Search Rutgers Law Library N.J. Court Opinions

1 MARLENE CARIDE v. PAUL B. KUMAR -- rank: 1000

... failed to disclose that they did not sign their applications,' N.J.S.A. 17:33A-4(a)(3), and because he 'submitted insurance applications that he knew contained false or misleading information regarding material facts,' N.J.S.A. 17:33A-4(a)(4)(b). The Commissioner rejected the ALJ's determination ... the Commissioner concluded that the Department proved the following violations: N.J.S.A. 17:33A-4(a)(3) (conceals or knowingly fails to disclose the occurrence ... they did not sign their applications. . . . also . . . that . . . [Kumar] violated N.J.S.A. 17:33A- 4(a)(b)(4) (makes any written or oral statement, intended ... payment or (b) the amount of any benefit or payment, N.J.S.A. 17:33A-4(a)(3)'; and (3) Kumar's misstatements were not 'material to an insurance application or contract.' N.J.S.A. 17:33A- 4(a)(b)(4). We find Kumar's arguments unavailing. ...

docket:	a2627-21
court:	NJ Superior Court Appellate Division
decided:	2023-12-29
status:	Unpublished
citation:
Document Size:	49745

2 Liberty Insurance Corp. v. Techdan -- rank: 985

... ” Ibid. One category of prohibited conduct is addressed in N.J.S.A. 17:33A-4(a)(4)(b), which provides that “[a] person or ... concerning any factor or thing material to the claim,” N.J.S.A. 17:33A-4(a)(1), -4(a)(2); concealing or knowingly failing to ... urges any person or practitioner to violate” any IFPA provision, N.J.S.A. 17:33A-4(b), or “if, due to the assistance, conspiracy or ... may be relevant to a finding that a violation [of N.J.S.A. 17:33A- 4(a)(4)] has or has not occurred,” id. at ... J.S.A. 2A:15-5.2(c)(1). See N.J.S.A. 17:33A-4 (enumerating acts that violate the IFPA); Blazovic, 124 N.J ...

docket:	a-52-21
court:	NJ Superior Court Appellate Division
decided:	2023-02-15
status:
citation:
Document Size:	88191

3 State v. Randi Fleischman -- rank: 918

... insurance fraud to the Code of Criminal Justice. Pursuant to N.J.S.A. 17:33A-4. In Merin v. Maglaki , 126 N.J. 430 (1992), the ... identical to that which now appears in the criminal statute. N.J.S.A. 17:33A-4. In Merin v. Maglaki , 126 N.J. 430 (1992), we ...

docket:	a-4-06
court:	njsupreme
decided:	2007-03-19
status:
citation:	189 N.J. 539
Document Size:	52869

4 Allstate Insurance Company v. Northfield Medical Center, P.C. -- rank: 888

... of the IFPA is amply supported in this record. 1. N.J.S.A. 17:33A-4(b) instructs that “[a] person or practitioner violates [the ... his submission of medical claims for reimbursement, in violation of N.J.S.A. 17:33A-4(a), (c). Proof of such violation need only be found ... to violate any of the provisions of [the IFPA].” N.J.S.A. 17:33A-4(b). The Appellate Division concluded that the trial court erred ... any benefit or payment to which the person is entitled. [ N.J.S.A. 17:33A-4(a)(1)-(3) (emphases added).] N.J.S.A. 17:33A-4(b) further instructs that “[a] person or practitioner violates ... violate any of the provisions of this act.” Furthermore, N.J.S.A. 17:33A-4(c) provides that “[a] person or practitioner violates ...

docket:	a-27-15
court:	New Jersey Supreme Court
decided:	2017-05-04
status:
citation:
Document Size:	106633

5 AETNA HEALTH INC. v. BIODIAGNOSTIC LABORATORY SERVICES, L.L.C. -- rank: 877

... 30, because they knowingly benefitted from BLS's fraud, see N.J.S.A. 17:33A-4(c), and they failed to disclose the fraud to Aetna, see N.J.S.A. 17:33A-4(a)(5). Aetna also contends that BLS's payments to ... any benefit or payment to which the person is entitled .' N.J.S.A. 17:33A-4(a)(3). Second, Aetna alleges that 'due to the assistance ... 3335-17 12 derived from a violation of this act,' N.J.S.A. 17:33A-4(c), that violation being BLS's numerous acts of fraud ... but on their knowing receipt of BLS's fraud proceeds, N.J.S.A. 17:33A-4(c), and their failure to disclose that knowledge, N.J.S.A. 17:33A-4(b)(5). Regarding BLS's underlying fraud, Aetna pleaded ...

docket:	a3335-17
court:	NJ Superior Court Appellate Division
decided:	2021-10-07
status:	Unpublished
citation:
Document Size:	41748

6 MARLENE CARIDE v. ANDREW TEPEDINO -- rank: 868

... Department on count eight of the OTSC for violations of N.J.S.A. 17:33A-4(a)(4)(b), except those related to the alleged 2 ... J.A.C. 11:4-2.8(a)(3), and N.J.S.A. 17:33a- 4(A)(4)(B). The Commissioner also found respondents violated N ... 17:22A-40(a)(2), (5) (7), (8), and (16), N.J.S.A. 17:33a-4(A)(4)(B), N.J.A.C. 11:4-2 ...

docket:	a2797-19
court:	NJ Superior Court Appellate Division
decided:	2021-11-18
status:	Unpublished
citation:
Document Size:	41734

