Regulatory & Legislative Activities

Insurance Regulations by NYCRR Part Number

Part No.	Part Name	11 NYCRR Reg. No.
CH. I. GENERAL PROVISIONS
1	Definitions	1
2	Promulgation of Regulations; Opinions	1
3	Election of Directors in Domestic Life Insurance Companies	14-A
6	Electronic Filings and Submissions	195
7	Sale of Insurance Securities	44
8	Insider Trading of Insurance Securities	45
9	Distribution and Sale of Publications and Forms of the Department of Financial Services	46
10	Proxies, Consents and Authorizations of Domestic Stock Insurers	48
12	Agent Training Allowance Subsidies for Certain Life Insurance and Annuity Business	50
13	Mass Merchandising of Personal Property - Liability Insurance	58
15	Simplified Comprehensive Policies of Insurance	73
16	Special Risk Insurance	86
17	Standard Health Insurance Claims Forms for the Services of Physicians, Dentists and Hospitals	88
18	New York Insurance Exchange, Inc. Note the subparts in the three rows below.	89, 89-A & 89-B
	Subpart 18-1: General	89
	Subpart 18-2: Investments in Underwriting Members, Broker Members and Associate Brokers	89-A
	Subpart 18-3: Criteria for Eligibility for the Position of Public Governor	89-B
19	Homeowners Insurance; Applications for Withdrawal from Marketplace	154
CH. II. AGENTS, BROKERS AND ADJUSTERS
20	Brokers, Agents and Certain Other Licensees--General	9, 18 & 29
21	Insurance Brokers and Excess Line Brokers	5
22	Agents: Life, Accident and Health	6
23	Agents: Fire, Marine, Casualty, Etc.	7
24	Officers and Employees of insurers	8
25	Public Adjusters	10
26	Independent Adjusters	25
27	Excess Line Placements Governing Standards	41
28	Professional Bail Agents	42
29	Special Prohibitions	87
30	Producer Compensation Transparency	194
31	Summary Suspension of insurance Law Licenses	94
32	Reinsurance Intermediaries	98
33	Managing General Agents	120
34	Requirements Pertaining to the Location of an Insurance Agent or Broker at Each Place of Insurance Business: Reporting Requirements	125
35	Title Insurance: Title Insurance Agents, Affiliated Relationships, and Required Disclosures	206
CH. III. POLICY AND CERTIFICATE PROVISIONS
A. Life, Accident and Health Insurance
38	Network Adequacy and Access Standards for Mental Health and Substance Use Disorder Treatment Services	230
39	Minimum Standards for the New York State Partnership for Long-Term Program	144
40	Group Annuity Contracts and Funding Agreements: Disclosure and Withdrawal Rules	139
41	Accelerated Payment of the Death Benefit Under a Life Insurance Policy	143
42	Term Life Issuance and Renewal Restrictions; Nonforfeiture Values for Certain Life Insurance Policies Note the subparts in the two rows below.	149
	Subpart 42-1: Term Life Issuance and Renewal Restrictions; Nonforfeiture Values for Certain Life Insurance Policies Issued on or after November 22, 1995 and before January 1, 2009	149
	Subpart 42-2: Term Life Issuance and Renewal Restrictions; Nonforfeiture Values for Certain Life Policies Issued on or after January 1, 2008	149
43	Individual Life Insurance Market-Value Adjustment	136
44	Individual Deferred Annuities, Market-Value Adjustments Withdrawal Charges, Availability of Cash Values	127
45	Applications for Life Insurance	19
46	Unemployment Lapse Protection Benefit for Life Insurance	174
47	Use of Gender-Blended Mortality Tables for Individual Life Insurance Policies by Life Insurers	112
48	Life Insurance and Annuity Non-Guaranteed Elements	210
49	Fraternal Benefit Societies	22
50	Separate Accounts and Separate Account Annuities	47
51	Replacement of Life Insurance Policies and Annuity Contracts	60
