New Jersey Administrative Code
Title 11 - INSURANCE
Chapter 4 - ACTUARIAL SERVICES
Subchapter 6 - MINIMUM RESERVE STANDARDS FOR INDIVIDUAL AND GROUP HEALTH INSURANCE CONTRACTS
Section 11:4-6.3 - Claim reserves-general requirements
Universal Citation: NJ Admin Code 11:4-6.3
Current through Register Vol. 56, No. 18, September 16, 2024
(a) Claim reserves are required for all incurred but unpaid claims on all health insurance policies.
(b) Appropriate claim expense reserves are required with respect to the estimated expense of settlement of all incurred but unpaid claims.
(c) All claim reserves for prior valuation years are to be tested for adequacy and reasonableness along the lines of claim runoff schedules in accordance with the statutory financial statement including consideration of any residual unpaid liability.
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