New Jersey Administrative Code
Title 11 - INSURANCE
Chapter 4 - ACTUARIAL SERVICES
Subchapter 37 - SELECTIVE CONTRACTING ARRANGEMENTS OF INSURERS
Section 11:4-37.5 - Denial, suspension and revocation
Current through Register Vol. 56, No. 24, December 18, 2024
(a) The approval of a selective contracting arrangement issued by the Department under this subchapter may be denied, suspended or revoked if the Commissioner determines that:
(b) If the Commissioner believes that any of the conditions set forth in subsection (a) above exist, the Commissioner shall notify the carrier by directing a notice by certified mail or personal delivery to the last known business or mailing address of the carrier. The notice shall include:
(c) A carrier requesting a hearing pursuant to (b)3 above shall submit the hearing request to the Department at the following address:
New Jersey Department of Banking and Insurance
Valuation Bureau, 11th Floor
Office of Life and Health
20 West State Street
PO Box 325
Trenton, NJ 08625-0325
The hearing request shall include:
(d) The Commissioner may, after receipt of a properly completed request for a hearing, provide an informal conference between the carrier and such personnel of the Department or Department of Health and Senior Services as the Commissioner may direct, to determine whether there are material issues of fact in dispute.
(e) The Commissioner shall, within 30 days of a properly completed request for a hearing, determine whether the matter constitutes a contested case, pursuant to the Administrative Procedure Act, N.J.S.A. 52:14B-1 et seq.
(f) In addition, or as an alternative to suspension or revocation, the Commissioner may impose such other penalties as provided by law.