Health Related Department Circular Letters
Circular Letters Index | Insurers - Health Index
The Department issues circular letters to the industry on various issues in order to provide guidance on regulations and clarification on procedures. The letters are a way for the Department to communicate effectively with a broad sector of the industry.
Below are pertinent health related circular letters. To obtain paper copies of Circular Letters, please call the Department's Public Affairs & Research Bureau at (212) 480-5262.
1975 - 1998 | 1999 - present
For the table description, please select this link.
Circular Letter Number and Year | Date Issued | Status | Addressed To | Subject Matter | HTML | |
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4 (1999) | 01/28/1999 | All Article 43 Corporations and Public Health Law Article 44 Health Maintenance Organizations |
Clarification of Insurer Duties and Responsibilities in the Rate Adjustment Process Pursuant to Insurance Law Section 4308 |
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5 (1999) | 02/19/1999 | All Insurers Licensed to Write Accident & Health Insurance in New York State, Article 43 Corporations and Health Maintenance Organizations |
Managed Care Grievance and Utilization Review Appeal Data |
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3 (2000) | 01/11/2000 | All Licensed Hospital, Medical, and Dental Service or Indemnity Article 43 Corporations and Public Health Law Article 44 Health Maintenance Organizations |
New York Supplements to the Annual Statement and Quarterly Statement Electronic Filling Requirements |
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4 (2000) | 01/31/2000 | All Licensed Fraternal, Life and Accident And Health, Title, Property and Casualty, Reciprocal, Financial Guaranty and Mortgage Guaranty Insurers, Medical Malpractice Insurance Association, Cooperative Property/Casualty Insurers Operating on the Advance Premium Plan, Assessment Cooperative Companies, The State Insurance Fund, United States Branches, Accredited Reinsurers of the Aforementioned Types of Companies, Hospital, Health, Medical, and Dental Service or Indemnity Article 43 Corporations, and Public Health Law Article 44 Health Maintenance Organizations |
Electronic Filing via the Internet of National Form (NAIC) Annual and Quarterly Statements |
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6 (2000) | 01/27/2000 | All Insurance Companies and HMOs Licensed to Write Accident and Health Insurance in New York State |
Section 3224 Insurance Law, Prompt Payment of Accident and Health Claims |
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9 (2000) | 02/29/2000 | All Public Health Law Article 44 HMOs Including Insurance Law Article 43 Corporations with a Line of Business HMO Certificate of Authority |
Inclusion of IPA Financial Statements in the HMO New York Data Requirements Annual Statement |
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12 (2000) | 03/01/2000 | All Insurance Companies and HMOs Licensed to Write Accident and Health Insurance in New York State |
Section 3224-a Insurance Law and the Use of IPAs (Independent Practice Associations) |
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26 (2000) | 08/03/2000 | All Public Health Law Article 44 HMOs, Insurance Law Article 43 Corporations, and Insurers Licensed to Write Accident and Health Insurance in New York State |
Point-of-Service Products |
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28 (2000)
|
08/22/2000 | WITHDRAWN Effective 09/15/2003 |
All Insurers Authorized to Write Accident and Health Insurance in New York State, Including Article 43 Corporations and Health Maintenance Organizations |
Procedural Changes in the Filing Process for Accident and Health Insurance Policy Form and Rate Submissions: Optional "Fast Track" Prior Approval Process |
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31 (2000) | 09/28/2000 | All Licensed Insurers, Public Health Law Article 44 HMOs, Insurance Law Article 43 Corporations, and Municipal Cooperative Health Benefit Plans |
Licensing requirements for Independent Practice Associations (IPAs) and other entities that adjust claims |
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34 (2000) | 10/24/2000 | All insurers Authorized to Write Accident and Health Insurance in New York State, Including Article 43 Corporations and HMOs. |
Update on Implementation of Chapter 728 of the Laws of 1993, Requiring Coverage for Preventive and Primary Care Services |
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2 (2001) | 01/26/2001 | All Insurers and Fraternal Benefit Societies Licensed to Write Life Insurance and Accident and Health Insurance in New York State, Including Article 43 Corporation |
