(b) No such corporation shall furnish medical expense indemnity,
dental expense indemnity, hospital service or health service as set
forth in section four thousand three hundred one of this article until
it has obtained from the superintendent a license to do business. Such
license may be issued by the superintendent upon the filing of an
application, subscribed by two officers of such corporation and affirmed
by such officers as true under the penalties of perjury, and in a form
prescribed by the superintendent and upon payment of a fee of ten
dollars. Such application shall include (i) a statement of the number of
individuals and groups from whom the corporation has received
applications for medical expense indemnity, dental expense indemnity,
hospital service or health service, as the case may be, to be rendered
during one year, and from each of whom it has received payment of not
less than one-sixth of the full payment required from such individuals
and groups; and (ii) a statement of the total amount so collected, which
shall be not less than eighteen hundred dollars. Before issuing any such
license the superintendent may make such examination or investigation as
he deems expedient, including an investigation of the sponsors of such
proposed corporation and if after such examination or investigation he
determines the issuance of such license is contrary to the interest of
the people, he shall refuse to issue. Upon the issuance of such license,
the corporation may begin to furnish medical expense indemnity, dental
expense indemnity, hospital service or health service, as the case may
be.
(c) Notwithstanding the other provisions of this article, the
superintendent may issue a permit to organize and a license to do
business to a not-for-profit corporation organized and operated under
the supervision of the New York State Public High School Athletic
Association, unrestricted as to its territorial operations in this
state, for the sole purpose, however, of furnishing medical, dental and
hospital expense indemnity to bona fide students in elementary and high
schools injured (i) in intramural and interscholastic athletic games and
sports activities, (ii) while engaged in preparation for such games,
sports or contests, (iii) in physical education classes, and (iv) in any
other accidents which in the judgment of the superintendent should be
included. The dental indemnity is to apply, however, only in case of
dental expense caused by injury occurring as above set forth.
Structure New York Laws
Article 43 - Non-Profit Medical and Dental Indemnity, or Health and Hospital Service Corporations
4301 - Organization of Corporation; Purposes; Board of Directors.
4302 - Permit and License to Do Business.
4303-A - Prescription Synchronization.
4306 - Required Contract Provisions.
4306-A - Health Insurance Coverage for Full-Time Students on Medical Leaves of Absence.
4306-B - Primary and Preventive Obstetric and Gynecologic Care.
4306-C - Grievance Procedure and Access to Specialty Care.
4306-D - Choice of Health Care Provider.
4306-E - Prohibition on Lifetime and Annual Limits.
4306-F - Maternal Depression Screenings.
4306-G - Telehealth Delivery of Services.
4306-H - Essential Health Benefits Package and Limit on Cost-Sharing.
4306-I - Coverage for Medically Fragile Children.
4308 - Supervision of Superintendent.
4309 - Limitation on Expenses.
4310 - Investments; Financial Conditions; Reserves.
4312 - Employment of Solicitors; Pension Plans.
4313 - Applicability of Other Provisions of This Chapter.
4314 - Not to Affect Provisions of Workers' Compensation Law.
4315 - Arbitration; Judicial Review.
4316 - Individual Contracts; Premium Refund at Death of Insured.
4317 - Rating of Individual and Small Group Health Insurance Contracts.
4318 - Pre-Existing Condition Provisions.
4318-A - Certification of Creditable Coverage by Corporations Organized Under This Article.
4320 - Limitations on Administrative Services and Stop-Loss Coverage.
4321-A - Fund for Standardized Individual Enrollee Direct Payment Contracts.
4324 - Disclosure of Information.
4326 - Standardized Health Insurance Contracts for Qualifying Small Employers and Individuals.