Section 3442. Credit card, debit card, or checking account group policies  


Latest version.
  • (a) For purposes of this section, unless the context requires otherwise:
        (1) "Account group member" means a person:
        (A) to whom a credit card account or debit card account is issued by a
      sponsor or who has agreed with the sponsor to  pay  obligations  arising
      from the use of a credit card or debit card issued to another person; or
        (B) who may access by check an account maintained by the sponsor.
        (2)   "Account   group   policy"   means  a  group  policy,  including
      certificates issued to the group members, where the group policyholders,
      and each additional group policyholder, if any, is:
        (A) a sponsor and the policy's group members  are  its  account  group
      members  or other authorized users of the account group member's payment
      medium; or
        (B) an interchange organization, or the trustee or trustees of a trust
      established,  or  participated  in,   by   one   or   more   interchange
      organizations or one or more sponsors who are members of the interchange
      organization,  where the policy's group members are the authorized users
      of the payment medium administered by the interchange organization or by
      its member sponsors.
        (3) "Authorized user"  means  a  group  member  or  any  other  person
      designated  by  the  group  member  as an authorized user of the account
      group member's payment medium.
        (4) "Beneficiary" means an authorized user of a payment medium or  any
      other  person  who  is a recipient of the benefits of the payment medium
      who is designated as  an  additional  insured  under  an  account  group
      policy.
        (5)  "Certificate"  or  "certificate  of  insurance" means any policy,
      contract, or other  evidence  of  insurance,  or  rider  or  endorsement
      thereto, issued to a group member under an account group policy.
        (6) "Check" means a check, draft, credit union share draft, negotiable
      order  of  withdrawal,  or other written, electronic or telephonic order
      but does not include a traveler's check.
        (7)  "Commercial   creditor"   means   a   corporation,   partnership,
      association or other organization that, as part of its vocation, extends
      credit by making loans, issuing credit cards, or otherwise, including:
        (A) a bank, trust company, savings bank, savings and loan association,
      or  credit  union,  as  those  terms  are  defined in section two of the
      banking law;
        (B) a national bank, federal savings bank, federal  savings  and  loan
      association,  or  federal  credit  union,  as those terms are defined in
      title twelve of the United States Code;
        (C) a foreign banking corporation licensed to  maintain  a  branch  or
      agency in New York under article five of the banking law or title twelve
      of the United States Code;
        (D)  a creditor, as defined in section one thousand six hundred two of
      title fifteen of the United States Code;
        (E) an issuer  of  a  credit  card,  within  the  meaning  of  article
      twenty-nine-A of the general business law;
        (F)  a  transmitter of money, within the meaning of article thirteen-A
      of the banking law; or
        (G) a retailer.
        (8) "Conditional renewal" means change of limits, change  in  type  of
      coverage,  reduction or elimination of coverage, increased deductible or
      addition of exclusion, or increased premiums in excess  of  ten  percent
      (exclusive  of  any  premium increase generated as a result of increased
      exposure units or  as  a  result  of  experience  rating,  loss  rating,
      retrospective rating, or audit).
    
        (9)  "Credit  card"  means  a  payment medium that takes the form of a
      credit card,  credit  plate,  charge  plate,  courtesy  card,  or  other
      identification  card  or device, issued by a sponsor to an account group
      member (or a check drawn by an authorized user against the  credit  card
      account),  which an authorized user may use to obtain a loan, credit, or
      cash advance, or to purchase, hire, rent or lease property or services.
        (10) "Debit card" means a payment medium that  takes  the  form  of  a
      card, plate, or other identification card or device, issued by an issuer
      to  an  account  group  member  who  is  an  owner  of a deposit account
      maintained by the issuer, which an  authorized  user  drawing  upon  the
      deposit  account  may  use  to purchase, hire, rent or lease property or
      services. "Debit card" does not include a credit card or a check.
        (11) "Group member" means an account group member who is insured under
      the account group policy.
        (12) "Interchange organization" means  a  person  that  administers  a
      payment medium for the benefit of one or more sponsors and the sponsor's
      account group members.
        (13) "Motor vehicle" means a motor vehicle as defined in section three
      hundred  eleven of the vehicle and traffic law, whether or not used on a
      public highway, and includes a snowmobile  as  defined  in  section  two
      thousand two hundred twenty-one of the vehicle and traffic law.
