reglab/housing_qa huggingface dataset:
NY Ins L § 4710 (2021)
2021 New York Laws ISC - Insurance Article 47 - Municipal Cooperative Health Benefit Plans 4710 - Additional Filing Requirements and Annual Report.

§  4710.  Additional  filing  requirements  and annual report. (a) The governing board of the municipal cooperative health benefit plan shall:  (1) file  for  approval  with  the  superintendent  a  description  of material  changes  in  any  information  provided in the application for certificate of authority in  the  form  and  manner  prescribed  by  the superintendent;  (2)  annually,  not later than one hundred twenty days after the close of the plan year, file a report  with  the  superintendent  showing  the financial  condition  and  affairs  of  the  plan  (including  an annual independent financial audit statement and independent actuarial opinion) as of the end of the preceding plan year, in  such  form  and  providing such  other  information  as  the  superintendent  may  prescribe and in compliance with section three hundred seven of this chapter; and  (3) file a report each quarter with the superintendent describing  the plan's  current  financial  status and providing such information as the superintendent may prescribe.  (b) The plan's annual report  shall  be  furnished  to  all  municipal corporations and to unions which are the exclusive collective bargaining representatives of employees covered by the municipal cooperative health benefit  plan and shall be made available for inspection by any employee or retiree covered under the plan.
NY Ins L § 4711 (2021)
2021 New York Laws ISC - Insurance Article 47 - Municipal Cooperative Health Benefit Plans 4711 - Examinations.

§  4711.  Examinations. (a) The superintendent may examine the affairs of a municipal cooperative  health  benefit  plan  as  often  as  deemed necessary,  but not less than once in every three years, except that the superintendent may extend the three-year interval to no more  than  five years  upon determining that the three-year requirement is not necessary to safeguard the interests of the public or covered persons.  (b) In connection  with  such  examinations,  the  superintendent  may exercise  the  powers  set  forth  in sections three hundred four, three hundred five, three hundred six, three hundred eight, three hundred ten, three hundred eleven, three hundred twelve, and three  hundred  thirteen of  this  chapter, and may also require special reports from a municipal cooperative health benefit plan as specified in  section  three  hundred eight of this chapter.  (c)  The governing board of every municipal cooperative health benefit plan shall be responsible for the maintenance of  accurate  records  and books of account in regard to the plan.
NY Ins L § 4712 (2021)
2021 New York Laws ISC - Insurance Article 47 - Municipal Cooperative Health Benefit Plans 4712 - Suspension or Revocation of Certificate of Authority.

§  4712. Suspension or revocation of certificate of authority. (a) The superintendent may suspend or revoke a certificate of  authority  issued to  a  municipal  cooperative  health  benefit  plan under the following circumstances:  (1) for any cause that would be a  basis  for  denial  of  an  initial application  for  such  a  certificate, provided that the superintendent shall not suspend or revoke such certificate solely due to the  size  or composition  of  the  plan  unless the plan ceases to cover a minimum of three hundred fifty employees and retirees; or  (2) failure to maintain the reserves and surplus required  by  section four  thousand  seven  hundred  six  of  this article, provided that the superintendent shall not suspend or revoke such certificate if the  plan has implemented a remediation plan acceptable to the superintendent; or  (3)  the  superintendent  finds  that the municipal cooperative health benefit plan has refused to produce its accounts, records, and files for examination or any member  of  the  governing  board  of  the  municipal cooperative  health  benefit  plan  has  refused  to  cooperate  or give information with respect to the affairs of the plan or  to  perform  any other  legal obligation relating to such an examination when required by the superintendent.  (b) In the case of  suspension  or  revocation  of  a  certificate  of authority,  the superintendent shall send a copy of such decision to the governing board of the municipal  cooperative  health  benefit  plan  by certified  mail at the plan's address. Upon the request of the governing board, or any party that  would  be  prejudiced  by  the  suspension  or revocation,   filed   within   sixty   days   of   the  mailing  of  the superintendent's decision, the superintendent shall schedule  a  hearing on  such  decision  by  written  notice,  sent  by certified mail to the governing board or party requesting the hearing. Such notice  shall  set forth  a  specific  date,  time  and  place for the hearing, which shall commence within sixty days of the mailing of the notice.  (c) Any certificate of  authority  suspended  or  revoked  under  this section  shall  be  surrendered  to  the  superintendent, and the plan's governing board shall notify all participating municipal corporations of that decision  in  such  form  and  manner  as  the  superintendent  may prescribe,  not  later  than  ten  days  after  receipt of notice of the superintendent's decision requiring suspension or revocation.  (d) The superintendent shall publish all final decisions to suspend or revoke the certificate of authority in regard to a municipal cooperative health benefit plan.
NY Ins L § 4713 (2021)
2021 New York Laws ISC - Insurance Article 47 - Municipal Cooperative Health Benefit Plans 4713 - Plan Dissolution.

