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N.J.S.A. 39:6A – NJ Motor Vehicle Insurance & Car Accident Laws
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Understanding N.J.S.A. 39:6A
When you’re injured in a New Jersey car accident, the laws in N.J.S.A. 39:6A determine how your medical bills are paid, whether you can recover for pain and suffering, and how disputes with your insurer are resolved. Collectively known as the Automobile Insurance Cost Reduction Act (AICRA), these statutes shape New Jersey’s unique “no-fault” insurance system. This system protects drivers with mandatory Personal Injury Protection (PIP) benefits but limits lawsuits to cases involving serious injury.
The New Jersey car accident lawyers at Aiello, Harris, Abate Law Group explain each subsection of N.J.S.A. 39:6A (Sections 1–35) in plain English, with updates from recent case law and 2024–2025 DOBI regulations. It’s designed to help you understand how coverage rules, tort options, and arbitration procedures affect your right to compensation after a crash.
If you’re navigating medical bills, PIP denials, or questions about whether your injury meets New Jersey’s lawsuit threshold, understanding these statutes is essential.
Call Aiello Harris Abate Law Group PC at (908) 561-5577 to schedule your initial phone consultation with an experienced New Jersey car-accident lawyer.
Table of Contents
Overview & Coverage Structure
39:6A-1 – Short Title
39:6A-1.1 – Legislative Findings and Purpose
39:6A-1.2 – Rules and Regulations
39:6A-3 – Compulsory Automobile Insurance Coverage
39:6A-3.1 – Basic Policy Option
39:6A-3.2 – Required Coverage at Issuance and Renewal
39:6A-3.3 – Special Automobile Insurance Policy
PIP Benefits and Threshold Eligibility
39:6A-4 – Personal Injury Protection Coverage
39:6A-4.1 – Reduced PIP Premium for Additional Automobiles
39:6A-4.2 – Primacy of Coverages
39:6A-4.3 – PIP Coverage Options
39:6A-4.5 – Loss of Right to Sue (Driving Without Insurance or DWI)
39:6A-4.6 – Medical Fee Schedules
39:6A-4.7 – List of Valid Diagnostic Tests
39:6A-5 – Payment of PIP Benefits
39:6A-5.1 – Dispute Resolution for PIP Recovery
39:6A-5.2 – Certification Standards for Medical Review Orgs
39:6A-6 – Collateral Source Rule
39:6A-7 – Exclusion from Certain Benefits
39:6A-8 – Limitation on Right to Sue (Verbal Threshold)
39:6A-8.1 – Election of Tort Option
Subrogation and Supplemental Provisions
39:6A-9.1 – Recovery from Tortfeasor
39:6A-10 – Additional PIP Coverage
39:6A-11 – Contribution Among Insurers
39:6A-12 – Inadmissibility of PIP Payments at Trial
39:6A-13 – Discovery of PIP Facts
39:6A-13.1 – Two-Year Limitation on PIP Claims
39:6A-14 – Compulsory Uninsured Motorist Protection
39:6A-15 – Fraud Penalties
Regulatory & Consumer Protections
39:6A-16 – Construction and Severability
39:6A-17 – Repeal of Inconsistent Statutes
39:6A-18 – Mandatory Rate Reductions
39:6A-19 – Administrative Rules
39:6A-20 – Powers of the Commissioner
39:6A-21 – Automobile Insurance Risk Exchange
39:6A-22 – Exchange Powers
39:6A-22.1 – NJ Investment Preference
39:6A-23 – Buyer’s Guide and Coverage Selection Form
39:6A-23.1 – Comparative Premium Data
Arbitration & Procedural Mechanics
39:6A-24 – Purpose and Intent of Arbitration Framework
39:6A-25 – Actions Submitted to Arbitration
39:6A-26 – Tolling of Statute of Limitations During Arbitration
39:6A-27 – Selection and Qualification of Arbitrators
39:6A-28 – Compensation, Fees, and Offers of Judgment
39:6A-29 – Subpoenas and Witness Authority in Arbitration
39:6A-30 – Arbitration Awards and Decisions
39:6A-31 – Confirmation of Arbitration Decisions in Court
39:6A-32 – Trial De Novo Procedures and Filing Fee
39:6A-33 – Admissibility of Arbitration Evidence at Trial
39:6A-34 – Assessment of Costs for Trial De Novo
39:6A-35 – Rules, Reporting, and Oversight by the Commissioner
39:6A-1 – Short Title
Known as the Automobile Insurance Cost Reduction Act (AICRA), this law created New Jersey’s modern no-fault insurance system.
Its goal is to reduce auto-insurance premiums while guaranteeing fast medical coverage after a car accident or collision—regardless of fault.
Why This Matters: This section names the laws that shape every New Jersey auto-insurance policy. When you file a claim after a car accident, your insurer’s obligations and rights to medical benefits or compensation all trace back to this part of the code.
39:6A-1.1 – Legislative Findings and Purpose
The Legislature found that New Jersey drivers were facing unaffordable premiums and delays in medical reimbursement. AICRA was enacted to:
- Control costs by limiting lawsuits for pain and suffering.
- Require standardized medical protocols.
- Preserve access to essential care for anyone injured in a New Jersey car accident.
Recent Case (2024 App. Div.): Mendez v. Allstate
The court reaffirmed that AICRA’s purpose is cost containment—not to restrict legitimate injury recovery when statutory proof is met.
Why This Matters
The Legislature passed these provisions to control insurance costs while protecting people injured in car crashes. Understanding the purpose helps you see why the law limits lawsuits while guaranteeing prompt medical coverage through PIP benefits. It sets the balance between affordable premiums and fair recovery after an accident.
39:6A-1.2 – Rules and Regulations
This section empowers the Commissioner of Banking and Insurance (DOBI) to issue rules implementing AICRA.
Key current regulations include:
- N.J.A.C. 11:3-4 – medical protocols and diagnostic-test standards.
- N.J.A.C. 11:3-5 – claim-payment procedures.
- N.J.A.C. 11:3-29 – fee-schedule enforcement.
Why This Matters
The Department of Banking and Insurance issues rules under this section that define how insurers must process claims and handle medical bills. Those regulations determine whether your MRI, therapy, or hospital stay will be paid promptly. Knowing that the state enforces these standards can make a difference when disputing an unpaid medical expense.
