N.H. Rev. Stat. Ann. § 402:82
Claim Forms and Applications
Effective Jul 2, 20221991, 248:2. 2008, 378:3. 2010, 212:4. 2011, 189:1. 2014, 196:1, eff. July 11, 2014. 2022, 42:4, eff. July 2, 2022.
- I. All insurance claim forms shall contain the following statement : "Any person who, with a purpose to injure, defraud, or deceive any insurance company, files a statement of claim containing any false, incomplete, or misleading information is subject to prosecution and punishment for insurance fraud, as provided in RSA 638:20."
II. No insurance company or producer shall accept an application for workers' compensation or life, accident and health insurance unless the application includes:
- (a) A written or electronic signature of the producer, unless the transaction does not involve a producer; and
- (b) A written or electronic signature of the applicant. In the case of group life, accident, or health insurance, the certificate holder insured under the group health policy is not the applicant.
- III. Paragraph II shall not apply to a request for a binder providing temporary coverage, provided the binder is effective for a period of no more than 30 days. The insurer shall comply with the provisions of paragraph II before the issuance of the insurance policy.
- IV. The lack of the information required by paragraphs I and II shall not constitute a defense against prosecution under RSA 638:20 or any other criminal statute.
- V. "Electronic signature" shall have the same definition as under RSA 294-E:2.
- VI. "Written signature" means an original signature or a duplicate copy made by photocopying, facsimile, or other means similar and does not include stamped signatures.
Source. 1991, 248:2. 2008, 378:3. 2010, 212:4. 2011, 189:1. 2014, 196:1, eff. July 11, 2014. 2022, 42:4, eff. July 2, 2022.