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 Results for ("N.J.S.A. 39:6a-5")   1 to 15 of 80 results. Run time: 0.635 seconds | Search time: 0.628 seconds    
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1 Denise A. Perrelli v. Bridget Pastorelle -- rank: 1000
... not barred from making a claim for personal injuries, see N.J.S.A. 39:6A-.5(a). In other words, an uninsured driver injured in someone ...
docket: A-22-10
court: NJ Supreme Court
decided: 2011-06-01
status:
citation:
Document Size: 76489
2 COALITION FOR QUALITY HEALTH CARE, et al. v. NEW JERSEY DEPARTMENT OF BANKING AND INSURANCE, DIVISION OF INSURANCE, -- rank: 933
... a dispute under this section to dispute resolution pursuant to [ N.J.S.A. 39:6A-5.1 and -5.2] (emphasis added)." See footnote 6 6 However, N.J.S.A. 39:6A-5.1a provides that "[a]ny dispute regarding the recovery of ... the dispute . . . ." (emphasis added).     Appellants suggest that we focus on N.J.S.A. 39:6A-5.1. This we cannot do. "A construction that will render ... Superior Court action. Although retention of the word "option" in N.J.S.A. 39:6A-5 appears to lend some credence to appellants' argument, we are ... to measure the medical necessity of treatments and diagnostic tests, N.J.S.A. 39:6A-5.1 and -5.2. The Commissioner adopted dispute resolution procedures ... the submission of PIP disputes to the dispute resolution process. N.J.S.A. 39:6A-5.1. Because a provider, with a valid assignment, is ...
docket: a3312-99
court: njappellate
decided: 2002-03-04
status: published
citation: 348 N.J. Super. 272
Document Size: 102897
3 KIMBA MEDICAL SUPPLY v. ALLSTATE INSURANCE COMPANY OF NJ -- rank: 891
... to the insured in that particular case. I. Pursuant to N.J.S.A. 39:6A-5.1(a) ("the PIP statute"), "[d]isputes between an insurer ... such PIP disputes, where the parties have elected that procedure. N.J.S.A. 39:6A-5.1(b). The organization that presently serves in that capacity ... and regulations for the conduct of such PIP arbitration proceedings. N.J.S.A. 39:6A-5.1(b). The Commissioner has duly adopted such regulations, which ... the findings and conclusions on which the decision is based[.]" N.J.S.A. 39:6A-5.1(c) (emphasis added); see also N.J.A.C ... that "[a]ll decisions of a [DRP] shall be binding." N.J.S.A. 39:6A-5.1(c). However, both the Commissioner's own regulations and ... resolution on the initiative of any party to the dispute[.]" N.J.S.A. 39:6A-5.1(a). When adopting administrative rules to implement this ...
docket: a1902-11
court: NJ Superior Court Appellate Division
decided: 2013-07-05
status: published
citation: 431 N.J.Super. 463 70 A.3d 725
Document Size: 93859
4 KIMBA MEDICAL SUPPLY v. ALLSTATE INSURANCE COMPANY OF NJ -- rank: 891
... to the insured in that particular case. I. Pursuant to N.J.S.A. 39:6A-5.1(a) ("the PIP statute"), "[d]isputes between an insurer ... such PIP disputes, where the parties have elected that procedure. N.J.S.A. 39:6A-5.1(b). The organization that presently serves in that capacity ... and regulations for the conduct of such PIP arbitration proceedings. N.J.S.A. 39:6A-5.1(b). The Commissioner has duly adopted such regulations, which ... the findings and conclusions on which the decision is based[.]" N.J.S.A. 39:6A-5.1(c) (emphasis added); see also N.J.A.C ... that "[a]ll decisions of a [DRP] shall be binding." N.J.S.A. 39:6A-5.1(c). However, both the Commissioner's own regulations and ... resolution on the initiative of any party to the dispute[.]" N.J.S.A. 39:6A-5.1(a). When adopting administrative rules to implement this ...