Urine Testing for the Human Immunodeficiency Virus |
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4 (2001) | 02/15/2001 | All Licensed Fraternal, Life and Accident and Health, Title, Property/Casualty, Reciprocal, Financial Guaranty and Mortgage Guaranty Insurers, Medical Malpractice Insurance Association, Cooperative Property/Casualty Insurers Operating on the Advance Premium Plan, Assessment Cooperative Companies, The State Insurance Fund, United States Branches, Accredited Reinsurers of the Aforementioned Types of Companies, Hospital, Medical, and Dental Service or Indemnity Article 43 Corporations, and Public Health Law Article 44 Health Maintenance Organizations |
Electronic Filing via the Internet of National Form (NAIC) and New York Supplement Annual and Quarterly Statements |
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16 (2001) | 11/01/2001 | All Insurers Authorized to Write Accident and Health Insurance in New York State, Including Article 43 Corporations and HMOs |
Additional Information on Implementation of Chapter 728 of the Laws of 1993, Requiring Coverage for Preventive and Primary Care Services |
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23 (2001) | 08/27/2001 | All Insurers Licensed to Write Accident and Health Insurance, Insurance Law Article 43 Corporations and Public Health Law Article 44 Health Maintenance Organizations ("Insurers") |
Claims for Chiropractic Services |
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29 (2001) | 09/22/2001 | All Insurers Authorized to Write Accident and Health Insurance in New York State, Including Article 43 Corporations and Health Maintenance Organizations |
New York Insurance Law Protections for Members of the Reserves Called to Active Duty |
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34 (2001) | 11/30/2001 | All Insurers Licensed to Write Accident and Health Insurance in New York State, Including Article 43 Corporations |
Group Policy Forms for Long Term Care Insurance, Nursing and Home Care Insurance, Nursing Home Insurance Only and Home Care Insurance Only |
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1 (2002) | 01/18/2002 | All Insurers Licensed To Write Accident And Health Insurance In New York State, Including Article 43 Corporations And Health Maintenance Organizations |
Clarification Of Emergency Care Coverage |
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5 (2002) | 03/01/2002 | All Public Health Law Article 44 HMOs and All Insurers Writing Medicare Supplemental Insurance |
Insurance Department Web site |
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15 (2002) | 07/01/2002 | All Insurers Licensed To Write Accident and Health Insurance In New York State, Including Article 43 Corporations, Health Maintenance Organizations And Insurers Providing Disability Coverage |
United States Department of Labor Benefit Claims Procedure Regulation |
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16 (2002) | 09/04/2002 | All Public Health Law Article 44 Health Maintenance Organizations, Insurance Law Article 43 Corporations, and Insurers Licensed to Write Accident and Health Insurance in New York State ("Insurers") |
Rate Distinctions for Medicare Beneficiaries |
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17 (2002) | 10/03/2002 | All Licensees |
Advisory on the Administrative Simplification Provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) |
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20 (2002) | 10/31/2002 | All Insurers Participating In The New York Market Stabilization Pools For Individual And Small Group Health Insurance, Other Than Medicare Supplement Insurance |
Reporting And Calculation Requirements |
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21 (2002) | 10/31/2002 | All Insurers Participating In The New York Market Stabilization Pools For Medicare Supplement Insurance |
Reporting And Calculation Requirements |
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24 (2002) | 11/01/2002 | All Public Health Law Article 44 Health Maintenance Organizations and Pre-paid Health Service Plans, Insurance Law Article 43 Corporations and other insurers ("Insurers") eligible to participate in the New York State Child Health Insurance Plan ("Plan") |
Child Health Insurance Plan Premium Rate Adjustment Applications |
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27 (2002) | 12/18/2002 | All Insurers Licensed to Write Accident and Health Insurance in New York State, Including Article 43 Corporations and Health Maintenance Organizations |
Chapter 557 of the Laws of 2002 (Accident and Health Insurance Coverage Issued to or Through Association and Chamber Groups) |
