Accident and Health Product Filing

Student Vision Model Language

  • The following is model language for insurers writing student vision insurance pursuant to Chapter 461 of the Laws of 2015.
  • The documents available in this table are in Word format.
SubjectModel Language Date
SAV Cover Page03/03/2023
SAV Table of Contents12/13/2022
SAV Definitions12/13/2022
SAV How This Coverage Works12/13/2022
SAV Access to Care and Transitional Care12/17/2024
SAV Cost-Sharing Expenses and Allowed Amount12/17/2024
SAV Who Is Covered12/17/2024
SAV Routine Vision Care12/13/2022
SAV Exclusions12/13/2022
SAV Claim Determinations12/21/2023
SAV Grievance12/13/2022
SAV Utilization Review12/13/2022
SAV External Appeal12/13/2022
SAV Termination12/17/2024
SAV Extension of Benefits12/21/2023
SAV Temporary Suspension Rights for Members of the Armed Forces12/13/2022
SAV General Provisions12/17/2024
SAV Schedule of Benefits12/13/2022