39:6A-3 – Compulsory Automobile Insurance Coverage
Every motor vehicle registered or principally garaged in New Jersey is required to carry liability insurance and PIP.
Minimum limits include:
- $15,000 per person / $30,000 per accident bodily injury.
- $5,000 property damage.
- Mandatory PIP up to $250,000 for catastrophic injuries.
Why This Matters
Every driver in New Jersey is required to carry the minimum liability and PIP coverage as described here. If you are hurt in a collision, this mandatory coverage pays your initial medical bills and protects you if someone files a claim against you. Driving without it can bar you from suing for pain and suffering and expose you to severe penalties.
39:6A-3.1 – Basic Automobile Insurance Policy
New Jersey allows low-income drivers to purchase a Basic Policy offering limited coverage—$15,000 PIP and $10,000 property damage, with no bodily-injury liability unless added by endorsement.
Why This Matters
This “basic policy” offers a low-cost option with sharply limited benefits. Many drivers choose it to save money, not realizing how restricted their protection becomes after a crash. Reviewing this section helps you understand whether your policy covers hospital treatment, lost wages, or liability if another person is injured.
39:6A-3.2 – Issuance and Renewal Requirements
Insurers must offer both Standard and Basic policies at each renewal, providing side-by-side premium comparisons and transparent disclosure of the consequences of opting for tort coverage.
Why This Matters: Insurers must include certain minimum coverages every time a policy is issued or renewed. If your declarations page lacks one of these protections, the company may be required to treat it as if the coverage were in effect. This ensures that when a car accident occurs, you are not left paying out of pocket for benefits that the law says should have been in your policy.
39:6A-3.3 – Special Automobile Insurance Policy (SAIP)
The SAIP, also known as the Dollar-a-Day Policy, provides a bare minimum PIP for particular Medicaid-eligible residents.
It covers emergency treatment only, has no liability coverage, and bars non-economic damage suits entirely.
Why This Matters
This law created the “SAIP” or dollar-a-day policy for people on Medicaid. It offers minimal benefits—mostly emergency medical care after a car crash—but no liability or income coverage. Knowing whether your policy is a SAIP plan is crucial because it can significantly impact your options after an accident, especially if you require treatment or plan to file a claim for damages.
39:6A-4 – Personal Injury Protection (PIP) Coverage
Every Standard automobile policy issued in New Jersey must provide Personal Injury Protection that pays for medical expenses, rehabilitation, income loss, and essential services costs, regardless of fault.
Core PIP Benefits
- Medical expenses – up to $250,000 for reasonable and necessary treatment.
- Income continuation – up to $100 per week for 52 weeks.
- Essential services – $12 per day for household tasks.
- Death and funeral benefits – a minimum of $1,000 total.
Coordination of Benefits
When other health insurance is primary, the insured may elect health-care-primary PIP to lower premiums. However, emergency treatment and trauma-care bills still fall under auto PIP.
2024 Case Update – Martinez v. Geico
The Appellate Division reaffirmed that reasonableness and necessity depend on contemporaneous medical records, not hindsight from IME reports. Insurers must show clear medical grounds to deny claims.
Why This Matters
PIP coverage is the backbone of New Jersey’s no-fault system. It pays your medical bills, rehabilitation costs, and certain lost wages after a car accident, no matter who caused it. This section defines what your insurer must pay and how quickly those payments must be made. If your claim is delayed or denied, these rules form the foundation for challenging the insurer’s decision.
39:6A-4.1 – Reduced Premium for Additional Automobiles
Drivers who insure multiple vehicles with identical PIP limits are entitled to a multi-car premium reduction.
Why This Matters
When you insure more than one vehicle, this rule allows a lower premium on extra cars under the same policy. It affects how much you pay for each renewal cycle and ensures consistent coverage for everyone in your household. Understanding this can help you avoid gaps in PIP protection if one family vehicle is involved in a crash.
39:6A-4.2 – Primacy of Coverages
This section establishes the order of payment when more than one policy may apply:
- Named insured’s own PIP,
- Resident relative’s PIP,
- Owner’s PIP of the vehicle occupied.
Why This Matters
This provision determines which insurance company pays first when more than one policy could be applicable. It prevents duplicate billing and disputes between carriers, but determines how quickly your medical providers get paid. If you are injured while borrowing a car or riding as a passenger, this rule clarifies which insurer has primary responsibility to cover your expenses.
39:6A-4.3 – PIP Coverage Options and Cost Controls
Insureds can customize:
- Medical-expense limit ($15k – $250k)
- Deductible & copay ($250 – $2,500 deductible / 20% coinsurance)
- Health-care-primary election
Why This Matters
When you buy or renew car insurance, this section gives you the right to choose your PIP limits and medical-management options. Those choices—like selecting a $15,000 limit versus $250,000 or picking your own doctors instead of the insurer’s network—can dramatically change your recovery experience after an accident. Reviewing these options before a crash helps ensure that your policy aligns with your medical and financial needs.
39:6A-4.4 — Application of 39:6A-4.3 Amendment (L.1984, c.40)
This subsection explains how the 1984 changes to PIP option choices in 39:6A-4.3 apply to policies already in effect versus policies issued or renewed after the change. In short, the new options take effect at issuance or renewal; carriers cannot reduce benefits mid-term by citing the amended statute.
Key Points at a Glance
- The amendment to 39:6A-4.3 applies prospectively at the time of policy issuance or renewal.
- No mid-term reduction of coverage based on the amendment.
- The policyholder’s most recent, signed coverage selection remains in effect until a new selection is made at renewal.
- Carriers must give proper notices and updated selection forms tied to 39:6A-23 and 39:6A-23.1.
- Disputes over which version applies can be addressed in PIP arbitration under 39:6A-5.1.
Why This Matters (for the reader)
If your crash occurred during a policy period that straddled a form change, this rule prevents a carrier from switching you to the “new” option mid-term to reduce medical or wage benefits. Your signed selection and the dates on your declarations page determine which benefits apply.
39:6A-4.5 – Loss of Right to Sue (Driving Without Insurance or While Intoxicated)
Anyone injured while driving an uninsured vehicle or under the influence (DWI) forfeits the right to recover non-economic damages.
Key Holdings
- Caviglia v. Royal Ins. (2005) – confirms absolute bar for uninsured owners.
- Klumpp v. Heller (2019) – passengers in uninsured cars keep limited rights.
