New Jersey Administrative Code

Failure to comply with the provisions of this subchapter may result in the imposition of penalties as authorized by law, including, but not limited to, penalties authorized by N.J.S.A. 17:23-2 and 17B:21-2. Notes N.J. Admin. Code § 11:19-1.4

(a) The purpose of this subchapter is to set forth the filing requirements and procedures for the submission of financial data under various Financial Examinations Monitoring System (FEMS) subsystems, for all domestic insurers to the Department. (b) These rules apply to all domes…

The following words and terms, as used in this subchapter, shall have the following meanings, unless the context clearly indicates otherwise: "ADAS" means the Actuarial Data and Analysis Subsystem, which provides tools to help the Department's actuaries to value the reserves of d…

(a) All domestic insurers shall file with the Department on an annual basis the information required by this subchapter for the prior calendar year ending December 31 by March 1, of the next year, in accordance with the Appendices to this subchapter incorporated herein by referen…

(a) All domestic insurers shall provide the Department with a report on their securities by either CD-ROM or DVD-ROM in accordance with (c) below. (b) Domestic insurers owning securities which are held by custodians shall utilize custodians which shall: 1. Submit to the Departmen…

Notes N.J. Admin. Code § 11:19-2.5 New Rule, R.1994 d.104, effective 2/22/1994. See: 25 N.J.R. 2820(b), 26 N.J.R. 1100(b). Amended by R.1998 d.109, effective 2/17/1998. See: 29 N.J.R. 5260(a), 30 N.J.R. 674(b). In (c)4, updated the address and changed the deadline from January 31…

Notes N.J. Admin. Code §§ 11:19-2.6 through 11:19-2.8

Failure to comply with the provisions of this subchapter shall subject the insurer to penalties as provided in N.J.S.A. 17:23-2 and 17B:21-2. Notes N.J. Admin. Code § 11:19-2.9

(a) The purpose of this subchapter is to set forth the filing and reporting requirements and procedures for the submission/maintaining of: 1. All eligible surplus lines insurers' annual net written premiums for the State of New Jersey; and 2. Tax and surcharge filings for all lic…

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 of America, its states, districts, terr…

(a) All eligible surplus lines insurers qualified to transact business in New Jersey shall maintain reports of the information required by this subchapter for the preceding calendar year for inspection by the Department upon request beginning May 15, 2001. Each annual report on a…

(a) All eligible surplus lines insurers shall prepare and maintain an annual report listing net written premiums for all insurance covering a subject of insurance where New Jersey is the home state. Surplus lines insurers which write no business where New Jersey is the home state…

(a) All licensed producers with surplus lines authority shall assign a transaction number to each new or renewal policy he or she places. All subsequent endorsements shall be identified by the same transaction number. All surplus lines producers shall provide surplus lines insure…

§ 11:19-3.6 - Reserved Notes N.J. Admin. Code § 11:19-3.6

(a) Failure to comply with the provisions of this subchapter shall subject an eligible surplus lines insurer to penalties as provided in N.J.S.A. 17:22-6.61. (b) Failure to comply with the provisions of this subchapter shall subject a licensed producer with surplus lines authorit…

(a) The purpose of this subchapter is to set forth the filing and reporting requirements and procedures for the submission of data related to an insurer's valuation of its reserves as part of the Financial Examination Monitoring System (FEMS) for all domestic life/health insurers…

The following words and terms, as used in this subchapter, shall have the following meanings, unless the context clearly indicates otherwise: "ADAS" means the Actuarial Data and Analysis Subsystem, which provides tools to help the Department's analysts to value the reserves of do…

(a) All domestic life/health insurance companies shall provide the Department with a report on the insurer's year end summary valuation on a CD-ROM in accordance with (b) through (d) below. (b) All CD-ROM disc submissions shall be Windows compatible. 1. The CD-ROM disc file shall…

Failure to comply with the provisions of this subchapter shall subject the insurer to penalties pursuant to N.J.S.A. 17B:21-1 and 17B:21-2 and any other penalties permitted by law. Notes N.J. Admin. Code § 11:19-4.4 Expired Rule (effective 10/3/2015). See: 47 N.J.R. 2379(a). Sect…

This subchapter establishes the procedures, requirements and standards which govern the application of foreign and alien insurers engaged in the business of life and health insurance for a certificate of authority to transact the business of insurance in this State. Notes N.J. Ad…

This subchapter applies to all foreign and alien insurers that apply for a certificate of authority to transact the business of life and health insurance in this State. The filing requirements contained in this subchapter shall not apply to the continuation, renewal or timely rei…

The following words and terms, when used in this subchapter, shall have the following meanings, unless the context clearly indicates otherwise: "Commissioner" means the Commissioner of the Department of Banking and Insurance of this State. "Committee on Admissions" means the advi…

(a) In order for a foreign or alien insurer to be admitted as a life and health insurer in this State, the requirements in this section shall be satisfied in addition to any other requirements in this subchapter or any other provision of law. 1. The applicant shall satisfy the Co…