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1 (2003) | 01/31/2003 | All Insurers Licensed To Write Accident and Health Insurance In New York State (Commercial Insurers), Article 43 Corporations, and Health Maintenance Organizations |
Womens Health and Wellness Act of 2002 |
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3 (2003) | 02/19/2003 | All Insurers Licensed to Write Accident and Health Insurance in New York State ("Commercial Insurers"), Article 43 Corporations and Health Maintenance Organizations |
New York State Small Business Health Insurance Partnership Program (NYSHIPP) |
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4 (2003) | 09/15/2003 | All Insurers Authorized to Write Accident and Health Insurance in New York State, Including Article 43 Corporations and Health Maintenance Organizations ("Insurers") |
Procedural Changes in the Filing Process for Accident and Health Insurance Policy Form and Rate Submissions: Optional Process for Expedited Prior Approval with Certification |
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7 (2003) | 03/07/2003 | All Insurers Authorized to Write Accident and Health Insurance in New York State, Including Article 43 Corporations and Health Maintenance Organizations |
New York Insurance Law Protections for Members of the Reserves, Including National Guard, Called to Active Duty |
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Supplement 1 to CL 27 (2002) | 03/31/2003 | All Insurers Authorized to Write Accident and Health Insurance in New York State, Including Article 43 Corporations and Health Maintenance Organizations |
Additional Guidance for the Implementation of the Provisions of Chapter 557 of the Laws of 2002 (Accident and Health Insurance Coverage Issued to or through Association and Chamber Groups) (PDF Format only) |
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16 (2003) | 09/16/2003 | All Health Insurers Licensed to Write Accident And Health Insurance in New York State ("Commercial Insurers"), Article 43 Corporations and Health Maintenance Organizations |
Health Insurers Obligation in the Administration of Benefits for Covered Persons Receiving Services Under the New York State Early Intervention Program |
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1 (2004) | 02/27/2004 | All carriers participating in the New York market stabilization pools for individual and small group health insurance, other than Medicare Supplement Insurance |
Regulation 146 Individual and Small Group Health Insurance Market Stabilization Pools |
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4 (2004) | 07/09/2004 | All Insurers Licensed to Write Accident and Health Insurance in New York State ("Commercial Insurers"), Article 43 corporations and Health Maintenance Organizations |
Health Savings Accounts and High Deductible Health Plans |
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9 (2004) | 10/20/2004 | All Insurers Authorized to Write Accident and Health Insurance in New York State, Including Article 43 Corporations and Health Maintenance Organizations (Insurers) |
Implementation of Electronic Rates and Forms Filings Using the System for Electronic Rate and Form Filings (SERFF) |
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4 (2005) | 03/02/2005 | All Insurers Licensed to Write Accident and Health Insurance in New York State (Commercial Insurers), Article 43 Corporations and Health Maintenance Organizations |
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5 (2005) | 04/13/2005 | All Insurers Licensed to Write Accident and Health Insurance in New York State (Commercial Insurers), Article 43 Corporations, Health Maintenance Organizations, Municipal Cooperative Health Benefit Plans, Fraternal Benefit Societies, and Continuing Care Retirement Communities |
Contact and Product Information for Health Bureau Inquiries |
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7 (2005) | 03/24/2005 | All Insurers Licensed to Write Accident and Health Insurance in New York State (Commercial Insurers), Article 43 Corporations and Health Maintenance Organizations |
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13 (2005) | 08/24/2005 | All Health Maintenance Organizations and Article 43 Corporations |
Section 4308(g) Notices of Premium Rate Increases Sent To Subscribers |
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18 (2005) | 10/18/2005 | All Insurers Licensed to Write Accident and Health Insurance in New York State, Article 43 Corporations, and Health Maintenance Organizations |
Medicare Part D |
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23
(2005)
|
