New York Public Health Code § 2510

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§ 2510. Definitions. For the purpose of this title, unless the context\nclearly requires otherwise:\n  1. "Applicant" means an eligible organization which submits a proposal\nunder subdivision six of section two thousand five hundred eleven of\nthis title.\n  1-a. "Applicant for insurance" means the person or persons applying\nfor insurance coverage for a child pursuant to this title.\n  2. "Approved organization" means an eligible organization approved by\nthe commissioner under subdivision seven of section two thousand five\nhundred eleven of this title to underwrite a child health insurance plan\nand an organization approved by the commissioner under subdivision\nseven-a of section two thousand five hundred eleven of this title.\n  3. "Eligible organization" means:\n  (a) a commercial insurer;\n  (b) a corporation or health maintenance organization licensed under\narticle forty-three of the insurance law;\n  (c) a health maintenance organization certified under article\nforty-four of this chapter; or\n  (d) a comprehensive health services plan operating pursuant to\nregulations  of the department of social services or the department of\nhealth.\n  4. "Eligible child" or "eligible children" means a person or persons\nunder the age of thirteen years for the period January first, nineteen\nhundred ninety-one through December thirty-first, nineteen hundred\nninety-three; born on or after June first, nineteen hundred eighty and\nunder the age of sixteen for a period commencing on or after January\nfirst, nineteen hundred ninety-four through December thirty-first,\nnineteen hundred ninety-six; and for a person or persons enrolled in the\nprogram on the day before they are sixteen years of age, under the age\nof seventeen for a period commencing on or after June first, nineteen\nhundred ninety-five through December thirty-first, nineteen hundred\nninety-six; and under the age of nineteen for periods commencing on or\nafter January first, nineteen hundred ninety-seven, who meets or meet\nthe criteria in section two thousand five hundred eleven of this title.\n  5. "Child health insurance plan" means the written undertaking of an\napproved organization to provide coverage for covered health care\nservices to eligible children under this title.\n  6. "Period of eligibility" means that period commencing on the first\nday of the month during which a child is an eligible child and enrolled\nor recertified for enrollment on an annual basis based on all required\ninformation and documentation and ending on the last day of the twelfth\nmonth following such date, provided, however:\n  (a) the period of eligibility for a child who ceases to be eligible\nbecause he or she no longer resides in New York state or has access to\nor obtained other health insurance coverage, as defined by the\ncommissioner in consultation with the superintendent pursuant to\nparagraph (c) of subdivision two of section twenty-five hundred eleven\nof this article, shall end the last day of the month in which the child\nceases to be an eligible child; and\n  (b) the period of eligibility for a child who becomes eligible for\nmedical assistance shall end the last day of the third month after the\nchild becomes eligible for medical assistance; and\n  (c) the period of eligibility for a child for whom an applicable\npremium payment has not been paid shall end in accordance with time\nframes and procedures determined by the commissioner.\n  (d) effective on or after March first, two thousand twenty-three\nthrough March thirty-first, two thousand twenty-seven, subject to\nextension under Title XXI of the federal social security act, the period\nof eligibility for pregnant individuals enrolled in the child health\ninsurance plan shall include twelve months postpartum coverage\ncommencing on the first day of the month following the last day of\npregnancy and ending on the last day of the month in which the\ntwelve-month postpartum period ends; provided, however, such postpar

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