
Insurance
Health Related Department Circular Letters
Circular Letters Index | Insurers - Health Index
The Department issues circular letters to the industry on various issues in order to provide guidance on regulations and clarification on procedures. The letters are a way for the Department to communicate effectively with a broad sector of the industry.
Below are pertinent health related circular letters. To obtain paper copies of Circular Letters, please call the Department's Public Affairs & Research Bureau at (212) 480-5262.
1975 - 1998 | 1999 - present
For the table description, please select this link.
| Circular Letter Number and Year | Date Issued | Status | Addressed To | Subject Matter | HTML | |
|---|---|---|---|---|---|---|
| 2 (1975) | 03/26/1975 | All Insurers Authorized To Write Life Insurance, Accident And Health Insurance And Annuities In The State Of New York |
Defines an application for insurance for purposes of filing and approval. |
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| 7 (1976) | 03/22/1976 | WITHDRAWN | All Insurers Including Article Ix-C Corporations, Licensed To Write Accident & Health Insurance In New York State |
Mandatory Home Health Care. |
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| 10 (1976) | 04/23/1976 | All Insurers, Other Than Article Ix-C Corporations, Licensed To Write Accident And Health Insurance In New York State |
Accident & Health Insurance Conversion Policies (See also CL 18 (1975) on this listing). |
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| 12 (1976) | 05/05/1976 | All Insurers Authorized To Write Life Insurance And Annuities In New York State |
Filing Requirements for life and annuity forms. |
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| 23 (1976) | 12/03/1976 | All Insurers, Including Article Ix-C Corporations, Licensed To Write Accident And Health Insurance In New York State |
Mandatory Maternity Coverage (See also CL 11 (1970) on this listing). |
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| 26 (1976) | 12/17/1976 | All Insurers, Including Article Ix-C Corporations, Licensed To Write Accident And Health Insurance In New York State |
Coverage for preadmission tests, emergency medical services, ambulatory care and services rendered in nursing homes. |
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| 11 (1977) | 08/23/1977 | WITHDRAWN | All Insurers Licensed To Write Accident And Health Insurance In New York State |
Chapter 843 of the Laws of 1976- Mandatory Maternity coverage. (See also CL 23 (1976) on the Current listing and CL 10 (1980) on this listing). |
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| 18 (1977) | 12/19/1977 | All Insurers, including Article IX-C Corporations, licensed to write Accident and Health Insurance in New York State |
I. Chapters 894 of the Laws of 1977: Coverage for the diagnosis and treatment
of mental, nervous or emotional disorders or ailments. |
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| 3 (1979) | 01/10/1979 | All Insurers Licensed To Write Accident And Health Insurance In New York State |
Exclusion in health insurance contracts of benefits under government programs. |
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| 29 (1979) | 11/16/1979 | All Insurers Licensed To Write Accident And Health Insurance, Including Article IX-C Corporations |
Mandatory second surgical opinion consultation. |
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| 24 (1981) | 12/01/1981 | All Insurers Licensed To Write Accident And Health Insurance In New York State |
Chapter 28, Laws of 1981: coverage for alcoholism and alcohol abuse. |
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| 20 (1982) | 06/23/1982 | All Insurers, Other Than Article Ix-C Corporations, Licensed To Write Accident And Health Insurance |
Accident & Health Insurance Conversion Policies. |
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| 21 (1982) | 06/29/1982 | All Insurers Licensed To Write Life And Accident And Health Insurance In New York State |
NY Insurance Department requirements for approval of Social Ins. Substitute Disability Income Coverages. |
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| 32 | 12/31/1982 | WITHDRAWN | All Insurers Licensed To Write Accident And Health Insurance In New York State, Including Article IX-C Corporations |
Chapter 509, Laws of 1982: Coverage for preventive and primary care services for newborns. |
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| 3 (1985) | 01/15/1985 | WITHDRAWN | All Insurers, including Article 43 Corporations, licensed to write Accident
and Health Insurance |
Chapter 990 of the Laws of 1984: Coverage for services performed by a certified and registered social worker where the contract provides reimbursement for psychiatric or psychological services. |
