Notification of the planned discontinuance should be submitted as an informational filing to the Department of Financial Services at least 30 business days prior to any notices of discontinuance being mailed to policyholders. Notices should not be submitted via SERFF.
Submissions should be sent via email to the attention of Kimberly Luke at [email protected] and Melissa Morra at [email protected] with a copy to Timothy Conway at [email protected].
Issuers must use the model discontinuance notices available here. Notices of discontinuance should be included with the issuer’s notification submission to DFS.
Notification to DFS shall include at least the following information:
2027 Discontinuance Notice Templates
Unless noted otherwise, the documents available below are in MS Word format.
- Model Notice to Individual Policyholders outside NYSOH
- Model Notice to Individual Policyholders within NYSOH
- Model Notice to Small Group Policyholders
- Model Notice to Small Group Members
- Model Notice to Large Group Policyholders
- Model Notice to Large Group Members
2027 Renewal/Rate Notifications
- Instructions for 2027 Renewal/Rate Notifications by Insurers
- Model Notice for Individual Policies outside NYSOH
- Model Notice for Individual Policies within NYSOH
- Model Notice for Small Group Policyholders
Attachments to Discontinuance Notices
- Attachment A Ian’s Law Group Policyholder (PDF)
- Attachment A Ian’s Law Member notice (PDF)
- Attachment B Reg 78 notice (PDF)
Language Access
Issuers are reminded of the requirement at 42 CFR § 155.205(c) to provide taglines in non-English languages for those who are limited English proficient.
- See CMS Language Access Guidance (PDF)
- CMS Languages Required for New York technical guidance is available on the CMS Website.
- Sample Translated Taglines are also available on the CMS Website.