New Jersey Statutes 17:29E-4. Application for review of claims settlement; exemptions
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Terms Used In New Jersey Statutes 17:29E-4
- Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
- Contract: A legal written agreement that becomes binding when signed.
- person: includes corporations, companies, associations, societies, firms, partnerships and joint stock companies as well as individuals, unless restricted by the context to an individual as distinguished from a corporate entity or specifically restricted to one or some of the above enumerated synonyms and, when used to designate the owner of property which may be the subject of an offense, includes this State, the United States, any other State of the United States as defined infra and any foreign country or government lawfully owning or possessing property within this State. See New Jersey Statutes 1:1-2
- Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
50. Any person who: a. has reasonable cause to believe that an insurer has failed or refuses to settle a claim in accordance with the provisions of the insurance contract or engaged in any practice in violation of the provisions of P.L.1985, c.179 (C. 17:23A-1 et seq.), P.L.1947, c.379 (C. 17:29B-1 et seq.), P.L.1982, c.95 (C. 17:35C-1 et seq.), chapter 30 of Title 17B of the New Jersey Statutes or section 8 of P.L.1992, c.144 (C. 17:35C-11); and, in the case of disputed claims, b. has previously filed an appeal with the insurer’s internal appeals procedure established pursuant to section 55 of this amendatory and supplementary act, which has been adjudicated, or other dispute resolution procedure established pursuant to P.L.1972, c.70 (C. 39:6A-1 et seq.), P.L.1997, c.192 (C. 26:2S-1 et seq.), or sections 1 through 12 of P.L.1983, c.358 (C. 39:6A-24 through 39:6A-35, inclusive) may file an application with the ombudsman for a review of the claims settlement. Any disputes which may be or have been filed or adjudicated pursuant to sections 24 and 25 of P.L.1998, c.21 (C. 39:6A-5.1 and C. 39:6A-5.2) shall not be subject to the ombudsman’s review.
L.1998,c.21,s.50.