New Hampshire Revised Statutes 402:82 – Claim Forms and Applications
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I. All insurance claim forms shall contain the following statement : “Any person who, with a purpose to injure, defraud, or deceive any insurance company, files a statement of claim containing any false, incomplete, or misleading information is subject to prosecution and punishment for insurance fraud, as provided in N.H. Rev. Stat. § 638:20.”
II. No insurance company or producer shall accept an application for workers’ compensation or life, accident and health insurance unless the application includes:
(a) A written or electronic signature of the producer, unless the transaction does not involve a producer; and
(b) A written or electronic signature of the applicant. In the case of group life, accident, or health insurance, the certificate holder insured under the group health policy is not the applicant.
III. Paragraph II shall not apply to a request for a binder providing temporary coverage, provided the binder is effective for a period of no more than 30 days. The insurer shall comply with the provisions of paragraph II before the issuance of the insurance policy.
IV. The lack of the information required by paragraphs I and II shall not constitute a defense against prosecution under N.H. Rev. Stat. § 638:20 or any other criminal statute.
V. “Electronic signature” shall have the same definition as under N.H. Rev. Stat. § 294-E:2.
VI. “Written signature” means an original signature or a duplicate copy made by photocopying, facsimile, or other means similar and does not include stamped signatures.
II. No insurance company or producer shall accept an application for workers’ compensation or life, accident and health insurance unless the application includes:
Terms Used In New Hampshire Revised Statutes 402:82
- following: when used by way of reference to any section of these laws, shall mean the section next preceding or following that in which such reference is made, unless some other is expressly designated. See New Hampshire Revised Statutes 21:13
- Fraud: Intentional deception resulting in injury to another.
- person: may extend and be applied to bodies corporate and politic as well as to individuals. See New Hampshire Revised Statutes 21:9
- Statute: A law passed by a legislature.
(a) A written or electronic signature of the producer, unless the transaction does not involve a producer; and
(b) A written or electronic signature of the applicant. In the case of group life, accident, or health insurance, the certificate holder insured under the group health policy is not the applicant.
III. Paragraph II shall not apply to a request for a binder providing temporary coverage, provided the binder is effective for a period of no more than 30 days. The insurer shall comply with the provisions of paragraph II before the issuance of the insurance policy.
IV. The lack of the information required by paragraphs I and II shall not constitute a defense against prosecution under N.H. Rev. Stat. § 638:20 or any other criminal statute.
V. “Electronic signature” shall have the same definition as under N.H. Rev. Stat. § 294-E:2.
VI. “Written signature” means an original signature or a duplicate copy made by photocopying, facsimile, or other means similar and does not include stamped signatures.