§ 4713. Plan dissolution. (a) In any case in which the governing board of  a municipal cooperative health benefit plan determines that there is reason to believe that the plan  will  terminate,  the  governing  board shall   so   inform  the  superintendent  and  submit  a  plan  for  the superintendent's approval for  winding  up  the  plan's  affairs  in  an orderly  manner designed to result in timely payment of all benefits, in such form and manner as the superintendent may prescribe.  (b) No part of any funds of the municipal cooperative  health  benefit plan  shall  be  subject  to  the  claims  of  general  creditors of any participating municipal corporation until all plan  benefits  and  other plan obligations have been satisfied.  (c)  The  superintendent  may  maintain  a  proceeding  under  article seventy-four of this chapter to rehabilitate or liquidate  the  business of   a  municipal  cooperative  health  benefit  plan,  which  shall  be considered an insurer for such purpose under section seven thousand four hundred one of this chapter.
NY Ins L § 4714 (2021)
2021 New York Laws ISC - Insurance Article 47 - Municipal Cooperative Health Benefit Plans 4714 - Transition.

§  4714.  Transition.  For  municipal cooperative health benefit plans that provided medical,  surgical  or  hospital  services  on  or  before January  first,  nineteen  hundred  ninety-three pursuant to a municipal cooperation agreement authorized under article  five-G  of  the  general municipal  law,  the  reserve  and  surplus requirements in section four thousand seven hundred six of this article  may  be  phased  in  over  a period of up to five plan years, provided that:  (a)  the  amount  for  the  reserve  described  in  paragraph  one  of subsection (a) of section  four  thousand  seven  hundred  six  of  this article:  (1)  at  the end of the first plan year on or after the effective date of this article shall not  be  less  than  twelve  percent  of  expected incurred claims and expenses thereon for such plan year; and  (2) at the end of each subsequent plan year during the phase-in period shall  not  be  less  than  the actual percentage amount in the previous year, plus an  amount  equal  to  the  difference  between  such  actual percentage  amount  and  the  percentage amount otherwise required under section four thousand seven hundred six of this article, divided by  the number of years remaining in the phase-in period;  (b) the amount of surplus:  (1)  at  the end of the first plan year on or after the effective date of this article shall not be less than two  percent  of  the  annualized earned premium equivalents during such plan year; and  (2) at the end of each subsequent plan year shall not be less than the actual percentage amount in the previous plan year, plus an amount equal to  the  difference  between  such  actual  percentage  amount  and  the percentage otherwise required under section four thousand seven  hundred six  of  this  article,  divided by the number of years remaining in the phase-in period; and  (c) the superintendent may reduce the aggregate or specific  stop-loss retention  amounts  or  attachment  points,  referred to in section four thousand seven hundred seven of this article, during the phase-in period for any municipal cooperative health  benefit  plan  which  consists  of fewer  than  five  municipal  corporations or which covers less than two thousand employees and retirees.
NY Ins L § 4801 (2021)
2021 New York Laws ISC - Insurance Article 48 - Managed Care Health Insurance Contracts 4801 - Application.