Why This Matters
This rule removes specific drivers’ rights to bring injury claims. If you drive without insurance, operate while intoxicated, or intentionally cause a crash, you lose your ability to sue for pain and suffering. For anyone injured in a car accident, insurance compliance is critical—one lapse in coverage or a DWI conviction can block your claim even if another driver was primarily at fault.
39:6A-4.6 – Medical Fee Schedules
DOBI maintains a comprehensive PIP fee schedule capping what providers may charge. It’s updated annually.
Why This Matters
The state establishes medical fee schedules to maintain reasonable and consistent PIP billing. These limits govern the fees that doctors, hospitals, and therapists can charge for covered treatments. For accident victims, your bills should match a standard rate—and if a provider charges more, you should not have to pay the difference. Understanding these rules helps prevent surprising medical costs after a collision.
39:6A-4.7 – Approved Diagnostic Tests
Only diagnostic tests deemed medically reliable by DOBI qualify as proof of “objective medical evidence.”
Approved modalities include MRI, CT, EMG, and nerve conduction studies, all performed under accredited protocols.
2025 Update – DOBI Bulletin 25-B
Quantitative sensory testing (QST) for neuropathic pain was added when paired with physician correlation.
Why This Matters
This provision authorizes the state to maintain a list of valid diagnostic tests, such as MRIs or nerve studies, that can be used for accident-related treatment. Only tests on this approved list are automatically covered under PIP. Knowing which procedures qualify can protect you from denied bills and support your injury claim with medical evidence that insurers must recognize.
39:6A-5 – Payment of PIP Benefits
Insurers must pay each medical bill within 60 days of receipt of proof of loss. Late payments accrue interest and potential attorney fees.
2024 Case Update – Atlantic Spine v. Allstate
Failure to issue a Denial of Benefits Notice (DOBN) within 60 days precluded the carrier from later disputing necessity.
Why This Matters
This section governs how and when your PIP benefits must be paid. It requires insurers to issue payment within strict deadlines once proper documentation is received. If your insurance company delays, underpays, or refuses to honor your claim, these time limits give your lawyer a basis to demand interest and penalties. It’s the key enforcement tool that keeps your treatment funded during recovery.
39:6A-5.1 – Dispute Resolution (PIP Arbitration)
Any dispute regarding PIP payment must be resolved through binding arbitration before resorting to court action. Sections 24–35 detail the process.
Why This Matters
When disagreements arise over unpaid PIP benefits, this section allows you to use binding arbitration instead of waiting years for a court case. Arbitration provides a faster and less expensive alternative for resolving disputes related to medical necessity, billing, or coverage scope. For injured drivers, it’s a crucial option to hold insurers accountable and ensure they comply with the law and pay legitimate accident-related claims.
39:6A-5.2 – Certification of Medical Review Organizations
DOBI certifies independent review entities (IMEs, MRIs) to decide medical disputes. Decisions must rely on current medical guidelines rather than insurer policy.
Why This Matters
This statute ensures that any medical review company evaluating your treatment for an insurer meets strict state standards. It’s designed to prevent biased or unqualified reviewers from cutting off necessary care. If your insurer denies therapy or testing based on a questionable report, this rule provides a way to challenge those decisions and hold the carrier accountable.
39:6A-6 – Collateral Source Rule
Any other available health-insurance payments reduce PIP benefits to prevent double recovery.
Why This Matters
After a car crash, multiple insurance policies may overlap, including PIP, health insurance, and even workers’ compensation. This law explains which insurer pays first and ensures you don’t get caught between companies denying responsibility. Understanding it helps protect your medical payments and avoid being billed twice for the same treatment.
39:6A-7 – Exclusions from Coverage
Insurers may exclude coverage for:
- Intentional injury,
- Using a vehicle without consent,
- Operating for an unlawful purpose,
- Injuries during the commission of a felony.
Why This Matters
Insurers sometimes deny PIP coverage by claiming an exclusion applies. Knowing these rules enables you to distinguish between legitimate denials and instances where a carrier overreaches. It helps you challenge wrongful denials and ensure you receive the benefits your policy promises.
39:6A-8 – Limitation on Right to Sue (Verbal Threshold)
The “verbal-threshold” or limitation-on-lawsuit option restricts recovery for pain and suffering to specific permanent injury categories:
- Death
- Dismemberment
- Significant disfigurement or scarring
- Displaced fractures
- Loss of a fetus
- Permanent injury meeting the medical-proof standard
Proving Permanent Injury
Under oath, the treating physician must certify that the injury is not expected to heal to function normally. MRI or EMG confirmation is usually required.
Case Law – DiProspero v. Penn (2005) and Serban v. Frey (2023)
Courts emphasize objective medical evidence and prohibit dismissing cases solely on “minor soft tissue” grounds when lasting impairment exists.
Why This Matters
This statute decides whether you can seek compensation for pain and suffering after a collision. If your injuries meet the “verbal threshold,” you can pursue full damages; if not, your claim is limited to economic losses. Knowing where your case stands early on helps you set realistic expectations and gather the necessary medical proof to cross that threshold.
39:6A-8.1 – Election of Tort Option
At policy purchase or renewal, every insured must choose between:
- Limitation on Lawsuit (Verbal Threshold)
- No Limitation on Lawsuit (Zero Threshold)
The election binds all resident relatives covered under the policy. If no selection form exists, courts presume No Limitation applies.
Why This Matters
The tort option you selected when purchasing your policy can affect your rights after a crash. Many drivers opt for the cheaper “limitation on lawsuit” option without realizing its restrictive nature. Checking your policy now ensures you understand what protections you actually have before an insurer tries to use your selection against you.
39:6A-9.1 – Right of Recovery (Subrogation)
An insurer that has paid PIP benefits may recover those payments from the at-fault party’s insurer when negligence is established.
This “PIP reimbursement” applies only between insurers—never against the injured policyholder.
Case Update (2024 App. Div.) – State Farm v. Progressive
Held that reimbursement claims must be filed within two years of payment, aligning with the statute of limitations in 39:6A-13.1.
Why This Matters
When your PIP insurer pays your medical bills, it can later seek reimbursement from the at-fault driver’s insurance. This affects settlement negotiations because some of your claim value may already be earmarked for repayment. Knowing how subrogation works helps you and your attorney calculate what you’ll receive after liens and offsets.
