# N.Y. ISC Law § 4913: Conflict of interest

> New York · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_NY_AISC_A49_T2_S4913

## Section

- **Citation:** N.Y. ISC Law § 4913
- **Heading:** Conflict of interest
- **Jurisdiction:** New York
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** New York Code / Act ISC / Article 49 / Title 2 / Section 4913

## Text

§ 4913. Conflict of interest. (a) No external appeal agent or officer,\ndirector, or management employee thereof; or clinical peer reviewer\nemployed or engaged thereby to conduct any external appeal pursuant to\nthis title, shall have any material professional affiliation, material\nfamilial affiliation, material financial affiliation, or other\naffiliation prescribed pursuant to regulation, with any of the\nfollowing:\n (1) the health care plan;\n (2) any officer, director, or management employee of the health care\nplan;\n (3) any health care provider, physician's medical group, independent\npractice association, or provider of pharmaceutical products or services\nor durable medical equipment, proposing to provide or supply the health\nservice;\n (4) the facility at which the health service would be provided;\n (5) the developer or manufacturer of the principal health service\nwhich is the subject of the appeal; or\n (6) the insured whose health care service is the subject of the\nappeal, or the insured's designee.\n (b) Notwithstanding subsection (a) of this section, the superintendent\nshall promulgate regulations to minimize any conflict of interest where\nsuch conflict may be unavoidable.\n

## Nearby sections

- [N.Y. ISC Law § 4910 Right to external appeal established](https://www.frixlaw.com/law-library/statutes/STATE_NY_AISC_A49_T2_S4910.md)
- [N.Y. ISC Law § 4911 Powers of the superintendent](https://www.frixlaw.com/law-library/statutes/STATE_NY_AISC_A49_T2_S4911.md)
- [N.Y. ISC Law § 4912 Standards for certification](https://www.frixlaw.com/law-library/statutes/STATE_NY_AISC_A49_T2_S4912.md)
- [N.Y. ISC Law § 4913 Conflict of interest](https://www.frixlaw.com/law-library/statutes/STATE_NY_AISC_A49_T2_S4913.md)
- [N.Y. ISC Law § 4914 Procedures for external appeals of adverse determinations](https://www.frixlaw.com/law-library/statutes/STATE_NY_AISC_A49_T2_S4914.md)
- [N.Y. ISC Law § 4915 Prohibited practices](https://www.frixlaw.com/law-library/statutes/STATE_NY_AISC_A49_T2_S4915.md)
- [N.Y. ISC Law § 4916 Oversight and surveillance of the external appeal process](https://www.frixlaw.com/law-library/statutes/STATE_NY_AISC_A49_T2_S4916.md)
- [N.Y. ISC Law § 4917 Hold harmless](https://www.frixlaw.com/law-library/statutes/STATE_NY_AISC_A49_T2_S4917.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_NY_AISC_A49_T2_S4913. Check the current official text before relying on it. Not legal advice.