2010 New York Code
ISC - Insurance
Article 32 - (3201 - 3239) INSURANCE CONTRACTS - LIFE, ACCIDENT AND HEALTH, ANNUITIES
3234*2 - Limitations on administrative services and stop-loss coverage.

* §   3234.  Limitations  on  administrative  services  and  stop-loss
  coverage.  No insurer, subsidiary of an insurer, or controlled person of
  a holding company system may act as an administrator  or  claims  paying
  agent,  as  opposed  to an insurer, on behalf of a group which denies or
  limits benefits for a specific disease or condition or for  a  procedure
  or treatment unique to a specific disease or condition in a manner which
  would  be  inconsistent  with this chapter or regulations promulgated by
  the superintendent  had  the  group  purchased  insurance.  No  insurer,
  subsidiary  of an insurer, or controlled person of a holding company may
  provide stop loss, catastrophic or reinsurance coverage to groups  which
  deny  or  limit  benefits  for  a specific disease or condition or for a
  procedure or treatment unique to a specific disease or  condition  in  a
  manner  which  would  be  inconsistent  with this chapter or regulations
  promulgated by the superintendent had the group purchased  insurance.  A
  limit,  maximum, or other mechanism that controls total coverage without
  regard to a specific disease or condition shall not be deemed  one  that
  denies  or limits benefits for a specific disease or condition, or for a
  procedure or treatment  unique  to  a  specific  disease  or  condition.
  Nothing  herein shall be construed to mandate the inclusion of specified
  benefits in an employer group plan, if such plan is not subject  to  the
  provisions of this chapter.
    * NB There are 3 § 3234's

Disclaimer: These codes may not be the most recent version. New York may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.