52	Minimum Standards for Form, Content, and Sale of Health Insurance, Including Standards of Full and Fair Disclosure	62
53	Life and Annuity Cost Disclosure and Sales Illustrations Note the subparts in the three rows below.	74
	Subpart 53-1: General Provisions	74
	Subpart 53-2: Disclosure Requirements	74
	Subpart 53-3: Life Illustrations and Reports	74
54	Variable Life Insurance	77
55	Notice to Employees Concerning Termination of Group and Health Insurance Policies	78
56	Health Insurance Claims Processing and Procedures	183
57	Smoker/Nonsmoker Mortality Tables and Underwriting Classifications	113
58	Minimum Standards for Form, Content and Sale of Medicare Supplement and Medicare Select Insurance, Including Standards of Full and Fair Disclosure	193
59	Minimum Standards for the Form, Content and Sale of Group and Blanket Insurance Certificates Deemed to Have Been Delivered in this State Pursuant to Section 3201(b) of the Insurance Law	123
B. Property and Casualty Insurance
60	Minimum Provisions for Automobile Liability Insurance Policies and Supplementary Uninsured Motorists Insurance Note the Subparts in the three rows below.	35-A, 35-D & 35-E
	Subpart 60-1: Minimum Provisions for Automobile Liability Insurance Policies	35-A
	Subpart 60-2: Supplementary Underinsured/Uninsured Motorists Insurance	35-D
	Subpart 60-3: Transportation Network Companies; Minimum Provisions for Policies and Other Requirements	35-E
61	Assessment Corporations	23
62	Fire Insurance Note the Subparts in the five rows below.	21 & 96
	Subpart 62-1: Renewal Certificates for Fire Insurance	21 & 96
	Subpart 62-2: Reports to Central Organization	21 & 96
	Subpart 62-3: Standard Fire Claim Form	21 & 96
	Subpart 62-4: Anti-Arson Application	21 & 96
	Subpart 62-5: Supplemental Fire Claim Form	21 & 96
63	Reserve Requirements for Financial Guaranty Insurance In-Force Prior to the Effective Dale of Article 69 of the Insurance Law	61
64	Liability Insurance Covering Snowmobiles and All-Terrain Vehicles Note the Subparts in the two rows below.	35-B & 35-C
	Subpart 64-1: Liability Insurance Covering Snowmobiles	35-B
	Subpart 64-2: Liability Insurance Covering All-Terrain Vehicles	35-C
65	Regulations Implementing the Comprehensive Motor Vehicle Insurance Reparations Act Note the Subparts in the five rows below.	68
	Subpart 65-1: Prescribed Policy Endorsements	68-A
	Subpart 65-2: Rights and Liabilities of Self-Insurers	68-B
	Subpart 65-3: Claims for Personal Injury Protection Benefits	68-C
	Subpart 65-4: Arbitration	68-D
	Subpart 65-5: Unauthorized Providers of Health Services	68-E
66	Surety Bond Forms—Waiver of the Filing and Prior Approval Requirements of Section 2307 of the Insurance Law	76
67	Mandatory Underwriting Inspection Requirements for Private Passenger Automobiles	79
68	Charges for Professional Health Services	83
69	Mortgage Pool Insurance	91
70	Medical Malpractice Insurance Rate Modifications, Provisional Rates, Required Policy Provisions and Availability of Additional Coverages	101
71	Legal Defense Costs in Liability Policies	107
72	Indemnification of Directors and Officers	110
73	Claims-Made Policies; Scope of Application; Minimum Standards	121
74	Homeowners Insurance Disclosure Information and Other Notices	159
75	Standards for Insurance that Qualifies for the Environmental Remediation Insurance Tax Credit	181
CH. IV. FINANCIAL CONDITION OF INSURER AND REPORTS TO SUPERINTENDENT
Rules of General Application
76	Commercial Crime Coverage Exclusions	209
77	Risk-Based Capital	220
78	Evaluation of Subsidiaries of Insurance Companies	59
