N.J. Admin. Code § 11:16-6.1

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

Section 11:16-6.1 - Purpose and scope

(a) This subchapter sets forth the standards for a plan for the prevention and detection of fraudulent insurance applications and claims filed for approval pursuant to 17:33A-15 by insurers which transact the business of private passenger automobile insurance or health insurance in this State. These provisions apply to all insurers that transact the business of private passenger automobile insurance in New Jersey, including both personal and commercial coverage; and to all insurers transacting the business of health insurance as set forth in 17:33A-3 and N.J.A.C. 11:16-6.2.

(b) The subchapter also sets forth the reporting standards and forms necessary to refer insurance fraud matters to the Bureau of Fraud Deterrence and the Office of Insurance Fraud Prosecutor (OIFP) in accordance with 17:33A-1 et seq., as amended by P.L. 2010, c. 32. These provisions apply to all insurers as defined by 17:33A-3 and 11:16-6.2 including those with PAIP and CAIP assignments.

Amended by R.2014 d.035, effective 2/18/2014.
See: 45 N.J.R. 1989(a), 46 N.J.R. 358(a).
Rewrote (b).