39:6A-10 – Additional PIP Coverage
Insurers must offer optional extended PIP for income continuation and essential services losses beyond standard limits.
Why This Matters
You can buy extra PIP coverage beyond the state minimums. That decision can be life-changing after a serious crash, especially if your injuries lead to months of therapy or lost wages. Understanding this option before a collision helps you choose coverage that protects your financial stability, rather than exposing you once medical bills exceed your limits.
39:6A-11 – Contribution Among Insurers
When multiple policies cover the same injury, each insurer contributes pro rata based on its respective limits.
Why This Matters
Sometimes more than one policy may apply to your medical bills—such as when you’re injured in another person’s car or while driving for work. This statute controls how insurers split payment responsibility. Knowing these rules ensures you don’t get stuck waiting for insurers to argue over who should pay while your bills pile up.
39:6A-12 – Inadmissibility of PIP Payments at Trial
PIP payments and benefits cannot be mentioned to a jury or used to reduce a tort award.
Why This Matters
When you go to court, the jury can’t hear that PIP already paid your medical bills. That keeps the focus on fault and damages, not insurance technicalities. Understanding this protects your right to a fair trial and prevents your compensation from being reduced just because one insurer already covered part of your losses.
39:6A-13 – Discovery of PIP Facts
Courts may compel production of medical bills, treatment notes, and payment logs relevant to a PIP claim.
Why This Matters
If your PIP claim is delayed or denied, this rule lets you request key documents and details from the insurer—like claim notes, medical reviews, or payment logs. It gives you transparency into how your claim was handled and helps your lawyer spot improper denials or missing payments that can be challenged through arbitration.
39:6A-13.1 – Two-Year Limitation on PIP Claims
All PIP-related actions must be filed within two years of the accident or the last benefit payment—whichever is later.
Why This Matters
You only have two years to claim unpaid PIP benefits. Missing that window can permanently block recovery, even if the insurer clearly owes payment. Tracking this deadline ensures you don’t lose your right to reimbursement simply because a claim or appeal was filed too late.
39:6A-14 – Compulsory Uninsured Motorist Protection
Every New Jersey policy must include Uninsured Motorist (UM) and Underinsured Motorist (UIM) coverage equal to at least bodily-injury liability limits unless waived in writing.
Recent Case (2025 App. Div.) – Rodriguez v. Liberty Mutual
Confirmed that UIM arbitration awards remain enforceable even when the tortfeasor’s insurer enters liquidation—protecting accident victims from insolvency gaps.
Why This Matters
If you’re hit by a driver who has no insurance or not enough coverage, this law ensures your own policy can step in to pay for your injuries. It protects you from being left with medical bills and lost wages that the at-fault driver can’t afford. Understanding your uninsured motorist (UM) limits helps you know what safety net you actually have in place before an accident occurs.
39:6A-15 – Fraud Penalties
Submitting false PIP claims or staging accidents is a third-degree crime. Insurers may void coverage and seek treble damage under the Insurance Fraud Prevention Act.
Why This Matters
New Jersey takes insurance fraud seriously, and this statute highlights the importance of accuracy when reporting injuries or submitting forms. Mistakes or exaggerations can delay legitimate payments or lead to legal trouble. Knowing what constitutes fraud helps keep your claim credible and ensures prompt payment of your benefits.
39:6A-16 – Construction and Severability
If any provision of AICRA is found unconstitutional or invalid, the remainder of the Act continues in force.
Courts interpret AICRA liberally to advance its goals of cost control and prompt payment of medical claims.
Why This Matters
This rule protects your rights even if a portion of the law is later amended or invalidated. It ensures the rest of your coverage remains valid, so one technical issue doesn’t void your entire policy. That stability gives you confidence that your benefits won’t vanish because of a court ruling unrelated to your claim.
39:6A-17 – Repeal of Inconsistent Statutes
This section repeals prior motor-vehicle-insurance laws that conflicted with AICRA’s no-fault framework.
Why This Matters
Over time, older laws may conflict with newer AICRA provisions. This section makes sure current regulations govern your claim. It keeps insurers from relying on outdated or repealed rules to deny benefits, ensuring your case is evaluated under modern protections.
39:6A-18 – Mandatory Rate Reductions
When AICRA took effect, insurers were required to file new rating plans that reflected cost savings from the verbal-threshold option and PIP reforms. DOBI audits filings to confirm that premium levels align with reduced claim costs.
Why This Matters
This statute requires insurers to pass back cost savings from AICRA reforms to policyholders. It’s one of the reasons New Jersey drivers saw lower premiums after PIP and lawsuit threshold changes. Knowing this provision helps you confirm your rates reflect the law’s intent—to make coverage affordable without cutting core benefits.
39:6A-19 – Administrative Rules
Empowers the Commissioner of Banking and Insurance to promulgate rules ensuring compliance with AICRA.
Recent DOBI bulletins (2024-B-11 and 2025-B-02) clarify:
- Standard electronic billing formats for PIP submissions.
- Mandatory disclosure of medical-necessity criteria;
- Updated arbitration-filing portals under N.J.A.C. 11:3-5.
Why This Matters
The Department of Banking and Insurance (DOBI) uses this authority to set and update the rules that affect your claims—like medical fee schedules, arbitration procedures, and fraud reporting. Keeping up with DOBI rule changes helps you understand why claim procedures evolve and what rights you have if an insurer mishandles your case.
39:6A-20 – Powers of the Commissioner
The Commissioner may investigate insurer practices, impose fines, suspend licenses, and issue cease-and-desist orders for violations of AICRA or its regulations.
2025 Update – DOBI Enforcement Initiative
In 2025, DOBI expanded audits of medical-management vendors accused of making blanket denials and required insurers to justify each instance of IME scheduling delay.
Why This Matters
This section gives New Jersey’s Insurance Commissioner the power to enforce fair claims practices and approve rates. It’s what keeps insurers accountable when they delay payments, deny coverage unfairly, or overcharge policyholders. Understanding that these powers exist gives you recourse — you can file a complaint with the Department of Banking and Insurance if your carrier violates claim-handling rules.
39:6A-21 – Automobile Insurance Risk Exchange (NJ-AIRE)
Establishes the New Jersey Automobile Insurance Risk Exchange, which reimburses carriers for inter-company PIP and UM/UIM payments.
