New York Codes Rules Regulations (Last Updated: March 27,2024) |
TITLE 11. Insurance |
Chapter XIV. Individual and Small Group Health Insurance and Family Leave Benefits Coverage |
Part 365. Paid Family Leave COVID-19 Risk Adjustment Mechanism |
Sec. 365.3. Funding the COVID-19 immediate relief payments
Latest version.
- (a) The superintendent may require any insurer subject to the COVID-19 risk adjustment mechanism to make a payment into the COVID-19 risk adjustment pool to cover immediate relief payments approved under section 365.2 of this Part.(b) In exercising the power set forth in subdivision (a) of this section, the superintendent shall first seek to fund the immediate relief payments from the COVID-19 risk adjustment pool through funds contributed by the State Insurance Fund.(c) The superintendent may, if no further funds are available from the State Insurance Fund, require from all insurers that are members of the COVID-19 risk adjustment mechanism, other than the State Insurance Fund, an amount not to exceed the total amount of relief approved, with each insurer paying an amount proportionate to the expected losses to be suffered by the insurer related to payment of COVID-19 claims, as determined by the superintendent.