Search Rutgers Law Library N.J. Court Opinions

1 COALITION FOR QUALITY HEALTH CARE, et al. v. NEW JERSEY DEPARTMENT OF BANKING AND INSURANCE, DIVISION OF INSURANCE, -- rank: 1000

... 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 ... 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 any ... 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, N ... 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 bound by ...

docket:	a3312-99
court:	njappellate
decided:	2002-03-04
status:	published
citation:	348 N.J. Super. 272
Document Size:	102897

2 KIMBA MEDICAL SUPPLY v. ALLSTATE INSURANCE COMPANY OF NJ -- rank: 997

... 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 and ... 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 is ... 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 are ... 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. 11 ... 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 case ... 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 alternative ...

docket:	a1443-11
court:	NJ Superior Court Appellate Division
decided:	2013-07-05
status:	published
citation:
Document Size:	93684

3 KIMBA MEDICAL SUPPLY v. ALLSTATE INSURANCE COMPANY OF NJ -- rank: 997

... 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 and ... 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 is ... 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 are ... 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. 11 ... 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 case ... 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 alternative ...

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 Joshua Haines v. Jacob W. Taft -- rank: 953

... 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 tests ... 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 paid ...

docket:	a-13-14-17
court:	NJ Supreme Court
decided:	2019-03-26
status:
citation:
Document Size:	102160

5 IN RE ADOPTION OF N.J.A.C. 11:3-29 -- rank: 920

... 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 meaningful ...

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

6 CITIZENS UNITED RECIPROCAL EXCHANGE v. NORTHERN NJ ORTHOPEDIC SPECIALISTS -- rank: 865

... 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 to ... 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. 11:3-5 ... 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 are ... 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. 11:3 ... 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 for ...

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

7 MIRIAM GONZALEZ v. NEW JERSEY PROPERTY LIABILITY INSURANCE GUARANTY ASSOCIATION -- rank: 852

... 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 "[t ... 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 for ...

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 ALLSTATE INSURANCE COMPANY v. ULISES SABATO, M.D., et al. -- rank: 838

... 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(d ... 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 the ... 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 precluding ... 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.S.A ... decision. In its amicus brief, the Commissioner argues that because N.J.S.A. 39:6A-5.1 provides that "[a]ny PIP dispute . . . may be submitted to ... action in Superior Court." As we have previously pointed out, N.J.S.A. 39:6A-5.1, which became effective almost six months before the underlying ...

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

9 NEW JERSEY MANUFACTURERS INSURANCE COMPANY v. HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY -- rank: 832

... 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 the ... 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 apply ... 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 (Horizon ... 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 that ... 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 injuries ... 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. The ...

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

10 NEW JERSEY HEALTHCARE COALITION v. NEW JERSEY DEPARTMENT OF BANKING AND INSURANCE -- rank: 799

... 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 on ...

docket:	a1038-12
court:	NJ Superior Court Appellate Division
decided:	2015-03-31
status:	published
citation:
Document Size:	53853

11 NEW JERSEY HEALTHCARE COALITION v. NEW JERSEY DEPARTMENT OF BANKING AND INSURANCE -- rank: 799

... 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 on ...

docket:	a1636-12
court:	NJ Superior Court Appellate Division
decided:	2015-03-31
status:	published
citation:
Document Size:	53853

12 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: 799

... 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 on ...

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

13 NEW JERSEY HEALTHCARE COALITION v. NEW JERSEY DEPARTMENT OF BANKING AND INSURANCE -- rank: 799

... 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 on ...

docket:	a1445-12
court:	NJ Superior Court Appellate Division
decided:	2015-03-31
status:	published
citation:
Document Size:	53853

14 ORTHOPAEDIC ASSOCIATES v. THE DEPARTMENT OF BANKING AND INSURANCE -- rank: 775

... 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) to ... 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. 11:3-5 ...

docket:	a5591-06
court:	njappellate
decided:	2009-01-20
status:	published
citation:	405 N.J.Super. 54
Document Size:	60548

15 /usr/local/share/www/libweb/collections/courts/appellate/a1931-20.opn.html -- rank: 775

... PIP benefits to the alternative dispute resolution procedures provided by N.J.S.A. 39:6A-5.1.' Ibid.4 In Endo Surgi Center, we noted the Pickett ... of the statutorily mandated alternative dispute resolution procedure provided by N.J.S.A. 39:6A-5.1.' 391 N.J. Super. at 594- 95. A-1931-20 ...

docket:
court:	NJ Superior Court Law/Chancery Division
decided:
status:
citation:
Document Size:	31007