N.J. Admin. Code § 11:25-1.7

Current through Register Vol. 57, No. 1, January 6, 2025

Section 11:25-1.7 - Publication of information

(a) Every buyer's guide given to insureds in accordance with Title 11 of the New Jersey Administrative Code shall contain a notice describing the existence and function of the Office of Insurance Claims Ombudsman together with the mailing address, toll-free telephone number and e-mail address listed below.

(b) As a part of any claim, claim denial, payment, compromise or any other disposition, all insurers shall provide notice and explanation of the insurer's internal appeal process that is established in accordance with N.J.A.C. 11:25-2.

(c) As a part of any final action taken by an insurer's internal appeals panel, except those covered by N.J.S.A. 39:6A-5.1 and 5.2 and N.J.A.C. 11:22-1, notice shall be provided to all parties that the Office of Insurance Claims Ombudsman may be contacted at the address in (d) below if further review is sought.

(d) Any document described at (a), (b), and (c) above shall list the following information for contacting the Ombudsman:

New Jersey Department of Banking and Insurance

Consumer Assistance

20 West State Street

PO Box 329

Trenton, NJ 08625-0329

Telephone: (609) 292-7272

Telefax: (609) 292-2431 or (609) 777-0508

Automated Hotline: 1-800-446-7467

E-mail: ombudsman@dobi.nj.gov

Electronic complaint submissions: http://www.state.nj.us/dobi/consumer.htm

N.J. Admin. Code § 11:25-1.7

Amended by R.2007 d.156, effective 5/7/2007.
See: 38 N.J.R. 4166(a), 39 N.J.R. 1737(b).
In (b), substituted "claim" for "consumer"; and in (c), substituted "except" for "excepted".

Amended by 53 N.J.R. 2227(a), effective 12/20/2021