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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 PDF
2 (1975) 03/26/1975

All Insurers Authorized To Write Life Insurance, Accident And Health Insurance And Annuities In The State Of New York

Defines an application for insurance for purposes of filing and approval.

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7 (1976) 03/22/1976 WITHDRAWN

All Insurers Including Article Ix-C Corporations, Licensed To Write Accident & Health Insurance In New York State

Mandatory Home Health Care.

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10 (1976) 04/23/1976

All Insurers, Other Than Article Ix-C Corporations, Licensed To Write Accident And Health Insurance In New York State

Accident & Health Insurance Conversion Policies (See also CL 18 (1975) on this listing).

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12 (1976) 05/05/1976

All Insurers Authorized To Write Life Insurance And Annuities In New York State

Filing Requirements for life and annuity forms.

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23 (1976) 12/03/1976

All Insurers, Including Article Ix-C Corporations, Licensed To Write Accident And Health Insurance In New York State

Mandatory Maternity Coverage (See also CL 11 (1970) on this listing).

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26 (1976) 12/17/1976

All Insurers, Including Article Ix-C Corporations, Licensed To Write Accident And Health Insurance In New York State

Coverage for preadmission tests, emergency medical services, ambulatory care and services rendered in nursing homes.

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11 (1977) 08/23/1977 WITHDRAWN

All Insurers Licensed To Write Accident And Health Insurance In New York State

Chapter 843 of the Laws of 1976- Mandatory Maternity coverage. (See also CL 23 (1976) on the Current listing and CL 10 (1980) on this listing).

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18 (1977) 12/19/1977

All Insurers, including Article IX-C Corporations, licensed to write Accident and Health Insurance in New York State

I. Chapters 894 of the Laws of 1977: Coverage for the diagnosis and treatment of mental, nervous or emotional disorders or ailments.
II. Chapter 893 of the laws of 1977: Coverage for services performed by certified and registered social worker.
III. Chapter 663 of the laws of 1977: Coverage for newborn infants.

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3 (1979) 01/10/1979

All Insurers Licensed To Write Accident And Health Insurance In New York State

Exclusion in health insurance contracts of benefits under government programs.

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29 (1979) 11/16/1979

All Insurers Licensed To Write Accident And Health Insurance, Including Article IX-C Corporations

Mandatory second surgical opinion consultation.

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24 (1981) 12/01/1981

All Insurers Licensed To Write Accident And Health Insurance In New York State

Chapter 28, Laws of 1981: coverage for alcoholism and alcohol abuse.

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20 (1982) 06/23/1982

All Insurers, Other Than Article Ix-C Corporations, Licensed To Write Accident And Health Insurance

Accident & Health Insurance Conversion Policies.

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21 (1982) 06/29/1982

All Insurers Licensed To Write Life And Accident And Health Insurance In New York State

NY Insurance Department requirements for approval of Social Ins. Substitute Disability Income Coverages.

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32 12/31/1982 WITHDRAWN

All Insurers Licensed To Write Accident And Health Insurance In New York State, Including Article IX-C Corporations

Chapter 509, Laws of 1982: Coverage for preventive and primary care services for newborns.

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3 (1985) 01/15/1985 WITHDRAWN

All Insurers, including Article 43 Corporations, licensed to write Accident and Health Insurance
in New York State

Chapter 990 of the Laws of 1984: Coverage for services performed by a certified and registered social worker where the contract provides reimbursement for psychiatric or psychological services.

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8 (1986) 06/06/1986

All Insurers Licensed to Write Accident and Health Insurance in New York State

Claims filed by New York State Dept of Social Services under the Third Party Recovery Program.

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9 (1986) 07/01/1986

All Insurers, Other Than Article 43 Corporations, Licensed To Write Accident And Health Insurance

Accident and health insurance statutory conversion coverage.

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20 (1986) 10/24/1986 WITHDRAWN

All Insurers Licensed To Write Accident And Health Insurance In New York State

Insurance Dept review of the mental illness exclusion now permitted in health insurance contracts.

