120.999          Health Insurer Abuses:

MSSNY has urged the Superintendent of Insurance to enhance the means by which consumer and physician complaints regarding health insurance programs are addressed in a timely, informed and effective manner, through: (1) Development and identification of clearly defined complaint and review procedures; (2) Imposition of penalties designed to deal with insurance carrier abuses; (3) Provisions of 1-800 number enabling consumer and physician access to appropriate personnel associated with established appeals and grievance processes.

MSSNY is vigorously pursuing legislation or regulation to limit health insurance abuses which would include specific requirements with respect to the responsibility of the Superintendent of Insurance to more adequately monitor the activities of health insurers in the State. (HOD 1991-34; Reaffirmed HOD 2014; Reaffirmed HOD 2016-262)