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Chapter 5 Recap

NJ Property Insurance Laws - Everything in One Place

Master Key Numbers - MEMORIZE THESE!

$1.5M

FAIR Plan max value

60

Days - FAIR binder / Free cancel period

5%

Max FAIR surcharge

3

Rejections for surplus lines

30-120

Days - Cancel notice window

10

Days - Non-payment cancel

3 Yrs

Block cancel phase-out max

30

Days - Rates AFTER / Forms BEFORE

$10K

Special risk threshold

30

Days - NFIP waiting period

1

FAIR Plan (NJ Insurance Underwriting Association)

What It Is

  • - Insurance for those rejected by regular market
  • - Focus on urban areas
  • - Mandatory participation by all NJ property insurers
  • - Run by NJ Insurance Underwriting Association

Key Numbers

  • - $1,500,000 maximum property value
  • - 60 days binder validity
  • - 5% maximum surcharge
  • - Surcharge paid semiannually

Key Requirement:

Must try regular market FIRST and be rejected before applying to FAIR Plan.

2

Cancellation & Nonrenewal

The 60-Day Rule

  • - First 60 days: Insurer can cancel for ANY reason
  • - After 60 days: Need specific reason to cancel

Notice Requirements

  • - Standard cancel/nonrenewal: 30-120 days notice
  • - Non-payment: Only 10 days notice

Valid Reasons to Cancel (After 60 Days)

- Non-payment
- Moral hazard
- Material misrepresentation
- Increased hazard
- Breach of contract
- Fraud
- Loss of reinsurance
- Code violations
- Agency termination

Block Cancellation:

Requires plan filing 30 days before sending notices. Commissioner can extend phase-out up to 3 YEARS.

3

Surplus Lines Insurance

What It Is

  • - Insurance from nonadmitted (unlicensed) insurers
  • - For unusual or hard-to-place risks
  • - Only licensed Surplus Lines Brokers can place it
  • - NO guaranty fund protection!

Diligent Effort

  • - Must be rejected by 3 authorized insurers
  • - Each must be authorized for that type of coverage
  • - Must have good faith belief they might consider it

Exportable List Shortcut:

If the coverage type is on the Commissioner's Exportable List, you can skip the 3 rejections. List is compiled annually.

4

Coastal Properties & Hurricane Risk

The Challenges

  • - NJ has 127 miles of coastline
  • - Many insurers won't cover coastal properties
  • - Hurricane deductibles are often percentage-based
  • - Wind damage vs. flood damage disputes

NFIP (Flood Insurance)

  • - Standard homeowners does NOT cover flood
  • - NFIP max: $250K building, $100K contents
  • - 30-day waiting period
  • - No wait for mortgage closing

Critical Distinction:

Wind damage = covered by homeowners. Flood damage = NOT covered (need separate NFIP policy).

5

Commercial Insurance Deregulation

The 30-Day Rules

  • - RATES: File 30 days AFTER effective
  • - FORMS: File 30 days BEFORE effective
  • - All filings are public information

Rate Standards

  • - Cannot be EXCESSIVE (too high)
  • - Cannot be INADEQUATE (too low)
  • - Cannot be UNFAIRLY DISCRIMINATORY

Special Risks (Exempt from Filing)

  • - Premium over $10,000 (except med mal)
  • - Unusual, high hazard, difficult to place
  • - Inland Marine (always special)
  • - Fidelity, Surety, Forgery Bonds (always special)

Violations

  • - Must hold hearing first
  • - Can suspend/revoke license
  • - Penalty: $25-$500 per willful violation

Top 10 Exam Traps - Don't Fall For These!

1. FAIR Plan isn't first choice

Must try regular market first and be rejected

2. 60 days = Two different things

FAIR binder validity AND free cancel period

3. 3 rejections for surplus lines

Not 2 or 5 - exactly 3 (unless on Exportable List)

4. No guaranty fund for surplus lines

Consumer has no state protection if insurer fails

5. Flood NOT covered by homeowners

Need separate NFIP policy - always!

6. NFIP 30-day waiting period

Can't buy when hurricane coming (except mortgage)

7. Rates AFTER, Forms BEFORE

Both 30 days but opposite directions!

8. 10 days ONLY for non-payment

All other cancels need 30+ days notice

9. Med mal NOT a special risk

Excluded from $10K special risk exemption

10. 120 is MAX, not minimum

Cancel notice: 30-120 days - too early is invalid!

Quick Comparison: Getting Hard-to-Place Coverage

Option When to Use Key Requirement Protection
FAIR Plan Urban property, rejected by regular market Max $1.5M value Has guaranty fund
Surplus Lines Unusual risks, specialty coverage 3 rejections OR Exportable List NO guaranty fund
NFIP Flood coverage (always needed separately) 30-day wait; $250K/$100K limits Federal program

Chapter 5 in One Sentence Each

Part 1: FAIR Plan

Insurance backup for those rejected by regular market (max $1.5M, 60-day binder, 5% surcharge).

Part 2: Cancellation

Free cancel first 60 days; after that need reason. 30-120 days notice (10 for non-payment).

Part 3: Surplus Lines

Coverage from unlicensed insurers - need 3 rejections first (no guaranty fund protection).

Part 4: Coastal

Hurricane risk areas - wind covered by homeowners, flood needs NFIP (30-day wait).

Part 5: Deregulation

Rates file 30 days AFTER effective; forms file 30 days BEFORE. $10K+ = special risk.

Overall Theme

NJ ensures coverage is available (FAIR/NFIP) while protecting consumers (cancel rules) and allowing competition (deregulation).