New York Laws
Article 32 - Insurance Contracts - Life, Accident and Health, Annuities
3224 - Standard Claim Forms; Accident and Health Insurance.

(b) The adoption of any uniform claim forms by the superintendent
pursuant hereto shall not preclude an insurer from obtaining any
necessary additional information regarding a claim from the claimant,
provider of health care or treatment, or certifier of coverage.
(c) The superintendent is authorized and empowered to take such action
as he deems appropriate for the proper implementation hereof and to
provide by rule and regulation that any form which does not comply with
the provisions of this section shall not be issued or reissued. The
rules and regulations so adopted shall specify an effective date, which
shall not be less than one hundred eighty days after the date of
adoption or promulgation, after which no insurer may require any
hospital, physician, other health care provider or insured to complete
forms differing from those prescribed by the superintendent pursuant
hereto, other than additional requests for information pursuant to
subsection (b) hereof.

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.