        (14) "Payment medium" means a credit card, debit card or check.
        (15)   "Person"  includes  an  individual,  corporation,  partnership,
      association, or other legal entity.
        (16) "Sponsor" means:
        (A) a commercial creditor that issues a credit card or debit  card  to
      its account group members;
        (B)  a  commercial  creditor  that  maintains  an account which may be
      accessed by check by the commercial creditor's account group members; or
        (C) the trustee or trustees of a trust  established,  or  participated
      in,  by  one  or  more  commercial  creditors  for  the  benefit  of the
      commercial creditor's account group members.
        (b) An account group policy or certificate may be issued or issued for
      delivery in this state only in compliance with the  provisions  of  this
      section.
        (c)  Coverage  under  an  account  group  policy  shall extend only to
      beneficiaries and shall be associated with the direct use or  employment
      of  a  payment  medium by an authorized user to purchase, hire, lease or
      rent property or services.
        (d) An account group policy may  provide  only  one  or  more  of  the
      following   property/casualty   insurance   coverages,  subject  to  the
      following limitations:
        (1) Loss of or damage to personal property, other than loss of use  or
      loss resulting from a defect in materials or workmanship, where:
        (A) the article of personal property is owned by;
        (i) an authorized user; or
        (ii)  a  beneficiary  other  than  an  authorized user, if coverage is
      provided under the  account  group  policy  to  the  beneficiary  as  an
      additional insured;
        (B)  the  article  of personal property is purchased using the account
      group member's payment medium;
        (C) the amount of coverage is limited to the amount charged,  debited,
      or drawn, unless the insurer repairs or replaces the article of personal
      property, but in no event shall the coverage exceed ten thousand dollars
      per article and fifty thousand dollars in the aggregate per group member
      per policy year;
        (D)  the period of coverage for each article of personal property does
      not exceed ninety days from date of purchase; and
    
        (E) the coverage is  excess  over  any  other  valid  and  collectible
      insurance  covering  the  same article of personal property, except that
      the coverage need not be excess over insurance issued pursuant  to  this
      paragraph.
        (2)  Obligation  to  a  person  engaged  in the business of renting or
      leasing motor vehicles, for loss of or damage to a motor vehicle  rented
      or leased from that person, where:
        (A) the obligation is incurred by:
        (i) an authorized user; or
        (ii)  another  person  driving  the  motor vehicle with the authorized
      user's permission,  if  coverage  under  the  account  group  policy  is
      provided to such beneficiary as an additional insured;
        (B)  the  rental or lease of the motor vehicle is paid wholly by means
      of the account group member's payment medium;
        (C) the period of the rental or lease coverage does not exceed:
        (i) forty-five consecutive days where the payment medium used for  the
      rental or lease was a credit card issued to an account group member that
      is an employee of a person that has contracted with a sponsor to provide
      credit cards to the person's employees primarily for business use; or
        (ii) thirty-one consecutive days for all other authorized users;
        (D)  the  coverage  is  excess  over  any  other valid and collectible
      insurance covering the same motor vehicle, except that the coverage  may
      be primary for motor vehicle rentals or leases:
        (i)  when  the  motor  vehicle  is used outside the United States, its
      territories and possessions; or
        (ii) where the payment medium used for  the  rental  or  lease  was  a
      credit  card  issued to an account group member that is an employee of a
      person that has contracted with a sponsor to provide credit cards to the
      person's employees primarily for business use; or
        (E) the motor vehicle is rented or leased without a driver.
        (3) Loss of, damage to, or loss of use of baggage  and  its  contents,
      where:
        (A) (i) the authorized user owns or uses the baggage and its contents,
      and  the  loss,  damage,  or  loss  of use occurs in connection with the
      authorized user being in transit; or
        (ii) a beneficiary other than an authorized  user  owns  or  uses  the
      baggage  and  its  contents, and the loss, damage, or loss of use occurs
      while in connection with that beneficiary being in transit, if  coverage
      under  the  policy  is  provided  in  regard  to  the  beneficiary as an
      additional insured;
        (B) the account group  member's  payment  medium  is  used  to  obtain
      transportation  or  accommodations  for the owner of the baggage and its
      contents, in connection with that owner being in transit; and
        (C) the amount of coverage does not exceed two  thousand  dollars  per
      bag,  including  contents, and ten thousand dollars in the aggregate for
      all insureds per trip.
