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Department of Financial Services

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Discontinuance Notifications to DFS

Unless noted otherwise, the documents available below are in MS Word format.

  • Instructions for Individual Insurers for 2023 (PDF)
  • Instructions for Group Insurers for 2023 (PDF)

Discontinuance Notice Templates

  • Model Notice to Individual Policyholders outside NYSOH
  • Model Notice to Individual Policyholders within NYSOH
  • Model Notice to Small Group Policyholders
  • Model Notice to Small Group Members
  • Model Notice to Large Group Policyholders 
  • Model Notice to Large Group Members

2023 Renewal/Rate Notifications

  • Instructions for 2023 Renewal/Rate Notifications by Insurers
  • Model Notice for Individual Policies outside NYSOH
  • Model Notice for Individual Policies within NYSOH
  • Model Notice for Small Group Policyholders

Attachments to Discontinuance Notices

  • Attachment A Ian’s Law Group Policyholder (PDF)
  • Attachment A Ian’s Law Member notice (PDF)
  • Attachment B Reg 78 notice (PDF)

Insurance Industry Questions

If you are unable to find the answer to your insurance question here, check our FAQs. If you have a question or need assistance, call (800) 342-3736 (M-F, 8:30 AM to 4:30 PM). Local calls can be made to (212) 480-6400 or (518) 474-6600.

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