New Jersey Administrative Code
Title 11 - INSURANCE
Chapter 1 - ADMINISTRATION
Subchapter 28 - FORMATION OF A DOMESTIC PROPERTY AND CASUALTY INSURANCE CORPORATION STOCK OR MUTUAL OR RECIPROCAL INSURANCE EXCHANGE
Section 11:1-28.5 - Feasibility study

Universal Citation: NJ Admin Code 11:1-28.5

Current through Register Vol. 56, No. 18, September 16, 2024

(a) In order for an applicant to be granted a certificate of authority to transact property and casualty insurance in this State or, in the case of reciprocal insurance exchanges, to be issued a permit to solicit pursuant to 17:50-10, the requirements of this section shall be satisfied in addition to any other requirements in this subchapter or any other provision of law.

(b) Any applicant seeking to obtain a certificate of authority to transact property and casualty insurance in this State or, in the case of reciprocal insurance exchanges, seeking to obtain a permit to solicit pursuant to 17:50-10, shall first submit a feasibility study to the Commissioner which shall include, but not be limited to, the following:

1. A detailed plan of operation of the applicant which shall:
i. Include and explain its plans of operation;

ii. Explain its source of funding;

iii. Describe its marketing strategy;

iv. Describe its underwriting procedures and guidelines;

v. Explain the administrative and legal arrangements to be made for the adjustment of claims and the recovery of salvage and subrogation;

vi. Describe its territory of operation;

vii. Describe the qualifications of the senior officers of the applicant responsible in the areas of claims, underwriting and investment;

viii. Describe the proposed maximum amount of coverage by line of business;

ix. Describe the proposed retention by line of business;

x. Describe the proposed reinsurance arrangements;

xi. Describe the proposed methods for the handling of consumer complaints;

xii. Include the applicant's proposed organization chart; and

xiii. Describe the proposed dividend policy;

2. A summary of the applicant's initial rating system to the extent its proposed operations are regulated which shall include:
i. Rates by lines of business;

ii. Proposed statistical agents (if any);

iii. Independent filings; and

iv. The rating bureau (if any);

3. A five year projection of the following certified by a qualified actuary and accompanied by a narrative explaining the sources of anticipated premium and all assumptions made in developing the entire projection:
i. Assets, liabilities and surplus and other funds in the format of the Assets page and the Liabilities and Surplus and Other Funds page in the Annual Statement representing the start-up year of the applicant and the five successive year-ends;

ii. Underwriting and investment income in the format of the Underwriting and Investment Exhibit, Statement of Income in the Annual Statement for each of the five years;

iii. The following information by line of business for each of the five years (the line of business classifications shall be those set forth in the Underwriting and Investment Exhibit, Part Two in the Annual Statement):
(1) Premiums earned;

(2) Losses incurred;

(3) Loss expenses incurred; and

(4) Ratios of the sum of the losses and loss expenses to premium earned; and

iv. The projected values required in the Underwriting and Investment Exhibit, Part Four--Expenses in the Annual Statement; and

4. The name of the proposed insurer or reciprocal insurance exchange which shall be reviewed for acceptability by the Commissioner, and if acceptable, shall be reserved for the time that such proposed insurer's or reciprocal insurance exchange's application is pending.

(c) In addition to the requirements in (b) above, the Commissioner may require any additional information he or she deems necessary in order to make an adequate evaluation of the applicant.

(d) Each applicant shall submit a non-refundable filing fee in the amount set forth in 11:1-32.6(a)1 with the filing of the information required by (b) above to cover costs of Department review of such information.

(e) Within 60 days from the receipt of a complete feasibility study and filing fee required by (b) and (d) above, the Commissioner shall notify the applicant in writing that he or she either accepts or rejects the applicant's feasibility study. If the Commissioner notifies the applicant that the feasibility study is accepted, the applicant shall comply with the additional information requirements set forth in 11:1-28.6.

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