Internal prototype — noindexed, not linked from public navigation yet.

Statutes » New York » ISC Law » Article 49

N.Y. ISC Law § 4916

This is the official text of N.Y. ISC Law § 4916, 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.

Not legal advice. This page reproduces the official text of a government statute for reference only. Laws change, and how a statute applies depends on your specific facts. For advice about your situation, consult a licensed attorney in your state.

Oversight and surveillance of the external appeal process

Official statutory text

§ 4916. Oversight and surveillance of the external appeal process. (a)\nThe superintendent shall have the power to:\n (1) review the activities of the health care plans and external appeal\nagents pursuant to this title, including the extent to which such plans\nand agents adhere to the standards and time frames required pursuant to\nthis title;\n (2) investigate complaints by insureds regarding requests for and\nprocessing of external appeals; and\n (3) conduct random audits of health care plans and external appeal\nagents to determine compliance with the provisions of this title.\n (b) Each health care plan and external appeal agent shall annually, in\nsuch form as the superintendent shall require, report the number of\nexternal appeals requested by insureds and the outcomes of any such\nexternal appeals.\n (c) The superintendent shall annually report, by plan and by agent,\nsuch information to the governor and the legislature, provided that no\nsuch information shall be included which would otherwise be deemed\nconfidential information within the meaning of this chapter.\n

Status: in_force · Read it on the official government site

Need a lawyer in New York?

Find a New York lawyer
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.