit of the Department: 1. Complete and accurate business and home addresses including e-mail addresses, and notice of any change thereto within 20 days; 2. Upon a form prescribed by the Commissioner, notice of …

(a) Any public adjuster who receives, accepts or holds any moneys, on behalf of an insured, towards the settlement of a claim for loss or damage, shall deposit such moneys in an interest bearing escrow or trust account in a financial institution in this State which is insured by …

(a) Each licensee shall maintain accurate files, books and records reflecting all insurance-related transactions in which the licensee or his or her employees take part in accordance with the standards set forth in this subchapter. These records shall be maintained by either sepa…

(a) No individual, firm, partnership, association or corporation licensed under this subchapter shall have any right to compensation from any insured for or on account of services rendered to an insured as a public adjuster unless the right to compensation is based upon a written…

(a) The Commissioner may deny, suspend, revoke, or refuse to renew a public adjuster's license based on any violation of the Act or this subchapter, or for the commission or omission of any act by a public adjuster which demonstrates that the applicant or licensee is not competen…

(a) Upon service of any final order suspending or revoking a public adjuster license, the public adjuster shall immediately return to the Commissioner for cancellation any license in the public adjuster's possession. (b) No other licensed individual or organization shall advertis…

(a) No individual, firm, association or corporation whose license has been revoked and no firm or association of which the individual is an officer or director, shall be entitled to any license or renewal license under this subchapter for a period of one year after the revocation…

(a) The following licensee records maintained by the Department shall be public records in accordance with N.J.S.A. 47:1A-1 et seq.: 1. For an individual licensee, his or her name; license reference number; business mailing and location address; date of birth; license authorities…

(a) The following nonrefundable fees shall apply: 1. License fee: $ 50.00. 2. Temporary sublicense fee: $ 150.00. 3. Renewal temporary sublicense fee: $ 150.00. 4. Processing fee: $ 20.00. (b) The examination fee shall be the amount authorized by the Commissioner to be charged by…

(a) The Department may request that licensed public adjusters and license applicants submit their social security numbers to the Department. All such requests shall either include or be accompanied by a notice stating: 1. The purpose or purposes for which the Department intends t…

The following words and terms, when used in this subchapter, shall have the following meanings, unless the context clearly indicates otherwise: "Business entity" means a corporation, association, partnership, limited liability company, limited liability partnership, or other lega…

(a) No person shall act as a public adjuster in this State on behalf of an insured unless licensed pursuant to this subchapter. (b) The Commissioner may issue or renew a public adjuster's license to any individual, firm, association or corporation who complies with the requiremen…

(a) A first time applicant for an individual public adjuster license shall submit the following: 1. A properly executed and dated application, including, when applicable, electronic online submissions, requesting issuance of a public adjuster license which shall contain the appli…

(a) Where it appears from an application, the attached documents or Department records that an applicant has not demonstrated the qualifications prescribed in the Act or this subchapter, the Department shall advise the applicant in writing that the license request is denied; shal…

(a) Any applicant for a public adjuster license which is a corporation, partnership, firm or association shall have at least one officer, director, partner, or member licensed as a public adjuster. (b) Only the officers or directors of a corporation or the members of a firm, asso…

(a) In the event of a catastrophic loss occurrence, a licensed public adjuster may apply to the Commissioner for the issuance of a temporary sublicense for an individual temporarily hired or retained to act as a public adjuster. 1. The licensed public adjuster shall sponsor the t…

(a) Except as expressly provided by N.J.A.C. 11:1-37.4(a)2, all individual applicants, including sublicensee applicants, seeking a public adjuster license shall take and pass the State licensing examination, which may be administered by the Department or by a vendor under contrac…

(a) An applicant for a public adjuster's license, renewal license or temporary license shall file with the Commissioner a bond, executed by the applicant and by an A rated insurer approved to transact the business of sureties in New Jersey, in the penal sum of $ 10,000 per licens…

(a) This subchapter sets forth the filing requirements for the New Jersey State Firemen's Association and each local firemen's relief association, the auditing procedures to be utilized by any relief association, and the manner in which payments are to be made by foreign or alien…

The following words and terms, when used in this subchapter, shall have the following meanings, unless the context clearly indicates otherwise. "Alien insurer" means an insurer formed under the laws of a country other than the United States, its states, districts, territories, co…

(a) All local relief associations shall file with the Commissioner, the Secretary of State, and the secretary of the State Association, no later than April 1 of each year, a sworn statement, which shall contain the following information: 1. The names of its representatives, visit…