New York State Seal
STATE OF NEW YORK
INSURANCE DEPARTMENT

25 BEAVER STREET
NEW YORK, NEW YORK 10004

Supplement No.2 to
Circular Letter No. 18 (1997)
June 1, 1999
   
TO:

All Licensed Property/Casualty Insurers Authorized To Write Workers’ Compensation Insurance in New York State

   
RE:

Workers’ Compensation Policies/Preferred Provider Organization Arrangements

Circular Letter No. 18 (1997), issued on December 16, 1997, and Supplement No. 1, dated May 6, 1998, set forth requirements and procedures to be followed by insurers offering credits for workers’ compensation managed care programs in New York. The purpose of this Supplement is to outline additional procedures to be followed by insurers in filings made with this Department for workers’ compensation managed care programs in New York. Please note the following:

Questions regarding this Circular Letter should be directed to:

Marielle Brutus, Senior Insurance Examiner
New York State Insurance Department
Property Bureau, Second Floor
25 Beaver Street
New York, NY 10004
Telephone No. 212-480-5511

Very truly yours,
_______________________

Mark Presser
Assistant Deputy Superintendent
and Bureau Chief
Property Bureau

Click here for SAMPLE AFFIRMATION A and SAMPLE AFFIRMATION B