New Jersey Administrative Code
Title 11 - INSURANCE
Chapter 2 - INSURANCE GROUP
Subchapter 28 - CREDIT FOR REINSURANCE
Section 11:2-28.12 - Reinsurance contract
Universal Citation: NJ Admin Code 11:2-28.12
Current through Register Vol. 56, No. 24, December 18, 2024
(a) Credit will not be granted to a ceding insurer for reinsurance effected with assuming insurers meeting the requirements at N.J.A.C. 11:2-28.3, 28.4, 28.5, 28.6, 28.7, 28.7A through 28.7E, or 28.8, unless the reinsurance agreement meets the following standards:
1. Includes a provision that if
the assuming insurer is an unauthorized assuming insurer:
i. It has submitted to the jurisdiction of an
alternative dispute resolution panel or court of competent jurisdiction within
the United States;
ii. It has
agreed to comply with all requirements necessary to give such court or panel
jurisdiction;
iii. It has
designated an agent upon whom service of process may be effected; and
iv. It has agreed to abide by the final
decision of such court or panel;
2. Includes an insolvency clause which shall
provide the following:
i. In the event of a
receivership, the reinsurance recoverables due under any reinsurance contract
shall be payable by the reinsurer directly to the receiver, after reasonable
provision for verification, on the basis of claims allowed against the
insolvent company by any court of competent jurisdiction having authority to
allow such claims or allowed by the receiver as a result of the conclusion of
the claim filing, approval and appeal process before the receiver. Regardless
of any provision in the reinsurance contract or other agreement to the
contrary, payment shall be made without diminution because of such insolvency
or because the receiver has failed to pay all or a portion of any
claims;
ii. The receiver of a
ceding insurer shall give or arrange to give to the reinsurer, written notice
of the pendency of a claim against the ceding insurer, within a reasonable
period of time after the initiation of the receivership. Failure to give such
notice shall not excuse the obligation of the reinsurer unless it is
substantially prejudiced thereby. The reinsurer may interpose, at its own
expense, in the proceeding where such claim is to be adjudicated, any defense
or defenses which it may deem available to the ceding company or its receiver.
The reasonable expense thus incurred by the reinsurer shall be payable, subject
to court approval, out of the estate of the insolvent ceding insurer as part of
the expense of the receivership to the extent of a proportionate share of the
benefit which may accrue to the ceding insurer in receivership, solely as a
result of the defense undertaken by the reinsurer; and
iii. Payments by the reinsurer shall be made
directly to the receiver of the ceding insurer except where the contract of
insurance or reinsurance specifically provides another payee for such
reinsurance in the event of the insolvency of the ceding insurer; and
3. Includes a proper reinsurance
intermediary clause, if applicable, which stipulates that the credit risk for
the intermediary is carried by the assuming insurer.
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