New York Codes Rules Regulations (Last Updated: March 27,2024) |
TITLE 11. Insurance |
Chapter V. Rates and Rating Organizations |
Subchapter B. Commercial and Industrial Risks |
Part 153. Property/Casualty Insurance Group and Quasi-Group Standards |
Sec. 153.4. Group policy minimum standards
Latest version.
- Every group policy issued or renewed in this State on risks or operations in this State, under section 3435 or in connection with a Federal purchasing group, shall comply with the following minimum policy standards:(a) Certificates issued under a group master policy shall contain all material terms and conditions of coverage affecting a group member, unless the group master policy is incorporated by reference, in which event a copy of such master policy shall accompany the certificate or shall be promptly provided to a group member upon request.(b) No group policy, master policy or certificate shall contain any deductible or self-insured retention shared among group members or applicable to the group itself, and certificates under a master policy may provide for a deductible or self-insured retention only if applicable to a group member strictly on an individual basis.(c) No group policy, master policy or certificate shall be subject to a group or sub-group aggregate liability limit of any kind at any time, and any liability limit applicable to a group member shall:(1) be separate and apart from any liability limit to which any other group member insured under the group policy may be subject; and(2) operate unaffected by the experience of any other group member or the overall experience of the group itself.(d) Every group policy, master policy and certificate shall constitute a “covered policy” subject to the applicable standards governing cancellation, nonrenewal and conditional renewal prescribed by section 3426 of the Insurance Law.