11/30/2005 | WITHDRAWN Effective 04/03/2007 |
All accident and health insurers, and Article 43 corporations; employee welfare funds; licensed Public Health Law Article 44 health maintenance organizations and integrated delivery systems, municipal cooperative health benefit plans |
Disaster Planning, Preparedness and Response |
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2 (2006) | 01/27/2006 | The following Managed Care Organizations (MCOs)-All health maintenance organizations (HMOs); special purpose health maintenance organizations, also known as prepaid health services plans ( PHSPs); comprehensive HIV special needs plans (HIV SNPs) and managed long term care plans (MLTCPs) |
Required Escrow Deposits |
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7 (2006) | 03/28/2006 | All Licensed Health Insurance Producers |
Medicare Part D Marketing |
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13 (2006) | 05/10/2006 | All Insurers Licensed to Write Accident and Health Insurance in New York State ("Commercial Insurers"), Article 43 Corporations and Health Maintenance Organizations (HMOs) |
Coverage for Preventive and Primary Care Services |
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14 (2006) | 06/30/2006 | All Insurers Authorized to Write Accident and Health Insurance, Life Insurance, and Annuities in New York State ("Commercial Insurers"), Article 43 Corporations, and Health Maintenance Organizations ("HMOs") |
Discretionary Clauses in Accident and Health (including Disability Income) Insurance Policies, Life Insurance Policies, Annuity Contracts and Subscriber Contracts |
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Supplement No. 2 to Circular Letter No. 27 (2002) | 07/31/2006 | All Insurers Licensed To Write Accident and Health Insurance in New York State, Including Article 43 Corporations and Health Maintenance Organizations |
Additional Guidance for the Implementation of the Provisions of Chapter 557 of the Laws of 2002 (Accident and Health Insurance Coverage Issued to or Through Association and Chamber Groups) as amended by Chapter 201 of the Laws of 2006 (Limiting the Premium Rate for Health Insurance Contracts for Sole Proprietors) |
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22 (2006) | 11/15/2006 | All Insurers, Other than Article 43 Corporations and Article 44 HMOs, Licensed to Write Accident and Health Insurance in New York State |
Rate Modifications for Accident and Health Insurance Statutory Conversion Coverage |
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23 (2006) | 11/27/2006 | All Insurers Licensed To Write Accident and Health Insurance In New York State, Article 43 Corporations and Health Maintenance Organizations (HMOs) |
Chapter 551 of the Laws of 2006 |
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24 (2006) | 12/29/2006 | All Insurers Licensed to Write Accident and Health Insurance in New York State ("Commercial Insurers"), All Authorized Property/Casualty Insurers and All Insurance Producer Organizations |
Travel Insurance |
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2 (2007) | 02/08/2007 | All Insurers authorized to write motor vehicle insurance and workers' compensation insurance in New York State, the New York Automobile Insurance Plan (NYAIP) and all Insurers licensed to write Accident and Health Insurance in New York State, Article 43 Corporations and Health Maintenance Organizations |
Reporting of the SIU Annual Report to the Insurance Frauds Bureau |
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3 (2007) | 02/02/2007 | All Insurers Licensed to Write Accident and Health Insurance in New York State, Article 43 Corporations and Health Maintenance Organizations |
Chapter 748 of the Laws of 2006 ("Timothy's Law") |
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Supplement No. 1 to CL No. 3 (2007) |
02/26/2007 | All Insurers Licensed to Write Accident and Health Insurance in New York State, Article 43 Corporations and Health Maintenance Organizations |
Chapter 748 of the Laws of 2006 ("Timothy's Law") |
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6 | 04/03/2007 | WITHDRAWN Effective 02/22/2008
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All accident and health insurers, and Article 43 corporations; employee welfare funds; licensed Public Health Law Article 44 health maintenance organizations and integrated delivery systems, municipal cooperative health benefit plans |
Disaster Planning, Preparedness and Response |
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12 (2007) | 10/19/2007 | All Insurers Licensed to Write Accident and Health Insurance in New York State, Article 43 Corporations and Health Maintenance Organizations ("HMOs") |