(a) Prior to the acceptance of a final application for a certificate of authority in this State, all foreign and alien insurers who desire to transact the business of life and health insurance in this State shall submit, as a preliminary application, a letter of intent, which sha…

(a) After the submission of the letter of intent as required by N.J.A.C. 11:2-1.5, the applicant, upon notice from the Department, shall file the following items: 1. A copy of its charter as currently in force, certified by the lawful custodian of the original document; 2. A copy…

(a) Upon receipt of a final application, the Commissioner shall conduct a thorough background investigation and review which shall include the information contained in N.J.A.C. 11:2-1.4, 1.5 and 1.6, inquiries regarding claims settlement practices and any other information which,…

If any provisions of this subchapter or the application thereof to any person or circumstance is held invalid, the remainder of the subchapter and the application of such provision to other persons or circumstances shall not be affected thereby. Notes N.J. Admin. Code § 11:2-1.8 …

(a) The purpose of this subchapter is to formalize standards to be followed in order to avoid misleading and deceptive advertising in the health insurance business. (b) The proper promotion, sale and expansion of health insurance are in the public interest, and these rules shall …

An advertisement shall not directly or indirectly make unfair or incomplete comparisons of policies or benefits or otherwise falsely disparage competitors, their policies, services or business methods. Notes N.J. Admin. Code § 11:2-11.10

(a) An advertisement which is intended to be seen or heard beyond the limits of the jurisdiction in which the insurer is licensed shall not imply licensing beyond those limits. (b) Such advertisements by direct mail insurers shall indicate that the insurer is licensed in a specif…

(a) The identity of the insurer shall be made clear in all of its advertisements. (b) An advertisement shall not use a trade name, service mark, slogan, symbol or other device which has the capacity and tendency to mislead or deceive as to the true identity of the insurer. Notes …

An advertisement of a particular policy shall not state or imply that prospective policyholders become group or quasi-group members and as such enjoy special rates or underwriting privileges, unless such is the fact. Notes N.J. Admin. Code § 11:2-11.13

An advertisement shall not state or imply that a particular policy or combination of policies is an introductory, initial or special offer and that the applicant will receive advantages by accepting the offer, unless such is the fact. Notes N.J. Admin. Code § 11:2-11.14

§ 11:2-11.15 - Reserved Notes N.J. Admin. Code § 11:2-11.15

An advertisement shall not contain untrue statements with respect to the time within which claims are paid or statements which imply that claim settlements will be liberal or generous beyond the terms of the policy. Notes N.J. Admin. Code § 11:2-11.16

An advertisement shall not contain statements which are untrue in fact or by implication misleading with respect to the insurer's assets, corporate structure, financial standing, age or relative position in the insurance business. Notes N.J. Admin. Code § 11:2-11.17

(a) All advertisements, regardless of by whom written, created or designed, shall be the responsibility of the insurer sponsoring the same. (b) Every insurer shall at all times maintain complete control over the content, form and method of dissemination of all advertisements of i…

Failure to comply with the provisions of this regulation shall constitute a violation of the Insurance Laws of this State and shall subject any individual or company so failing to comply to all the penalties provided by law. Notes N.J. Admin. Code § 11:2-11.19

Advertisements shall be truthful and not misleading in fact or in implication. Words or phrases the meaning of which is clear only by implication or by familiarity with insurance terminology shall not be used. Notes N.J. Admin. Code § 11:2-11.2

This regulation supersedes in its entirety the Regulation which was previously issued by the Insurance Department on February 1, 1956. Notes N.J. Admin. Code § 11:2-11.20

This regulation shall become effective upon the date of publication of its adoption in the New Jersey Register. Notes N.J. Admin. Code § 11:2-11.21

If any provision of clause of this regulation or the application thereof to any person or situation is held invalid, such invalidity shall not affect any other provision or application of the regulation which can be given effect without the invalid provision or application, and t…

(a) Words, phrases or illustrations shall not be used in a manner which misleads or has the capacity and tendency to deceive as to the extent of any policy benefit payable, loss covered or premium payable. (b) An advertisement relating to any policy benefit payable, loss covered …

An advertisement which refers to renewability, cancellability or termination of a policy, or which refers to a policy benefit, or which shows or illustrates time or age in connection with eligibility of applicants or continuation of the policy, shall disclose the provisions relat…

All information required to be disclosed by these rules shall be set out conspicuously and in close conjunction with the statements in which such information relates or under appropriate captions of such prominence that it shall not be minimized, rendered obscure or presented in …

(a) Endorsements used in advertisements shall be genuine, represent the current opinion of the author, be applicable to the policy advertised and be accurately reproduced. The insurer, in using an endorsement, adopts as its own all of the statements contained therein, and the adv…

(a) An advertisement relating to the dollar amounts of claims paid, the number of persons insured, or similar statistical information relating to any insurer or policy shall not be used unless it accurately reflects all of the relevant facts. (b) Such an advertisement shall not i…