79	Letters of Credit	133
80	Controlled Insurers Note the Subparts in the two rows below.	52
	Subpart 80-1: Holding Companies	52
	Subpart 80-2: Minimum Standards for Producer-Controlled Insurers and Controlling Producers; Disclosure Requirements for Certain Other Producers	52
81	Subsidiaries of Insurance Companies Note the Subparts in the two rows below.	53 & 115
	Subpart 81-1: Subsidiaries of Insurance Companies Subject to the Provisions of Section 1403(c) of the Insurance Law	53
	Subpart 81-2: Subsidiaries of Life Insurance Companies, Retirement Systems and Article 43 Corporations	115
82	Enterprise Risk Management and Own Risk and Solvency Assessment; Group-Wide Supervision	203
83	Financial Statement Filings and Accounting Practices and Procedures	172
84	Reporting of Financial Condition Under Generally Accepted Accounting Principles	69
85	Allowance of Aircraft as an Admitted Asset	80
86	Reports of Suspected Insurance Frauds to Criminal Investigations Unit; Required Warning Statements	95
87	Insurer Name Approval	104
88	Requirements of or Plan of Authorized Insurer Proposing to Cease to Maintain or Change its Existing Licensing Status in this State	109
89	Audited Financial Statements	118
90	Corporate Governance	215
Life Insurers
91	Allocation of Income (Receipts) and Expenses	33
92	Valuation of Policies and Annuities	11
93	Aircraft Reinsurance by Life Insurers	63
94	Valuation of Individual and Group Accident and Health Insurance Reserves	56
95	Regulations Governing an Actuarial Opinion and Memorandum	126
96	Surplus Management Account	138
97	Market Value Separate Accounts Funding Guaranteed Benefits; Separate Accounts Operations and Reserve Requirements	128
98	Valuation of Life Insurance Reserves	147
99	Valuation of Annuity, Single Premium Life Insurance, Guaranteed Interest Contract and Other Deposit Reserves	151
100	Recognition of the 2001 CSO Mortality Table and the 2017 CSO Mortality Table for use in Determining Minimum Reserve Liabilities and Nonforfeiture Benefits and Recognition and Application of Preferred Mortality Tables for use in Determining Minimum Reserve Liabilities	179
101	Standards for Financial Risk Transfer between Insurers and Health Care Providers	164
102	Minimum Standards for Determining Reserve Liabilities and Nonforfeiture Values for Preneed Life Insurance	192
103	Principle-Based Reserving	213
C. Fire, Marine, Casualty and Surety Insurers
105	Operating Expense Classification for Annual Statement Purposes	30
106	Allocation of Joint Expenses to Companies	30
107	Composition of, and Allocation to, Expense Groups	30
108	Allocation to Lines of Business	30
109	Allocation of Salaries and Other Expenses	30
110	Installment Premiums	13-A
111	Statement of Actuarial Opinion and Actuarial Opinion Summary for Property/Casualty Insurers	207
112	Loss Portfolio Transfers	108
D. Reinsurance
125	Credit for Reinsurance	17, 20 & 20-A
126	Trust Agreements	114
127	Reinsurance Transactions by Authorized Life Insurers and Certain Other Authorized Insurers	102
128	Commutation of Reinsurance Agreements	141
E. Property/Casualty Insurance Security Fund<
130	Property/Casualty Insurance Security Fund; Contributions to Fund and Applicability of Income of Fund	55
F. Public Retirement Systems
136	Public Retirement Systems Note the Subparts in the two rows below.	85
	Subpart 136-1: Standards for Certain Actuarially Funded Public Retirement System	85
	Subpart 136-2: Standards for the New York State and Local Employees' Retirement System, the New York State and Local Police and Fire Retirement System and the New York State Common Retirement Fund	85
