No-Fault Regulation 68

Selected Opinions of The Office of General Counsel: No-Fault

2000 | 2001 | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009

For The Year of 2000

Opinion Number	Subject	Date Issued
00-01-02	No-Fault Burden of Proof	01/11/2000
00-05-03	No-Fault Payments for Medical Transportation Services	05/08/2000

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For The Year of 2001

Opinion Number	Subject	Date Issued
01-02-13	No-Fault benefits; PC billing for services rendered by independent contractor providers * See also Opinion # 02-02-03, Opinion # 05-03-21 & Opinion # 06-09-13 on this topic	02/21/2001
01-03-10	No-Fault Medical Examinations	03/12/2001
01-05-01	No-Fault Inter-company Loss Transfer	05/02/2001
01-06-03	No-Fault Benefits	06/07/2001
01-06-07	No-Fault Health Service Reimbursement	06/11/2001
01-10-03	Copy Fees for Verification Requests	10/05/2001
01-10-12	Fraud and Misrepresentation Endorsement	10/12/2001
01-10-15	No-Fault Additional Verification	10/18/2001

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For The Year of 2002

Opinion Number	Subject	Date Issued
02-01-04	No-Fault NF-10 Forms	01/03/2002
02-01-34	No-Fault Claims Adjusting and N.Y. Comp. Codes R. & Regs. tit. 11, 420.0-420.24 (2001) (Regulation 169)	01/28/2002
02-02-02	No-Fault Arbitration: Decedent Healthcare Providers	02/04/2002
02-02-03	No-Fault Billings, Independent Contractors * See also Opinion # 01-02-13, Opinion # 05-03-21 & Opinion # 06-09-13 on this topic	02/05/2002
02-02-11	Minimum automobile insurance requirements	02/12/2002
02-03-10	No-Fault fees; Independent Contractor/Professional Corp	03/11/2002
02-04-19	No-Fault Insurer Medical Examinations * See also Opinion # 03-02-12 & Opinion # 05-02-21 on this topic	04/12/2002
02-04-26	Health service billings by medical professional corporations	04/24/2002
02-07-22	Prompt Pay * See also Opinion # 06-06-03 on this topic	07/24/2002
02-09-02	Assignment of No-Fault benefits to a doctor from an eligible injured person	09/04/2002
02-09-24	No-Fault Medical Fees	09/25/2002
02-10-01	Hospital Billing Under No-Fault	10/01/2002
02-10-14	EUO Standards Under No-Fault	10/15/2002
02-10-22	Regulation 68 Effective Dates	10/22/2002
02-12-13	No-Fault Cases and the Health Insurance Portability and Accountability Act of 1996 ("HIPAA")	12/17/2002
02-12-22	Priority of Payments in a No-Fault Claim	12/24/2002
02-12-25	No-Fault Benefits – Pre-Approval of Biofeedback	12/30/2002

