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N.Y. ISC Law § 4306-E

This is the official text of N.Y. ISC Law § 4306-E, part of New York’s ISC Law — part of the compiled statutory law of New York, published by the state as "ISC Law." Browse the sections below, each linked to its official government source.

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Prohibition on lifetime and annual limits

Official statutory text

§ 4306-e. Prohibition on lifetime and annual limits. (a) A corporation\nshall not establish a lifetime limit on the dollar amount of essential\nhealth benefits in an individual, group or blanket contract of hospital,\nmedical, surgical or prescription drug expense insurance.\n (b) A corporation shall not establish an annual limit on the dollar\namount of essential health benefits in an individual, group or blanket\ncontract of hospital, medical, surgical or prescription drug expense\ninsurance for contract years beginning on and after January one, two\nthousand fourteen.\n (c) For contract years beginning prior to January one, two thousand\nfourteen, a corporation may establish restricted annual limits on the\ndollar amount of essential health benefits in an individual, group or\nblanket contract of hospital, medical, surgical or prescription drug\nexpense insurance consistent with section 2711 of the Public Health\nService Act, 42 U.S.C. § 300gg-11 or any regulations thereunder.\n (d) The requirements of subsections (b) and (c) of this section shall\nnot be applicable to any individual contract that is a grandfathered\nhealth plan. For purposes of this section, "grandfathered health plan"\nmeans coverage provided by a corporation in which an individual was\nenrolled on March twenty-third, two thousand ten for as long as the\ncoverage maintains grandfathered status in accordance with section\n1251(e) of the Affordable Care Act, 42 U.S.C. § 18011(e).\n (e) For purposes of this section, "essential health benefits" shall\nhave the meaning ascribed by section 1302(b) of the Affordable Care Act,\n42 U.S.C. § 18022(b).\n

Status: in_force · Read it on the official government site

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About this page: Statute text is reproduced from official government publishers via the Open US Law dataset (Vaquill AI, snapshot v2026.08, CC BY 4.0). Primary legislative text like this is public domain under the government-edicts doctrine (Georgia v. Public.Resource.Org, 2020). We link every section back to its official source so you can verify it independently.