(1) "Accident and health insurance company", means any corporation
having power to do the kinds of insurance business specified in item (i)
of paragraph three of subsection (a) of section one thousand one hundred
thirteen of this chapter or items (i) and (ii) of such paragraph,
provided such company does not have power to do any other kind or kinds
of insurance business.
(2) "Accredited reinsurer" means an assuming insurer not authorized to
do an insurance business in this state but which (i) presents
satisfactory evidence to the superintendent that it meets the applicable
standards of solvency required in this state, (ii) is in compliance with
the conditions prescribed by regulation under which a ceding insurer may
be allowed credit for reinsurance recoverable from an insurer not
authorized in this state, and (iii) has received a certificate of
recognition as an accredited reinsurer issued by the superintendent
pursuant to such regulation; provided that no insurer shall be an
accredited reinsurer with respect to any kind of insurance not provided
for in such certificate.
(3) "Admitted assets" means assets of an insurer which conform to the
requirements of section one thousand three hundred one of this chapter.
(4) "Affiliate" means a corporation a majority of whose shares is
owned or controlled by shareholders, directors or officers of another
corporation, who own or control a majority of the shares of the other
corporation.
(5) "Alien insurer" means any insurer incorporated or organized under
the laws of any foreign nation, or of any province or territory not
included under the definition of foreign insurer.
(6) "American institution" means an institution created or existing
under the laws of the United States of America or of any state, district
or territory thereof.
(7) "Articles of association", when used in reference to an
unincorporated association, means the basic instrument prescribing the
powers, purposes and organization of the association.
(8) "Assuming insurer" means an insurer which, under a contract of
reinsurance, incurs to another insurer, called the ceding insurer, an
obligation the performance of which is contingent upon the ceding
insurer's incurring liability or loss under its contract or contracts of
insurance, guaranty or suretyship made with third persons.
(9) "At last year-end" means the end of the next preceding calendar
year.
(10) "Authorized insurer" means an insurer authorized as such to do an
insurance business in this state in compliance with this chapter, by
reason of a license so to do issued and in force pursuant to the laws of
this state or of a corporate charter granted and in force pursuant to
the laws of this state, but not including any insurer herein exempted
from compliance with the requirement that it obtain a license to do
business.
(11) "Board of directors" means the body having power and
responsibility for management and control of a corporation and the
advisory committee or similar body having such power in reference to a
reciprocal insurer or Lloyds underwriters.
(12) "Capital", when used in reference to a stock insurance company,
means the aggregate par value of all classes of shares of capital stock
issued and outstanding.
(13) "Ceding insurer" means the insurer to which an assuming insurer
is obligated.
(14) "Charter" means the basic instrument, by whatever name called,
prescribing the powers, purposes and organization of a corporation.
(15) "Company" means a corporation.
(16) "Control". Except for the purposes of article fifteen of this
chapter, "control", including the terms "controlling", "controlled by"
and "under common control with", means the possession, direct or
indirect, of the power to direct or cause the direction of the
management and policies of an institution, whether through the ownership
of voting securities, by contract or otherwise.
(17) "Department" means the department of financial services of this
state.
(18) "Deputy" means a deputy superintendent of financial services of
this state.
(19) "Domestic insurer" means any authorized insurer incorporated or
organized under any law of this state.
(20) "Firm" means a partnership, limited or unlimited, general or
special.
(21) "Foreign insurer" means any insurer incorporated or organized
under the laws of any state, as herein defined, other than this state.
(22) "Fraternal benefit society" has the meaning ascribed to it by
subsection (a) of section four thousand five hundred one of this
chapter.
(23) "Independent insurance agent" has the meaning ascribed to it by
section two thousand one hundred one of this chapter.
(24) "Institution" means a corporation, a joint-stock company, an
association, a trust, a business partnership, a business joint venture
or any similar entity.
(25) "Insurance agent" has the meaning ascribed to it by section two
thousand one hundred one of this chapter.
(26) "Insurance broker" has the meaning ascribed to it by section two
thousand one hundred one of this chapter.
(27) "Insurance contract" has the meaning ascribed to it by section
one thousand one hundred one of this chapter.
(28) "Life insurance company" means any corporation having power to do
either one or both of the kinds of insurance business specified in
paragraphs one and two of subsection (a) of section one thousand one
hundred thirteen of this chapter.
(29) "Lloyds underwriters" means any aggregation of individuals, who
under a common name engage in the business of insurance for profit
through an attorney-in-fact having authority to obligate the
underwriters severally, within such limits as may be lawfully specified
in the power of attorney, on contracts of insurance made or issued by
such attorney-in-fact, in the name of such aggregation of individuals,
to and with any person or persons insured.
(30) "Minimum surplus" means the minimum amount by which the admitted
assets of an insurer without capital stock must exceed its liabilities
in order to be permitted to do business in this state.
(31) "Minor" or "infant" means a person who has not attained the age
of eighteen years.
(32) "Mortgage" includes a deed of trust.
