Learn About the Law
Get help with your legal needs
FindLaw’s Learn About the Law features thousands of informational articles to help you understand your options. And if you’re ready to hire an attorney, find one in your area who can help.
Current as of January 01, 2024 | Updated by FindLaw Staff
(a) No external appeal agent or officer, director, or management employee thereof; or clinical peer reviewer employed or engaged thereby to conduct any external appeal pursuant to this title, shall have any material professional affiliation, material familial affiliation, material financial affiliation, or other affiliation prescribed pursuant to regulation, with any of the following:
(1) the health care plan;
(2) any officer, director, or management employee of the health care plan;
(3) any health care provider, physician's medical group, independent practice association, or provider of pharmaceutical products or services or durable medical equipment, proposing to provide or supply the health service;
(4) the facility at which the health service would be provided;
(5) the developer or manufacturer of the principal health service which is the subject of the appeal; or
(6) the insured whose health care service is the subject of the appeal, or the insured's designee.
(b) Notwithstanding subsection (a) of this section, the superintendent shall promulgate regulations to minimize any conflict of interest where such conflict may be unavoidable.
Cite this article: FindLaw.com - New York Consolidated Laws, Insurance Law - ISC § 4913. Conflict of interest - last updated January 01, 2024 | https://codes.findlaw.com/ny/insurance-law/isc-sect-4913/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature or via Westlaw before relying on it for your legal needs.
A free source of state and federal court opinions, state laws, and the United States Code. For more information about the legal concepts addressed by these cases and statutes, visit FindLaw's Learn About the Law.
Get help with your legal needs
FindLaw’s Learn About the Law features thousands of informational articles to help you understand your options. And if you’re ready to hire an attorney, find one in your area who can help.
Search our directory by legal issue
Enter information in one or both fields (Required)