# 11 NYCRR 65-5.0: Preamble

- Part of: 11 NYCRR Subpart 65-5 (Insurance Regulation 68-E), Unauthorized Providers Of Health Services; 11 NYCRR Part 65 (Insurance Regulation 68)
- Page: https://www.beynensonlaw.com/no-fault-regulations/11-nycrr-65-5-0/
- 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:65-5.0(a)(2)`.

## Text

(a) For years, certain owners and operators of professional service corporations or other similar business entities have abused the no-fault insurance system. These persons are involved in activities that include intentionally staging accidents and billing no-fault insurers for health services that were unnecessary or never in fact rendered. This fraud costs no-fault insurers tens if not hundreds of millions of dollars, which insurers ultimately pass on to New York consumers in the form of higher automobile insurance premiums. It also threatens the affordability of health care and the public’s health, safety, and welfare.

(b) Insurance Law section 5109 requires the Superintendent of Financial Services, in consultation with the Commissioner of Health and the Commissioner of Education, to establish standards and procedures for the investigation and suspension or removal of a provider of health services’ authorization to demand or request payment for health services provided under Insurance Law article 51. This Subpart implements Insurance Law section 5109.

## Historical note

Sec. filed: March 9, 2012 as emergency measure; June 6, 2012 as emergency measure; Aug. 31, 2012 as emergency measure; Nov. 28, 2012 as emergency measure; Feb. 25, 2013 as emergency measure; May 24, 2013 as emergency measure; July 22, 2013 as emergency measure; Sept. 19, 2013 as emergency measure; Oct. 24, 2013 eff. Nov. 13, 2013.

## Decisions citing this section (1)

From the beynensonlaw.com case-law database, grouped by the subdivision cited. Highest court first, then most-cited first. Compiled automatically from the text of the decisions.

### Section cited without a subdivision (1)

- [Government Employees Ins. Co. v Mayzenberg (2025 NY Slip Op 06527)](https://www.beynensonlaw.com/case-law/government-employees-ins-co-v-mayzenberg-2025-ny-slip-op-06527/) — Court of Appeals