December 22, 1980
Circular Letter No. 20 (1980)
TO: ALL INSURERS AUTHORIZED TO WRITE PROFESSIONAL MEDICAL LIABILITY INSURANCE IN NEW YORK STATE
RE: REPORTS ON TERMINATIONS OF PROFESSIONAL MEDICAL LIABILITY INSURANCE
Chapter 866 of the Laws of 1980 amended Section 335 of the Insurance Law, effective January 1, 1981, to require insurers engaged in issuing professional medical liability insurance in this state to file with the Superintendent of Insurance and the Commissioner of Health a report of any cancellation of its insureds professional medical liability insurance, for reasons other than non-payment of premiums.
Each insurer engaged in the writing of professional medical liability insurance in this state (including coverage for physicians, surgeons, physician's assistants, specialist's assistants, hospitals and other health facilities), shall file a Report on Termination in accordance with the form attached and the enclosed instructions pertaining thereto. Additional blank copies of the reporting form are not being provided and you are requested to prepare reasonable facsimiles thereof.
Reports on terminations on or after January 1, 1981 are due within 15 days following each monthly period (e.g. reports on terminations from January 1 through January 31 are due on February 15, etc.).
The completed forms shall be mailed to:
1) Mr. Harold I. Baida, Principal Insurance Examiner
Property and Casualty Insurance Bureau
State of New York Insurance Department
Two World Trade Center
New York, NY 10047
2) Medical Claims Report Unit
Division of Health Manpower Development
New York State Department of Health
Empire State Plaza Tower Building
Albany, NY 12237
Very truly yours,
Albert B. Lewis
Superintendent of Insurance
INSTRUCTION SHEET FOR REPORT ON TERMINATION
The following instructions apply to the items listed below:
2a. Enter CODE for type of termination:
1- cancellation by company(other than for non-payment of premiums)
2- non-renewal by company
3d. Enter date of birth for physicians, surgeons, physician's assistants and specialist's assistants only
4a. Enter Profession or Business code:
1- physician or surgeon
2- physician's assistant or specialist's assistant
4- other health care facility
4b. Enter Specialty Code (5 digits) from the Uniform Statistical Plan for Medical Professional Liability Insurance.
5a. Enter appropriate code if insured is Board Certified in:
1- specialty coded in 4b
2- a different specialty
3- both the specialty coded in 4b and another specialty
4- insured physician is not board certified
If (2) or (3) is entered, also enter the additional Specialty Code (5 digit Uniform Statistical Plan code) in this line.
5b. Answer yes or no
5c. If answer to 5b is "yes", enter country in which primary medical education was received other than U.S.
6. Enter the specific reason(s) for termination by the Company. A specific reason shall not be an unsupported general statement such as "underwriting judgment".