New York No-Fault Regulations 11 NYCRR Subpart 65-3: Claims for Personal Injury Protection Benefits
11 NYCRR 65-3.17: Explanation of benefits
Text of 11 NYCRR 65-3.17 (Insurance Regulation 68-C) as published by the New York State Department of Financial Services, checked against the Department's list of amendments through October 4, 2026.
This is an unofficial copy. The official text is in the New York Codes, Rules and Regulations. Decisions apply the version in force at the time of the claim, which may differ from the current text.
At least for every six month period during which any benefits are paid, the insurer shall forward an explanation of benefits (EOB) to the eligible injured person and such person’s attorney. The first six month period shall commence on the date of the accident and the EOB shall be mailed within 60 days of the conclusion of the period selected by the insurer. Such EOB shall include, at a minimum, the name of the payee, a description of the service or benefit claimed and the amount paid. It shall also include the fraud warning statement prescribed on the application for motor vehicle no-fault benefits (NYS form NF-2) contained in Appendix 13, infra, and the name, address and telephone number of the insurer representative to whom questions should be directed.
Historical note
Sec. filed Aug. 2, 2001 eff. Sept. 1, 2001.