Laws of New York (Last Updated: November 21, 2014) |
CVS Civil Service |
Article 11. HEALTH INSURANCE FOR STATE AND RETIRED STATE EMPLOYEES |
Section 162. Contract for health insurance
Latest version.
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1. The president is hereby authorized and directed to purchase a contract or contracts to provide the benefits under the plan of health insurance benefits determined upon in accordance with the provisions of this article. Such contract or contracts shall be purchased from one or more corporations licensed to transact accident and health insurance business in this state or subject to article forty-three of the insurance law. All of the benefits to be provided under this article may be included in one or more similar contracts, or the benefits may be classified into different types with each type included under one or more similar contracts issued by the same or different companies. 2. A reasonable time before entering into any insurance contract hereunder, the president shall invite proposals from such qualified insurers as in his opinion would desire to accept any part of the insurance coverage authorized by this article. 3. The president may arrange with any corporation licensed to transact accident and health insurance business in this state or subject to article forty-three of the insurance law issuing any such contract to reinsure portions of such contract with any other such corporation which elects to be a reinsurer and is legally competent to enter into a reinsurance agreement. 4. The president may designate one or more of such corporations as the administering corporation or corporations. 5. Each employee who is covered under any such contract or contracts shall receive a certificate setting forth the benefits to which the employee and his dependents are entitled thereunder, to whom such benefits shall be payable, to whom claims should be submitted, and summarizing the provisions of the contract principally affecting the employee and his dependents. Such certificate shall be in lieu of the certificate which the corporation or corporations issuing such contract or contracts would otherwise issue. 6. The corporations eligible to participate as reinsurers, and the amount of coverage under the contract or contracts to be allocated to each issuing corporation or reinsurer, may be redetermined by the president for and in advance of any contract year after the first year on a basis consistent with subdivision three of this section, and with any modifications thereof he deems appropriate to carry out the intent of such subdivision. 7. The president shall not purchase any contract or contracts for any period except upon the prior approval of the director of the budget. 8. The president may, on March thirty-first, nineteen hundred fifty-seven or at the end of any fiscal year thereafter, discontinue any contract or contracts he has purchased from any corporation or corporations and replace it or them with a contract or contracts in any other corporation or corporations meeting the requirements of this section.