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| 8 (1986) | 06/06/1986 | All Insurers Licensed to Write Accident and Health Insurance in New York State |
Claims filed by New York State Dept of Social Services under the Third Party Recovery Program. |
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| 9 (1986) | 07/01/1986 | All Insurers, Other Than Article 43 Corporations, Licensed To Write Accident And Health Insurance |
Accident and health insurance statutory conversion coverage. |
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| 20 (1986) | 10/24/1986 | WITHDRAWN | All Insurers Licensed To Write Accident And Health Insurance In New York State |
Insurance Dept review of the mental illness exclusion now permitted in health insurance contracts. |
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| 3 (1987) | 03/10/1987 | All Insurers Licensed To Write Accident & Health Insurance In New York State, Including Article 43 Corporations, And Corporations With Certificates Of Authority Under Article 44 Of The Public Health Law |
Medicare as secondary payor. |
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| 9 (1987) | 06/05/1987 | WITHDRAWN | All Fraternal Benefit Societies And Insurers Licensed To Write Accident And Health Insurance In New York. State, Including Article 43 Corporations, And Corporations With Certificates Of Authority Under Article 44 Of The Public Health Law |
New York State Elderly Pharmaceutical Insurance Coverage Program (EPIC) (Chapter 913 of the Laws of 1986). |
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| 11 (1988) | 04/25/1988 | WITHDRAWN | All Insurers Licensed To Write Accident And Health Insurance, Workers' Cmpensation Aid No-Fault Motor Vehicle Insurance |
Insurance Payments for Hospital Services under 1988 Legislation requiring a case payment methodology. |
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| 3 (1989) | 01/17/1989 | All Insurers Licensed to Write Life and Accident and Health Insurance in New York State |
Insurers' use of HIV antibody test need for authorization and informed consent. |
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| 15 (1990) | 11/01/1990 | All Rental Car Companies And Franchisees In This State All Authorized Insurers Providing Relevant Coverages |
Limited License Required to Sell Certain Kinds of Insurance To Consumers Renting Motor Vehicles in New York State. |
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| 8 (1991) | 07/11/1991 | All Insurance Agents And Brokers |
Placement of Health Insurance Coverage with Unlicensed and Unauthorized Multiple Employer Welfare Arrangements. |
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| 11 (1991) | 09/05/1991 | All Insurers And Risk Retention Groups Doing Business In New York State |
Scope of Regulation 64 on Claims Settlement Practices (See also CL 15 (1996) on this listing). |
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| 12 (1991) | 08/21/1991 | All Insurers Authorized to Transact Accident and Health Insurance In New York |
Travel Insurance. |
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| 14 (1992) | 09/08/1992 | WITHDRAWN | All Insurers Licensed. To Write Accident, And Health Insurance In New York State |
Chapter 501 of The Laws of 1992-Effective Date for Provisions for Community Rating and Open Enrollment. |
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| 16 (1992) | 09/24/1992 | All Licensed Insurers In New York State |
Appropriate Dating Of Documents Sent To Policyholders. |
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| 1 (1993) | 01/11/1993 | All Insurers, Including Article 43 Corporations And Hmos, Licensed To Write Accident And Health Insurance In New York State |
Chapter 501 of the Laws of 1992-Actuarial Information For Community Rating and Open Enrollment. |
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| 6 (1993) | 07/20/1993 | All Insurers, Other Than Article 43 Corporations And Article 44 HMOs, Licensed To Write Accident And Health Insurance |
Accident and Health Insurance Conversion Coverage – Community Rates. |
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| 14 (1993) | 10/15/1993 | All Insurers, Other Than Article 43 Corporations And Article 44 Hmos, Licensed To Write Accident And Health Insurance |
Accident and Health Insurance Conversion Coverage. |
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| 18 (1993) | 12/23/1993 | WITHDRAWN | All Insurers Writing Individual and Small Group Accident and Health Insurance Contracts In New York State |
Deletion of Riders on Existing Contracts Subject to Chapter 501 of the Laws of 1992. |
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| 21 (1993) | 12/23/1993 | WITHDRAWN 10/31/1995 |
All Insurers Licensed to Write Automobile and/or Accident and Health Insurance in New York |
Annual rankings auto and health insurance complaints *PDF format |
