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New York State Seal
STATE OF NEW YORK
INSURANCE DEPARTMENT
25 BEAVER STREET
NEW YORK, NEW YORK 10004

 

Circular Letter No. 18 (1997)
December  16, 1997

 

TO: ALL LICENSED PROPERTY/CASUALTY INSURERS AUTHORIZED TO WRITE WORKERS’ COMPENSATION INSURANCE IN NEW YORK STATE 
RE: WORKERS’ COMPENSATION POLICIES -CREDITS FOR MANAGED CARE PROGRAMS (PPOs/MCOs)


As part of the 1996 Workers’ Compensation Insurance reform package, the New York Workers’ Compensation Law was amended by the addition of Article 10-A to allow employers to use certified Preferred Provider Organizations (PPOs) to deliver medical services to workers from suffering work related injuries or illnesses. The PPO/MCO programs are administered by the Department of Health in conjunction with the Workers’ Compensation Board. PPOs/MCOs must be certified by the Department of Health. Insurers wishing to provide state-approved Managed Care Programs must submit documentation which supports rate credit approval by this Department. The following information has come to our attention: 

Accordingly, the purpose of this Circular Letter is to outline the procedures to be followed by insurers for filing and issuing credits for workers’ compensation managed care programs in New York. The following items should be noted: 

Questions regarding this Circular Letter should be directed to:

Marielle Brutus, Insurance Examiner
New York State Insurance Department
Property/Casualty Insurance Bureau
25 Beaver Street
New York, New York 10004

Very truly yours,

 

Mark Presser
Deputy Bureau Chief
Property/Casualty Insurance Bureau