New York Laws
Article 32 - Insurance Contracts - Life, Accident and Health, Annuities
3217 - Minimum Standards in the Form, Content and Sale of Accident and Health Insurance; Policies and Subscriber Contracts.

(b) The purposes of such minimum standards shall include any or all of
the following:
(1) reasonable standardization and simplification of coverages to
facilitate understanding and comparisons;
(2) elimination of provisions which may be misleading or unreasonably
confusing, in connection either with the purchase of such policies or
contracts or with the settlement of claims;
(3) elimination of deceptive practices in connection with the sale of
such policies or contracts;
(4) elimination of provisions which may be contrary to the health care
needs of the public, as certified to the superintendent by the
commissioner of health; and
(5) elimination of coverages which are so limited in scope as to be of
no substantial economic value to the holders.
(c) Prior to the issuance of regulations pursuant to this section, the
superintendent shall afford the public, including the companies affected
thereby, reasonable opportunity for comment and shall obtain the views,
in writing, of the commissioner of health and the secretary of state.
(d) When a regulation adopted pursuant to this section so provides,
all forms of such policies or contracts which are not in compliance with
such regulation shall be deemed to be disapproved for use without any
further or additional notice after a date to be specified in such
regulation which date shall not be less than sixty days following its
effective date.
(e) When a regulation adopted pursuant to this section so provides,
any such policy or contract which does not comply with the regulation
shall, when issued after a date not less than sixty days from the
effective date of such regulation, be construed, and the insurer or
corporation shall be liable, as if the policy or contract did comply
with the regulation.
(f) Violation of any regulation adopted pursuant to this section shall
be a violation of this chapter for purposes of section one hundred nine
of this chapter.

Structure New York Laws

New York Laws

ISC - Insurance

Article 32 - Insurance Contracts - Life, Accident and Health, Annuities

3201 - Approval of Life, Accident and Health, Credit Unemployment, and Annuity Policy Forms.

3202 - Withdrawal of Approval of Policy Forms.

3203 - Individual Life Insurance Policies; Standard Provisions as to Contractual Rights and Responsibilities of Policyholders and Insurers.

3204 - Policy to Contain Entire Contract; Statements of Applicant to Be Representations and Not Warranties; Alterations.

3205 - Insurable Interest in the Person; Consent Required; Exceptions.

3206 - Policies Which Provide for an Adjustable Maximum Rate of Interest on Policy Loans.

3207 - Life Insurance Contracts by or for the Benefit of Minors; on the Lives of Minors, Limitations on Amount.

3208 - Antedating of Life Insurance Policies and Burial Agreements Prohibited.

3209 - Life Insurance, Annuities and Funding Agreements Disclosure Requirements.

3210 - Incontestability After Reinstatement.

3211 - Notice of Premium Due Under Life or Disability Insurance Policy; Notice to Assignees of Non-Payment of Premium.

3212 - Exemption of Proceeds and Avails of Certain Insurance and Annuity Contracts.

3213 - Payment of Proceeds.

3214 - Interest Upon Proceeds of Life Insurance Policies and Annuity Contracts.

3215 - Disability Benefits in Connection With Life Insurance and Annuities.

3216 - Individual Accident and Health Insurance Policy Provisions.

3217 - Minimum Standards in the Form, Content and Sale of Accident and Health Insurance; Policies and Subscriber Contracts.

3217-A - Disclosure of Information.

3217-B - Prohibitions.

3217-C - Primary and Preventive Obstetric and Gynecologic Care.

3217-D - Grievance Procedure and Access to Specialty Care.

3217-E - Choice of Health Care Provider.

3217-F - Prohibition on Lifetime and Annual Limits.

3217-G - Maternal Depression Screenings.

3217-H - Telehealth Delivery of Services.

3217-I - Essential Health Benefits Package and Limit on Cost-Sharing.

3217-J - Utilization Review Determinations for Medically Fragile Children.

3218 - Medicare Supplemental Insurance Policies.

3219 - Annuity and Pure Endowment Contracts and Certain Group Annuity Certificates; Standard Provisions as to Contractual Rights and Responsibilities of Cont

3220 - Group Life Insurance Policies; Standard Provisions.

3221 - Group or Blanket Accident and Health Insurance Policies; Standard Provisions.

3222 - Funding Agreements.

3223 - Group Annuity Contracts; Standard Provisions as to Contractual Rights and Responsibilities of Contract Holders, Certificate Holders and Annuitants, An

3224 - Standard Claim Forms; Accident and Health Insurance.

3224-A - Standards for Prompt, Fair and Equitable Settlement of Claims for Health Care and Payments for Health Care Services.

3224-B - Rules Relating to the Processing of Health Claims and Overpayments to Physicians.

3224-C - Coordination of Benefits.

3224-D - Prescription Synchronization.

3225 - Eligibility for Health Insurance in Cases of Exposure to Des.

3226 - Reinsurance Contracts Excepted.

3227 - Interest Upon Surrenders, Policy Loans and Other Funds.

3228 - Individual Accident and Health Insurance Policies; Premium Refund at Death of Insured.

3229 - Minimum Benefit Standards for Certain Long Term Care Plans.

3230 - Accelerated Payment of the Death Benefit or Special Surrender Value Under a Life Insurance Policy.

3231 - Rating of Individual and Small Group Health Insurance Policies; Approval of Superintendent.

3231*2 - Health Insurance Policies and Subscriber Contracts; Prohibited Claims.

3232 - Pre-Existing Condition Provisions in Health Policies.

3232-A - Certification of Creditable Coverage.

3233 - Stabilization of Health Insurance Markets and Premium Rates.

3234 - Pre-Existing Condition Provisions in Group and Blanket Disability Policies.

3234*2 - Limitations on Administrative Services and Stop-Loss Coverage.

3235 - Explanation of Benefits Forms Relating to Claims Under Medicare Supplemental Insurance Policies and Limited Benefits Health Insurance Policies or Cert

3236 - Public Health Law Assessments.

3237 - Health Insurance Coverage for Full-Time Students on Medical Leaves of Absence.

3238 - Pre-Authorization of Health Care Services.

3239 - Wellness Programs.

3240 - Unclaimed Benefits.

3240*2 - Student Accident and Health Insurance.

3241 - Network Coverage.

3242 - Prescription Drug Coverage.

3243 - Discrimination Because of Sex or Marital Status in Hospital, Surgical or Medical Expense Insurance.

3244 - Explanation of Benefits Forms Relating to Claims Under Certain Accident and Health Insurance Policies.

3245 - Liability to Providers in the Event of an Insolvency.