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Ex. AGY-ST-INSURANCE-BANKING-006 Order Primary source read

Insurance Circular Letter No. 17 (2020)

Coronavirus and the Suspension of Certain Utilization Review and Notification Requirements under the 'Surge and Flex' Protocol

Superintendent of Financial Services · New York; Department of Financial Services (Sector regulator)

The COVID Project

The record

Jurisdiction
New York; Department of Financial Services · New York
Level
Sector regulator
Authority
N.Y. Ins. Law art. 49; Executive Order 202 as extended
Issued
2020-12-23 Dec. 23, 2020
Effective
2020-12-23
End
60 days (February 21, 2021) (read as 2021-02-21)
In force
Dec. 23, 2020 to Feb. 21, 2021
Quarters
2020 Q42021 Q1
Limitation types
Health care orders
Addressees
  • all accident and health insurers
  • Article 43 corporations
  • HMOs
  • student health plans
  • municipal cooperative plans
  • prepaid health services plans
  • utilization review agents
  • licensed independent adjusters
Functions reached
  • IN health insurers (utilization review)
  • CB payers of hospitals (industry 01): preauthorization, concurrent review and notification requirements suspended
  • OP
Collection
State insurance and banking regulators AGY-ST-INSURANCE-BANKING

Operative words

must be suspended for 60 days starting from the date of this letter, to assist hospitals with implementation of the state's 'surge and flex' protocol.

Enforcement

N.Y. Ins. Law § 109; art. 49

Notes

Recites the Governor's December 7, 2020 Winter COVID-19 Plan 'mandating all hospitals to begin expanding their bed capacity.'