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3 (1987) 03/10/1987

All Insurers Licensed To Write Accident & Health Insurance In New York State, Including Article 43 Corporations, And Corporations With Certificates Of Authority Under Article 44 Of The Public Health Law

Medicare as secondary payor.

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9 (1987) 06/05/1987 WITHDRAWN

All Fraternal Benefit Societies And Insurers Licensed To Write Accident And Health Insurance In New York. State, Including Article 43 Corporations, And Corporations With Certificates Of Authority Under Article 44 Of The Public Health Law

New York State Elderly Pharmaceutical Insurance Coverage Program (EPIC) (Chapter 913 of the Laws of 1986).

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11 (1988) 04/25/1988 WITHDRAWN

All Insurers Licensed To Write Accident And Health Insurance, Workers' Cmpensation Aid No-Fault Motor Vehicle Insurance

Insurance Payments for Hospital Services under 1988 Legislation requiring a case payment methodology.

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3 (1989) 01/17/1989

All Insurers Licensed to Write Life and Accident and Health Insurance in New York State

Insurers' use of HIV antibody test need for authorization and informed consent.

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15 (1990) 11/01/1990

All Rental Car Companies And Franchisees In This State All Authorized Insurers Providing Relevant Coverages

Limited License Required to Sell Certain Kinds of Insurance To Consumers Renting Motor Vehicles in New York State.

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8 (1991) 07/11/1991

All Insurance Agents And Brokers

Placement of Health Insurance Coverage with Unlicensed and Unauthorized Multiple Employer Welfare Arrangements.

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11 (1991) 09/05/1991

All Insurers And Risk Retention Groups Doing Business In New York State

Scope of Regulation 64 on Claims Settlement Practices (See also CL 15 (1996) on this listing).

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12 (1991) 08/21/1991

All Insurers Authorized to Transact Accident and Health Insurance In New York

Travel Insurance.

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14 (1992) 09/08/1992 WITHDRAWN

All Insurers Licensed. To Write Accident, And Health Insurance In New York State

Chapter 501 of The Laws of 1992-Effective Date for Provisions for Community Rating and Open Enrollment.

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16 (1992) 09/24/1992

All Licensed Insurers In New York State

Appropriate Dating Of Documents Sent To Policyholders.

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1 (1993) 01/11/1993

All Insurers, Including Article 43 Corporations And Hmos, Licensed To Write Accident And Health Insurance In New York State

Chapter 501 of the Laws of 1992-Actuarial Information For Community Rating and Open Enrollment.

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6 (1993) 07/20/1993

All Insurers, Other Than Article 43 Corporations And Article 44 HMOs, Licensed To Write Accident And Health Insurance

Accident and Health Insurance Conversion Coverage – Community Rates.

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14 (1993) 10/15/1993

All Insurers, Other Than Article 43 Corporations And Article 44 Hmos, Licensed To Write Accident And Health Insurance

Accident and Health Insurance Conversion Coverage.

html pdf
18 (1993) 12/23/1993 WITHDRAWN

All Insurers Writing Individual and Small Group Accident and Health Insurance Contracts In New York State

Deletion of Riders on Existing Contracts Subject to Chapter 501 of the Laws of 1992.

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21 (1993) 12/23/1993

WITHDRAWN 10/31/1995

See Circular Letter 16 (1995)

All Insurers Licensed to Write Automobile and/or Accident and Health Insurance in New York

Annual rankings auto and health insurance complaints

*PDF format

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1 (1994) 01/31/1994

All Carriers Licensed to Write Accident and Health Insurance in New York State, Including Article 43 Corporations and Public Health Law Article 44 Health Maintenance Organizations

Chapter 501 or the Laws of 1992 - Accounting Treatment of Disbursements From or Payments to the New York Market Stabilization Pools

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3 (1994) 03/10/1994

All Insurers Licensed to Write Accident and Health Insurance in New York State, Including HMOs

