New Jersey Administrative Code
Title 11 - INSURANCE
Chapter 1 - ADMINISTRATION
Subchapter 35 - INSURANCE HOLDING COMPANY SYSTEMS
Section 11:1-35.3 - Forms; general requirements

Universal Citation: NJ Admin Code 11:1-35.3

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

(a) All statements required to be filed pursuant to 17:27A-2, 17:27A-3, 17:27A-4, and 17:27A-4.1 shall be submitted in accordance with the forms set forth at Exhibits A, B, C, D, E, and F in the Appendix, incorporated herein by reference, as applicable. The forms shall be considered blank forms which are to be filled in. The statements filed shall contain the numbers and captions of all items, but the text of the items may be omitted provided the answers thereto are prepared in such a manner as to indicate clearly the scope and coverage of the items. All instructions, whether appearing under the items of the form or elsewhere therein, are to be omitted. Unless expressly provided otherwise, if any item is inapplicable or the answer thereto is in the negative, an appropriate statement to that effect shall be made.

(b) Three complete copies of each Exhibit A statement, and one copy of each Exhibit B, C, D, E, and F, including exhibits and all other papers and documents filed as a part thereof, shall be filed with the Commissioner by personal delivery or mail addressed to:

Holding Company Submissions

Office of Solvency Regulation

New Jersey Department of Banking and Insurance

20 West State Street

PO Box 325

Trenton, NJ 08625-0325

1. At least one of the copies shall be signed in the manner prescribed on the form. Unsigned copies shall be conformed. If the signature of any person is affixed pursuant to a power of attorney or other similar authority, a copy of the power of attorney or other authority shall also be filed with the statement.

2. If an applicant requests a hearing on a consolidated basis pursuant to 17:27A-2.d(3), in addition to filing Exhibit A with the Commissioner, the applicant shall file a copy of Exhibit A with the National Association of Insurance Commissioners in electronic form, in accordance with the NAIC's instructions which shall be posted on the Department's website, www.state.nj.us/dobi/.

(c) Statements and information required pursuant to Exhibit A shall be in loose-leaf form inserted into standard two-ring or three-ring binders. The loose-leaf sheets used shall be eight and one-half inches wide and 11 inches long and punched for two-ring and three-ring binders as appropriate. In the case of information required pursuant to Exhibits A, B, C, D, E, or F, exhibits and financial statements, unless specifically prepared for the filing, may be submitted in their original size. Statements may also be submitted electronically in accordance with the instructions which shall be posted on the Department's website, www.state.nj.us/dobi/. All statements shall be clear, easily readable, and suitable for review and reproduction. Debits in credit categories and credits in debit categories shall be designated so as to be clearly distinguishable as such on reproductions. Statements shall be in the English language and monetary values shall be stated in United States currency. If any exhibit or other paper or document filed with the statement is in a foreign language, it shall be accompanied by a translation into the English language and any monetary value shown in a foreign currency shall be converted into United States currency.

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