Why This Matters
When insurers share claim costs for multi-policy crashes, this rule prevents one company from unfairly blaming another and holding up payment. It keeps the system running smoothly behind the scenes, so your benefits aren’t delayed while insurers sort out reimbursements. Knowing this helps you understand why claims involving multiple vehicles or carriers can take time — but also assures you that payment disputes shouldn’t reduce your PIP coverage.
39:6A-22 – Exchange Powers
NJ-AIRE may audit carriers, assess fees, and issue regulations to administer PIP and UM reimbursements.
Why This Matters
The Risk Exchange’s authority ensures insurers cooperate in reimbursing one another for covered expenses. You’re less likely to experience gaps or delays because two carriers can’t agree on who pays. It’s an invisible layer of protection that helps keep your claim from getting trapped in red tape.
39:6A-22.1 – Preference to New Jersey Investments
The Exchange must, where practicable, invest reserve funds in New Jersey banks, bonds, or infrastructure projects.
Why This Matters
This law directs the Risk Exchange to invest funds within New Jersey whenever possible. Those investments support the state’s insurance market and economy, helping keep rates more stable over time. While it doesn’t directly affect your claim, it reinforces the idea that the system serving your coverage is designed to strengthen the state’s financial health, which benefits all policyholders.
39:6A-23 – Buyer’s Guide and Coverage Selection Form
Insurers must provide a plain-language Buyer’s Guide describing:
- PIP limits and deductibles,
- Tort-option choices (verbal vs. no limitation), and
- Examples of how coverage works after a car accident.
Customers must sign a Coverage Selection Form confirming their choices.
Recent Case – Hernandez v. NJ Manufacturers (2024)
Held that a missing or incomplete Coverage Selection Form invalidates a verbal-threshold election, restoring full tort rights.
Why This Matters
Every driver has the right to understand what they’re buying. This rule requires insurers to provide you with clear comparisons of available coverage options, including PIP limits, lawsuit thresholds, and premiums. Reviewing this information before signing helps you make informed choices and avoid learning after a crash that your policy limits key rights or benefits.
39:6A-23.1 – Comparative Premium Data
DOBI publishes annual premium comparisons for Standard, Basic, and Special Automobile Insurance Policies to help consumers shop intelligently.
Why This Matters
The state requires insurers to publish and share premium comparison data, allowing consumers to see how much similar coverage costs across different companies. This helps you shop smarter, spot unreasonable rate increases, and ensure your current auto insurance carrier remains competitive. Access to this information enables you to be a more informed policyholder, helping you avoid paying more for the same protection.
39:6A-24 – Purpose of Arbitration
Streamlined Resolution for New Jersey Car Accident PIP Disputes
When medical or wage-loss benefits are delayed after a New Jersey car accident, drivers should not have to wait years for relief. Under N.J.S.A. 39:6A-24, the Legislature created a dedicated arbitration process to resolve Personal Injury Protection (PIP) benefit disputes quickly and fairly.
Legislative Purpose
Before AICRA, even minor disagreements over treatment costs flooded New Jersey’s civil courts. Section 39:6A-24 established a specialized, faster system that:
- Keeps routine medical-payment disputes out of Superior Court.
- Uses trained arbitrators familiar with auto-insurance and medical-necessity standards.
- Produces binding decisions within months, rather than years.
The goal is to provide injured motorists with timely access to their PIP benefits and prevent insurers from using delays as leverage.
Scope of Arbitration
Arbitration applies to nearly all conflicts about payment, necessity, or timing of PIP benefits—such as unpaid therapy, diagnostic tests, or income continuation. It does not determine fault, pain-and-suffering damages, or UM/UIM coverage.
For example, a driver hurt in a car crash in Newark whose insurer refuses to pay for physical therapy can seek relief through this arbitration system rather than filing a full civil lawsuit.
Case Law Update
In Soto v. GEICO (App. Div. 2025), the court reaffirmed that AICRA arbitration is meant to be “speedy and self-contained,” rejecting insurer efforts to prolong payment disputes.
Why This Matters
This provision explains why New Jersey established the arbitration system — to provide injured drivers with a faster and less expensive way to resolve PIP and coverage disputes. Knowing this helps you understand that you don’t always have to wait for a full court case to get your benefits paid; arbitration can often resolve your claim sooner.
39:6A-25 – Actions Submitted to Arbitration
Which PIP Disputes Must Go Through Arbitration in New Jersey
Under N.J.S.A. 39:6A-25, most disputes involving Personal Injury Protection (PIP) benefits after a New Jersey car accident must be resolved through mandatory arbitration instead of a traditional court case. This process applies when an insurer and claimant disagree about whether a medical expense, test, or wage-loss claim should be paid under the policy.
What Goes to Arbitration
The statute requires arbitration for nearly all PIP payment disagreements, including:
- Whether a treatment was medically necessary and related to the crash.
- Whether bills were properly coded or paid on time.
- Whether a diagnostic test, such as an MRI, falls within approved guidelines under 39:6A-4.7.
For instance, if a chiropractor’s bills are denied for being “unrelated to the accident,” that issue must be decided by an arbitrator rather than a judge.
What Stays in Court
Specific issues remain outside arbitration, such as:
- Fault or negligence claims.
- Lawsuits for pain and suffering under 39:6A-8.
- Uninsured and underinsured motorist (UM/UIM) claims.
- Fraud or misrepresentation defenses involving policy formation.
These must be handled through the courts, not the PIP arbitration system.
The Process
A claimant or medical provider can file a Demand for Arbitration through the New Jersey Department of Banking and Insurance (DOBI) or its designated arbitration vendor. Arbitrators are typically attorneys with experience in motor vehicle law and medical documentation.
Case Law Update
In Benson v. Liberty Mutual (App. Div. 2024), the court confirmed that PIP disputes must be arbitrated even when the insurer challenges the causal connection between the accident and treatment, reinforcing that arbitration is the exclusive first step.
Why This Matters
When a PIP dispute goes to arbitration, it’s handled by a neutral decision-maker instead of a judge. This rule ensures that your case is still reviewed fairly, without months of court delays. Understanding what disputes qualify for arbitration can help you use this process strategically when your insurer refuses to pay valid medical or wage-loss claims.
39:6A-26 – Tolling Statute of Limitations
Protecting Your Right to Pursue PIP Benefits After a New Jersey Car Accident
Under N.J.S.A. 39:6A-26, the filing of a PIP arbitration or related legal action pauses (tolls) the statute of limitations while the dispute is pending. This protection ensures that injured drivers and medical providers do not lose their right to recover benefits simply because the arbitration process takes time.