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| 1 (1994) | 01/31/1994 | All Carriers Licensed to Write Accident and Health Insurance in New York State, Including Article 43 Corporations and Public Health Law Article 44 Health Maintenance Organizations |
Chapter 501 or the Laws of 1992 - Accounting Treatment of Disbursements From or Payments to the New York Market Stabilization Pools |
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| 3 (1994) | 03/10/1994 | All Insurers Licensed to Write Accident and Health Insurance in New York State, Including HMOs |
Implementation of Chapter 728 of The Laws of 1993 Requiring Coverage for Preventive and Primary Care Services |
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| 7 (1994) | 04/27/1994 | WITHDRAWN Effective 10/11/2002 |
All Insurers Licensed to Write Accident and Health Insurance in New York State |
Health Insurers' Obligations in the Administration of Benefits for Covered Persons Receiving Services Under the New York State Early Intervention Program |
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| 8 (1994) | 07/05/1994 | WITHDRAWN Effective 10/11/2002 |
All Licensed Insurers and Exempt Organizations Including Health Maintenance Organizations (HMOs) |
Insurance Fraud Reporting |
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| 11 (1994) | 08/01/1994 | All Insurers, Other Than Article 43 Corporations and Article 44 HMOs, Licensed to Write Accident and Health Insurance |
Accident and Health Insurance Conversion Coverage |
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| 16 (1994) | 09/14/1994 | WITHDRAWN Effective 10/11/2002 |
Commercial Insurers Authorized to Write Accident and Health Insurance and Corporations Licensed Under Article 43 of the Insurance Law or Article 44 of the Public Health Law |
Transfer of Health Insurance and HMO Premium Rate Review and Approval |
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| 18 (1995) | 11/17/1995 | All Insurance Law Article 43 Corporations ("Plans") and Public Health Law Article 44 Health Maintenance Organization ("HMOs") |
Compliance Certification for Premium Rate Adjustment Application Pursuant to Section 4308(g) of the Insurance Law |
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| 18 | 12/20/1996 | WITHDRAWN Effective 10/11/2002
|
All Insurers Licensed to Write Accident and Health Insurance in New York State and all Health Maintenance Organization (HMOs) |
New York State Small Business Health Insurance Partnership Program (NYSHIPP) |
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| 5 (1997) | 04/04/1997 | All Insurers and Fraternal Benefit Societies Licensed to Write Life Insurance and Accident and Health Insurance in New York State, Including Article 43 Corporation |
Oral Fluid Testing for the Human Immunodeficiency Virus |
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| 7 (1997) | 03/25/1997 | All Insurers Including Article 43 Corporations Licensed to Write Accident and Health Insurance In New York State, Except Health Maintenance Organizations |
The Managed Care Reform Act (Chapter 705 of the Laws of 1996) |
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| 9 (1997) | 04/04/1997 | All Insurers Licensed to Write Accident and Health Insurance in New York State (Insurance Law Section 1113(a)(3)) |
Provider Excess Insurance |
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| 14 (1997) | 08/01/1997 | All Insurers Authorized to Write Life Insurance, Annuities or Accident and Health Insurance in New York State, Including Article 43 Corporations and Health Maintenance Organizations |
Procedural Changes in the Approval Process for Life Insurance, Annuity, and Accident and Health Insurance Policy Forms and Rates |
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| 1 (1998) | 01/15/1998 | All Insurers, Including Article 43 Corporations and Health Maintenance Organizations, Authorized to Write Accident and Health Insurance, Workers' Compensation Insurance or Automobile No-Fault Insurance in New York State |
Electronic Acceptance of Health Insurance Claims, Including Workers' Compensation and No-Fault |
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| 2 (1998) | 01/15/1998 | All Insurers Authorized to Write Life Insurance, Annuities or Accident and Health Insurance in New York State, Including Article 43 Corporations and Health Maintenance Organizations |
Preliminary Guidance Regarding the Expected Approval Procedure in Section 3201(b)(6) of the Insurance Law |
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| 12 (1998) | 04/28/1998 | All Insurers Authorized to Write Accident and Health Insurance, Including Article 43 Corporations and Health Maintenance Organizations |
Newly Approved Impotency Drug Viagra |
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| 13 (1998) | 05/14/1998 | WITHDRAWN Effective 01/29/2007 |
All Insurers and Self Insurers |
Fraud Reporting and Cooperation with the Insurance Frauds Bureau |
