§ 4301 Organization of Corporation; Purposes; Board of Directors
§ 4302 Permit and License to Do Business
§ 4303 Benefits
§ 4303-A Prescription Synchronization
§ 4304 Individual Contracts
§ 4305 Group Contracts
§ 4306 Required Contract Provisions
§ 4306-A Health Insurance Coverage for Full-Time Students On Medical Leaves of Absence
§ 4306-B Primary and Preventive Obstetric and Gynecologic Care
§ 4306-C Grievance Procedure and Access to Specialty Care
§ 4306-D Choice of Health Care Provider
§ 4306-E Prohibition On Lifetime and Annual Limits
§ 4306-F Maternal Depression Screenings
§ 4306-G Telehealth Delivery of Services
§ 4306-H Essential Health Benefits Package and Limit On Cost-Sharing
§ 4307 Providers of Services
§ 4308 Supervision of Superintendent
§ 4309 Limitation On Expenses
§ 4310 Investments; Financial Conditions; Reserves
§ 4312 Employment of Solicitors; Pension Plans
§ 4313 Applicability of Other Provisions of This Chapter
§ 4314 Not to Affect Provisions of Workers’ Compensation Law
§ 4315 Arbitration; Judicial Review
§ 4316 Individual Contracts; Premium Refund At Death of Insured
§ 4317 Rating of Individual and Small Group Health Insurance Contracts
§ 4318 Pre-Existing Condition Provisions
§ 4318-A Certification of Creditable Coverage by Corporations Organized Under This Article
§ 4320 Limitations On Administrative Services and Stop-Loss Coverage
§ 4321 Standardization of Individual Enrollee Direct Payment Contracts Offered by Health Maintenance Organizations Prior to October First, Two Thousand Thirteen
§ 4321-A Fund for Standardized Individual Enrollee Direct Payment Contracts
§ 4322 Standardization of Individual Enrollee Direct Payment Contracts Offered by Health Maintenance Organizations Which Provide Out-of-Plan Benefits Prior to October First, Two Thousand Thirteen
§ 4322-A Fund for Standardized Individual Enrollee Direct Payment Contracts Which Provide Out-of-Plan Benefits
§ 4323 Marketing Materials
§ 4324 Disclosure of Information
§ 4325 Prohibitions
§ 4326 Standardized Health Insurance Contracts for Qualifying Small Employers and Individuals
§ 4327 Stop Loss Funds for Standardized Health Insurance Contracts Issued to Qualifying Small Employers and Qualifying Individuals
§ 4328 Individual Enrollee Direct Payment Contracts Offered by Health Maintenance Organization On and After October First, Two Thousand Thirteen
§ 4329 Prescription Drug Coverage
§ 4330 Discrimination Because of Sex or Marital Status in Hospital, Surgical or Medical Expense Insurance

Terms Used In New York Laws > Insurance > Article 43 - Non-Profit Medical and Dental Indemnity, or Health and Hospital Service Corporations

  • Affirmed: In the practice of the appellate courts, the decree or order is declared valid and will stand as rendered in the lower court.
  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Amortization: Paying off a loan by regular installments.
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Appraisal: A determination of property value.
  • Appropriation: The provision of funds, through an annual appropriations act or a permanent law, for federal agencies to make payments out of the Treasury for specified purposes. The formal federal spending process consists of two sequential steps: authorization
  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • Attachment: A procedure by which a person's property is seized to pay judgments levied by the court.
  • Baseline: Projection of the receipts, outlays, and other budget amounts that would ensue in the future without any change in existing policy. Baseline projections are used to gauge the extent to which proposed legislation, if enacted into law, would alter current spending and revenue levels.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Chambers: A judge's office.
  • charitable asset: shall mean assets representing five percent of the fair market value of the corporation seeking to convert into a corporation or other entity organized for pecuniary profit pursuant to paragraph two of this subsection; provided, however, that for the purposes of the conversion of a corporation or corporations after the effective date of the chapter of the laws of two thousand seven which amended this paragraph, "charitable asset" shall mean assets representing ten percent of the fair market value of the corporation or corporations. See N.Y. Insurance Law 4301
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Contract: A legal written agreement that becomes binding when signed.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Defendant: In a civil suit, the person complained against; in a criminal case, the person accused of the crime.