(33) "Obligations" includes bonds, debentures, notes and other
evidences of indebtedness (whether or not liability for payment extends
beyond the security therefor) as well as participation interests in any
of the foregoing.
(34) "Officer" means any person charged with active management and
control, in an executive capacity, of the affairs of a corporation,
including the president, vice-president, secretary, assistant secretary,
treasurer, assistant treasurer, general counsel, actuary, comptroller
and any other person appointed or elected by the board of directors to
exercise similar powers, and including the manager, attorney-in-fact, or
other person appointed or elected by the board of directors to exercise
similar powers, of a United States branch of an alien insurer, and the
attorney-in-fact of a reciprocal insurer or Lloyds underwriters, and in
case such manager or attorney-in-fact is a corporation, including the
officers of such corporation.
(35) "Parent corporation" has the meaning assigned to it in the
definition of subsidiary.
(36) "Property/casualty insurance company" means any company having
power to write any one or more of the basic kinds of insurance specified
in subsection (a) of section four thousand one hundred one of this
chapter.
(37) "Reciprocal insurer" means any aggregation of persons, firms or
corporations or, in the alternative, New York counties, towns, cities,
villages, district corporations (as defined in paragraph three of
section 2.00 of the local finance law), or school districts and boards
of cooperative educational services, called "subscribers" in article
sixty-one of this chapter, who or which under a common name engage in
the business of inter-insurance or exchanging contracts of insurance on
the reciprocal plan through an attorney-in-fact having authority to
obligate the subscribers severally, within such limits as may lawfully
be specified in the subscriber's agreement, on contracts of insurance
made with any subscriber as a policyholder through such attorney-in-fact
acting on behalf of all other subscribers. Such term includes any
reciprocal or inter-insurance exchange, by whatever name known, and any
reference thereto as an insurer shall be deemed to mean any such
aggregation of inter-insurers operating through an attorney-in-fact
individually and collectively as an insurance organization for the
benefit of its policyholders.
(38) "Renewal license" means a license which becomes effective
immediately following the expiration of a license previously issued and
in force, and which differs from such previous license only as to the
date of expiration.
(39) "State" means any state of the United States, the commonwealth of
Puerto Rico and the District of Columbia.
(40) "Subsidiary" means an institution controlled, directly or
indirectly, by another institution or by a retirement system. "Parent
corporation" means an institution or a retirement system that, directly
or indirectly, controls another institution. For the purposes of the
definitions in this subsection:
(A) an institution is conclusively presumed to be controlled by an
institution or retirement system that, directly or indirectly, with
power to vote, owns, controls or holds a majority of the outstanding
voting securities of such institution;
(B) no presumption, either of control or of absence of control, arises
if such ownership, control or holding of voting securities is less than
a majority but more than five percent;
(C) absence of control is presumed if such ownership, control or
holding of voting securities is five percent or less; and
(D) in determining control, voting securities held in separate
accounts of an institution or retirement system shall be deemed to be
owned by the institution or retirement system, but voting securities in
an investment advisory account that are not owned by an institution but
are held in an account as to which the institution is an investment
adviser shall not be deemed to be controlled or held by such
institution.
(41) "Superintendent" means the superintendent of financial services
of this state.
(42) "Surplus to policyholders" means the excess of total admitted
assets over the liabilities of an insurer, which is the sum of all
capital and surplus accounts minus any impairment thereof.
(43) "United States". Except for the purposes of article fourteen of
this chapter, when used to signify place, means only the states of the
United States, the commonwealth of Puerto Rico and the District of
Columbia.
(44) "United States branch" means, as the context may require, the
business unit through which business is transacted within the United
States by an alien insurer, or the assets and liabilities of such
insurer within the United States pertaining to such business or the
management powers pertaining to such business and to such assets and
liabilities or any combination of these three.
(45) "Voting securities" means securities of any class or any
ownership interest having voting power for the election of directors,
trustees or management of an institution, other than securities having
such power only by reason of the happening of a contingency.
(46) "Doing an insurance business" has the meaning ascribed to it by
section one thousand one hundred one of this chapter.
(47) "Commercial risk insurance" means insurance not subject to
section three thousand four hundred twenty-five of this chapter issued
or issued for delivery in this state, on a risk located in this state,
insuring any of the following contingencies:
(A) loss of or damage to real property;
(B) loss of or damage to personal property;
(C) losses or liabilities arising out of the ownership, operation or
use of a motor vehicle;
(D) liabilities of persons acting as officers or directors; or
(E) other liabilities, including product liability, for loss of,
damage to, or injury to persons or property.
(48) "Product liability" means liability of the insured for damages
for personal injury, death or property damage, where liability is based
upon negligence, implied warranty or strict liability, arising out of a
design, inspection, testing or manufacturing defect, or any other defect
in a product, or is based upon any failure to warn, or to properly
instruct in the use of a product or for any liability for any damage
arising out of the handling or use of any product manufactured, sold,
handled or distributed by the insured or work completed by or on behalf
of the insured.
(49) "Professional liability insurance" means insurance covering
liability arising out of the practice of any profession for which a
license is required by a governmental authority of this state or, with
respect to treatment of patients, arising out of the operation of a duly
certified hospital.
