New Jersey Statutes 17:23C-2. Definitions relative to compliance reviews of insurance carriers
Terms Used In New Jersey Statutes 17:23C-2
- Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
- Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
- 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
- Statute: A law passed by a legislature.
“Department” means the Department of Banking and Insurance.
“Enforcement action” means a criminal investigation or prosecution, or an administrative proceeding, civil action or order by a governmental unit, agency or authority which is intended to ensure the safe and sound operation of an insurance carrier.
“Insurance carrier” means:
(1) Any corporation, association, partnership, reciprocal exchange, interinsurer, Lloyd’s insurer, fraternal benefit society or other person engaged in the business of insurance pursuant to Subtitle 3 of Title 17 of the Revised Statutes (R.S.17:17-1 et seq.), or Subtitle 3 of Title 17B of the New Jersey Statutes (N.J.S. 17B:17-1 et seq.);
(2) Any medical service corporation operating pursuant to P.L.1940, c.74 (C. 17:48A-1 et seq.);
(3) Any hospital service corporation operating pursuant to P.L.1938, c.366 (C. 17:48-1 et seq.);
(4) Any health service corporation operating pursuant to P.L.1985, c.236 (C. 17:48E-1 et seq.);
(5) Any dental service corporation operating pursuant to P.L.1968, c.305 (C. 17:48C-1 et seq.);
(6) Any dental plan organization operating pursuant to P.L.1979, c.478 (C. 17:48D-1 et seq.);
(7) Any insurance plan operating pursuant to P.L.1970, c.215 (C. 17:29D-1 et seq.);
(8) The New Jersey Insurance Underwriting Association operating pursuant to P.L.1968, c.129 (C. 17:37A-1 et seq.);
(9) Any risk retention group or purchasing group operating pursuant to the “Liability Risk Retention Act of 1986,” 15 U.S.C. ss. 3901 et seq.;
(10) Any health maintenance organization operating pursuant to P.L.1973, c.337 (C. 26:2J-1 et seq.); and
(11) Any joint insurance fund operating pursuant to P.L.1983, c.108 (C. 18A:18B-1 et seq.), P.L.1983, c.372 (C. 40A:10-36 et seq.), P.L.1985, c.204 (C. 18A:64A-25.33 et seq.) or P.L.1987, c.431 (C. 17:49A-1 et seq.).
“Timely discloses” or “timely disclosure” means the voluntary disclosure of the findings of a voluntary compliance review to the department within 90 days of the completion of a voluntary compliance review report or the delivery of or access to a voluntary compliance review report within 20 days of a request by the department.
“Voluntary compliance review” means review, project, testing program, assessment, audit or evaluation instituted by an insurance carrier to collect information or prepare analyses, not required by statute, regulation, bulletin or order and which would otherwise not be collected, maintained or prepared, for the purposes of identifying and correcting problems of compliance with applicable laws and regulations.
“Voluntary compliance review report” means any document or documents prepared or assembled by any person or group of persons, committee or entity conducting a voluntary compliance review, including without limitation, supporting information and documents such as notes, records of observations, findings, conclusions, drafts, memoranda, drawings, photographs, electronic or computerized mail, audio or video recordings or transcriptions or depictions of any type, stored computer data, including floppy or other disks, hard drives, printer memory, software or other data compilations from which information can be obtained, charts, graphs and surveys, provided, however, that the documents and supporting information are developed for the purpose of and in the course of a voluntary compliance review.
L.1999,c.183,s.2.