        (4) Loss of, damage to, or loss of use of personal property  resulting
      from a defect in materials or workmanship in that property, where:
        (A) the article of personal property is owned by:
        (i) an authorized user; or
        (ii)  a  beneficiary  other  than  an  authorized user, if coverage is
      provided under the  account  group  policy  to  the  beneficiary  as  an
      additional insured;
        (B)  the  article  of  personal  property is purchased by means of the
      account group member's payment medium;
        (C) the amount of coverage is limited to the amount charged,  debited,
      or drawn, but in no event shall exceed ten thousand dollars; and
    
        (D) the article of personal property has one or more warranties issued
      by a manufacturer, distributor or seller.
        (5)  Loss of, damage to, or loss of use of personal property occurring
      in connection with the use of rented or leased motor vehicles where:
        (A) the article of personal property is owned by:
        (i) an authorized user; or
        (ii) a beneficiary other  than  an  authorized  user  if  coverage  is
      provided  under  the  account  group  policy  to  the  beneficiary as an
      additional insured;
        (B) the rental or lease of the motor vehicle is  paid  for  wholly  by
      means of the account group member's payment medium;
        (C) the period of coverage does not exceed the lesser of:
        (i) the rental or lease period; or
        (ii) forty-five consecutive days where the payment medium used for the
      rental or lease was a credit card issued to an account group member that
      is  an  employee  of  an  entity  that  has contracted with a sponsor to
      provide credit cards to the entity's employees  primarily  for  business
      use; or thirty-one consecutive days for all other authorized users;
        (D) the motor vehicle is rented or leased without a driver; and
        (E) the amount of the coverage does not exceed five thousand dollars.
        (6)  Losses  incurred  in  connection  with  the unauthorized use of a
      payment medium, where:
        (A) one or more individuals  are  designated  authorized  users  of  a
      payment  medium by virtue of their status as employees of a group member
      in accordance with procedures  established  by  such  group  member  for
      authorized use of the payment medium;
        (B)  the  group  member  that employs such authorized users has agreed
      with another group member to pay obligations arising  from  the  use  of
      such payment medium by such authorized users;
        (C)  an  authorized  user uses such payment medium in a manner that is
      unauthorized by the group member that employs the authorized user;
        (D) the obligation of the group member  that  employs  the  authorized
      users to such other group member, pursuant to the agreement described in
      subparagraph  (B)  of  this  paragraph for a loss incurred in connection
      with use in an unauthorized manner, is  discharged  by  payment  of  the
      insurance benefit to such other group member;
        (E) the amount of coverage shall be limited to the amount of the loss,
      but in no event shall exceed fifteen thousand dollars; and
        (F) for purposes of this paragraph only, the term "group member" shall
      include (i) those entities specified in subparagraphs (A) through (F) of
      paragraph  seven  of  subsection  (a) of this section which are insureds
      under the insurance described in subparagraph (D) of this paragraph, and
      (ii) employers of account group members who  are  designated  authorized
      users of a payment medium by virtue of their employee status.
        (7)  Loss  resulting  from  an  inability  to use a ticket to an event
      where:
        (A) the ticket was purchased with the account group  member's  payment
      medium;
        (B)  the  event  does  not fully reimburse the person for the expenses
      disbursed or to be disbursed for the  ticket,  including  any  fees,  or
      provide a ticket of equal value or a rain check;
        (C)  the amount of coverage is limited to the amount charged, debited,
      or drawn, but shall not exceed seven hundred fifty dollars  per  ticket;
      and
        (D) the coverage is excess over any other reimbursement.
        (8) Loss due to cancellation of a catered affair where:
        (A)  the  expenses  were  paid  by means of the account group member's
      payment medium;
    
        (B) the amount of coverage is limited to the amount charged,  debited,
      or  drawn,  but  shall  not exceed thirty thousand dollars in any twelve
      month period; and
        (C) the coverage is excess over any other reimbursement.