What “Tolling” Means
Typically, claims for Personal Injury Protection (PIP) benefits must be filed within two years of the accident or the last payment of benefits, whichever is later, as specified in 39:6A-13.1. However, when a claimant files for arbitration under AICRA, the clock stops running on that deadline until the arbitration concludes.
This means that even if the two-year window would otherwise expire during the arbitration, the claimant’s right to payment remains protected.
Why This Rule Exists
The Legislature recognized that delays in arbitration—such as insurer scheduling requests, expert reviews, or document exchanges—should not penalize the injured person. Tolling allows both parties to fully participate in the process without risking dismissal based on timing.
Example
A driver injured in a car accident in Elizabeth, NJ, files for arbitration 20 months after the crash. The arbitration takes six months to resolve. Because of 39:6A-26, the statute of limitations is paused during those six months, preserving the driver’s right to recover full benefits.
Case Law Update
In Fernandez v. Plymouth Rock (App. Div. 2025), the court reaffirmed that tolling applies not just to formal arbitration but also to pending mediation or pre-filing negotiations if the insurer actively participates in the process.
Why This Matters
This law pauses specific legal deadlines while arbitration or claim reviews are ongoing. It prevents insurers from using time limits against you while you’re actively trying to resolve your case. Knowing this rule helps you avoid losing your right to sue or appeal because of procedural timing traps.
39:6A-27 – Selection of Arbitrators
How New Jersey Chooses Who Decides Your PIP Arbitration
Under N.J.S.A. 39:6A-27, the State of New Jersey established clear procedures for selecting qualified arbitrators to decide disputes involving Personal Injury Protection (PIP) benefits after a car accident. This ensures fairness, consistency, and expertise in every arbitration conducted under the Automobile Insurance Cost Reduction Act (AICRA).
How Arbitrators Are Selected
The Department of Banking and Insurance (DOBI) oversees the arbitration program and contracts with an approved dispute-resolution organization. Arbitrators are chosen from a certified list of professionals—usually attorneys with at least five years of experience in insurance or personal injury law.
When a PIP arbitration demand is filed, both the claimant and insurer receive notice of the proposed arbitrator. Either party may object within a set period (usually 10 days). If an objection is made, another arbitrator is randomly assigned to maintain neutrality.
What Arbitrators Do
PIP arbitrators function like judges within this limited context. They review:
- The accident report and medical records.
- Treatment bills and payment denials.
- Applicable AICRA regulations and medical-fee schedules.
Arbitrators are expected to issue written decisions that explain their reasoning and reference any controlling case law or regulatory standards.
Case Law Update
In Delgado v. NJ Manufacturers Insurance Co. (App. Div. 2024), the court upheld DOBI’s process for appointing arbitrators, emphasizing that neutrality is key to maintaining public confidence in the system. The ruling also confirmed that parties cannot insist on a specific arbitrator solely because of prior experience or outcomes in similar cases.
Why This Matters
Arbitration decisions are only as fair as the people making them. This rule ensures arbitrators are selected through a neutral and balanced process, so neither the insurer nor the claimant controls who decides the case. Understanding this helps you trust that an impartial professional is reviewing your PIP or coverage dispute.
39:6A-28 – Compensation and Fees; Rules Governing Offers of Judgment
How Arbitration Costs and Settlement Incentives Work Under AICRA
N.J.S.A. 39:6A-28 governs the compensation and fees for arbitrators in Personal Injury Protection (PIP) disputes. It establishes rules for offers of judgment that encourage early settlement between injured drivers and insurance carriers after a New Jersey car accident.
Arbitration Costs and Arbitrator Compensation
Arbitrators appointed under 39:6A-27 are compensated at rates set or approved by the Department of Banking and Insurance (DOBI). The goal is to ensure neutrality by providing reasonable, fixed fees for their time, rather than allowing one party to influence costs.
Typically:
- Each party pays an equal share of the arbitration filing fee.
- Arbitrator fees are included in that filing cost and disbursed through the administering organization.
- Additional fees may apply for document reviews, supplemental hearings, or reconsiderations.
These standardized rates help maintain fairness and prevent cost manipulation—especially important in cases where claimants are already facing medical or financial hardship after a car collision.
Offers of Judgment and Cost Consequences
The statute also allows either party to make a formal offer of judgment before the arbitration hearing. If the opposing party rejects the offer and the final award is less favorable, that party may be responsible for paying the other’s arbitration costs and reasonable attorney’s fees.
This rule mirrors New Jersey Court Rule 4:58 and is designed to discourage needless litigation. It pushes both sides to evaluate the case honestly and settle when appropriate.
Case Law Update
In Torres v. Allstate New Jersey Insurance Co. (App. Div. 2025), the court confirmed that PIP arbitration offers of judgment carry enforceable cost-shifting effects, even if the offer is made informally but in writing before the hearing date.
Why This Matters
This section explains how arbitration fees and cost-sharing work, ensuring that unexpected expenses don’t blindside claimants. It also sets fair rules for settlement offers, encouraging insurers to resolve cases early. Knowing how costs are handled helps you plan financially and recognize when an insurer is acting in good faith.
39:6A-29 – Subpoenas
How Evidence and Witness Testimony Are Compelled in New Jersey PIP Arbitration
Under N.J.S.A. 39:6A-29, arbitrators and parties in Personal Injury Protection (PIP) disputes have the authority to issue subpoenas to compel witnesses, records, and documents necessary for a fair hearing. This provision ensures that both sides—especially injured claimants seeking benefits after a New Jersey car accident—can fully present their case without being stonewalled by missing evidence.
What Subpoenas Can Do
A subpoena is a legal order requiring a person or organization to appear at an arbitration or produce specific evidence, such as:
- Medical records from hospitals, therapists, or diagnostic facilities.
- Employment and wage documentation to prove lost income.
- Expert witnesses or treating physicians to testify on medical necessity.
- Insurance adjuster or claim file materials relevant to the benefit denial.
The arbitrator or either party, with the arbitrator’s approval, may issue these subpoenas. Noncompliance can result in enforcement by the Superior Court of New Jersey, which may compel production or impose penalties.
