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State RegulationsNY specificDifficulty 1/5

After a New York individual health policy is reinstated, for how long may the insurer apply overdue premiums retroactively?

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Answer & full 3-part explanation (select an option above, or peek)

Why C is correct

Under N.Y. Ins. Law §3216(d)(1)(D), upon reinstatement the insurer may apply overdue premiums retroactively for up to sixty days. This lets the insurer recover premium attributable to the period of interruption without demanding a lump sum from the insured up front, and it caps how far back the insurer can reach for unpaid premium.

Why the other options are wrong

  • A) Forty-five days marks the automatic-reinstatement date, not the retroactive-premium window.
  • B) Thirty-one days is the grace period for premium modes other than weekly or monthly.
  • D) Ten days is the post-reinstatement waiting period for sickness benefits.

Memory hook

Back premiums reach back sixty days, no further.

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