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 Results for ("N.J.S.A. 39:6a-5")   16 to 30 of 80 results. Run time: 0.502 seconds | Search time: 0.498 seconds    
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16 NEW JERSEY HEALTHCARE COALITION v. NEW JERSEY DEPARTMENT OF BANKING AND INSURANCE -- rank: 730
... calculation of the fees passes legal muster. Because the statute, N.J.S.A. 39:6A-5.2(g), specifically provides that "[f]ees shall be determined ... See 44 N.J.R. 2688 . Further, the enabling statute, N.J.S.A. 39:6A-5.1, does not, on its face, preclude arbitration decisions rendered ...
docket: a1636-12
court: NJ Superior Court Appellate Division
decided: 2015-03-31
status: published
citation:
Document Size: 53853
17 NEW JERSEY HEALTHCARE COALITION v. NEW JERSEY DEPARTMENT OF BANKING AND INSURANCE NEW JERSEY COALITION FOR QUALITY HEALTHCARE v. NEW JERSEY DEPARTMENT OF BANKING AND INSURANCE NEW JERSEY ASSOCIATION FOR JUSTICE v. NEW JERSEY DEPARTMENT OF BA -- rank: 730
... calculation of the fees passes legal muster. Because the statute, N.J.S.A. 39:6A-5.2(g), specifically provides that "[f]ees shall be determined ... See 44 N.J.R. 2688 . Further, the enabling statute, N.J.S.A. 39:6A-5.1, does not, on its face, preclude arbitration decisions rendered ...
docket: a1792-12
court: NJ Superior Court Appellate Division
decided: 2015-03-31
status: published
citation: 440 N.J.Super. 129 111 A.3d 716
Document Size: 54194
18 PETER A. LIQUARI, III v. JENNIFER COMBS -- rank: 728
... Disputes over the payment of PIP benefits are governed by N.J.S.A. 39:6A-5 (Section 5). N.J.S.A. 39:6A-5(g) provides that any claim for PIP medical benefits shall ... for judgments, awards, and orders for the payment of money. N.J.S.A. 39:6A-5(h). The No-Fault Act also provides that either the ... of either arbitration or review by a medical review organization. N.J.S.A. 39:6A-5.1, -5.2. An insured who prevails in such a ... in compliance with their policy and the statutory requirements of . . . N.J.S.A. 39:6A-5 and N.J.A.C. 11:3-4 and were ... PIP benefits is an award of the interest mandated by N.J.S.A. 39:6A-5(h) and [that conclusion] is also supported by the ...
docket: a3924-15
court: NJ Superior Court Appellate Division
decided: 2018-02-02
status: unpublished
citation:
Document Size: 64996
19 KARON K. JOHNSON v. ROSELLE EZ QUICK LLC -- rank: 723
... no later than 21 days following the commencement of treatment." N.J.S.A. 39:6A-5(a), (g). To change the statutory rules to bar recovery ...
docket: a4244-12
court: New Jersey Superior Court Appellate Division
decided: 2014-08-25
status: Published
citation:
Document Size: 70247
20 SELECTIVE INSURANCE COMPANY OF AMERICA v. ARTHUR C. ROTHMAN -- rank: 696
... test. The matter was submitted to dispute resolution pursuant to N.J.S.A. 39:6A-5.1. The Dispute Resolution Professional (DRP) issued a report dated ... claim, the matter was submitted to dispute resolution pursuant to N.J.S.A. 39:6A-5.1. The decision of the DRP is "binding upon the ...
docket: a5289-08
court: NJ Superior Court Appellate Division
decided: 2010-07-13
status: published
citation:
Document Size: 39717
21 SELECTIVE INSURANCE COMPANY OF AMERICA v. ARTHUR C. ROTHMAN, M.D., Ph.D, P.A. -- rank: 696
... test. The matter was submitted to dispute resolution pursuant to N.J.S.A. 39:6A-5.1. The Dispute Resolution Professional (DRP) issued a report dated ... claim, the matter was submitted to dispute resolution pursuant to N.J.S.A. 39:6A-5.1. The decision of the DRP is "binding upon the ...
