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3201 - Approval of Life, Accident and Health, Credit Unemployment, and Annuity Policy Forms. - (b) (1) No policy form shall be delivered or issued...
3202 - Withdrawal of Approval of Policy Forms. - § 3202. Withdrawal of approval of policy forms. The superintendent...
3203 - Individual Life Insurance Policies; Standard Provisions as to Contractual Rights and Responsibilities of Policyholders and Insurers. - (1) that, for policies in which the amount and frequency...
3204 - Policy to Contain Entire Contract; Statements of Applicant to Be Representations and Not Warranties; Alterations. - (2) No application for the issuance of any such policy...
3205 - Insurable Interest in the Person; Consent Required; Exceptions. - (1) The term, "insurable interest" means: (A) in the case...
3206 - Policies Which Provide for an Adjustable Maximum Rate of Interest on Policy Loans. - (1) The term "policy" includes: (i) life insurance policies subject...
3207 - Life Insurance Contracts by or for the Benefit of Minors; on the Lives of Minors, Limitations on Amount. - (b) An insurer may deliver or issue for delivery in...
3208 - Antedating of Life Insurance Policies and Burial Agreements Prohibited. - (b) No agent, other representative of an insurer or broker...
3209 - Life Insurance, Annuities and Funding Agreements Disclosure Requirements. - (b) (1) No policy of life insurance shall be delivered...
3210 - Incontestability After Reinstatement. - § 3210. Incontestability after reinstatement. Any policy of life or...
3211 - Notice of Premium Due Under Life or Disability Insurance Policy; Notice to Assignees of Non-Payment of Premium. - (a) (1) No policy of life insurance or non-cancellable disability...
3212 - Exemption of Proceeds and Avails of Certain Insurance and Annuity Contracts. - (1) The term "proceeds and avails", in reference to policies...
3213 - Payment of Proceeds. - § 3213. Payment of proceeds. Where the proceeds of a...
3214 - Interest Upon Proceeds of Life Insurance Policies and Annuity Contracts. - (b) If an action to recover is commenced and a...
3215 - Disability Benefits in Connection With Life Insurance and Annuities. - (1) That disability benefits be paid or allowed only in...
3216 - Individual Accident and Health Insurance Policy Provisions. - (1) "Policy of accident and health insurance" includes any individual...
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...
3217-A - Disclosure of Information. - (a) Each insurer subject to this article shall supply each...
3217-B - Prohibitions. - (1) a condition or a course of treatment with an...
3217-C - Primary and Preventive Obstetric and Gynecologic Care. - (b) An insurer shall treat the provision of obstetric and...
3217-D - Grievance Procedure and Access to Specialty Care. - (b) An insurer that issues a comprehensive policy that utilizes...
3217-E - Choice of Health Care Provider. - § 3217-e. Choice of health care provider. An insurer that...
3217-F - Prohibition on Lifetime and Annual Limits. - (b) An insurer shall not establish an annual limit on...
3217-G - Maternal Depression Screenings. - § 3217-g. Maternal depression screenings. To the extent a policy...
3217-H - Telehealth Delivery of Services. - (2) An insurer that provides comprehensive coverage for hospital, medical...
3217-I - Essential Health Benefits Package and Limit on Cost-Sharing. - (A) ambulatory patient services; (B) emergency services; (C) hospitalization; (D)...
3217-J - Utilization Review Determinations for Medically Fragile Children. - (b) Insurers shall undertake the following with respect to medically...
3218 - Medicare Supplemental Insurance Policies. - (1) "Medicare" means the coverage of health care costs provided...
3219 - Annuity and Pure Endowment Contracts and Certain Group Annuity Certificates; Standard Provisions as to Contractual Rights and Responsibilities of Cont - (1) In any such contract or certificate requiring payments to...
3220 - Group Life Insurance Policies; Standard Provisions. - (1) That the policy is incontestable after two years from...
3221 - Group or Blanket Accident and Health Insurance Policies; Standard Provisions. - (1) (A) No statement made by the person insured shall...
