Supplement No. 1 to
Circular Letter No. 5 (2005)
February 6, 2008
|TO:||All Insurers Authorized to Write
Accident and Health Insurance in New York State (Commercial Insurers), Article
43 Corporations, Health Maintenance Organizations, Municipal Cooperative Health Benefit
Plans, Fraternal Benefit Societies, and Continuing Care Retirement Communities
|RE:||Contact and Product Information for
Health Bureau Inquiries
STATUTORY REFERENCE: Insurance Law Section 308 and Public Health Law Section 2995
The Health Bureau of the New York State Insurance Department is collecting information from companies providing accident and health insurance. All Commercial Insurers, Article 43 Corporations, Health Maintenance Organizations, Municipal Cooperative Health Benefit Plans, Fraternal Benefit Societies, and Continuing Care Retirement Communities) must complete the following questionnaire and include company contact information, the types of accident and health insurance products offered, and the markets in which they are offered.
In addition, Chapter 451 of the Laws of 2007 requires the New York State Department of Health to collect preferred provider organization (PPO) data for public dissemination pursuant to the quality assurance reporting requirements developed by the Health Department in conjunction with the National Committee on Quality Assurance. In order to facilitate this collection, every Commercial Insurer, Article 43 Corporation and Municipal Cooperative Health Benefit Plan must indicate in the following questionnaire whether it offers a PPO or exclusive provider organization (EPO) product. For the purpose of this questionnaire, a PPO / EPO product is one that includes health insurance coverage through a network of participating providers.
Lastly, as a reminder, when any of your contact information changes, you must advise the Health Bureau immediately. If you have any questions, please contact John Tully at (518) 486-7815 or Lisette Johnson at (518) 474-4098.
Very truly yours,
Deputy Chief, Health Bureau