        (9)  Loss of tuition and other educational expenses due to a student's
      dismissal or withdrawal from an educational institution where:
        (A) expenses were paid by means of the account group member's  payment
      medium;
        (B)  the amount of coverage is limited to the amount charged, debited,
      or drawn, but shall not exceed sixty  thousand  dollars  in  any  twelve
      month period; and
        (C) the coverage is excess over any other reimbursement.
        (10)  Loss  resulting from the cancellation or interruption of a trip,
      where:
        (A) coverage is limited to a specific trip;
        (B) the trip was paid by means of the account group  member's  payment
      medium;
        (C)  the amount of coverage is limited to the amount charged, debited,
      or drawn, but shall not exceed fifteen thousand dollars per trip; and
        (D) the coverage is excess over any other reimbursement.
        (11) Loss of or damage to personal property, where:
        (A) (i) the authorized user owns or uses the  personal  property,  and
      the loss or damage occurs in connection with a specific trip; or
        (ii)  a  beneficiary  other  than  an authorized user owns or uses the
      personal property, and the loss or damage occurs in  connection  with  a
      specific trip, if coverage is provided under the account group policy to
      the beneficiary as an additional insured;
        (B)  the  trip was paid by means of the account group member's payment
      medium;
        (C) the amount of coverage does not exceed one  thousand  dollars  per
      article of personal property, and five thousand dollars in the aggregate
      for all insureds per trip; and
        (D)  the  coverage  is  excess  over  any  other valid and collectible
      insurance covering the same article of personal property.
        (12) Coverages which,  in  the  opinion  of  the  superintendent,  are
      determined to be substantially similar to one of the foregoing coverages
      specified  in  paragraphs one through eleven of this subsection, or such
      other coverages that the superintendent determines are limited in scope,
      and not  duplicative  or  a  substitute  for  other  more  comprehensive
      coverages, and thereupon for purposes of this section shall be deemed to
      be    permissible   pursuant   to   regulations   promulgated   by   the
      superintendent.
        (e) (1) An account group policy  shall  not  cover  a  motor  vehicle,
      except  in  regard  to coverage under paragraph two of subsection (c) of
      this section.
        (2) An account group policy shall not be considered  a  motor  vehicle
      policy for purposes of this chapter.
        (f)  The premium for the account group policy, including certificates,
      may be paid by the group policyholder from funds contributed:
        (1) wholly by the group policyholder;
        (2) wholly by the group members; or
        (3) jointly by the group policyholder and group members.
        (g)  (1)  Any  policy  dividend,  retrospective  premium  credit,   or
      retrospective  premium  refund  in respect of premiums paid by the group
      policyholder may:
        (A) be applied  to  reduce  the  premium  contribution  of  the  group
      policyholder,  but  not in excess of the proportion to its contribution;
      or
    
        (B) be retained by the group policyholder.
        (2)   Any   policy   dividend,   retrospective   premium   credit,  or
      retrospective premium refund not distributed under paragraph one of this
      subsection shall be:
        (A)  applied  to  reduce  future  premiums  and,  accordingly,  future
      contributions, of existing or future group members, or both; or
        (B)  paid  or  refunded to those group members insured on the date the
      payment or refund is made to the group policyholder, if  distributed  by
      the  group  policyholder,  or  on  the  date  of mailing, if distributed
      directly by the insurer, subject to the following requirements:
        (i) the insurer shall be responsible for determining the allocation of
      the payment or refund to the group members;
        (ii) if the group policyholder distributes the payment or refund,  the
      insurer  shall be responsible for audit to ascertain that the payment or
      refund is actually made in accordance with the allocation procedure; and
        (iii) if the group policyholder fails to make the payment  or  refund,
      the  insurer shall make the payment or refund directly or use the method
      provided in subparagraph (A) of this paragraph.
        (3) Notwithstanding paragraphs one and two of this  subsection,  if  a
      dividend  accrues  upon  termination  of coverage under an account group
      policy, the premium for which was paid out of funds contributed by group
      members specifically for the coverage, the dividend  shall  be  paid  or
      refunded  by  the group policyholder to the group members insured on the
      date the payment or refund is made to the  group  policyholder,  net  of
      reasonable  expenses  incurred  by  the  group policyholder in paying or
      refunding the dividend to such group members.