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For The Year of 2003

Opinion Number	Subject	Date Issued
03-01-11	"Splitting" a cause of action under No-Fault laws	01/06/2003
03-01-26	No-Fault Assignment of Benefits 11 NYCRR 65 (Regulation 68)	01/13/2003
03-01-35	No-Fault Billing for Ambulette Services 11 NYCRR 65 (Regulation 68)	01/16/2003
03-01-38	No-Fault Additional Personal Injury Protection	01/17/2003
03-02-08	Effect of a defective assignment on the payment of a No-Fault health service claim	02/06/2003
03-02-12	Failure to Attend a No-Fault IME * See also Opinion # 20-41-21 & Opinion # 05-02-21 on this topic	02/11/2003
03-02-13	Time requirement to submit medical proof of claim to insurer	02/11/2003
03-02-18	Assignments & Authorizations to Pay No-Fault Benefits	02/18/2003
03-02-28	Concurrent Care Involving Physical Therapy	02/25/2003
03-02-31	Attorney’s Fees Reimbursable under No-Fault	02/26/2003
03-03-26	Health Service Billings Under No-Fault	03/07/2003
03-04-02	Right of the United States to recover from a No-Fault insurer the reasonable cost to the United States of health services provided to a member of the Armed Forces at a Army hospital	04/01/2003
03-04-03	No-Fault claim for physical therapy services performed outside of the United States	04/01/2003
03-04-06	Workers’ Compensation and No-Fault Coverage	04/01/2003
03-04-24	No-Fault Insurance; Coordination with Workers’ Compensation	04/17/2003
03-04-35	No-Fault Lien - Out of State Accident	04/30/2003
03-04-36	Insurance Regulation No. 68 No-Fault Benefits	04/30/2003
03-05-03	Nonpayment of Initial Premium	05/05/2003
03-05-07	No-Fault Notice of Accident Requirement	05/07/2003
03-05-24	No-Fault Insurance, Transfer of Health Information from Hospital to Insurer: Privacy Requirements	05/28/2003
03-07-05	No-Fault: Waiving of Interest on Denied or Overdue Claims	07/07/2003
03-07-11	Health Insurance Portability and Accountability Act (HIPAA) Privacy Requirements; No-Fault and Workers’ Compensation	07/08/2003
03-08-04	No-Fault OBEL Coverage and Loss Transfer	08/01/2003
03-08-06	No-Fault Assignments for Durable Medical Equipment	08/01/2003
03-08-07	No-Fault: Reimbursement for Court Filing Costs	08/01/2003
03-09-21	Submission of No-Fault Assignments Via Facsimile Transmission	09/29/2003
03-10-04	No-Fault Attorney Fees for Multiple Provider Bills	10/08/2003
03-10-21	Time Frame for Payment or Denial of Automobile Claims	10/28/2003
03-10-22	No-Fault Billing for Services Provided at Hospitals by Independent Contractors	10/29/2003
03-11-18	No-Fault Lost Wages-Overtime	11/20/2003
03-12-22	Family Deductibles for No-Fault Insurance	12/29/2003

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For The Year of 2004

Opinion Number	Subject	Date Issued
04-01-01	No-Fault Benefits – Reimbursement for Acupuncture Services* see also Opinion # 04-10-03 on this topic	01/05/2004
04-02-12	Written notice to the No-Fault insurer in the event of an accident applicable to the Regulation 68-A mandatory personal injury protection endorsement	02/18/2004
04-02-24	Disclosure of Expert Witness In No-Fault Arbitration	02/24/2004
04-03-08	Submission of No-Fault Claims	03/10/2004
04-03-10	Medical Specialty No-Fault IMEs	03/12/2004
04-03-32	No-Fault Coverage - Out-of-State Vehicle	03/31/2004
04-04-23	No-Fault Lump-Sum Settlements for Medical Settlements	04/26/2004
04-05-14	No-Fault First Party Benefits, Coordination of Medical Care	05/13/2004
04-05-23	Date of Issuance of No-Fault Denial	05/25/2004
04-06-05	Protected Health Information, No-Fault Inter-company Loss Transfer	06/08/2004
04-06-11	No-Fault Fees for Durable Medical Equipment	06/16/2004
04-07-04	No-Fault Loss of Earnings of Per Diem Worker	07/08/2004
04-08-04	No-Fault Claim Documents And Social Security Numbers	08/17/2004
04-08-16	No-Fault, Coordination of Benefits	08/18/2004
04-08-31	Videotaping & Use of Props at No-Fault Examination Under Oath	08/25/2004
04-09-03	No-Fault Denials	09/02/2004
04-10-01	No-Fault Peer Review Organizations	10/04/2004
04-10-02	Attorney’s Fees Reimbursable under No-Fault	10/06/2004
04-10-03	No-Fault Fee Schedule Billings for Licensed Acupuncturists* see also Opinion # 04-04-01 on this topic	10/06/2004
04-12-08	Statute of Limitations/No-Fault Subrogation & Inter-company Loss Transfer Arbitration	12/09/2004