Implementation of Chapter 728 of The Laws of 1993 Requiring Coverage for Preventive and Primary Care Services

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7 (1994) 04/27/1994

WITHDRAWN

Effective 10/11/2002

All Insurers Licensed to Write Accident and Health Insurance in New York State

Health Insurers' Obligations in the Administration of Benefits for Covered Persons Receiving Services Under the New York State Early Intervention Program

html pdf
8 (1994) 07/05/1994

WITHDRAWN

Effective 10/11/2002

All Licensed Insurers and Exempt Organizations Including Health Maintenance Organizations (HMOs)

Insurance Fraud Reporting

html pdf
11 (1994) 08/01/1994

All Insurers, Other Than Article 43 Corporations and Article 44 HMOs, Licensed to Write Accident and Health Insurance

Accident and Health Insurance Conversion Coverage

html pdf
16 (1994) 09/14/1994

WITHDRAWN

Effective 10/11/2002

Commercial Insurers Authorized to Write Accident and Health Insurance and Corporations Licensed Under Article 43 of the Insurance Law or Article 44 of the Public Health Law

Transfer of Health Insurance and HMO Premium Rate Review and Approval

html pdf
18 (1995) 11/17/1995

All Insurance Law Article 43 Corporations ("Plans") and Public Health Law Article 44 Health Maintenance Organization ("HMOs")

Compliance Certification for Premium Rate Adjustment Application Pursuant to Section 4308(g) of the Insurance Law

html pdf
18 12/20/1996

WITHDRAWN

Effective 10/11/2002

 

All Insurers Licensed to Write Accident and Health Insurance in New York State and all Health Maintenance Organization (HMOs)

New York State Small Business Health Insurance Partnership Program (NYSHIPP)

html pdf
5 (1997) 04/04/1997

All Insurers and Fraternal Benefit Societies Licensed to Write Life Insurance and Accident and Health Insurance in New York State, Including Article 43 Corporation

Oral Fluid Testing for the Human Immunodeficiency Virus

html pdf
7 (1997) 03/25/1997

All Insurers Including Article 43 Corporations Licensed to Write Accident and Health Insurance In New York State, Except Health Maintenance Organizations

The Managed Care Reform Act (Chapter 705 of the Laws of 1996)

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9 (1997) 04/04/1997

All Insurers Licensed to Write Accident and Health Insurance in New York State (Insurance Law Section 1113(a)(3))

Provider Excess Insurance

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14 (1997) 08/01/1997

All Insurers Authorized to Write Life Insurance, Annuities or Accident and Health Insurance in New York State, Including Article 43 Corporations and Health Maintenance Organizations

Procedural Changes in the Approval Process for Life Insurance, Annuity, and Accident and Health Insurance Policy Forms and Rates

html pdf
1 (1998) 01/15/1998

All Insurers, Including Article 43 Corporations and Health Maintenance Organizations, Authorized to Write Accident and Health Insurance, Workers' Compensation Insurance or Automobile No-Fault Insurance in New York State

Electronic Acceptance of Health Insurance Claims, Including Workers' Compensation and No-Fault

html pdf
2 (1998) 01/15/1998

All Insurers Authorized to Write Life Insurance, Annuities or Accident and Health Insurance in New York State, Including Article 43 Corporations and Health Maintenance Organizations

Preliminary Guidance Regarding the Expected Approval Procedure in Section 3201(b)(6) of the Insurance Law

html pdf
12 (1998) 04/28/1998

All Insurers Authorized to Write Accident and Health Insurance, Including Article 43 Corporations and Health Maintenance Organizations

Newly Approved Impotency Drug Viagra

html pdf
13 (1998) 05/14/1998

WITHDRAWN

Effective 01/29/2007

See Circular Letter No. 1 (2007)

All Insurers and Self Insurers

Fraud Reporting and Cooperation with the Insurance Frauds Bureau

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14 (1998) 07/01/1998

All Insurers Writing Private or Commercial Automobile, Workers Compensation, or Individual, Group or Blanket Accident and Health Insurance Policies

