Section 211. Provision for payment of benefits  


Latest version.
  • A covered employer shall,
      with his own contributions  and  the  contributions  of  his  employees,
      provide  disability  benefits  to  his  employees  in one or more of the
      following ways:
        1. by insuring and keeping insured the payment of such benefits in the
      state fund, or
        2. by insuring and keeping insured the payment of such  benefits  with
      any  stock  or  mutual  corporation  or reciprocal insurer authorized to
      transact the business of accident and health insurance in this state, or
        3. by furnishing satisfactory proof to  the  chair  of  the  employers
      financial  ability  to  pay such benefits, in which case the chair shall
      require the deposit of such securities as the chair may  deem  necessary
      of  the  kind  prescribed in subdivisions one, two, three, four and five
      and paragraph a of subdivision seven of section two hundred  thirty-five
      of  the  banking law or the deposit of cash or the filing of irrevocable
      letters of credit issued by a qualified banking institution  as  defined
      by  rules promulgated by the chair or the filing of the bond of a surety
      company authorized to do business in  this  state,  conditioned  on  the
      payment  by  the  employer  of its obligations under this article and in
      form approved by the chair, or the posting and filing of  a  combination
      of such securities, cash, irrevocable letters of credit and surety bonds
      in  an  amount  to  be  determined  by  the  chair, to secure his or her
      liability to pay the compensation provided in this chapter.  The  amount
      of  deposit  or  of the penal sum of the bond shall be determined by the
      chair and shall not be less than one-half the estimated contributions of
      the employees of the employer for the ensuing year or  one-half  of  the
      contributions  of  the  employees  which  would  have  been  paid by the
      employees during the preceding year, whichever is  the  greater,  or  if
      such  amount is more than fifty thousand dollars an amount not less than
      fifty thousand dollars.   The chair shall  have  authority  to  deny  an
      application  to  provide  benefits  pursuant  to  this subdivision or to
      revoke approval at any time for good cause shown.  In  the  case  of  an
      employer  who  maintains a deposit of securities, irrevocable letters of
      credit or cash in accordance with subdivision three of section fifty  of
      this  chapter,  the chair may reduce the amount of the deposit or of the
      penal sum of the bond, provided the securities, irrevocable  letters  of
      credit or cash deposited by or for such employer under subdivision three
      of  section  fifty of this chapter are, by agreement satisfactory to the
      chair, made available for the payment  of  unpaid  benefits  under  this
      article with respect to obligations incurred for disabilities commencing
      prior  to  the  effective  date  of  such  revocation. An association of
      employers or employees authorized to pay benefits under this article  or
      the  trustee  or  trustees  paying  benefits  under  a plan or agreement
      authorized under subdivisions four and five of this  section,  may  with
      the  approval  of the chair furnish such proof and otherwise comply with
      the provisions  of  this  section  to  provide  disability  benefits  to
      employees under such plan or agreement.
        4.  by  a plan in existence on the effective date of this article.  If
      on the effective date  of  this  article  the  employees  of  a  covered
      employer  or  any  class  or  classes  of such employees are entitled to
      receive disability benefits under a plan or agreement which  remains  in
      effect  on  July first, nineteen hundred fifty, the employer, subject to
      the requirements of this section, shall be  relieved  of  responsibility
      for  making  provision  for benefit payments required under this article
      until the earliest date, determined by the chairman for the purposes  of
      this   article,  upon  which  the  employer  shall  have  the  right  to
      discontinue the provisions thereof or to discontinue  his  contributions
      towards  the  cost.  Any such plan or agreement may be extended, with or
    
      without modification, by agreement or collective bargaining  between  an
      employer  or employers or association of employers and an association of
      employees, in which event the period for which the employer is  relieved
      of such responsibility shall include such period of extension. Any other
      plan  or  agreement  in  existence on the effective date of this article
      which the employer may, by his sole act, terminate at any time, or  with
      respect  to which he is not obligated to continue for any period to make
      contributions, may  be  accepted  by  the  chairman  as  satisfying  the
      obligation  to provide for the payment of benefits under this article if
      such plan or agreement provides benefits at least as  favorable  as  the
      disability  benefits  provided  by  this  article  and  does not require
      contributions of any employee or of any class or classes of employees in
      excess of the statutory amount provided in  section  two  hundred  nine,
      subdivision  three, except by agreement and provided the contribution is
      reasonably related to the value of the benefits  as  determined  by  the
      chairman. The chairman may require that the employer shall enter into an
      agreement  in writing with the chairman that he will pay the assessments
      set forth in sections two hundred fourteen and two hundred  twenty-eight
      and  that  until he shall have filed written notice with the chairman of
      his election to terminate such  plan  or  agreement  or  to  discontinue
      making  necessary contributions to its cost, he will continue to provide
      for the payment of the disability benefits under such plan or agreement.
        During any period in which any plan or agreement or extension  thereof
      authorized under this subdivision provides for payment of benefits under
      this article, the responsibility of the employer and the obligations and
      benefits of the employees shall be as provided in said plan or agreement
      rather  than  as  provided  under  this article, other than the benefits
      provided in section two hundred seven,  and  provided  the  employer  or
      carrier  has  agreed  to  pay  the assessments described in sections two
      hundred fourteen and two hundred twenty-eight.
        Any  such  plan  or  agreement  may  be  extended  with   or   without
      modification,  provided  the  benefits  under such plan or agreement, as
      extended or modified, shall be found by the chairman to be at  least  as
      favorable as the benefits provided by this article.
        5.  by  a  new  plan  or  agreement.  After the effective date of this
      article, a new plan or agreement with a carrier may be accepted  by  the
      chairman  as  satisfying  the  obligation  to provide for the payment of
      benefits under this article if such  plan  or  agreement  shall  provide
      benefits  at  least  as favorable as the disability benefits provided by
      this article and does not require contributions of any  employee  or  of
      any  class  or  classes  of  employees in excess of the statutory amount
      provided in section two  hundred  nine,  subdivision  three,  except  by
      agreement  and  provided  the  contribution is reasonably related to the
      value of the benefits as determined by the chairman. Any  such  plan  or
      agreement shall continue until written notice filed with the chairman of
      intention  to  terminate such plan or agreement, and any modification of
      such plan or agreement shall be subject to the written approval  of  the
      chairman.
        During  any period in which any plan or agreement or extension thereof
      authorized under this subdivision provides for payment of benefits under
      this article, the responsibility of the employer and the obligations and
      benefits of the employees shall be as provided in said plan or agreement
      rather than as provided under this  article,  other  than  the  benefits
      provided  in  section  two  hundred  seven, and provided the employer or
      carrier has agreed to pay the  assessments  described  in  sections  two
      hundred fourteen and two hundred twenty-eight.
        6.  if  any  plan  or agreement authorized under subdivisions four and
      five of this section covers less than all of the employees of a  covered
    
      employer, the provisions of this article shall apply with respect to his
      remaining employees not covered under such plan or agreement.
        The  chairman  may  make  reasonable  regulations for the filing under
      subdivisions four and five of this section of plans  and  agreements  to
      provide for the payment of benefits under this article.