  • Dependent: A person dependent for support upon another.
  • Donor: The person who makes a gift.
  • Escrow: Money given to a third party to be held for payment until certain conditions are met.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Fair market value: The price at which an asset would change hands in a transaction between a willing, informed buyer and a willing, informed seller.
  • Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
  • Fraud: Intentional deception resulting in injury to another.
  • Grace period: The number of days you'll have to pay your bill for purchases in full without triggering a finance charge. Source: Federal Reserve
  • Indemnification: In general, a collateral contract or assurance under which one person agrees to secure another person against either anticipated financial losses or potential adverse legal consequences. Source: FDIC
  • Interest rate: The amount paid by a borrower to a lender in exchange for the use of the lender's money for a certain period of time. Interest is paid on loans or on debt instruments, such as notes or bonds, either at regular intervals or as part of a lump sum payment when the issue matures. Source: OCC
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity.
  • Lien: A claim against real or personal property in satisfaction of a debt.
  • Mortgage: The written agreement pledging property to a creditor as collateral for a loan.
  • Mortgage investing institution: means any bank, trust company, national bank, savings bank, savings and loan association, federal savings bank, federal savings and loan association, private banker, credit union, federal credit union, investment company, pension fund, licensed mortgage banker or any other entity which maintains a real property tax escrow account for real property located in this state. See N.Y. Real Property Tax Law 952
  • Mortgage loan: A loan made by a lender to a borrower for the financing of real property. Source: OCC
  • Mortgagor: means a person having title to and occupying a one to six family residence which is located in this state and is subject to a mortgage. See N.Y. Real Property Tax Law 952
  • Mortgagor: The person who pledges property to a creditor as collateral for a loan and who receives the money.
  • National Bank: A bank that is subject to the supervision of the Comptroller of the Currency. The Office of the Comptroller of the Currency is a bureau of the U.S. Treasury Department. A national bank can be recognized because it must have "national" or "national association" in its name. Source: OCC
  • Non-mortgagor: means a person having title to and occupying a one to six family residence which is located in this state and is not subject to a mortgage. See N.Y. Real Property Tax Law 952
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
  • Real property: Land, and all immovable fixtures erected on, growing on, or affixed to the land.
  • Real property tax escrow account: means an account established by contract between a mortgagor of real property improved by a one to six family residence and the mortgage investing institution having a mortgage thereon, into which the mortgage investing institution shall deposit money collected from the mortgagor for the purpose of paying taxes. See N.Y. Real Property Tax Law 952
  • Recourse: An arrangement in which a bank retains, in form or in substance, any credit risk directly or indirectly associated with an asset it has sold (in accordance with generally accepted accounting principles) that exceeds a pro rata share of the bank's claim on the asset. If a bank has no claim on an asset it has sold, then the retention of any credit risk is recourse. Source: FDIC
  • Remainder: An interest in property that takes effect in the future at a specified time or after the occurrence of some event, such as the death of a life tenant.
  • Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
  • Statute: A law passed by a legislature.
  • taxes: means a charge imposed upon real property by or on behalf of a county, city, town, village or school district for municipal or school district purposes, including a special ad valorem levy, special assessment or any similar charge. See N.Y. Real Property Tax Law 952
  • taxes: as used in this title shall include special assessments which are levied by the county legislative body at the time and in the manner provided by law for the levy of county and town taxes. See N.Y. Real Property Tax Law 972
  • Transcript: A written, word-for-word record of what was said, either in a proceeding such as a trial or during some other conversation, as in a transcript of a hearing or oral deposition.
  • Trial: A hearing that takes place when the defendant pleads "not guilty" and witnesses are required to come to court to give evidence.
  • Trustee: A person or institution holding and administering property in trust.