§ 4801. Application. The provisions of this article shall apply to all managed  care  products,  as  defined in subsection (c) of this section, which are delivered or issued for delivery in  this  state  by  insurers licensed  under  this  chapter;  provided,  however,  that  none  of the provisions of  this  article  shall  apply  to  any  health  maintenance organization lines of business of such insurers or to health maintenance organizations  certified  under  article forty-four of the public health law or licensed under article forty-three of  this  chapter,  which  are subject  to  the  provisions  of article forty-four of the public health law. For purposes of this article:  (a) an "insured" shall mean a person  covered  under  a  managed  care health insurance contract.  (b)  an  "insurer"  shall mean an insurance company subject to article thirty-two  of  this  chapter,  or  a  corporation  subject  to  article forty-three of this chapter.  (c)  a  "managed  care  health  insurance  contract"  or "managed care product" shall mean a contract which requires that all medical or  other health  care  services  covered under the contract, other than emergency care services, be provided  by,  or  pursuant  to  a  referral  from,  a designated  health  care  provider chosen by the insured (i.e. a primary care gatekeeper), and that services provided pursuant to such a referral be rendered by a health care provider  participating  in  the  insurer's managed  care  provider  network.  In  addition,  in  the case of (i) an individual health insurance contract, or (ii) a group  health  insurance contract   covering  no  more  than  three  hundred  lives,  imposing  a coinsurance obligation of more than twenty-five  percent  upon  services received  outside  of the insurer's provider network, and which has been sold to five or more groups, a managed care product shall  also  mean  a contract  which  requires that all medical or other health care services covered under the contract,  other  than  emergency  care  services,  be provided  by,  or  pursuant to a referral from, a designated health care provider chosen by the insured (i.e. a  primary  care  gatekeeper),  and that  services  provided  pursuant  to  such a referral be rendered by a health  care  provider  participating  in  the  insurer's  managed  care provider network, in order for the insured to be entitled to the maximum reimbursement under the contract.  (d)  "in-network  benefits"  shall  mean benefits covered and received under a managed care product from a health care  provider  participating in  the  insurer's  managed care provider network pursuant to a referral from the insured's participating primary care gatekeeper.
NY Ins L § 5101 (2021)
2021 New York Laws ISC - Insurance Article 51 - Comprehensive Motor Vehicle Insurance Reparations 5101 - Title.

§  5101.  Title.  This  article shall be known and may be cited as the   "Comprehensive  Motor Vehicle Insurance Reparations Act".
NY Ins L § 5104 (2021)
2021 New York Laws ISC - Insurance Article 51 - Comprehensive Motor Vehicle Insurance Reparations 5104 - Causes of Action for Personal Injury.

§  5104. Causes of action for personal injury. (a) Notwithstanding any other law, in any action by or on behalf of  a  covered  person  against another  covered  person for personal injuries arising out of negligence in the use or operation of a motor vehicle in this state, there shall be no right of recovery for non-economic loss, except  in  the  case  of  a serious  injury,  or  for  basic  economic  loss. The owner, operator or occupant of a motorcycle which has  in  effect  the  financial  security required  by  article  six  or  eight of the vehicle and traffic law, or which is referred  to  in  subdivision  two  of  section  three  hundred twenty-one  of  such  law,  shall  not  be subject to an action by or on behalf of a covered person for recovery for non-economic loss, except in the case of a serious injury, or for basic economic loss.  (b) In any action by or on behalf of a covered person, against a  non- covered  person,  where damages for personal injuries arising out of the use or operation of a motor vehicle or a motorcycle may be recovered, an insurer which paid or is liable for first party benefits on  account  of such  injuries has a lien against any recovery to the extent of benefits paid or payable by it to the covered  person.  No  such  action  may  be compromised by the covered person except with the written consent of the insurer,  or with the approval of the court, or where the amount of such settlement exceeds fifty thousand dollars. The failure of such person to commence such action within two years after accrual gives the insurer  a cause  of  action for the amount of first party benefits paid or payable against any person who may be liable  to  the  covered  person  for  his personal injuries. The insurer's cause of action shall be in addition to the  cause  of  action  of  the covered person except that in any action subsequently commenced by the covered  person  for  such  injuries,  the amount of his basic economic loss shall not be recoverable.  (c)  Where there is no right of recovery for basic economic loss, such loss may nevertheless be pleaded and proved to the  extent  that  it  is relevant to the proof of non-economic loss.
NY Ins L § 5105 (2021)
2021 New York Laws ISC - Insurance Article 51 - Comprehensive Motor Vehicle Insurance Reparations 5105 - Settlement Between Insurers.

