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.

Subject	Model Language Date
SAV Cover Page	03/03/2023
SAV Table of Contents	12/13/2022
SAV Definitions	12/13/2022
SAV How This Coverage Works	12/13/2022
SAV Access to Care and Transitional Care	12/13/2022
SAV Cost-Sharing Expenses and Allowed Amount	12/13/2022
SAV Who Is Covered	03/03/2023
SAV Routine Vision Care	12/13/2022
SAV Exclusions	12/13/2022
SAV Claim Determinations	12/13/2022
SAV Grievance	12/13/2022
SAV Utilization Review	12/13/2022
SAV External Appeal	12/13/2022
SAV Termination	12/13/2022
SAV Extension of Benefits	12/13/2022
SAV Temporary Suspension Rights for Members of the Armed Forces	12/13/2022
SAV General Provisions	12/13/2022
SAV Schedule of Benefits	12/13/2022