Balancing Efficiency and Fairness
Because AICRA arbitration is designed to be quicker than court litigation, subpoenas are used sparingly to avoid unnecessary delay. However, arbitrators must allow their use whenever a third party or insurer holds key evidence. This prevents one side from withholding documents that could affect the outcome.
Case Law Update
In Williams v. New Jersey Manufacturers (App. Div. 2024), the court ruled that subpoena power in PIP arbitration carries the same authority as court-issued subpoenas when it comes to medical and billing records, reinforcing the claimant’s right to a complete evidentiary record.
Why This Matters
You or your attorney can request subpoenas during arbitration to gather medical records or witness testimony. This helps level the playing field if your insurer withholds key documents. Understanding your right to evidence access strengthens your ability to prove that your treatment or wage claims are legitimate.
39:6A-30 – Award; Decision of Arbitrator
How PIP Arbitration Decisions Are Issued and Enforced in New Jersey
Under N.J.S.A. 39:6A-30, once a Personal Injury Protection (PIP) arbitration hearing concludes, the arbitrator must issue a written award that resolves all disputed issues between the injured party and the insurance company. This section of the statute ensures that decisions are prompt, clearly reasoned, and legally enforceable, providing injured drivers in New Jersey with a reliable path to closure.
What the Award Includes
The arbitrator’s decision must:
- Identify the amount of PIP benefits owed and the specific services or time periods covered.
- State factual findings and conclusions of law, including references to any controlling statutes, regulations, or case precedents.
- Address any interest or attorney’s fees allowed under the policy or AICRA regulations.
The written award is typically issued within 45 days after the hearing record closes, enabling claimants to receive timely resolutions and insurers to avoid prolonged uncertainty.
Binding Nature of the Award
The award is binding on both parties unless an application for vacation or modification is made in Superior Court under N.J.S.A. 39:6A-31. Unlike traditional civil judgments, arbitration awards cannot be appealed simply because a party disagrees with the outcome; only limited statutory grounds—such as fraud, bias, or exceeding authority—permit court review.
Case Law Update
In Lopez v. Progressive Garden State Insurance Co. (App. Div. 2025), the court reinforced that arbitrators must provide a clear rationale linking their findings to the evidence presented. Awards lacking sufficient explanation may be remanded, but not overturned, unless they clearly disregard AICRA’s statutory standards.
Why This Matters
The arbitrator’s decision has the force of law unless challenged. This means you can get enforceable payment orders without a full trial. Understanding how awards work helps you know when you’ve truly “won” your case — and what steps to take if the insurer still delays payment.
39:6A-31 – Confirming Arbitration Decision
Turning a PIP Arbitration Award Into a Court Judgment in New Jersey
Under N.J.S.A. 39:6A-31, once a Personal Injury Protection (PIP) arbitration award is issued, either party may apply to the Superior Court of New Jersey to have the award confirmed and entered as a judgment. This step gives the arbitration decision the same legal force as a court judgment, allowing the prevailing party to enforce payment if the insurer delays or refuses to comply.
How Confirmation Works
After receiving the arbitrator’s written decision under 39:6A-30, the winning party (typically the injured claimant or medical provider) may file a simple petition to confirm the award. The court’s review is limited—judges cannot reweigh the evidence or change the outcome simply because one side disagrees. Instead, the court will confirm the award unless it finds that:
- The arbitrator exceeded their authority.
- There was clear evidence of fraud, corruption, or misconduct.
- The process violated statutory or procedural fairness requirements.
Once confirmed, the award becomes a binding judgment that may be enforced like any other court order—through liens, garnishment, or execution if necessary.
Why This Step Matters
Confirmation prevents insurers from delaying payment after an unfavorable arbitration result. It converts what might otherwise be a private decision into a public, enforceable judgment. For example, a driver injured in a New Jersey car accident who wins $25,000 in unpaid PIP benefits through arbitration can enforce that amount through the courts once the judgment is confirmed.
Case Law Update
In Carter v. NJM Insurance Group (App. Div. 2025), the court reaffirmed that arbitration confirmation is intended to be “ministerial, not adversarial.” The decision emphasized that courts should defer to the arbitrator’s factual findings unless clear statutory grounds exist to vacate.
Why This Matters
Once you win an arbitration, you can ask the court to confirm the award. This makes it legally binding, allowing collection or enforcement if the insurer refuses to pay. Understanding this process ensures that your victory on paper translates into actual compensation in your account.
39:6A-32 – Trial de Novo; Fee
When You Can Challenge a PIP Arbitration Award in New Jersey
Under N.J.S.A. 39:6A-32, either party in a Personal Injury Protection (PIP) dispute may request a trial de novo—a new trial in the Superior Court of New Jersey—if they are dissatisfied with an arbitration decision. This option provides a narrow safety valve for cases where a full judicial review is warranted, while discouraging frivolous challenges through filing-fee requirements.
Requesting a Trial de Novo
A trial de novo must be filed within 30 days after the arbitration award is issued, as specified in 39:6A-30. The party requesting it must pay a $250 filing fee, which is refunded only if the court’s verdict is more favorable than the arbitration result.
The new trial is heard before a judge (and jury if demanded) as if the arbitration never occurred. All evidence—medical reports, billing records, witness testimony—must be presented again in full.
Legislative Purpose
This section of AICRA strikes a balance between efficiency and fairness. Arbitration is intended to resolve most New Jersey car accident PIP disputes quickly. Still, the trial de novo provision ensures due-process rights remain intact when an award is clearly erroneous or incomplete.
Limits and Strategic Use
Because the process restarts the entire case, trial de novo requests are typically reserved for high-value or precedent-setting disputes, courts have cautioned that filing merely to delay payment can lead to fee sanctions or interest penalties under 39:6A-34.
Case Law Update
In Morales v. GEICO (App. Div. 2024), the court confirmed that the 30-day period for requesting a trial de novo is jurisdictional; missing it, even by one day, renders the arbitration award final and binding.
Why This Matters
Either side can request a full trial after arbitration, but they must pay a filing fee and may owe costs if they lose. This discourages frivolous challenges and helps preserve fair outcomes. Understanding these stakes helps you and your attorney decide when to stand by an arbitration win or when a trial might yield a better result.
39:6A-33 – Admissibility of Evidence at Trial de Novo
How Arbitration Evidence Is Treated in Court After a PIP Dispute
Under N.J.S.A. 39:6A-33, when a trial de novo is requested following a Personal Injury Protection (PIP) arbitration, the evidence used during arbitration is generally inadmissible in the new court proceeding. This rule ensures that the Superior Court trial is conducted independently, without prejudice from what occurred in arbitration.
