Section 4307. Providers of services  


Latest version.
  • (a) Any hospital service corporation or
      health  service  corporation  may  provide benefits for the rendering of
      hospital service to persons covered under its contracts (i) by hospitals
      maintained by the  state  or  any  of  its  political  subdivisions,  or
      maintained  by  a  corporation organized for hospital purposes under the
      not-for-profit  corporation  law,  (ii)   by   such   other   hospitals,
      convalescent  institutions and nursing homes as shall have been approved
      by the commissioner of health for such purpose, (iii) with such  private
      or  public  instrumentalities  providing  home nursing services as shall
      have been approved by the  commissioner  of  health  for  such  purpose,
      and/or  (iv) subject to the approval of the superintendent, with similar
      corporations of other states and hospitals of other  states  subject  to
      the supervision of such other states.
        * (d)  In  the event a health maintenance organization which is either
      licensed as a health  service  corporation  under  this  article  or  is
      operating  pursuant  to a certificate of authority granted in accordance
      with the provisions of article forty-four of the public health  law,  or
      any other health service corporation is deemed insolvent, as provided in
      subsection  (c)  of  section  four  thousand  three  hundred ten of this
      article, then no individual subscriber or enrollee of, or served by, the
      health maintenance organization or health service corporation  shall  be
      liable  to any provider of health care services for any covered services
      of the insolvent  health  maintenance  organization  or  health  service
      corporation.  No  provider of health care services or any representative
      of such provider shall collect or attempt to collect from the individual
      subscriber or enrollee sums owed by a health maintenance organization or
      health  service  corporation  deemed  insolvent,  and  no  provider   or
      representative  of  such provider may maintain any action at law against
      an individual subscriber or  enrollee  to  collect  sums  owed  to  such
      provider  by  such  health  maintenance  organization  or health service
      corporation.
        * NB Amended by § 112-a and Repealed by § 143 of 639/96