Regulatory & Legislative Activities

Picture of a gavel and law books

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

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

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

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

145

Implementation of Private Passenger Automobile Insurance Statistical Data Monitoring System

103

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

ubpart 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

31

176

Investments in "Medium Grade" and "Lower Grade" Obligations by Domestic Life Insurers

130

178

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

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

200

227

Regulation of Force-Placed Insurance

202

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

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

148

381

198

CH. XVI. SERVICE CONTRACTS

390

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. XXII. OFFICE OF PHARMACY BENEFITS

450

Office of Pharmacy Benefits

219

451

Registration of Pharmacy Benefit Managers

221

452

General Duties, Accountability, and transparency provisions for Pharmacy Benefit Managers