N.J. Admin. Code § 11:3-8.2

Current through Register Vol. 56, No. 8, April 15, 2024
Section 11:3-8.2 - Definitions

The following words and terms, when used in this subchapter, shall have the following meanings, unless the context clearly indicates otherwise.

"Acceptance criteria" means the written standards by which an insurer accepts or rejects new business, and/or renews or nonrenews existing business as set forth in 11:3-8.1 2.

"Commissioner" means the Commissioner of the New Jersey Department of Banking and Insurance.

"Department" means the New Jersey Department of Banking and Insurance.

"Ineligible person" means a person who does not meet the definition of an eligible person in 11:3-34.4(a).

"Information" means any facts, documents, information and representations that are intentionally disclosed, or not disclosed, by an insured, applicant or covered person to an insurer or its representative that would materially affect the coverage, the premium or the benefits under a policy of insurance.

"Insurance score" means a number or rating, including that which is derived from an algorithm, computer application, model or other process, that is based in whole or part on credit information.

"Insurer" includes a group of affiliated companies.

"Nonrenewal" means the termination of coverage at the end of the policy period. Nonrenewal occurs when a notice of nonrenewal is sent to the insured in accordance with these rules.

"Producer" means any person or business entity, licensed pursuant to N.J.S.A. 17:22A-1 et seq., that earns $ 10,000 or more in commissions from an insurer in the prior calendar year.

"Renew" means to issue and deliver at the end of the policy period a policy superseding a policy previously issued and delivered, or to issue and deliver a certificate or notice extending the term of a policy beyond its policy period or term, by the same individual insurance company, or by another of a group of affiliated companies pursuant to a rating plan, filed and approved in accordance with N.J.A.C. 11:3-19A.

"Tier rating plan" means a rating system used by an insurer that provides different rates for different risks to those insureds who qualify in accordance with the insurer's approved tier placement criteria, which have been filed and approved in accordance with N.J.A.C. 11:3-19A.

N.J. Admin. Code § 11:3-8.2

Emergency New Rule, R.1990 d.626, effective 11/26/1990, Operative April 1, 1991 (expired January 25, 1991).
See: 22 N.J.R. 3766(b).
Adopted Concurrent Proposal R.1991 d.89, effective 1/25/1991.
See: 22 N.J.R. 3766(b), 23 N.J.R. 507(a).
Provisions of emergency new rule, R.1990 d.626 readopted without change, operative April 1, 1991.
Amended by R.1999 d.270, effective 8/16/1999.
See: 30 N.J.R. 2564(a), 31 N.J.R. 2383(b).
Inserted "DIFP", "Information" and "Nonrenewal"; in "Renew", changed N.J.A.C. reference; and changed "Standard/nonstandard rating plan" definition to "Tier rating plan", substituted a reference to rates for a reference to base rates, and changed N.J.A.C. reference.
Amended by R.2001 d.44, effective 2/5/2001.
See: 32 N.J.R. 3891(a), 33 N.J.R. 573(a).
Deleted "DIFP".
Amended by R.2008 d.380, effective 12/15/2008 (operative January 1, 2009).
See: 40 N.J.R. 3572(a), 40 N.J.R. 6970(b).
Deleted definitions "Automobile insurance eligibility points" and "Eligible person"; added definitions "Acceptance criteria" and "Insurance score"; and in definition "Tier rating plan", substituted "tier placement criteria, which have" for "underwriting rules, which has".
Amended by R.2011 d.242, effective 9/19/2011.
See: 42 N.J.R. 1984(a), 43 N.J.R. 2525(a).
In definition "Acceptance criteria", inserted "as set forth in N.J.A.C. 11:3-8.12" and deleted the last sentence; and added definition "Ineligible person".