New York State Department of Health
New York Early Intervention System (NYEIS) Electronic Mailing List
Reminder: Determining Regulated/Non-Regulated Status
Dear
Colleague:
Service coordinators can take the following steps to determine whether an
insurance plan/policy is regulated or not regulated by New York State Law:
1. Contact the insurer using the toll-free phone number on the back of the
card.
2. Select the “Non-Member” option if there is one. If not, proceed as
“Member” and enter “Policy Number” if asked. This will send you to the
Department who manages this type of policy. Make your way through the prompts
to speak to a representative. Any customer service representative should be
able to assist you, however, you can ask for a supervisor if needed.
3. Tell the representative that you need
to verify the child’s benefits under the policy/plan.
4. Provide the policy number or member
identification number.
5. Ask the following question (the
representative will most likely NOT be familiar with the terms ‘regulated’ or
‘non-regulated’):
a. Is this policy a fully-insured
policy issued in New York State?
i. If
yes, the policy/plan IS regulated by New York State.
ii. If
no, the policy/plan IS NOT regulated by New York State.
(Note: “Fully-insured” means it is NOT
self-funded. “Issued” in New York State means it is NOT issued or written in
another state and only administered in New York State. If the plan is
identified as a Health Savings Account (HSA), remember this is NOT considered
insurance.)
6. Additional Department guidance on
regulated/non-regulated insurance can be found at the following link: https://support.eibilling.com/KB/a131/regulated-insurers-list.aspx.
Please do not respond to this e-mail.
Thank you.