(1) the period of creditable coverage, as defined in section four
thousand three hundred eighteen of this article, of the individual under
such contract and under any continuation coverage pursuant to state or
federal law; and
(2) any waiting period or affiliation period (if applicable) imposed
with respect to the individual for coverage under any such contract.
(b) The corporation shall provide such certification:
(1) at the time an individual ceases to be covered under the contract,
including any period of time the individual was covered pursuant to any
right of continuation under the contract; and
(2) on the request on behalf of an individual made not later than
twenty-four months after the date of cessation of the coverage described
in paragraph one of this subsection.
(c) In the event of an election by an insurer or a group health plan
to count the period of creditable coverage based on coverage of benefits
within classes or categories of benefits as provided in state or federal
law, if that insurer or group health plan enrolls an individual for
coverage under its contract or plan and the individual provides a
certification of coverage of the individual under subsection (a) of this
section, then upon request of such insurer or group health plan, any
corporation subject to the provisions of this article that issued the
certification of coverage provided by the individual shall promptly
disclose to such requesting insurer or group health plan information on
coverage of classes and categories of health benefits available under
the corporation's contract. The corporation may charge the requesting
plan or insurer for the reasonable cost of disclosing such information.
(d) A corporation that issues group or blanket accident and health
insurance contracts is deemed to have satisfied the requirements of
subsection (a) of this section if the contract holder by written
agreement with the corporation actually provides the written
certification in accordance with this section.
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.