NEW YORK STATE INSURANCE DEPARTMENT

Available from the Department of State

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REGULATION 62

(11 NYCRR PART 52)

Section

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52.1	Preamble
52.2	Definitions
52.5	Basic hospital insurance
52.6	Basic medical insurance
52.7	Major medical insurance
52.8	Disability income insurance
52.9	Accident insurance
52.10	Limited benefits health insurance
52.11	Medicare supplement insurance
52.12	Long term care insurance
52.13	Nursing home insurance only, home care insurance only or nursing home and home care insurance
52.14	Medicare select policies and certificates
52.15	Specified disease coverage
52.16	Prohibited provisions and coverages
52.17	Rules relating to content of forms for individual insurance
52.18	Rules relating to content of forms for group insurance
52.19	Rules relating to content of forms for franchise insurance
52.20	Rules relating to pre-existing condition provisions and crediting requirements in policies which provide hospital surgical or medical expense coverage
52.21	Rules relating to content of forms for blanket coverage
52.22	Rules relating to content of forms for Medicare supplement insurance
52.23	Coordination of benefits
52.24	Rules relating to coverage for the diagnosis and treatment of alcoholism and alcohol abuse in group (including group remittance policies issued by article 43 corporations) and school blanket health insurance policies
52.25	Rules relating to the content and sale of forms for long term care insurance, nursing home insurance only, home care insurance only, and nursing home and home care insurance
52.26	Rules relating to exclusion of Medicare benefits
52.27	Rules relating to the sale of health insurance and settlement of health insurance claims
52.28	Medicare supplement insurance reporting form and refund calculation form
52.29	Rules relating to the replacement of accident and health insurance coverage with individual long term care insurance, nursing home insurance only, home care insurance only, or nursing home and home care insurance policies and the purchase of multiple accident and health policies
52.30	Preliminary review
52.31	Preparation of forms for submission
52.32	Conditions for prefiled group coverage
52.33	Letter of submission
52.40	Procedures and requirement for filing of rates
52.41	Gross premium differentials based on sex
52.42	Health maintenance organization (HMO) contract forms and premium rates
52.43	Standards for maintaining experience data
52.44	Standards for annual filing of experience data
52.45	Minimum loss ratio standards
52.47	Monitoring of experience data submitted under section 52.44(a) of this Part
52.51	Applications
52.53	Conditional receipts and interim insurance agreements
52.54	Disclosure requirements
52.55	Required disclosure statement for policies meeting standards of section 52.5 of this Part
52.56	Required disclosure statement for policies meeting standards of section 52.6 of this Part
52.57	Required disclosure statement for policies meeting standards of both sections 52.5 and 52.6 of this Part
52.58	Required disclosure statement for policies meeting standards of section 52.7 of this Part
52.59	Required disclosure statement for policies meeting definition of section 52.10 of this Part
52.60	Required disclosure statement for policies meeting definition of section 52.8 of this Part
52.61	Required disclosure statement for policies meeting definition of section 52.9 of this Part
52.62	Required disclosure statement for policies meeting definition of section 52.10 of this Part
52.63	Required disclosure statement for policies and certificates meeting definition of section 52.11 of this Part
52.65	Required disclosure statement for policies and certificates meeting definition of sections 52.12 and 52.13 of this Part
52.66	Required disclosure statement for policies and certificates meeting definition of section 52.15 of this Part
52.70	Special rules for group, blanket and franchise insurance
52.80	State of New York Certified Surgical Fee Schedule
52.90	Applicability provisions
52.95	Separability provision

Updated 02/28/2011