§  5105.  Settlement  between insurers. (a) Any insurer liable for the payment of first party benefits to or on behalf of a covered person  and any  compensation  provider  paying  benefits  in  lieu  of  first party benefits which another insurer  would  otherwise  be  obligated  to  pay pursuant to subsection (a) of section five thousand one hundred three of this  article  or  section  five thousand two hundred twenty-one of this chapter has the right to recover the amount paid from the insurer of any other covered person to the extent that such other covered person  would have been liable, but for the provisions of this article, to pay damages in an action at law. In any case, the right to recover exists only if at least  one  of  the  motor vehicles involved is a motor vehicle weighing more than six thousand five  hundred  pounds  unloaded  or  is  a  motor vehicle  used  principally for the transportation of persons or property for hire. However, in  the  case  of  occupants  of  a  bus  other  than operators, owners, and employees of the owner or operator of the bus, an insurer  which,  pursuant  to paragraph one of subsection (a) of section five thousand one hundred three of this article, provides  coverage  for first  party  benefits for such occupants under a policy providing first party benefits to the injured person and members of  his  household  for loss  arising  out  of  the  use  or  operation  of  any vehicle of such household, shall have no right to recover the amount  of  such  benefits from the insurer of such bus.  (b) The sole remedy of any insurer or compensation provider to recover on  a  claim  arising  pursuant  to  subsection (a) hereof, shall be the submission of the  controversy  to  mandatory  arbitration  pursuant  to procedures   promulgated  or  approved  by  the  superintendent.    Such procedures shall also  be  utilized  to  resolve  all  disputes  arising between  insurers  concerning  their  responsibility  for the payment of first party benefits.  (c) The liability of an insurer imposed  by  this  section  shall  not affect  or  diminish  its  obligations under any policy of bodily injury liability insurance.
NY Ins L § 5107 (2021)
2021 New York Laws ISC - Insurance Article 51 - Comprehensive Motor Vehicle Insurance Reparations 5107 - Coverage for Non-Resident Motorists.

§  5107.  Coverage  for  non-resident  motorists.  (a)  Every  insurer authorized to  transact  or  transacting  business  in  this  state,  or controlling  or controlled by or under common control by or with such an insurer,  which  sells  a  policy  providing  motor  vehicle   liability insurance  coverage  or  any  similar  coverage in any state or Canadian province, shall include in each such  policy  coverage  to  satisfy  the financial  security  requirements of article six or eight of the vehicle and traffic law and to provide for the payment of first  party  benefits pursuant to subsection (a) of section five thousand one hundred three of this  article  when  a  motor  vehicle covered by such policy is used or operated in this state.  (b) Every policy described in subsection (a) hereof shall be construed as having the coverage  required  by  subsection  (a)  of  section  five thousand one hundred three of this article.
NY Ins L § 5108 (2021)
2021 New York Laws ISC - Insurance Article 51 - Comprehensive Motor Vehicle Insurance Reparations 5108 - Limit on Charges by Providers of Health Services.

