New Jersey Administrative Code
Title 11 - INSURANCE
Chapter 4 - ACTUARIAL SERVICES
Subchapter 23 - MINIMUM STANDARDS FOR MEDICARE SUPPLEMENT COVERAGE
Section 11:4-23.18 - Standards for marketing
Universal Citation: NJ Admin Code 11:4-23.18
Current through Register Vol. 56, No. 24, December 18, 2024
(a) Every carrier, directly or through its producers, shall:
1. Establish marketing procedures to assure
that any comparison of policies by its agents or other producers will be fair
and accurate;
2. Establish
marketing procedures to assure excessive coverage is not sold or issued to any
consumer;
3. Display prominently by
type, stamp or other appropriate means, on the first page of the policy or
certificate the following:
"Notice to buyer: This policy may not cover all of your medical expenses."
4. Make
every reasonable effort to identify when a prospective applicant or enrollee
already has Medicare supplement and/or accident and sickness coverage, the
quantity of such policies and extensiveness of such coverage; and
5. Establish procedures which are auditable
for purposes of verifying compliance with this section.
(b) Practices which are prohibited in this State, in addition to those set forth in N.J.S.A. 17B:30-1 et seq., include, but are not limited to, the following:
1.
Twisting; that is, knowingly making any misleading representations or
incomplete or fraudulent comparisons of any policies or carriers for the
purpose of inducing, or tending to induce, any person to lapse, forfeit,
surrender, terminate, retain, pledge, assign, borrow on, or convey any policy
or certificate or to purchase any policy with another carrier;
2. High pressure tactics; that is, employing
any method of marketing having the effect of or tending to induce the purchase
or to recommend the purchase of coverage through force, fright, explicit or
implied threat, or undue pressure; and
3. Cold lead advertising; that is, making use
directly or indirectly of any method of marketing which fails to disclose in a
conspicuous manner that a purpose of the method of marketing is solicitation of
insurance or other similar coverage, and that further contact with the consumer
will be made by an insurance agent, other producer or carrier.
Disclaimer: These regulations may not be the most recent version. New Jersey may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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