3222 - Funding Agreements. - (b) Such funding agreements may be issued to persons authorized...
3223 - Group Annuity Contracts; Standard Provisions as to Contractual Rights and Responsibilities of Contract Holders, Certificate Holders and Annuitants, An - (a) in any such contract requiring payments to be made...
3224 - Standard Claim Forms; Accident and Health Insurance. - (b) The adoption of any uniform claim forms by the...
3224-A - Standards for Prompt, Fair and Equitable Settlement of Claims for Health Care and Payments for Health Care Services. - (a) Except in a case where the obligation of an...
3224-B - Rules Relating to the Processing of Health Claims and Overpayments to Physicians. - (1) For purposes of this section, a "health plan" shall...
3224-C - Coordination of Benefits. - § 3224-c. Coordination of benefits. An insurer or organization or...
3224-D - Prescription Synchronization. - (i) The medications are covered by the policy or plan....
3225 - Eligibility for Health Insurance in Cases of Exposure to Des. - § 3225. Eligibility for health insurance in cases of exposure...
3226 - Reinsurance Contracts Excepted. - § 3226. Reinsurance contracts excepted. The provisions of this article...
3227 - Interest Upon Surrenders, Policy Loans and Other Funds. - (b) The interest calculated on amounts described in paragraphs one...
3228 - Individual Accident and Health Insurance Policies; Premium Refund at Death of Insured. - § 3228. Individual accident and health insurance policies; premium refund...
3229 - Minimum Benefit Standards for Certain Long Term Care Plans. - (b) In establishing minimum benefit standards for insurance plans pursuant...
3230 - Accelerated Payment of the Death Benefit or Special Surrender Value Under a Life Insurance Policy. - (1) contain a notice, prominently displayed, to read as follows:...
3231 - Rating of Individual and Small Group Health Insurance Policies; Approval of Superintendent. - (b) (1) The superintendent may set standard premium tiers and...
3231*2 - Health Insurance Policies and Subscriber Contracts; Prohibited Claims. - (b) No health care provider or practitioner may demand or...
3232 - Pre-Existing Condition Provisions in Health Policies. - (a) In determining whether a pre-existing condition provision applies to...
3232-A - Certification of Creditable Coverage. - (1) the period of creditable coverage, as defined in section...
3233 - Stabilization of Health Insurance Markets and Premium Rates. - (b) Prior to adopting such regulations the superintendent shall convene...
3234 - Pre-Existing Condition Provisions in Group and Blanket Disability Policies. - (1) In determining whether a pre-existing condition provision applies to...
3234*2 - Limitations on Administrative Services and Stop-Loss Coverage. - * § 3234. 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 - (b) The explanation of benefits form must include at least...
3236 - Public Health Law Assessments. - (a) inpatient hospital services provided by a general hospital issued...
3237 - Health Insurance Coverage for Full-Time Students on Medical Leaves of Absence. - (b) In order to qualify under this section, the medical...
3238 - Pre-Authorization of Health Care Services. - (1) (i) the insured, subscriber, or enrollee was not a...
3239 - Wellness Programs. - (b) A wellness program may include, but is not limited...
3240 - Unclaimed Benefits. - (1) "Account" means: (A) any mechanism, whether denoted as a...
3240*2 - Student Accident and Health Insurance. - (1)(A) "Student accident and health insurance" means a policy or...
3241 - Network Coverage. - (2) The superintendent, in consultation with the commissioner of health,...
3242 - Prescription Drug Coverage. - (b) (1) Every policy delivered or issued for delivery in...
3243 - Discrimination Because of Sex or Marital Status in Hospital, Surgical or Medical Expense Insurance. - (1) make any distinction or discrimination between persons as to...
3244 - Explanation of Benefits Forms Relating to Claims Under Certain Accident and Health Insurance Policies. - (b) The explanation of benefits form must include at least...
3245 - Liability to Providers in the Event of an Insolvency. - § 3245. Liability to providers in the event of an...