New York No-Fault Regulations 11 NYCRR Subpart 65-3: Claims for Personal Injury Protection Benefits

11 NYCRR 65-3.7: Election

Text of 11 NYCRR 65-3.7 (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.

Plain-text version (Markdown)

(a) If an insured has purchased optional basic economic loss (OBEL) coverage pursuant to section 5102(a)(5) of the Insurance Law, the insurer shall notify each eligible injured person (or that person’s legal representative) making a claim under such policy that such person may elect how OBEL coverage will be applied.

(b) The insurer shall mail form NYS form NF-13 to the eligible injured person or that person’s legal representative as soon as, and in no event later than 15 calendar days after, the insurer has received claims aggregating $30,000 in basic economic loss.

(c) If the eligible injured person or that person’s legal representative does not return the election form (NYS form NF-13) within 15 calendar days after the initial mailing, then within five calendar days after such time has elapsed the insurer shall mail to the eligible injured person or that person’s legal representative a second election notice, clearly marked “SECOND NOTICE.”

(d) Failure of the eligible injured person or that person’s legal representative to respond to the second notice within 15 calendar days after its mailing shall be considered an election by the eligible injured person to apply OBEL coverage to all elements of basic economic loss.

(e) Once made by the eligible injured person or that person’s legal representative, an OBEL election cannot be changed, except that, if claims payable under OBEL coverage have not yet been received by the company, an eligible injured person who has failed to respond to the second notice in a timely manner may make an election.

Historical note

Sec. filed Aug. 2, 2001 eff. Sept. 1, 2001.