Compliance with the Second Amendment to Regulation 95 (11NYCRR 86) and Filing of Plans for the Detection, Investigation and Prevention of Fraudulent Insurance Activities

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17 (1998) 07/23/1998

All insurers organized, registered, accredited or licensed to do an insurance business in New York State (including all licensed life insurers, fraternal benefit societies, savings bank life insurance departments, accredited life reinsurers, property/casualty insurers, co-operative property/casualty insurers, financial guaranty insurers, mortgage guaranty insurers, reciprocal insurers, accident and health insurers, Article 43 Corporations, Public Health Law Article 44 health maintenance organizations, title insurers, the State Insurance Fund, and accredited property/casualty reinsurers

Holocaust Victims Insurance Act of 1998

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20 (1998) 08/17/1998

All Insurers Licensed to Write Accident and Health Insurance in New York State, Including Article 43 Corporations and Health Maintenance Organizations

Requirements for Prescriptions to Bear a Federally Issued Registration Number

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23 (1998) 09/28/1998

All Insurers Authorized to Write Accident and Health Insurance in NewYork State, Including Article 43 Corporations

Medical Savings Account High Deductible Health Insurance Policies

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26 (1998) 10/02/1998

All insurers organized, registered, accredited or licensed to do an insurance business in New York State (including all licensed life insurers, fraternal benefit societies, savings bank life insurance departments, accredited life reinsurers, property/casualty insurers, co-operative property/casualty insurers, financial guaranty insurers, mortgage guaranty insurers, reciprocal insurers, accident and health insurers, Article 43 Corporations, Public Health Law Article 44 health maintenance organizations, title insurers, the State Insurance Fund, and accredited property/casualty reinsurers; all hereinafter referred to as "insurers")

Insurers’ Initial Reports Setting Forth Plans for Compliance with Article 27
(Holocaust Victims Insurance Act of 1998)

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30 (1998) 10/21/1998

All licensed life insurers, fraternal benefit societies, charitable and segregated gift annuity societies, employee welfare funds, retirement systems, viatical settlement licensees, governmental supplemental annuity funds, savings bank life insurance departments, property/casualty insurers, co-operative property/casualty insurers, financial guaranty insurers, mortgage guaranty insurers, reciprocal insurers, accident and health insurers, Article 43 Corporations, Public Health Law Article 44 health maintenance organizations and integrated delivery systems, municipal cooperative health benefit plans, accredited reinsurers, title insurers, the State Insurance Fund, the Medical Malpractice Insurance Association, the New York Property Insurance Association, the Motor Vehicle Accident Indemnification Corporation and rate service organizations; all hereinafter referred to as "licensees"

Update on Year 2000

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31 (1998) 10/29/1998

All licensed life insurers, fraternal benefit societies, charitable and segregated gift annuity societies, employee welfare funds, retirement systems, viatical settlement licensees, governmental supplemental annuity funds, savings bank life insurance departments, property/casualty insurers, co-operative property/casualty insurers, financial guaranty insurers, mortgage guaranty insurers, reciprocal insurers, accident and health insurers, Article 43 Corporations, Public Health Law Article 44 health maintenance organizations and integrated delivery systems, municipal cooperative health benefit plans, accredited reinsurers, title insurers, the State Insurance Fund, the Medical Malpractice Insurance Association, the New York Property Insurance Association, the Motor Vehicle Accident Indemnification Corporation and rate service organizations

Insurance on the Internet

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32 (1998) 10/30/1998

All Insurers Writing Private or Commercial Automobile, Workers Compensation, or Individual, Group or Blanket Accident and Health Insurance Policies, and every entity licensed pursuant to Article 44 of the Public Health Law

Effective Date for the Filing of Plans for the Detection, Investigation and Prevention of Fraudulent Insurance Activities

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Updated 10/30/2009

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