New Jersey Administrative Code
Title 11 - INSURANCE
Chapter 25 - OFFICE OF THE INSURANCE CLAIMS OMBUDSMAN
Subchapter 1 - GENERAL POWERS AND DUTIES
Section 11:25-1.2 - Definitions
The following words and terms, when used in this subchapter, shall have the following meanings, unless the context clearly indicates otherwise:
"Claim" means any claim filed under a policy of insurance issued pursuant to 17:17-1 et seq., 39:6A-1 et seq., or any policy of life or health insurance issued pursuant to Title 17 or Title 17B of the New Jersey Statutes.
"Commissioner" means the Commissioner of the Department of Banking and Insurance.
"Consumer complaint" means any inquiry filed with the Department or the Ombudsman under a policy of insurance issued pursuant to 17:17-1 et seq., 39:6A-1 et seq., or any policy of life or health insurance issued pursuant to Title 17 or Title 17B of the New Jersey Statutes.
"Disputed insurance claim" means any offer of settlement made by any insurer which is, in whole or in part, rejected or refused by the claimant or a claim denial.
"Insurance" means any contract of direct insurance written pursuant to 17:17-1 et seq., 39:6A-1 et seq., or any policy of life or health insurance issued pursuant to Title 17 or Title 17B of the New Jersey Statutes.
"Insured" means any individual, policyholder, or entity who has purchased a policy of direct insurance written pursuant to 17:17-1 et seq., 39:6A-1 et seq., or any policy of life or health insurance issued pursuant to Title 17 or Title 17B of the New Jersey Statutes.
"Insurer" means any entity authorized or admitted to transact the business of a property/casualty or life or health insurance in accordance with Titles 17 and 17B of the New Jersey Statutes.
"Ombudsman" or "Insurance Claims Ombudsman" means the Office of Insurance Claims Ombudsman within the New Jersey Department of Banking and Insurance established in accordance with 17:29E-1.