7 RICHARD J. BADOLATO v. WEIRAN DOBREK -- rank: 826

... he made when pursuing his insurance claim, in violation of N.J.S.A. 17:33A-4(a), 6 and for conspiring and assisting Weiran in providing false information, in violation of N.J.S.A. 17:33A-4(b). 7 Both Dobreks filed answers and the contested matters ... the statements to be false or misleading" in violation of N.J.S.A. 17:33A-4(a)(1) and (2), after determining that there was "no ... that Thomas's coaching of Weiran constituted a violation of N.J.S.A. 17:33A-4(b), by his "conspiring, urging and/or assisting his wife ... carrier]," arguing that the ALJ confused the cited statute with N.J.S.A. 17:33A-4(a)(4)(b). After considering the matter, DOBI's Acting ... information concerning any fact or thing material to the claim." N.J.S.A. 17:33A-4(a)(1), (2). It also prohibits the failure to ...

docket:	a2990-14
court:	NJ Superior Court Appellate Division
decided:	2016-07-03
status:	unpublished
citation:
Document Size:	41508

8 IN THE MATTER OF PROCEEDINGS BY THE COMMISSIONER OF BANKING AND INSURANCE, STATE OF NEW JERSEY TO FINE CHARLES BOAS PURSUANT TO THE NEW JERSEY INSURANCE FRAUD PREVENTION ACT, N.J.S.A 17:33A-1 to -30 -- rank: 782

... by filing an order to show cause alleging Boas violated N.J.S.A. 17:33A-4(a)(1), which in pertinent part provides that a person ...

docket:	a2223-17
court:	NJ Superior Court Appellate Division
decided:	2019-02-22
status:	Unpublished
citation:
Document Size:	45035

9 Liberty Mutual Insurance Co. v. Land -- rank: 768

... information concerning any fact or thing material to the claim. [ N.J.S.A. 17:33A-4(a)(1).] Other violations of the Act include but are ...

docket:	a-125-04
court:	njsupreme
decided:	2006-03-14
status:
citation:	*CITE_PENDING*
Document Size:	83732

10 BUILDING MATERIALS CORPORATION OF AMERICA v. ALLSTATE INSURANCE COMPANY -- rank: 729

... fact or thing material to an insurance application or contract[.] [ N.J.S.A. 17:33A-4(a)(4).] An insurance company damaged as the result of ...

docket:	a4444-09
court:	NJ Superior Court Appellate Division
decided:	2012-03-13
status:	published
citation:	424 N.J. Super. 448 38 A.3d 644
Document Size:	109716

11 STATE OF NEW JERSEY v. MUHAMMAD A. NASIR -- rank: 715

... In addition, the actions that constitute fraud under the Act, N.J.S.A. 17:33A-4, do not incorporate the requirement of compliance with N.J ... his medical history statement in his application for disability insurance. ���� N.J.S.A. 17:33A-4 lists actions that violate the Act. It states: ��������A person ... fact or thing material to an insurance application or contract; ��������[ N.J.S.A. 17:33A-4 (emphasis added).] In Ledley v. William Penn Life Ins. Co ...

docket:	A1186-01
court:	NJ Superior Court Appellate Division
decided:	2002-11-15
status:	published
citation:
Document Size:	27112

12 MARGIN HOLDINGS LTD., LLC v. FRANKLIN MUTUAL INSURANCE COMPANY -- rank: 709

... length, although it mentioned one of the statute's provisions, N.J.S.A. 17:33A-4(a)(1), when A-4224-18 19 defining what type ...

docket:	a4224-18
court:	NJ Superior Court Appellate Division
decided:	2022-02-14
status:	Unpublished
citation:
Document Size:	57615

13 AETNA HEALTH INC. v. DEEPAK SRINIVASAN M.D -- rank: 703

... information concerning any fact or thing material to the claim. [ N.J.S.A. 17:33A-4(a)(1).] The IFPA "allows any insurance company that has ... insurance policy or the Unsatisfied Claim and Judgment Fund Law." N.J.S.A. 17:33A-4(a)(1). The insurance company must also prove a fourth ...

docket:	a2035-14
court:	NJ Superior Court Appellate Division
decided:	0000-00-00
status:	unpublished
citation:
Document Size:	49994

14 ALLSTATE INSURANCE COMPANY v. RICHARD SIMONE -- rank: 692

... information concerning any fact or thing material to the claim .�.�.�. [ N.J.S.A. 17:33A-4(a).] Further, an insurer that suffers damages as the result ... information concerning any fact or thing material to the claim[.]" N.J.S.A. 17:33A-4(a)(2). Defendant suggested his requests for payment accurately reflected ...

docket:	a5359-09
court:	NJ Superior Court Appellate Division
decided:	2011-06-08
status:	unpublished
citation:
Document Size:	34475

15 ALLSTATE NEW JERSEY INSURANCE COMPANY v. HARRIS C. LEGOME -- rank: 673

... benefits pursuant to or related to an insurance policy. i. N.J.S.A. 17:33A-4(a)(3)'s plain and ordinary language only requires the ... court erred by rewriting the IFPA by omitting keywords from N.J.S.A. 17:33A-4(a)(2), and then relying upon that incorrect citation, contrary ...

docket:	a1886-20
court:	NJ Superior Court Appellate Division
decided:	2022-07-26
status:	Unpublished
citation:
Document Size:	32994