docket: a5290-08
court: NJ Superior Court Appellate Division
decided: 2010-07-13
status: published
citation:
Document Size: 39730
22 SELECTIVE INSURANCE COMPANY OF AMERICA v. ARTHUR C. ROTHMAN, M.D., Ph.D, P.A. -- rank: 679
... test. The matter was submitted to dispute resolution pursuant to N.J.S.A. 39:6A-5.1. The Dispute Resolution Professional (DRP) issued a report dated ... claim, the matter was submitted to dispute resolution pursuant to N.J.S.A. 39:6A-5.1. The decision of the DRP is "binding upon the ...
docket: a5288-08
court: New Jersey Superior Court Appellate Division
decided: 2010-07-13
status: Published
citation: 414 N.J.Super. 331 998 A.2d 523
Document Size: 38974
23 ORTHOPAEDIC ASSOCIATES v. THE DEPARTMENT OF BANKING AND INSURANCE -- rank: 671
... is so inherently flawed that it violates the provisions of N .J. S.A. 39:6A-5.2, which require DOBI, in consultation with the Commissioner of ... performing MROs as he is unqualified and conflicted pursuant to N.J.S.A. 39:6A-5. D. Staying MRO reviews until the DOBI [] implements fair and impartial procedures for MRO reviews as required by N.J.S.A. 39:6A-5 as First MCO [] does not meet the minimum requirements, is ... at 219-20 (quoting the Legislative findings and declarations in N.J.S.A. 39:6A-5.1. The Commissioner of DOBI was authorized by AICRA: (1 ... resolution procedure; and (2) to promulgate regulations with respect thereto. N.J.S.A. 39:6A-5.1, and implementing regulations, N.J.A.C. 11:3 ...
docket: a5591-06
court: njappellate
decided: 2009-01-20
status: published
citation: 405 N.J.Super. 54
Document Size: 60548
24 COMPREHENSIVE PAIN SOLUTIONS OF NEW JERSEY PC v. OMNI INSURANCE COMPANY c/o GOOD 2 GO AUTO INSURANCE -- rank: 671
... a no-fault PIP arbitration proceeding against Omni pursuant to N.J.S.A. 39:6A- 5.1. N.J.S.A. 39:6A-5.1 grants parties the authority to elect arbitration to remedy ... medical expense benefits or other benefits provided under [PIP] coverage.' N.J.S.A. 39:6A-5.1(a). If a party elects the arbitration process, the ... that '[a]ll decisions of the [arbitrator] shall be binding.' N.J.S.A. 39:6A-5.1(c). Plaintiff submitted the dispute to Forthright, an entity ...
docket: a0862-22
court: NJ Superior Court Appellate Division
decided: 2024-03-07
status: Unpublished
citation:
Document Size: 27139
25 PALISADES INSURANCE COMPANY , v. HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY -- rank: 637
... requires PIP insurers to make prompt payment of claims. Under N.J.S.A. 39:6A-5(g), PIP payments 'shall be overdue if not paid within ... 2830-19 10 the implementing regulations contemplate that arbitration under N.J.S.A. 39:6A-5.1 will include health insurers'). Consequently, the No-Fault statutes ...
docket: a2830-19
court: NJ Superior Court Appellate Division
decided: 2021-07-27
status: Published
citation:
Document Size: 29518
26 PEN MRI and IMAGING OF ROCHELLE PARK v. MERCURY INSURANCE GROUP -- rank: 634
... of the policy in accordance with PMI , the DRP held: N.J.S.A. 39:6A-5.1 specifically references the PIP statute, which states that only ... PIP disputes arising under the PIP statute may be arbitrated. N.J.S.A. 39:6A-5.1 and N.J.A.C. 11:3-5.2 ... PIP benefits is an award of the interest mandated by N.J.S.A. 39:6A-5(h) and attorney's fees"). Because reformation constituted the relief ... of the statutorily mandated alternative dispute resolution procedure provided by N.J.S.A. 39:6A-5.1." Id. at 595-96. We therefore reverse the judge ... claimant with the option of submitting their dispute to arbitration); N.J.S.A. 39:6A-5.1a (same); Cynthia M. Craig & Daniel J. Pomeroy, New Jersey ...
