Instructions for Form NIA-1 Notice of Intent to Appeal an Adverse Um Determination - Stage 1 - New Jersey

Instructions for Form NIA-1 Notice of Intent to Appeal an Adverse Um Determination - Stage 1 - New Jersey

This document contains official instructions for Form NIA-1 , Notice of Intent to Appeal an Adverse Um Determination - Stage 1 - a form released and collected by the New Jersey Department of Banking and Insurance.

FAQ

Q: What is Form NIA-1?
A: Form NIA-1 is the Notice of Intent to Appeal an Adverse UM Determination - Stage 1.

Q: What is an Adverse UM Determination?
A: An Adverse UM Determination is a decision made by an insurance company denying coverage or reducing benefits under an uninsured/underinsured motorist policy.

Q: What is the purpose of Form NIA-1?
A: The purpose of Form NIA-1 is to notify the insurance company of your intent to appeal their adverse UM determination.

Q: Who should fill out Form NIA-1?
A: The person who received the adverse UM determination should fill out Form NIA-1.

Q: Is there a deadline for submitting Form NIA-1?
A: Yes, there is a deadline for submitting Form NIA-1. It must be completed and sent to the insurance company within 45 days of receiving the adverse UM determination.

Q: What information is required on Form NIA-1?
A: Form NIA-1 requires information such as your name, contact information, policy number, a description of the adverse determination, and any supporting documentation.

Q: What happens after submitting Form NIA-1?
A: After submitting Form NIA-1, the insurance company has 15 days to respond with their decision or to request additional information.

Q: What should I do if my appeal is denied?
A: If your appeal is denied, you may proceed to Stage 2 of the appeals process by filling out Form NIA-2 and submitting it to the New Jersey Department of Banking and Insurance.

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Instruction Details:

  • This 2-page document is available for download in PDF;
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