        (4) For the purposes of this subsection, "dividend" means a return  by
      an insurer to a group policyholder of excess premiums paid by that group
      policyholder   in   light   of   favorable  loss  experience,  including
      retrospective premium credits or retrospective premium refunds. The term
      "dividend" does not include reimbursements or fees received by  a  group
      policyholder  in  connection  with the operation or administration of an
      account group policy, including administrative reimbursements, fees  for
      services  provided  by  the group policyholder, or transactional service
      fees.
        (h) The insurer must treat in like manner all eligible  account  group
      members of the same class and account status.
        (i) The group shall consist of at least one thousand members.
        (j)  An  account group policy or certificate shall not be eligible for
      placement  by  an  excess  line  broker  licensed  pursuant  to  article
      twenty-one of this chapter.
        (k)  Coverage  provided  under  an account group policy or certificate
      issued pursuant to paragraph four of  subsection  (d)  of  this  section
      shall  be  deemed  miscellaneous  property  insurance,  as enumerated in
      paragraph five of subsection (a) of section  one  thousand  one  hundred
      thirteen of this chapter.
        (l)  (1)  The insurer shall be responsible for the mailing or delivery
      of a certificate of insurance to each group  member  insured  under  the
      account  group  policy.  The  insurer  shall also be responsible for the
      mailing or delivery to each group member of an  amended  certificate  of
      insurance, or endorsement to the certificate, whenever there is a change
      of   limits;  change  in  type  of  coverage;  addition,  reduction,  or
      elimination of coverage; or addition of  exclusion,  under  the  account
      group policy or certificate.
        (2)  The certificate shall contain in substance all material terms and
      conditions of coverage afforded to the group member, unless the  account
      group policy is incorporated by reference and a copy of the group policy
      accompanies the certificate.
    
        (3)  If  coverage  afforded  to  the  group  member is excess of other
      applicable insurance coverage, the certificate shall  contain  a  notice
      advising  the  group  member  that,  if  the  member has other insurance
      coverage, specified coverages under the account  group  policy  will  be
      excess over the other insurance.
        (m)  A  group policyholder shall comply with the provisions of section
      two thousand one hundred twenty-two of this chapter, in the same  manner
      as  an  agent or broker, in any advertisement, sign, pamphlet, circular,
      card, or other  public  announcement  referring  to  coverage  under  an
      account group policy or certificate.
        (n)  An  account  group  policy or certificate shall not be subject to
      section  three  thousand  four  hundred  twenty-five  or  section  three
      thousand   four  hundred  twenty-six  of  this  article.  The  following
      requirements shall apply in regard to termination of coverage:
        (1) (A) An account group policy or certificate may be cancelled by  an
      insurer  only if cancellation is based on one or more of the reasons set
      forth in subparagraphs (A) through (D) or (F) through (H)  of  paragraph
      one  of subsection (c) of section three thousand four hundred twenty-six
      of this article; provided, however, that an act or omission by  a  group
      member   which  would  constitute  the  basis  for  cancellation  of  an
      individual certificate shall not constitute the basis  for  cancellation
      of the account group policy.
        (B)  Where the premium is derived wholly from funds contributed by the
      group policyholder, an individual certificate may be  cancelled  by  the
      insurer  only if cancellation is based on one or more of the reasons set
      forth in subparagraph (B), (C) or (H) of paragraph one of subsection (c)
      of section three thousand four hundred twenty-six of this article.
        (2)  (A)  An  insurer's  cancellation  of  an  account  group  policy,
      including  all  certificates,  shall  not become effective until fifteen
      days after the insurer mails or delivers written notice of  cancellation
      to the group policyholder at the mailing address shown in the policy.
        (i) Where all or part of the premium is derived from funds contributed
      by  a  group  member  specifically  for  the coverage, written notice of
      cancellation of the  account  group  policy  shall  also  be  mailed  or
      delivered  by  the  insurer  to  the  group member at the group member's
      mailing address.
        (ii) Where none of the premium is derived from funds contributed by  a
      group member specifically for the coverage, the group policyholder shall
      mail  or  deliver  written notice to the group member advising the group
      member of the cancellation of the account group policy and the effective
      date of cancellation. The written notice shall be mailed or delivered by
      the group policyholder within ninety  days  after  receiving  notice  of
      cancellation from the insurer.
