New York State Seal

STATE OF NEW YORK
INSURANCE DEPARTMENT
25 BEAVER STREET
NEW YORK, NEW YORK 10004


SUPPLEMENT NO. 1 TO
CIRCULAR LETTER NO. 18 (1997)
MAY 6, 1998



TO: ALL LICENSED PROPERTY/CASUALTY INSURERS AUTHORIZED TO WRITE WORKERS’ COMPENSATION INSURANCE IN NEW YORK STATE
RE: WORKERS’ COMPENSATION POLICIES REPORTING REQUIREMENTS FOR PREFERRED PROVIDER ORGANIZATION - SUBPART 325-8.4 OF TITLE 12 NYCRR

This will supplement Circular Letter No. 18 (1997), issued on December 22, 1997, which set forth procedures to be followed by insurers for filing and issuing credits for workers’ compensation managed care programs in New York. 

In addition to those procedures, insurers utilizing state-approved managed care programs must comply with the requirements set forth in Subpart 325-8.4 of the Workers’ Compensation Board Rules (Title 12 of NYCRR) which reads as follows: 

Documentation evidencing compliance with such requirements must be maintained in the appropriate underwriting file for review and examination by this Department upon request. The failure to adhere to such reporting requirements and to maintain proper documentation may result in disciplinary action by this Department. Questions regarding this Circular Letter should be directed to: 

Marielle Brutus, Insurance Examiner
New York State Insurance Department
Property Bureau
25 Beaver Street
New York, New York 10004
Telephone No. 212-480-5513
 

Very truly yours,

Mark Presser
Assistant Deputy Superintendent
and Bureau Chief
Property Bureau