N.J. Admin. Code § 11:2-17.12

Current through Register Vol. 56, No. 11, June 3, 2024

Section 11:2-17.12 - Examinations

(a) Each insurer's claim files are subject to examination and inspection by the Commissioner or by his duly appointed designees pursuant to 17:23-20 et seq., 17:29B-5, and 17B:30-16.

(b) Detailed documentation and/or evidence shall be contained in each claim file in order to permit the Commissioner or his designated examiners or investigators to reconstruct the company's activities relative to the claims settlement. Such documentation shall include but is not necessarily limited to all investigative reports, payment vouchers, transactions, notices, memoranda and work papers. With respect to automobile damage claims, file documentation also shall include the name, address, telephone number and license number of any auto body repair facility that has been utilized by the insurer in the adjustment of the loss or repair of the automobile. All such documentation shall be properly dated and, for investigative reports, notes, memoranda and work papers, the parties preparing such documents shall be identified.

(c) Every insurer shall maintain records of all pertinent communications relating to a claim. The records must identify the date of the communication and the parties, and describe the substance of the communication.

N.J. Admin. Code § 11:2-17.12

Amended by R.1987 d.249, effective 6/15/1987.
See: 18 New Jersey Register 2415(a), 19 New Jersey Register 1096(a).
Inserted new text in (b) "With respect to...of the automobile."
Recodified from 11:2-17.11 by R.1993 d.681, effective 12/20/1993.
See: 25 New Jersey Register 3921(a), 25 New Jersey Register 5929(b).
Amended by R.2005 d.350, effective 10/17/2005.
See: 37 New Jersey Register 2285(a), 37 New Jersey Register 4026(a).
In (a), substituted "N.J.S.A. 17:23-20 et seq." for "N.J.S.A. 17:23-4" and deleted "17B:21-3".