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For The Year of 2005

Opinion Number	Subject	Date Issued
05-01-08	Pharmacy Billing Under No-Fault	01/13/2005
05-01-13	Automobile Insurance Coverage for Loading and Unloading of Persons Being Transported by an Ambulance	01/18/2005
05-02-01	The Provision for Other Expenses under the New York Prescribed No-Fault Endorsement's Basic Economic Loss Section	02/02/2005
05-02-21	No-Fault Benefits Cutoff Date After Negative IME Finding * see also Opinion # 20-41-21 & Opinion # 03-02-12 on this topic	02/14/2005
05-03-11	Requirement of Submission of Additional Application (NF-2) for No-Fault Benefits by Insurer	03/15/2005
05-03-21	Payment for Physician Independent Contractors / Leased Employees, No-Fault * See also Opinion # 02-02-03, Opinion # 05-03-21 & Opinion # 06-09-13 on this topic	03/21/2005
05-03-36	No-Fault Inter-Company Loss Transfer Claims - Statutory Offsets	03/23/2005
05-05-29	Physician Acceptance of No-Fault Fee Schedule	05/28/2005
05-07-02	No-Fault: Preferred Providers Organization (PPO)	07/01/2005
05-09-24	Minimum Requirement for No Fault Transportation Benefits Claim	09/28/2005
05-10-02	No-Fault Coverage for New York Resident Injured Outside New York	10/03/2005
05-10-15	The City of New York’s Exemption from the Motor Vehicle Financial Security Act	10/21/2005

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For The Year of 2006

Opinion Number	Subject	Date Issued
06-02-08	No-Fault Explanation of Benefits	02/09/2006
06-05-07	No-Fault Assignment	05/12/2006
06-06-03	Interest payments on No-Fault claims: General Counsel Opinion 02-07-22 * See also Opinion # 02-07-22 on this topic	06/08/2006
06-07-12	No-Fault Loss Transfer Claims	07/24/2006
06-08-14	No-Fault Request for Additional Verification	08/22/2006
06-09-03	No-Fault Reimbursement for services rendered by Independent Contractor Health Service Providers * See also Opinion # 01-02-13, Opinion # 02-02-03 & Opinion # 05-03-21 on this topic	09/05/2006
06-10-05	Electronic Record Retenton of No-Fault Insurance Claim Forms	10/25/2006
06-12-16	No-Fault: Examination Under Oath	12/22/2006

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For The Year of 2007

Opinion Number	Subject	Date Issued
07-01-07	Short-Rate Cancellation Penalty & No-Fault Subrogation/Surcharge	01/26/2007
07-06-09	Reconsideration of Office of General Counsel Informal Opinion #02-11-19 Concerning Recovery of Workers’ Compensation Loss Awards under No-Fault Inter-company Loss Transfer	06/13/2007
07-10-04	Right of Recovery for Used Sick Leave Credits under No-Fault Law	10/11/2007
07-11-11	No-Fault Documentation and Social Security Numbers	11/21/2007

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For The Year of 2008

Opinion Number	Subject	Date Issued
08-01-08	HMO as No-Fault Subrogee	01/28/2008
08-04-16	Provider Billing Patient Directly Where the Patient Executed an Assignment of No-Fault Benefits Form	04/08/2008
08-05-17	No-Fault Insurance Policy Additional Personal Injury Protections	05/15/2008
08-06-01	NF-2 Submission Timeframe	06/02/2008
08-07-28	No-Fault Medical Fees After Exhaustion of Benefits	07/30/2008
08-07-29	No-Fault Deductible	07/30/2008
08-10-10	No-Fault Lost Earnings Claim	10/27/2008

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For The Year of 2009

Opinion Number	Subject	Date Issued
09-02-06	Frequency Rules for No-Fault Durable Medical Equipment Fee Schedule	02/20/2009
09-04-02	Applicability of Workers' Compensation Board Directive to Durable Medical Equipment Fee Schedule in No-Fault Claims	04/06/2009
09-05-01	Limit on Charges by Providers of Health Services Under the No-Fault Law	05/15/2009
09-05-04	No-Fault Lost Wage Claim	05/14/2009
09-11-05	Limitations on No-Fault Attorney Fees	11/30/2009

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Helpful No-Fault Links

Updated 10/03/2011