Supplement No. 1 to Circular Letter No. 5 (2005)

February 6, 2008

STATUTORY REFERENCE: Insurance Law Section 308 and Public Health Law Section 2995

The Health Bureau of the New York State Insurance Department is collecting information from companies providing accident and health insurance. All Commercial Insurers, Article 43 Corporations, Health Maintenance Organizations, Municipal Cooperative Health Benefit Plans, Fraternal Benefit Societies, and Continuing Care Retirement Communities) must complete the following questionnaire and include company contact information, the types of accident and health insurance products offered, and the markets in which they are offered.

In addition, Chapter 451 of the Laws of 2007 requires the New York State Department of Health to collect preferred provider organization (PPO) data for public dissemination pursuant to the quality assurance reporting requirements developed by the Health Department in conjunction with the National Committee on Quality Assurance. In order to facilitate this collection, every Commercial Insurer, Article 43 Corporation and Municipal Cooperative Health Benefit Plan must indicate in the following questionnaire whether it offers a PPO or exclusive provider organization (EPO) product. For the purpose of this questionnaire, a PPO / EPO product is one that includes health insurance coverage through a network of participating providers.

Please complete the attached form and forward it to John Tully by facsimile at (518) 474-3397 or by e-mail to [email protected] within fifteen business days of receipt of this letter.

Lastly, as a reminder, when any of your contact information changes, you must advise the Health Bureau immediately. If you have any questions, please contact John Tully at (518) 486-7815 or Lisette Johnson at (518) 474-4098.

Very truly yours,

___________________________
Louis Felice
Deputy Chief, Health Bureau

Contact and Product Questionnaire form:  WORD Format | PDF Format