N.J. Admin. Code § 11:2-13.4

Current through Register Vol. 56, No. 21, November 4, 2024

Section 11:2-13.4 - Requirements for notice of discontinuance

(a) Any written notice of discontinuance provided pursuant to 11:2-13.3 by the carrier to the group policy holder or contractholder shall include a statement that, unless otherwise provided in the policy or contract, the carrier shall not be liable for claims for losses incurred, or services or supplies provided, after the effective date of such discontinuance. Where a plan involves member contributions, the notice of discontinuance shall state that if the policyholder, contractholder or other entity continues to collect contributions for the coverage beyond the date of discontinuance, the policyholder, contractholder or other entity may be held solely liable for the benefits, services or supplies for which the contributions have been collected.

(b) At the same time written notice of discontinuance is given pursuant to (a) above, the carrier shall provide the policyholder, contractholder or other entity with a notice form to be distributed to the members indicating the effective date of such discontinuance, and urging the members to refer to their certificates, contracts or evidence of coverage to determine their rights, if any, including, but not limited to, privileges of conversion.

(c) Discontinuance of the group policy or contract shall not reduce the required time limit for providing notice of claim or proof of loss.

N.J. Admin. Code § 11:2-13.4

Amended by R.1999 d.134, effective 4/19/1999.
See: 30 New Jersey Register 3356(a), 31 New Jersey Register 1101(a).
Rewrote the section.