Submission of Information for Loss Ratio Reports Filed Pursuant to Section 3231(e)(2)(B) or Section 4308(h)(1) of the Insurance Law |
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Supplement No. 2 to CL No. 3 (2007) | 10/29/2007 | All Insurers Licensed to Write Accident and Health Insurance in New York State, Article 43 Corporations and Health Maintenance Organizations |
Chapter 748 of the Laws of 2006 ("Timothy's Law") |
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14 (2007) | 12/14/2007 | All Insurers Licensed to Write Accident and Health Insurance in New York State |
Pre-existing condition provisions in group and blanket disability policies |
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Supplement No. 1 to Circular Letter No. 5 (2005) | 02/06/2008 | All Insurers Authorized to Write Accident and Health Insurance in New York State ("Commercial Insurers"), Article 43 Corporations, Health Maintenance Organizations, Municipal Cooperative Health Benefit Plans, Fraternal Benefit Societies, and Continuing Care Retirement Communities. |
Contact and Product Information for Health Bureau Inquiries Contact Questionnaire form |
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2 (2008) | 02/04/2008 | WITHDRAWN Effective 03/31/2009 |
All accident and health insurers, Article 43 corporations; employee welfare funds; licensed Public Health Law Article 44 health maintenance organizations and integrated delivery systems, municipal cooperative health benefit plans. |
Disaster Planning, Preparedness and Response |
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Supplement No. 1 to Circular Letter No. 14 (2007) | 02/27/2008 | All Insurers Licensed to Write Accident and Health Insurance in New York State |
Pre-existing condition provisions and elimination period provisions in group and blanket disability policies |
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Supplement No. 1 to Circular Letter No. 12 (2007) |
03/12/2008 | All Insurers Licensed to Write Accident and Health Insurance in New York State, Article 43 Corporations and Health Maintenance Organizations (“HMOs”) |
Submission of Information for Loss Ratio Reports Filed Pursuant to Section 3231(e)(2)(B) or Section 4308(h)(1) of the Insurance Law |
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7 (2009) | 03/31/2009 | All accident and health insurers, Article 43 corporations; employee welfare funds; licensed Public Health Law Article 44 health maintenance organizations and integrated delivery systems, municipal cooperative health benefit plans. |
Disaster Planning, Preparedness and Response |
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10 | 04/08/2009 | All insurers authorized to write accident and health insurance in New York, Article 43 corporations, and health maintenance organizations (collectively, "insurers") |
Consolidated Omnibus Budget Reconciliation Act (COBRA) health insurance premium assistance pursuant to the federal American Recovery and Reinvestment Act of 2009 (ARRA), and the special election period for state continuation coverage required by Chapter 7 of the New York State Laws of 2009 |
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17 | 07/15/2009 | All Insurers Licensed to Write Accident and Health Insurance in New York State, Article 43 Corporations (“Insurers”) and Health Maintenance Organizations (“HMOs”) |
Submission of Information for Loss Ratio Reports Filed Pursuant to New York Insurance Law § 3231(e)(2)(B) or 4308(h)(1) |
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20 | 09/10/2009 | All Insurers Authorized to Write Accident and Health Insurance in New York State, Article 43 Corporations, and Health Maintenance Organizations (“HMOs”) (collectively, “insurers”) |
Impact of the Paul Wellstone and Pete Dominici Mental Health Parity and Addiction Equity Act of 2008 |
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22 | 09/30/2009 | All Insurers Licensed to Write Accident and Health Insurance in New York State including Article 43 Corporations, Article 45 Corporations, Article 47 Corporations and Health Maintenance Organizations (collectively, “insurers”) |
Health Insurance Coverage for Unmarried Young Adults through Age 29 (Chapter 240 of the Laws of 2009) |
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23 | 09/30/2009 | All Insurers Authorized to Write Accident and Health Insurance in New York, Article 43 Corporations, Article 45 Corporations, Article 47 Corporations and Health Maintenance Organizations (collectively, “insurers”) |
Thirty-Six Month State Continuation Benefit Required by Chapter 236 of the Laws of 2009 |
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