N.J. Admin. Code § 11:16-1.2

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

Section 11:16-1.2 - Statement of liability for fraud on claim and application forms

(a) Insurers shall either place on or attach to all claim forms the following warning:

"Any person who knowingly files a statement of claim containing any false or misleading information is subject to criminal and civil penalties."

(b) Pursuant to 17:33A-6, all applications for insurance shall prominently and clearly contain the following statement:

"Any person who includes any false or misleading information on an application for an insurance policy is subject to criminal and civil penalties."

(c) In lieu of the statement in (a) and (b) above, insurers may use a substantially similar statement with the prior approval of the Commissioner.

1. The Commissioner may approve the use of a statement substantially similar to that set forth above upon finding that the statement properly describes the prohibited conduct and references both criminal and civil penalties.

2. Requests for approval of substantially similar statements shall be directed to the Department at the following address:

Division of Anti Fraud Compliance

New Jersey Department of Banking and Insurance

PO Box 324

Trenton, NJ 08625-0324

N.J. Admin. Code § 11:16-1.2

Amended by R.1988 d.342, effective 7/18/1988.
See: 20 New Jersey Register 1062(a), 20 New Jersey Register 1720(b).
Recodified from 11:16-1.5. Repealed 11:16-1.2 (General requirements), 11:16-1.3 (Form and content of verification), 11:16-1.4 (Notification to claimant), Appendix A (Certification/Verification), and Appendix B (Consumer Notice--Verification Required with Bills To Be Reimbursed).
Administrative Correction.
See: 25 New Jersey Register 5229(b).
Amended by R.1996 d.117, effective 3/4/1996.
See: 27 New Jersey Register 4492(a), 28 New Jersey Register 1389(a).
Amended by R.2001 d.76, effective 3/5/2001.
See: 32 New Jersey Register 4197(a), 33 New Jersey Register 804(a).
Added a new (b) and recodified former (b) as (c).