docket: a5760-09
court: NJ Superior Court Appellate Division
decided: 2011-07-14
status: published
citation: 421 N.J. Super. 160 22 A.3d 1007
Document Size: 26300
27 STATE FARM MUTUAL AUTO. INS. CO. VS LINDA MOLINO -- rank: 612
... disputes "under this section," only those PIP issues arising "under" N.J.S.A. 39:6A-5, such as notice and timeliness of payment, may be arbitrated ... unqualified. 199 N.J. Super. 191 , 201 (App. Div. 1985) (" N.J.S.A. 39:6A-5 . . . [grants] insureds an option to submit any disputes concerning benefits ... he or she may determine whether payment is "overdue" under N.J.S.A. 39:6A-5.     Finally, to the extent that the phrase "dispute under the ...
docket: a3811-94
court: njappellate
decided: 1996-04-11
status: published
citation: 289 N.J.Super. 406
Document Size: 18443
28 ABDUL H. MUHAMMAD v. ELIZABETH YELLOW CAB INC -- rank: 604
... expense benefits. N.J.S.A. 39:6A-4(a). N.J.S.A. 39:6A-5(g) requires that PIP benefits pursuant to N.J.S ...
docket: a4197-10
court: NJ Superior Court Appellate Division
decided: 2013-05-08
status: unpublished
citation:
Document Size: 33244
29 NATIONWIDE MUTUAL FIRE INSURANCE COMPANY v. NICHOLAS FIOURIS, et al. -- rank: 599
... issue of such fraud to PIP arbitration. We conclude that N.J.S.A. 39:6A-5.1, which provides for arbitration of disputes regarding PIP benefits ... 1996). The statute requiring the arbitration of PIP claims is N.J.S.A. 39:6A-5.1(a), which provides: Any dispute regarding the recovery of ... the [provisions of] the insurance contract" relating to PIP benefits, N.J.S.A. 39:6A-5.1 only comes into play when there is a dispute ... Thus, Sabato and Molino are consistent with our conclusion that N.J.S.A. 39:6A-5.1 only requires arbitration of disputes regarding entitlement to or ... issue of the validity of the policy. Our conclusion that N.J.S.A. 39:6A-5.1 does not mandate submission of an issue of fraud ... A. 39:6A-5c, which was replaced in 1998 by N.J.S.A. 39:6A-5.1. L. 1998, c. 21, §§ 23, 24. ...
docket: a5458-05
court: njappellate
decided: 2007-07-27
status: published
citation: 395 N.J. Super. 156
Document Size: 36716
30 TITO LOPEZ v. TUSHAR PATEL -- rank: 599
... for arbitration of his PIP claim against Clarendon, pursuant to N.J.S.A. 39:6A-5, -5.1 and N.J.A.C. 11:3-5 ... evaluation regarding causation by an independent medical review organization (MRO). N.J.S.A. 39:6A-5.1d. The MRO doctor reviewed Lopez's medical records and ... of correctness afforded to the MRO doctor's opinion by N.J.S.A. 39:6A-5.1d subjected plaintiff Lopez to a different burden of proof ... as the insured, to demand arbitration of PIP disputes. See N.J.S.A. 39:6A-5.1a; Allstate Ins. Co. v. Sabato , 380 N.J. Super ...
docket: a5262-07
court: NJ Superior Court Appellate Division
decided: 2009-05-07
status: published
citation: 407 N.J. Super. 79 969 A.2d 510
Document Size: 41580
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