§  5108.  Limit  on  charges  by providers of health services. (a) The charges for services specified in paragraph one  of  subsection  (a)  of section  five  thousand  one hundred two of this article and any further health service charges which are incurred as a result of the injury  and which are in excess of basic economic loss, shall not exceed the charges permissible under the schedules prepared and established by the chairman of  the  workers'  compensation  board  for industrial accidents, except where the insurer or arbitrator determines that  unusual  procedures  or unique circumstances justify the excess charge.  (b)  The  superintendent,  after  consulting  with the chairman of the workers' compensation  board  and  the  commissioner  of  health,  shall promulgate  rules  and  regulations  implementing  and  coordinating the provisions of this  article  and  the  workers'  compensation  law  with respect  to  charges  for  the professional health services specified in paragraph one of subsection (a) of section five thousand one hundred two of this article, including the establishment of schedules for  all  such services  for  which schedules have not been prepared and established by the chairman of the workers' compensation board.  (c) No provider of health  services  specified  in  paragraph  one  of subsection  (a) of section five thousand one hundred two of this article may demand or request any payment in addition to the charges  authorized pursuant to this section. Every insurer shall report to the commissioner of  health  any  patterns  of overcharging, excessive treatment or other improper actions by a health provider  within  thirty  days  after  such insurer has knowledge of such pattern.
NY Ins L § 5201 (2021)
2021 New York Laws ISC - Insurance Article 52 - Motor Vehicle Accident Indemnification Corporation 5201 - Title and Purpose.

§ 5201. Title and purpose. (a) This article may be cited as the "motor vehicle accident indemnification corporation act".  (b)  The  legislature  finds  and  declares  that  the  motor  vehicle financial security act in the vehicle and traffic  law,  which  requires the owner of a motor vehicle to furnish proof of financial security as a condition  to  registration,  fails  to  accomplish  its full purpose of securing to innocent victims of motor vehicle accidents  recompense  for the injury and financial loss inflicted upon them, in that the act makes no provision for the payment of loss on account of injury to or death of persons  who,  through  no  fault  of  their own, were involved in motor vehicle accidents caused by:  (1) uninsured motor vehicles registered in  a  state  other  than  New York,  (2) unidentified motor vehicles which leave the scene of the accident,  (3) motor vehicles registered in this state as to which at the time of the accident there was not in effect a policy of liability insurance,  (4) stolen motor vehicles,  (5) motor vehicles operated without the permission of the owner,  (6)  insured  motor  vehicles where the insurer disclaims liability or denies coverage, and  (7) unregistered motor vehicles. In addition, this article is intended to provide no-fault  benefits  for qualified  persons  for  basic  economic loss arising out of the use and operation in this state of  an  uninsured  motor  vehicle,  as  provided herein and in the comprehensive motor vehicle insurance reparations act. The  legislature  determines  that  it is a matter of grave concern that those persons are not recompensed for their injury  and  financial  loss inflicted  upon  them and that the public interest can best be served by closing such gaps in the motor vehicle financial security  act  and  the comprehensive  motor  vehicle  insurance  reparations  act  through  the continued  operation  of  the  motor  vehicle  accident  indemnification corporation.
NY Ins L § 5203 (2021)
2021 New York Laws ISC - Insurance Article 52 - Motor Vehicle Accident Indemnification Corporation 5203 - Motor Vehicle Accident Indemnification Corporation.

§  5203.  Motor  vehicle accident indemnification corporation. (a) The non-profit  corporation   known   as   the   "motor   vehicle   accident indemnification corporation" shall be continued.  (b)   Every  insurer  authorized  to  write  motor  vehicle  liability insurance in this state, as a condition of its authorization,  shall  be and remain a member of the corporation.  (c)  The  corporation  shall  be  obligated  to provide the protection required by this article to a qualified person on  account  of  a  motor vehicle  accident  caused  by  owners  or  operators  of  motor vehicles occurring within the state.
NY Ins L § 5204 (2021)
2021 New York Laws ISC - Insurance Article 52 - Motor Vehicle Accident Indemnification Corporation 5204 - Board of Directors.

§  5204.  Board  of  directors.  (a)  The  board  of  directors of the corporation shall be composed of nine persons. Seven of  such  directors shall  be  representatives  of  motor  vehicle liability insurers, shall serve without compensation and be elected from among the members of  the corporation  by  the  members  of the corporation, each of which members shall have one vote. In addition, the superintendent shall  appoint  two directors  as  representing  broad  segments  of  the  public;  one such director shall be a duly licensed insurance  agent  or  broker  and  one shall have no affiliation with insurers or insurance producers.  (b)  Each  director  shall  serve  for  a  term  of  two years. At the expiration of the initial term their successors in  office  shall  serve for terms as fixed in the by-laws of the corporation.