New York Codes, Rules and Regulations
Title 11 - INSURANCE
Chapter VII - Credit And Creditor Insurance
Part 185 - Credit Life Insurance And Credit Accident And Health Insurance
Section 185.13 - Open-end loans and charge plans
Universal Citation: 11 NY Comp Codes Rules and Regs ยง 185.13
Current through Register Vol. 46, No. 39, September 25, 2024
(a) These rules, and the provisions of all other sections of this Part not in conflict with the following, shall apply to credit insurance on open-end loans or charge plans:
(1) If a premium or charge
for the insurance is to be made to the debtor by the creditor, insurance may be
issued on a debtor only if he elects in writing to become insured and agrees to
pay the premium or charge for the insurance. The debtor shall be given the
right to discontinue the insurance at any time by advance notice to the
creditor. If the insurance benefits are reduced, or if the premium rate for the
insurance is increased, the creditor shall give the insured debtors advance
notice of the change and remind them of their right to discontinue the
insurance.
(2) The disclosure
requirements in section
185.5(a) or (d)
of this Part for policies, certificates, or notices of proposed insurance shall
apply only when the credit insurance on the open-end loan or charge plan is
first issued. A new policy or certificate of insurance need not be issued each
time the insured debtor incurs indebtedness on the account.
(3) If the insured person has incurred no
indebtedness or if at any time he has repaid all outstanding indebtedness, the
amount of his insurance will be zero. Subject to any maximums, the amount of
credit life insurance on an insured debtor shall be the unpaid indebtedness
balance owing by him on the date of his death, including any amount received by
him during his lifetime and recorded after his death, including any accrued
interest. The amount of a periodic credit disability insurance benefit shall
not exceed the greater of the amount of the minimum payment which the debtor is
required to make on his loan or charge plan on the date his disability
commenced, or a specified percentage, not to exceed six percent, of the
debtor's unpaid indebtedness balance on the date his disability commenced. For
credit disability policies with a maximum amount of insurance of $2,500 or
less, the benefit may be written for a lump sum payment with a waiting period
of 90 days and the amount payable equal to the amount outstanding on the day of
disability.
(4) A debtor's
insurance may be terminated on the earliest of any of the following dates, but
such termination of insurance shall not prejudice a claim existing on date of
termination:
(i) on the date requested by the
debtor or the date he fails to pay any required premium or charge on
insurance;
(ii) on the premium
billing date coinciding with or next following the date the debtor attains a
stated age, which will not be less than age 66;
(iii) on the date the open-end loan or charge
plan is terminated;
(iv) on the
date the debtor is in default, as defined by the creditor's rules;
(v) subject to the notice requirement of
section 185.5(h) of this
Part, on the date the group policy is terminated; or
(vi) on the date the policyholder terminates
coverage on all revolving accounts of the same class as that held by the
debtor, subject to a minimum 31 day notice to all debtors.
(5) Credit disability insurance may include
the preexisting exclusion specified in section
185.5(e) of this
Part. This provision shall apply separately to each new indebtedness incurred
by the debtor, and shall not be reapplied to the total indebtedness balance
each time a new indebtedness is incurred.
(6) The disability insurance shall exclude
from benefits, indebtedness incurred by the debtor while he was disabled. An
identifiable charge shall not be charged on any new indebtedness incurred by
the debtor while he is receiving disability benefits, unless the forms clearly
indicate that the debtor may request the coverage to terminate and that such
termination will in no way affect a claim incurred prior to the termination.
Any identifiable charges paid by the insured after the date of such termination
are subject to the refund requirements of section
185.8 of the Part.
(7) Total benefits for any period of
disability may be limited to any or all of the following:
(i) an amount stated in the policy;
(ii) an amount described in the
policy;
(iii) a specified number of
payments; or
(iv) until a specified
age.
If subparagraph (iv) of this paragraph is used then such age may not be less than 66 and benefits may not terminate because of the attainment of the specified age before the earlier of either when 12 months of benefits have been paid or when the benefits would have stopped if the termination due to age did not appear.
(8) The insurance may include a reinstatement
provision for a debtor who has been paid the full benefits of the insurance. In
the event the debtor has been paid the full benefits, the insurer shall so
notify the insured, describe the circumstances under which he would be again
eligible for benefits, describe the amount of such benefits if less than full
benefits are available and give the insured 90 days to cancel coverage with a
full refund of any identifiable charges made during the 90 day
period.
(9) Insurance on a debtor
for an open-end loan or charge plan, may only be provided on a periodic
outstanding balance premium basis. The periodic charge may be applied to
either:
(i) the average daily indebtedness
balance in the debtor's account during the billing period;
(ii) the indebtedness balance in the debtor's
account on the billing date; or
(iii) by any other method as the
superintendent may approve.
The method used shall be set forth in the group policy and certificate.
(10) The charge for insurance may be added to
the debtor's indebtedness balance periodically and shall be shown separately
from any other charge. If the charges for credit life, credit accident and
health and credit unemployment insurance are not shown separately, then the
forms must indicate either that the debtor will be informed of the current
rates in writing at least every 15 months or that the debtor will be informed
in writing as to all of the rates within two months of a change in any of the
rates.
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