(50) "Public entity insurance" means commercial risk insurance issued
to a public entity.
(51) "Public entity" means:
(A) the state of New York;
(B) a county, city, town, village or any other political subdivision
or civil department or division of the state;
(C) a school district, board of cooperative educational services or
any other governmental entity or combination or association of
governmental entities operating a public school, college, community
college or university;
(D) a fire district, fire company, volunteer fire department, or any
other entity that contracts with a municipality or other political
subdivision to provide fire protection;
(E) a public library, as defined in section two hundred fifty-three of
the education law, authorized to operate in this state;
(F) a public corporation, including a municipal corporation, district
corporation or public benefit corporation;
(G) an improvement district, special district or other district
authorized by the village law, town law, county law or any other law;
(H) a public corporation, public authority, commission, agency,
municipal or other public housing authority, or project organized
pursuant to article two of the private housing finance law; or
(I) any other governmental instrumentality or unit in the state of New
York.
(52) "Gap amount" means:
(A) in the case of a lease of personal property, the difference, if
any, between:
(i) the amount owed by the lessee, under the early termination
provision of the lease, as of the date of a total loss of the leased
property caused by its theft or physical damage, or the amount which
would have been owed by the lessee had the lessor not waived such
obligations; and
(ii) the sum of: (I) any unpaid rental payments and other unpaid
charges, arising from the failure of the lessee to fulfill the lessee's
obligations under the lease, that had accrued prior to the date of the
loss; and (II) the actual cash value of the personal property as of the
date of the loss. If the lessee is required under the lease agreement to
maintain a physical damage insurance policy on the personal property
which is the subject of the lease agreement, and that policy is in
effect on the date of the loss, then "actual cash value" shall have the
same meaning as under the physical damage insurance policy.
(B) In the case of a loan or other credit transaction on the purchase
of personal property, the difference, if any, between:
(i) the amount owed by the debtor under the loan or other credit
transaction as of the date of a total loss of the personal property
which is the subject of the loan or other credit transaction agreement
caused by its theft or physical damage, or the amount that would have
been owed by the debtor had the creditor not waived such obligation; and
(ii) the sum of: (I) any unpaid payments and other unpaid charges,
arising from the failure of the debtor to fulfill the obligations under
the loan or other credit transaction agreement, that had accrued prior
to the date of the loss; and (II) the actual cash value of the personal
property as of the date of the loss. If the debtor is required under the
loan or other credit transaction agreement to maintain a physical damage
insurance policy on the personal property which is the subject of the
loan or other credit transaction agreement, and that policy is in effect
on the date of the loss, then "actual cash value" shall have the same
meaning as under the physical damage insurance policy.
(53) "Nonprofit property/casualty insurance company" means an insurer
organized pursuant to section six thousand seven hundred three of this
chapter and that is subject to the provisions of article sixty-seven of
this chapter.
(54) "Title insurance agent" shall be deemed to have the same meaning
as paragraph one of subsection (y) of section two thousand one hundred
one of this chapter.
* (55) "Medically fragile child" means an individual who is under
twenty-one years of age and has a chronic debilitating condition or
conditions, who may or may not be hospitalized or institutionalized, and
meets one or more of the following criteria: (1) is technologically
dependent for life or health sustaining functions; (2) requires a
complex medication regimen or medical interventions to maintain or to
improve their health status; or (3) is in need of ongoing assessment or
intervention to prevent serious deterioration of their health status or
medical complications that place their life, health or development at
risk. Chronic debilitating conditions include bronchopulmonary
dysplasia, cerebral palsy, congenital heart disease, microcephaly,
pulmonary hypertension, and muscular dystrophy. The term "medically
fragile child" shall also include traumatic brain injury, the nature of
which typically require care in a specialty care center for medically
fragile children, even though the child does not have a chronic
debilitating condition or also meet one of the three conditions of this
subsection. Notwithstanding the definitions set forth in this
subsection, any patient which has received prior approval from an
insurer for admission to a specialty care facility for medically fragile
children shall be considered a medically fragile child at least until
discharge from that facility occurs.
* NB Effective September 1, 2023
(b) Whenever the terms "include", "including" or terms of similar
import appear in this chapter, unless the context requires otherwise,
such terms shall not be construed to imply the exclusion of any person,
class or thing not specifically included.
(c) A reference in this chapter to any other law or statute of this
state, or of any other jurisdiction, means such law or statute as
amended to the effective date of this chapter and, unless the context
otherwise requires, as amended thereafter.
Structure New York Laws
Article 1 - General Provisions
103 - Explanation of Order of Provisions.
104 - Continuation of Existing Offices, Licenses, Approvals and Proceedings.
106 - Construction of References.
107 - Definitions of Terms of General Use in This Chapter.
108 - Applicability of Business Corporation Law to Insurers.
109 - Penalties; Civil Actions.
110 - Cooperation With Other Regulatory Agencies.
111 - Investigation by the Superintendent With Respect to Prescription Drugs.