New York State seal

December 22, 1980

SUBJECT: INSURANCE

Circular Letter No. 20 (1980)

December 22, 1980

TO: ALL INSURERS AUTHORIZED TO WRITE PROFESSIONAL MEDICAL LIABILITY INSURANCE IN NEW YORK STATE

RE: REPORTS ON TERMINATIONS OF PROFESSIONAL MEDICAL LIABILITY INSURANCE

Chapter 866 of the Laws of 1980 amended Section 335 of the Insurance Law, effective January 1, 1981, to require insurers engaged in issuing professional medical liability insurance in this state to file with the Superintendent of Insurance and the Commissioner of Health a report of any cancellation of its insureds professional medical liability insurance, for reasons other than non-payment of premiums.

Each insurer engaged in the writing of professional medical liability insurance in this state (including coverage for physicians, surgeons, physician's assistants, specialist's assistants, hospitals and other health facilities), shall file a Report on Termination in accordance with the form attached and the enclosed instructions pertaining thereto. Additional blank copies of the reporting form are not being provided and you are requested to prepare reasonable facsimiles thereof.

Reports on terminations on or after January 1, 1981 are due within 15 days following each monthly period (e.g. reports on terminations from January 1 through January 31 are due on February 15, etc.).

The completed forms shall be mailed to:

1) Mr. Harold I. Baida, Principal Insurance Examiner

Property and Casualty Insurance Bureau

State of New York Insurance Department

Two World Trade Center

New York, NY 10047

and

2) Medical Claims Report Unit

Division of Health Manpower Development

New York State Department of Health

Empire State Plaza Tower Building

Albany, NY 12237

Very truly yours,

[SIGNATURE]

Albert B. Lewis

Superintendent of Insurance

ATTACHMENT

INSTRUCTION SHEET FOR REPORT ON TERMINATION

The following instructions apply to the items listed below:

2a. Enter CODE for type of termination:

1- cancellation by company(other than for non-payment of premiums)

2- non-renewal by company

3d. Enter date of birth for physicians, surgeons, physician's assistants and specialist's assistants only

4a. Enter Profession or Business code:

1- physician or surgeon

2- physician's assistant or specialist's assistant

3- hospital

4- other health care facility

4b. Enter Specialty Code (5 digits) from the Uniform Statistical Plan for Medical Professional Liability Insurance.

5a. Enter appropriate code if insured is Board Certified in:

1- specialty coded in 4b

2- a different specialty

3- both the specialty coded in 4b and another specialty

4- insured physician is not board certified

If (2) or (3) is entered, also enter the additional Specialty Code (5 digit Uniform Statistical Plan code) in this line.

5b. Answer yes or no

5c. If answer to 5b is "yes", enter country in which primary medical education was received other than U.S.

6. Enter the specific reason(s) for termination by the Company. A specific reason shall not be an unsupported general statement such as "underwriting judgment".