        (B)  An  insurer's cancellation of an individual certificate shall not
      become effective until fifteen days after the insurer mails or  delivers
      written notice of cancellation to the group member at the group member's
      mailing  address  and  to  the group policyholder at the mailing address
      shown in the account group policy.
        (C) (i) A group policyholder  may  cancel  an  account  group  policy,
      including  all  certificates,  or  any  individual  certificate, for any
      reason upon thirty days written notice to the  insurer  and  each  group
      member; and
        (ii)  The  group  policyholder shall mail or deliver written notice to
      each affected group member of the group policyholder's  cancellation  of
      the  account  group  policy  or  certificate  and  the effective date of
      cancellation. Such written notice shall be mailed or  delivered  to  the
      group  member's  mailing  address  at  least  thirty  days  prior to the
      effective date of the cancellation.
    
        (3) (A) Unless an account group policy provides for  a  longer  policy
      period, the policy and all certificates shall be issued or renewed for a
      one-year policy period.
        (B)  The  group  policyholder  shall  be entitled to renew the account
      group policy and all certificates upon timely  payment  of  the  premium
      billed to the group policyholder for the renewal, unless:
        (i)  the  insurer  mails or delivers to the group policyholder and all
      group members written notice of nonrenewal, or conditional renewal; and
        (ii) the written notice is mailed or delivered at  least  thirty,  but
      not  more  than  one  hundred  twenty  days prior to the expiration date
      specified  in  the  policy  or,  if  no  date  is  specified,  the  next
      anniversary date of the policy.
        (C)  Notwithstanding  subparagraph  (A)  of this paragraph, an account
      group policy insuring an experimental program that is test marketed  for
      a  period  of  one  hundred  twenty  days or less may be issued for that
      policy period. The provisions of  subparagraph  (B)  of  this  paragraph
      shall  not  apply  if  the group members were previously notified of the
      expiration date of the account group policy.
        (4) (A) Where the account group policy  is  nonrenewed  by  the  group
      policyholder,  the  group  policyholder  shall  mail  or deliver written
      notice to each group member advising the group member of  nonrenewal  of
      the  account  group  policy  and  the  effective date of nonrenewal. The
      written notice shall be mailed or delivered by the group policyholder at
      least thirty days prior to the nonrenewal.
        (B) The provisions of subparagraph (A) of  this  paragraph  shall  not
      apply  in  the  case  of  a  sponsor's  nonrenewal in connection with an
      account group policy insuring an experimental program test marketed  for
      a  period  of one hundred twenty days or less, if the group members were
      previously notified of the expiration date of the account group policy.
        (5) Every notice of cancellation, nonrenewal, or  conditional  renewal
      shall   contain   the  specific  reason  or  reasons  for  cancellation,
      nonrenewal, or conditional renewal.
        (6) (A) An insurer shall not be required under this subsection to give
      notice to a group member if the insurer has been advised by  either  the
      group   policyholder  or  another  insurer  that  substantially  similar
      coverage has been obtained from  the  other  insurer  without  lapse  of
      coverage.
        (B)  A  group policyholder shall not be required under this subsection
      to give notice to a group member if substantially similar  coverage  has
      been obtained from another insurer without lapse of coverage.
        (7)  (A)  If, prior to the effective date of cancellation, nonrenewal,
      or conditional renewal of the account group policy,  or  a  certificate,
      whether  initiated  by  the  insurer, group policyholder or by the group
      member in regard to the group member's  certificate,  coverage  attaches
      pursuant  to the terms of an account group policy providing insurance of
      one or more of the types enumerated in this section, then  the  coverage
      shall be effective until expiration of the applicable period of coverage
      provided  in  the account group policy notwithstanding the cancellation,
      nonrenewal or conditional nonrenewal of the account group policy.
        (B) Notwithstanding subparagraph (A) of this paragraph, an insurer may
      terminate coverage under an individual certificate on the effective date
      of cancellation, if the certificate is cancelled in accordance with  the
      provisions of subparagraph (B) of paragraph one of this subsection.
        (o)  The  superintendent  may,  pursuant  to  regulation,  adjust  the
      monetary limitations set forth in subsection (d)  of  this  section  for
      inflation.