N.J. Admin. Code § 11:2-17.13

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

Section 11:2-17.13 - Special claims reports

(a) If the Department observes that an insurer's claims settlement practices are not meeting the standards established by statute or by this subchapter, the Department may require such insurer to file periodic reports. Depending on the nature and extent of an insurer's deviations from such standards and with due consideration of the insurer's data capabilities, the Commissioner in his discretion may require the report to include some or all of the statistics listed below:

1. The total number of claims submitted;

2. The original amount claimed;

3. The classification by line or insurance of each individual claim;

4. The total number of claims denied;

5. The total number of claims paid;

6. The total number of claims compromised;

7. The amount of each settlement;

8. The total number of claims for which lawsuits are instituted against the insurer, the reason for the lawsuit, and the amount of the final adjudication; and

9. An individual listing showing the disposition and other information for each claim.

N.J. Admin. Code § 11:2-17.13

Recodified from 11:2-17.12 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.2001 d.6, effective 1/2/2001.
See: 32 New Jersey Register 3530(a), 33 New Jersey Register 85(a).
In (a), deleted "of Insurance" in reference to the Department.