# N.Y. ISC Law § 4916: Oversight and surveillance of the external appeal process

> New York · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_NY_AISC_A49_T2_S4916

## Section

- **Citation:** N.Y. ISC Law § 4916
- **Heading:** Oversight and surveillance of the external appeal process
- **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 4916

## Text

§ 4916. Oversight and surveillance of the external appeal process. (a)\nThe superintendent shall have the power to:\n (1) review the activities of the health care plans and external appeal\nagents pursuant to this title, including the extent to which such plans\nand agents adhere to the standards and time frames required pursuant to\nthis title;\n (2) investigate complaints by insureds regarding requests for and\nprocessing of external appeals; and\n (3) conduct random audits of health care plans and external appeal\nagents to determine compliance with the provisions of this title.\n (b) Each health care plan and external appeal agent shall annually, in\nsuch form as the superintendent shall require, report the number of\nexternal appeals requested by insureds and the outcomes of any such\nexternal appeals.\n (c) The superintendent shall annually report, by plan and by agent,\nsuch information to the governor and the legislature, provided that no\nsuch information shall be included which would otherwise be deemed\nconfidential information within the meaning of this chapter.\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_S4916. Check the current official text before relying on it. Not legal advice.