120.915 Insurers’ Procedures Regarding Termination and Resignations
The Medical Society of the State of New York will urge the New York State Department of Financial Services (DFS) to require insurers to provide clear instructions for physicians who wish to terminate or resign from participation agreements; specifically, the insurers should be required to publicize mailing addresses for termination/resignation requests, any wording that is required for these requests and the insurers should post these instructions in written publications and on websites (ie, a Termination/Resignation Request form might be included in the insurer’s Interactive Forms library).
Additionally MSSNY will urge the NYS DFS to require that when an insurer receives a physician’s termination/resignation request, it send the physician a written confirmation by email, fax, or certified mail, stating that it has received the request, the date on which the termination will take effect and listing instructions on how the physician is to handle claims that are being held or are currently pending in the insurer’s system. (HOD 2018-255)