CH. V. RATES AND RATING ORGANIZATIONS
A. Automobile Statistical Plan
140	Private Passenger Automobile and Commercial Automobile Statistical Plans	32-A
B. Commercial and Industrial Risks<
151	Workers’ Compensation Insurance Note the Subparts in the seven rows below.	119
	Subpart 151-1: Rate Filings Prior Approval	119
	Subpart 151-2: Industry Standard Rate for Aggregate Trust Fund	119
	Subpart 151-3: Workplace Safety and Loss Prevention Incentive Program	119
	Subpart 151-4: Reserves for Special Disability Fund Claims	119
	Subpart 151-5: Independent Livery Driver Benefit Fund	119
	Subpart 151-6: Workers’ Compensation Insurance Assessments	119
	Subpart 151-7: Workers’ Compensation Safe Patient Handling Program	119
152	Physicians and Surgeons Professional Insurance Merit Rating Plan	124
153	Property/Casualty Insurance Group and Quasi-Group Standards	135
154	Private Passenger Motor Vehicle Insurance Multi-Tier Programs	150
D. Rate Regulation and Promotion of Competition
160	Responsibilities in Construction and Application of Rates	57
161	Flexible-Rating System; Rating Plans; Tort Reform Refiling Requirements	129
163	Flexible Rating for Nonbusiness Automobile Insurance Policies	153
E. Methodologies for Measuring the Profitability of Property and Liability Insurance Lines
165	Methodologies for Measuring the Profitability of Property and Liability Insurance Lines Written in New York State	70
F. Treatment of Excess Profits in Motor Vehicle Insurance<
166	Treatment of Excess Profits in Motor Vehicle Insurance Note the Subparts in the seven rows below.	105
	Subpart 166-1: General Rules	105
	Subpart 166-2: Discussion of General Rules	105
G. Noncommercial Automobile Insurance Rates for Inexperienced Operators
168	Noncommercial Private Passenger Automobile Insurance Rates for Inexperienced Principal Operators	92
H. Noncommercial Insurance Merit Rating Plans
169	Noncommercial Motor Vehicle Insurance Merit Rating Plans	100
CH. VI. AUTHORIZED INVESTMENTS
171	Investment in Stock of Federal National Mortgage Association by Title Insurance Corporations	37
172	Fraternal Benefit Societies: Investment in Real Estate	12
173	Revenue Bonds	31
176	Investments in "Medium Grade" and "Lower Grade" Obligations by Domestic Life Insurers	130
178	Derivative Transactions	163
CH. VII. CREDIT AND CREDITOR INSURANCE
185	Credit Life Insurance and Credit Accident and Health Insurance	27-A
186	Insurance Covering Debtors or Personal Property Purchased on Installment or Deferred Payment Plans	27-B
187	Credit Unemployment Insurance	27-C
CH. VIII. EMPLOYEE WELFARE FUNDS
200	Annual Reports	36
201	Notice of Changes Affecting Employee Welfare Funds	38
202	Compensation to Agents and Fees or Other Allowances Payable for Individual Life Insurance Issued on a Mass Merchandising Basis Under Plans Sponsored by Union-Management Welfare Funds	65
CH. IX. UNFAIR TRADE PRACTICES
215	Advertisements of Accident and Health Insurance	34
216	Unfair Claims Settlement Practices and Claim Cost Control Measures	64
217	Processing of Health Insurance Claims	178
218	Prohibition Against Geographical Redlining and Discriminating in Certain Property/Casualty Policies	90
219	Rules Governing Advertisements of Life Insurance and Annuity Contracts	34-A
220	Holocaust Victims Insurance Claims and Reports	160
221	Limitations Upon and Requirements for the Use of Credit Information for Personal Lines Insurance	182
223	Insurance Sales Practices on Military Installations or Involving Military Personnel	186
224	Suitability in Annuity Transactions	187
