N.J. Admin. Code § 11:4-40.1

Current through Register Vol. 56, No. 24, December 18, 2024

Section 11:4-40.1 - Purpose and scope

(a) The purpose of this subchapter is to implement P.L. 1995, c.73 (the Life and Health Insurance and Health Maintenance Organization Form Approval Reform Act) by setting forth standards and procedures whereby all life insurance, health insurance, and annuity forms, and rates where applicable, other than forms approved pursuant to the Interstate Insurance Product Regulation Compact established by P.L. 2010, c. 120, are to be submitted to the Commissioner for his or her approval prior to use. This subchapter also establishes a file and use system for certain forms deemed eligible by the Commissioner provided that a certification is filed that the particular form complies with the law and rules applicable to it.

(b) This subchapter shall apply to all life insurance, health insurance and annuity forms issued pursuant to N.J.S.A. 17B:17-1 et seq.; all hospital service corporation contracts issued pursuant to N.J.S.A. 17:48-1 et seq.; all medical service corporation contracts issued pursuant to N.J.S.A. 17:48A-1 et seq.; all health service corporation contracts issued pursuant to N.J.S.A. 17:48E-1 et seq.; and all health maintenance organization contracts, evidence of coverage and related forms issued pursuant to N.J.S.A. 26:2J-1 et seq. This subchapter shall not apply to any forms issued pursuant to N.J.S.A. 17B:27A-2 et seq. or 17B:27A-17 et seq., but shall apply to all forms issued pursuant to N.J.S.A. 17B:27A-7 and N.J.S.A. 17B:27A-19. This subchapter shall not apply to individual and group annuity, life insurance and disability income forms approved by the Interstate Insurance Product Regulation Commission created pursuant to the Interstate Insurance Product Regulation Compact established by P.L. 2010, c. 120.

Amended by R.2011 d.265, effective 11/7/2011.
See: 43 N.J.R. 819(a), 43 N.J.R. 3026(a).
In (a), inserted "other than forms approved pursuant to the Interstate Insurance Product Regulation Compact established by P.L. 2011, c. 120,"; and in (b), inserted the last sentence.