N.Y. Comp. Codes R. & Regs. tit. 11 § 244.2

Current through Register Vol. 46, No. 45, November 2, 2024

Section 244.2 - Definitions

As used in this Part:

(a)Accident and health insurance shall have the meaning set forth in Insurance Law section 1113(a)(3) and with regard to a fraternal benefit society, also shall have the meaning set forth in Insurance Law section 4501(i)-(k), (m), (o) and (p).

(b)Address means a street address, mailing address, or e-mail address.

(c)Claim related information shall have the meaning set forth in Insurance Law section 2612(h)(1)(A).

(d)Covered individual means an individual covered under a policy issued by a health insurer who could be endangered by the disclosure of all or part of claim related information by the health insurer.

(e)Fraternal benefit society shall have the meaning set forth in Insurance Law section 4501(a).

(f)Health insurer shall have the meaning set forth in Insurance Law section 2612(h)(1)(B).

(g)Insured means an individual who is covered under an individual or a group policy.

(h)Insurer shall have the meaning set forth in Insurance Law section 2612(c)(2) and shall include a fraternal benefit society.

(i)Person means an individual or legal entity, including a partnership, limited liability company, association, trust, or corporation.

(j)Policy means a policy, contract, or certificate of insurance, an annuity contract, a child health insurance plan issued pursuant to title 1-A of Public Health Law article 25, medical assistance or health care services provided pursuant to title 11 or 11-D of Social Services Law article 5, or any certificate issued under any of the foregoing.

(k)Policyholder means a person to whom a policy has been issued.

(l)Reasonable request means a request that contains a statement that disclosure of all or part of the claim related information to which the request pertains could endanger an individual, and the specification of an alternative address, telephone number, or other method of contact.

(m)Requestor means a covered individual, or the individual's legal representative, or with regard to a covered individual who is a child, the child's parent or guardian, who makes a reasonable request to the health insurer.

(n)Salary protection insurance shall have the meaning set forth in Insurance Law section 1113(a)(31).

(o)Victim of domestic violence or victim shall have the meaning set forth in Social Services Law section 459-a(1).

N.Y. Comp. Codes R. & Regs. Tit. 11 § 244.2

Adopted, New York State Register April 9, 2014/Volume XXXVI, Issue 14, eff.4/9/2014