New York Codes, Rules and Regulations
Title 11 - INSURANCE
Chapter III - Policy and Certificate Provisions
Subchapter A - Life, Accident and Health Insurance
Part 59 - Minimum Standards For The Form, Content And Sale Of Group And Blanket Insurance Certificates Deemed To Have Been Delivered In This State Pursuant To Section 3201(b) Of The Insurance Law
Section 59.4 - Filing and approval requirements for certificates subject to approval under section 3201(b)(1) of the insurance law, other than those mentioned in section 59.3 of this part
Current through Register Vol. 46, No. 12, March 20, 2024
(a) Certificates subject to this section shall afford insureds protections substantially similar to those provided by group policies and certificates delivered in New York which comply with all group laws, regulations and rules, except as provided in subdivision (b) of this section.
(b) Certificates subject to this Part evidencing coverage under a policy delivered outside of New York to a group not recognized under New York law and regulations must comply with the contract and loss or benefit ratio requirements of individual or group insurance, whichever, in the opinion of the superintendent, affords the certificate holder the greatest protection. Such determination may require an insurer to comply with contract standards on a basis different from the applicable loss or benefit ratio standard.
