New York Codes, Rules and Regulations
Title 11 - INSURANCE
Chapter V - Rates And Rating Organizations
Subchapter B - Commercial And Industrial Risks
Part 152 - Physicians And Surgeons Professional Insurance Merit Rating Plan
Section 152.6 - Standards for qualified risk management program
Current through Register Vol. 46, No. 12, March 20, 2024
In order to qualify for the credit, a risk management program must meet the following minimum standards:
(a) The program must be administered by the insurer or, after the insurer has investigated the entity's qualifications, by an entity designated by the insurer to administer the program on its behalf.
(b) The program must contain at least two components:
(c) The basic risk management course must:
(d) Satisfactory completion of both the lecture or the internet-based course and the project is required in order to grant a premium credit.
(e) In order to remain eligible for the risk management premium credit, the insured must complete the follow-up course component, which must:
(f) If the program is presented in a lecture format, it must contain a methodology for verifying that the insured is present for the entire lecture period for both the basic and follow-up courses, and that the required project is completed by the insured in a satisfactory manner. If the program is presented in an internet-based course format, it must contain a methodology for verifying that the insured has logged on, taken and completed both the basic and follow-up courses, and completed the required project in a satisfactory manner. In addition, the insurer or the entity conducting the internet-based course must require the insured to affirm that he or she was the person who actually took the course and that he or she is aware that any premium credit granted by the insurer is based on his or her affirmation.
(g) If the program is presented in the lecture format, it must be taught by persons with appropriate expertise in the subject areas being covered. If the program is presented in an internet- based format, the program must be developed by persons or entities with appropriate technological expertise, and the course content must be developed by persons or entities with appropriate expertise in the subject areas covered.
(h) The program must contain a provision whereby insureds who transfer their coverage from another insurer with an approved risk management program will continue to receive the credit, if and only if such insureds have completed all requirements for the credit.