225	Use of Senior-Specific Certifications and Professional Designations in the Sale of Life Insurance and Annuities	199
226	Unclaimed Life Insurance Benefits and Policy Identification	200
227	Regulation of Force-Placed Insurance	202
228	Title Insurance Rates, Expenses and Charges	208
230	Mental Health and Substance Abuse Disorder Parity Compliance Program	218
CH. X. RECORDS
240	Confidentiality of Information Furnished by Social Services Agencies	106
242	Access to Personal Information	116
243	Standards of Records Retention by Insurance Companies	152
244	Confidentiality Protocols for Victims of Domestic Violence and Endangered Individuals	168
CH. XI. PREPAID LEGAL SERVICES PLANS AND LEGAL SERVICES INSURANCE
261	Prepaid Legal Services Plans	161
262	Legal Services Insurance	162
CH. XII. GROUP PROPERTY/CASUALTY INSURANCE<
301	Purchasing Groups	134
310	Product or System Group Insurance Policies	167
CH. XIII. CONTINUING CARE RETIREMENT COMMUNITIES
350	Continuing Care Retirement Communities	140
CH. XIV. INDIVIDUAL AND SMALL GROUP HEALTH INSURANCE AND FAMILY LEAVE BENEFITS COVERAGE
360	Rules to Assure an Orderly Implementation and Ongoing Operation of Open Enrollment and Community Rating of Individual and Small Group Health Insurance	145
361	Establishment and Operation of Market Stabilization Mechanisms for Certain Health Insurance Markets	146
362	The Healthy New York Program and the Direct Payment Stop Loss Relief Program Note the Subparts in the five rows below.	171
	Subpart 362-1: Preamble	171
	Subpart 362-2: Rules Generally Applicable to the Healthy New York Program	171
	Subpart 362-3: Rules Relating to Small Employer Participation (Other Than Individual Proprietors)	171
	Subpart 362-4: Rules Relating to Working Uninsured Individuals and Individual Proprietor Participation	171
	Subpart 362-5: Rules Relating to the Direct Payment Market Stop Loss Relief Program and State Funded Stop Loss Relief for the Healthy New York Program	171
363	Minimum Standards for the Form and Rating of Family Leave Benefits Coverage, Including the Establishment and Operation of a Risk Adjustment Mechanism	211
364	Paid Family Leave Risk Adjustment Fund	214
365	Paid Family Leave COVID-19 Risk Adjustment Mechanism	217
CH. XV. LIFE SETTLEMENTS
380	Viatical Settlements	148
381	Life Settlements	198
CH. XVI. SERVICE CONTRACTS
390	Service Contracts	155
CH. XVII. CERTIFIED CAPITAL COMPANIES UNDER SECTION 11 OF THE TAX LAW
400	Certified Capital Companies Under Section 11 of the Tax Law	156
CH. XVIII. EXTERNAL APPEALS OF ADVERSE DETERMINATIONS OF HEALTH CARE PLANS
410	External Appeals of Adverse Determinations of Health Care Plans	166
CH. XIX. PRIVACY OF CONSUMER FINANCIAL AND HEALTH INFORMATION
420	Privacy of Consumer Financial and Health Information	169
421	Standards for Safeguarding Customer Information	173
CH. XX. MEDICAL MALPRACTICE RESIDUAL MARKET
430	Mechanism for the Equitable Distribution of Insureds Unable to Obtain Medical Malpractice Insurance	170
CH. XXI. PHARMACY BENEFITS BUREAU
450	Office of Pharmacy Benefits	219
451	Registration of Pharmacy Benefit Managers	221
452	General Duties, Accountability, and transparency provisions for Pharmacy Benefit Managers	222
453	Pharmacy Benefit Manager Assessments	223
454	Filings and Other Requirements for Issuance and Maintenance of a License	224
455	Reporting and Record Keeping Requirements	225
456	Contracting with Network Pharmacies and Other Obligations	226
457	Acquisition of Control of Pharmacy Benefit Managers	227
458	Consumer Protection	228
459	Requirements For Audits of Pharmacies	229