docket: a1443-11
court: NJ Superior Court Appellate Division
decided: 2013-07-05
status: published
citation:
Document Size: 93684
5 Joshua Haines v. Jacob W. Taft -- rank: 829
... Ibid. AICRA changed the arbitration process used for benefit disputes, N.J.S.A. 39:6A-5.1 (1998), established bases for determining whether treatments and diagnostic ... resolution process established by the Commissioner of Banking and Insurance. N.J.S.A. 39:6A-5.1 (1998). The entire regulatory scheme ensured that benefits were ...
docket: a-13-14-17
court: NJ Supreme Court
decided: 2019-03-26
status:
citation:
Document Size: 102160
6 GEORGE CASTANO v. WENDELL D. AUGUSTINE -- rank: 802
... misapplied the law by strictly interpreting a single phrase in N.J.S.A. 39:6A-5(b),' contrary to the 'legislative intent, overall purpose, and public ... Zagami, LLC, 218 N.J. 202, 209 (2014)). In construing N.J.S.A. 39:6A-5.4(b), we apply well-known canons of statutory interpretation ...
docket: a3925-21
court: NJ Superior Court Appellate Division
decided: 2023-03-06
status: Published
citation:
Document Size: 29448
7 MIRIAM GONZALEZ v. NEW JERSEY PROPERTY LIABILITY INSURANCE GUARANTY ASSOCIATION -- rank: 799
... denied plaintiff's request for emergent relief, made pursuant to N.J.S.A. 39:6A-5.1. Applying the Rule 4 standard, the DRP concluded that ... the same time reducing unnecessary costs which drive premiums higher." N.J.S.A. 39:6A-5.1b states that: The Commissioner of Banking and Insurance shall ... and irreparable harm was contemplated by the governing legal provisions. N.J.S.A. 39:6A-5.1(b) authorizes the DRO to establish procedures and rules ... 3), and contravenes the legislative policies of the Act, including N.J.S.A. 39:6A-5.1b vested the obligation in the DRO to establish a ... statutory mandate that a DRO establish a dispute resolution plan, N.J.S.A. 39:6A-5.1b, the Legislature must have intended that implementing guidelines be ...
docket: a1298-07
court: superior court appellate division
decided: 2010-03-25
status: Published
citation: 412 N.J. Super. 406 991 A.2d 243
Document Size: 45309
8 NEW JERSEY MANUFACTURERS INSURANCE COMPANY v. HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY -- rank: 775
... the PIP coverage functions as secondary insurance. Another statutory provision, N.J.S.A. 39:6A-5.1, provides for arbitration of PIP claims. This appeal presents ... is required to participate in arbitration of claims pursuant to N.J.S.A. 39:6A-5.1. We conclude that this statutory arbitration provision does not ... 2006, Dr. Cifelli filed a demand for arbitration pursuant to N.J.S.A. 39:6A-5.1, naming as respondents NJM and Blue Cross Blue Shield ... of counsel fees and costs?" The arbitrator first concluded that N.J.S.A. 39:6A-5.1 did not require Horizon to participate in arbitration, because ... to arbitration, and directed that Horizon participate. The judge construed N.J.S.A. 39:6A-5.1 as requiring arbitration of any dispute over insurance covering ... obligation, if any, to participate in statutory arbitration pursuant to N.J.S.A. 39:6A-5.1. No other issue is properly before us. A. ...
