# 11 NYCRR 65-3.17: Explanation of benefits

- Part of: 11 NYCRR Subpart 65-3 (Insurance Regulation 68-C), Claims for Personal Injury Protection Benefits; 11 NYCRR Part 65 (Insurance Regulation 68)
- Page: https://www.beynensonlaw.com/no-fault-regulations/11-nycrr-65-3-17/
- Source: New York State Department of Financial Services, https://www.dfs.ny.gov/system/files/documents/2024/08/reg68_11_nycrr_65_full_txt.pdf (retrieved 2026-10-04)
- Checked against the Department's list of amendments through 2026-10-04
- Unofficial copy. The official compilation is the New York Codes, Rules and Regulations (NYCRR).
- Each provision below starts with its full path, so (a)(2) is paragraph (2) of subdivision (a). Stable IDs have the form `11nycrr:65-3.17(a)(2)`.

## 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.