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| 14 (1998) | 07/01/1998 | All Insurers Writing Private or Commercial Automobile, Workers Compensation, or Individual, Group or Blanket Accident and Health Insurance Policies |
Compliance with the Second Amendment to Regulation 95 (11NYCRR 86) and Filing of Plans for the Detection, Investigation and Prevention of Fraudulent Insurance Activities |
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| 17 (1998) | 07/23/1998 | All insurers organized, registered, accredited or licensed to do an insurance business in New York State (including all licensed life insurers, fraternal benefit societies, savings bank life insurance departments, accredited life reinsurers, property/casualty insurers, co-operative property/casualty insurers, financial guaranty insurers, mortgage guaranty insurers, reciprocal insurers, accident and health insurers, Article 43 Corporations, Public Health Law Article 44 health maintenance organizations, title insurers, the State Insurance Fund, and accredited property/casualty reinsurers |
Holocaust Victims Insurance Act of 1998 |
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| 20 (1998) | 08/17/1998 | All Insurers Licensed to Write Accident and Health Insurance in New York State, Including Article 43 Corporations and Health Maintenance Organizations |
Requirements for Prescriptions to Bear a Federally Issued Registration Number |
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| 23 (1998) | 09/28/1998 | All Insurers Authorized to Write Accident and Health Insurance in NewYork State, Including Article 43 Corporations |
Medical Savings Account High Deductible Health Insurance Policies |
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| 26 (1998) | 10/02/1998 | All insurers organized, registered, accredited or licensed to do an insurance business in New York State (including all licensed life insurers, fraternal benefit societies, savings bank life insurance departments, accredited life reinsurers, property/casualty insurers, co-operative property/casualty insurers, financial guaranty insurers, mortgage guaranty insurers, reciprocal insurers, accident and health insurers, Article 43 Corporations, Public Health Law Article 44 health maintenance organizations, title insurers, the State Insurance Fund, and accredited property/casualty reinsurers; all hereinafter referred to as "insurers") |
Insurers
Initial Reports Setting Forth Plans for Compliance with Article 27 |
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| 30 (1998) | 10/21/1998 | All licensed life insurers, fraternal benefit societies, charitable and segregated gift annuity societies, employee welfare funds, retirement systems, viatical settlement licensees, governmental supplemental annuity funds, savings bank life insurance departments, property/casualty insurers, co-operative property/casualty insurers, financial guaranty insurers, mortgage guaranty insurers, reciprocal insurers, accident and health insurers, Article 43 Corporations, Public Health Law Article 44 health maintenance organizations and integrated delivery systems, municipal cooperative health benefit plans, accredited reinsurers, title insurers, the State Insurance Fund, the Medical Malpractice Insurance Association, the New York Property Insurance Association, the Motor Vehicle Accident Indemnification Corporation and rate service organizations; all hereinafter referred to as "licensees" |
Update on Year 2000 |
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| 31 (1998) | 10/29/1998 | All licensed life insurers, fraternal benefit societies, charitable and segregated gift annuity societies, employee welfare funds, retirement systems, viatical settlement licensees, governmental supplemental annuity funds, savings bank life insurance departments, property/casualty insurers, co-operative property/casualty insurers, financial guaranty insurers, mortgage guaranty insurers, reciprocal insurers, accident and health insurers, Article 43 Corporations, Public Health Law Article 44 health maintenance organizations and integrated delivery systems, municipal cooperative health benefit plans, accredited reinsurers, title insurers, the State Insurance Fund, the Medical Malpractice Insurance Association, the New York Property Insurance Association, the Motor Vehicle Accident Indemnification Corporation and rate service organizations |
Insurance on the Internet |
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| 32 (1998) | 10/30/1998 | All Insurers Writing Private or Commercial Automobile, Workers Compensation, or Individual, Group or Blanket Accident and Health Insurance Policies, and every entity licensed pursuant to Article 44 of the Public Health Law |
Effective Date for the Filing of Plans for the Detection, Investigation and Prevention of Fraudulent Insurance Activities |
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Updated 10/30/2009