docket: a0712-07
court: NJ Superior Court Appellate Division
decided: 2008-11-03
status: published
citation: 403 N.J. Super. 518 959 A.2d 858
Document Size: 68704
9 CITIZENS UNITED RECIPROCAL EXCHANGE v. NORTHERN NJ ORTHOPEDIC SPECIALISTS -- rank: 760
... by CURE's appeal. III. Under the PIP arbitration statute, N.J.S.A. 39:6A-5.1, "'[d]isputes between an insurer and a claimant as ... parties have elected that procedure." Id. at 467-68 (citing N.J.S.A. 39:6A-5.1(b)); see also N.J.A.C. 11:3 ... for the conduct of such PIP arbitration proceedings." Ibid. (citing N.J.S.A. 39:6A-5.1(b)). "The Commissioner has duly adopted such regulations, which ... shall include procedures and rules governing the dispute resolution process." N.J.S.A. 39:6A-5.1(b). The procedures and rules are intended "to ensure adherence to the standards of performance set forth in N.J.S.A. 39:6A-5.1 and 5.2 and [ N.J.A.C. 11 ... Super. 129 , 144 (App. Div. 2015). "The evident purpose of [ N.J.S.A. 39:6A-5.1] is to establish an expeditious non-judicial procedure ...
docket: a0945-14
court: NJ Superior Court Appellate Division
decided: 2016-05-06
status: published
citation: 445 N.J.Super. 371 138 A.3d 559
Document Size: 46890
10 ALLSTATE INSURANCE COMPANY v. ULISES SABATO, M.D., et al. -- rank: 750
... Complaint seeking to vacate the umpire's award. Arguing that N.J.S.A. 39:6A-5.1 and N.J.A.C. 11:3-5.6 ... decision erroneously applied the law to the issues and facts. N.J.S.A. 39:6A-5.1, did not change the standard of review imposed by ... of review under APDRA is not authorized by AICRA, specifically N.J.S.A. 39:6A-5.1, and unconstitutionally usurps the power of the court by ... These were to some extent embodied in the provisions of N.J.S.A. 39:6A-5.1a (emphasis added).] Prior to AICRA, only a claimant had ... congestion and reduce costs to the automobile insurance system. [ Ibid. ] N.J.S.A. 39:6A-5.1b expressly authorizes the Commissioner to promulgate rules and regulations ... supra , 348 N.J. Super. at 312. In 1998 when N.J.S.A. 39:6A-5.1 was adopted, both the Arbitration Act, N.J. ...
docket: A0380-04
court: NJ Superior Court Appellate Division
decided: 2005-10-03
status: published
citation: 380 N.J. Super. 463 882 A.2d 972
Document Size: 62080
11 LORRAINE DAVID v. GOVERNMENT EMPLOYEES INSURANCE COMPANY, et al. -- rank: 750
... v. Vasquez , 109 N.J. 258 , 261 (1988); see also N.J.S.A. 39:6A-5. In pertinent part, N.J.S.A. 39:6A-9 ... that our approach in Health Care Professionals with respect to N.J.S.A. 39:6A-5:2(g) should apply as well to N.J.S ...
docket: A1983-01
court: NJ Superior Court Appellate Division
decided: 2003-05-08
status: published
citation: 360 N.J. Super. 127 821 A.2d 564
Document Size: 60735
12 IN RE ADOPTION OF N.J.A.C. 11:3-29 -- rank: 743
... disagrees with the insurer's determination, the provider has the N.J.S.A. 39:6A-5.1. There is option of filing for arbitration. accountability and ...
docket: a0344-07
court: NJ Superior Court Appellate Division
decided: 2009-08-10
status: published
citation: 410 N.J. Super. 6 979 A.2d 770
Document Size: 87431
13 COOPER HOSPITAL UNIVERSITY MEDICAL CENTER v. SELECTIVE INSURANCE COMPANY OF AMERICA -- rank: 730
... 176 N.J. Super. 532, 535 (App. Div. 1980) (citing N.J.S.A. 39:6A-5 to -6; Solimano v. Consolidated Mutual Ins. Co., 146 N ...
docket: a0603-19
court: NJ Superior Court Appellate Division
decided: 2020-11-18
status: Unpublished
citation:
Document Size: 40147
14 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: a1038-12
court: NJ Superior Court Appellate Division
decided: 2015-03-31
status: published
citation:
Document Size: 53853
15 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: a1445-12
court: NJ Superior Court Appellate Division
decided: 2015-03-31
status: published
citation:
Document Size: 53853
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