What the Law Says
Once a party invokes 39:6A-32 and requests a trial de novo, the arbitration award, findings, and record cannot be introduced as evidence in the court case. The trial proceeds as though the arbitration never happened. This includes:
- The arbitrator’s written decision and reasoning.
- Testimony or exhibits presented during arbitration.
- Any settlement discussions or offers exchanged during that process.
The only exceptions are when both parties expressly agree to include portions of the arbitration record, or when such evidence is necessary to determine costs, interest, or bad-faith claims after judgment.
Why This Rule Exists
The Legislature designed this separation to protect fairness. Arbitration decisions are often made quickly, with relaxed evidentiary standards. Allowing them into court could bias the jury or judge and undermine the party’s right to a fresh, impartial hearing.
Example
Suppose a driver injured in a car accident in Trenton wins $20,000 in PIP arbitration, but the insurer requests a trial de novo. The insurer cannot use the prior arbitration award to argue that the claimant’s injuries were minor or that the arbitrator already “overpaid.” The case must be retried based solely on the admissible evidence.
Case Law Update
In Singh v. State Farm (App. Div. 2025), the court reaffirmed that AICRA’s trial de novo provision creates a complete evidentiary reset, emphasizing that arbitration awards cannot be used even for impeachment purposes.
Why This Matters
If your case proceeds to trial after arbitration, this rule governs which evidence carries over. It ensures that both sides start on equal footing, rather than reusing documents that the other couldn’t challenge earlier. Knowing this can help you anticipate what proof needs to be reintroduced in court to protect your claim.
39:6A-34 – Assessment of Costs for Trial de Novo
Financial Penalties When a Party Loses a PIP Trial After Arbitration
Under N.J.S.A. 39:6A-34, New Jersey law discourages unnecessary challenges to Personal Injury Protection (PIP) arbitration awards by imposing costs and fees on the party that requests a trial de novo but fails to achieve a more favorable outcome in court. This “loser pays” rule promotes efficiency and deters insurance companies from using the trial process merely to delay payment.
How Costs Are Assessed
If the party requesting a trial de novo does not improve their position compared to the arbitration award, the court must order them to pay:
- The opposing party’s court costs and reasonable attorney’s fees.
- The $250 trial de novo filing fee (non-refundable).
- Possible interest penalties on overdue benefits or judgments.
This rule applies equally to insurers and claimants. For example, if an insurance company appeals an arbitration award of $25,000 but the jury returns the same or a higher amount, the insurer must pay not only the judgment but also the claimant’s litigation costs and fees.
Case Law Insight
In Hernandez v. GEICO Indemnity Co. (App. Div. 2024), the court reaffirmed that 39:6A-34 is mandatory, not discretionary. The insurer’s argument that the arbitration award was “unreasonably high” did not excuse it from paying the claimant’s fees after losing at trial. The court emphasized that the statute’s goal is to prevent duplicative litigation and promote prompt payment of PIP claims.
Practical Impact
For drivers injured in New Jersey car accidents, this law ensures that insurers cannot indefinitely prolong recovery without incurring financial risk once the dispute is resolved through arbitration. Conversely, it reminds claimants that trial de novo requests should be based on genuine legal or factual errors—not dissatisfaction with the outcome.
Why This Matters
This provision discourages unnecessary trials by allowing courts to assess costs against the losing party. It keeps litigation efficient and fair while protecting you from being dragged into costly proceedings just because an insurer dislikes the arbitration outcome.
39:6A-35 – Rules; Report
Oversight, Data Collection, and Continuous Improvement of New Jersey’s PIP Arbitration System
Under N.J.S.A. 39:6A-35, the Commissioner of Banking and Insurance, in consultation with the Administrative Director of the Courts, is tasked with adopting rules and compiling reports to monitor and refine New Jersey’s Personal Injury Protection (PIP) arbitration process. This provision reflects AICRA’s overarching goal—ensuring that auto insurance disputes are resolved fairly, efficiently, and transparently.
Administrative Rulemaking
The Commissioner must issue and maintain detailed regulations governing every stage of the arbitration process, including:
- Procedures for selecting and qualifying arbitrators.
- Standards for recordkeeping, filings, and hearings.
- Timelines for awards and court confirmations under 39:6A-30 and 39:6A-31.
- Fee structures for arbitration and trial de novo filings.
- Reporting obligations for insurers and dispute-resolution organizations.
These rules, published in the New Jersey Administrative Code, establish consistency across counties so that claimants, insurers, and medical providers operate under uniform procedures.
Reporting & Transparency
Each year, the Commissioner must submit a comprehensive report to the Legislature and Governor summarizing:
- The number of arbitration filings and outcomes.
- Average award amounts and time to resolution.
- Frequency of trial de novo requests.
- Identified trends, including recurring insurer nonpayment issues or abusive practices.
This annual reporting requirement helps policymakers track whether the arbitration system continues to meet AICRA’s intent—swift, affordable resolution of New Jersey car accident medical benefit disputes.
Case and Policy Note
A 2025 internal audit cited in the Commissioner’s annual report found that post-pandemic tele-arbitrations shortened PIP dispute timelines by nearly 40%, confirming the statute’s adaptability to modern technology while maintaining due process protections.
Why This Matters
This statute ensures the entire arbitration process stays transparent and accountable. It requires periodic reports and rule reviews, so the system keeps improving. For you, this means the procedures behind your claim are not static — they evolve to protect consumers better and ensure fairer resolutions across New Jersey.
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Protect Your Rights After a New Jersey Car Accident
Understanding how N.J.S.A. 39:6A applies to your car accident is critical — it determines how medical bills are handled, whether you can pursue pain-and-suffering damages, and how to challenge insurer denials. These laws can feel complex, but the proper legal guidance can make all the difference.
At Aiello Harris Abate Law Group PC, our attorneys interpret every detail of New Jersey’s automobile-insurance statutes to help you recover your rights under the law. Whether you’re facing a PIP dispute, a verbal-threshold limitation, or uncertainty about your tort-option rights, we’ll explain your options and protect your financial and legal interests.
Call us today at (908) 561-5577 or contact us. Your initial consultation will take place over the phone, and you can schedule an appointment at one of our office locations across New Jersey.
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