N.Y. Comp. Codes R. & Regs. Tit. 11 §§ 60-2.4

Current through Register Vol. 46, No. 45, November 2, 2024

Section 60-2.4 - Arbitration of sum claims

(a) Every arbitration involving SUM coverage under the endorsement prescribed in section 60-2.3 of this Subpart shall be administered by an organization designated by the superintendent and conducted in accordance with procedures established by the designated organization and approved by the superintendent. Every request for arbitration of SUM disputes shall be filed directly with the designated organization.

(b) Qualifications of SUM arbitrators for hearings to be held in New York State.

(1) SUM Arbitrator Screening Committee. The superintendent will appoint an advisory committee of six members who will review the qualifications of applicants for the position of SUM arbitrator for hearings to be held in this State and review the performance of the appointed arbitrators. This committee shall make recommendations to the superintendent pertaining to the appointment and dismissal of SUM arbitrators. The committee shall consist of one representative of the New York State Bar Association, one representative of the New York State Trial Lawyers Association, two representatives of motor vehicle insurers, a non-voting representative of the designated organization and a non-voting representative of the superintendent. Tie votes shall be recorded as such to the superintendent.]

(2) A SUM arbitrator shall be an attorney, licensed to practice law in this State, with at least ten years of experience that the superintendent and SUM Arbitrator Screening Committee have determined qualifies the attorney to review and resolve the issues involved in SUM disputes. The SUM Arbitrator Screening Committee, subject to the approval of the superintendent, shall establish any additional qualifications for the position of SUM arbitrator. An applicant for the SUM arbitrator position shall submit documentation of experience along with an application to the superintendent and the SUM Arbitrator Screening

Committee. An arbitrator candidate shall disclose to the superintendent any circumstance that is likely to create an appearance of bias of that might disqualify the person as an arbitrator and the superintendent will determine whether the candidate should be disqualified.

(3) Every SUM arbitrator shall be appointed by, and serve at the pleasure of, the superintendent. Subsequent to reviewing the recommendations of the SUM Arbitrator Screening Committee, the superintendent will forward the names of all appointed or renewed arbitrators and promptly inform the designated organization of all additions to, or deletions from, the panel.

(4) No person shall, during the period of appointment as an arbitrator, have any practice or professional connection with any firm or insurer involved in any degree with motor vehicle insurance or negligence law.

(5) No person shall, during the period of appointment as an arbitrator, have any practice or professional connection with any firm or insurer involved in any degree with motor vehicle insurance or negligence law.

(c) Arbitrator's compensation. Arbitrators shall contract on an annual basis with the designated organization. The rate of compensation shall be determined by the designated organization, after consultation with the Arbitrator Screening Committee. Arbitrators shall be independent contractors and shall not be employees of the designated organization.

(d) SUM Optional Arbitration Advisory Committee. The insurer members of the No-Fault Optional Arbitration Advisory Committee, constituted pursuant to section 65.17(b)(3)(iv) of this Title, shall constitute an advisory committee that reviews the operations and the actual cost of administering the SUM arbitration forum.

(e) Financing.

(1) The cost of administering the SUM arbitration forum shall be paid quarterly by insurers to the designated organization upon receipt of a statement therefrom. This cost shall be distributed among insurers in an equitable manner as determined by the Superintendent of Financial Services. This distribution shall, to the extent practicable, be a function of the degree to which an insurer is named as a respondent in SUM arbitration proceedings.

(2) On an annual basis, no later than April 30 of each year, the designated organization shall prepare:

(i) an estimate of the annual expenses expected to be incurred for the operation and administration of the SUM forum, including an estimated assessment per closed case, that shall be subject to the approval of the superintendent.

(a) The designated organization shall send to each applicable insurer, on a quarterly basis or otherwise pursuant to paragraph four of this subdivision, a bill for the amount due.

(b) Any payment due shall be made to the designated organization within 30 days after the billing date.

(ii) a detailed analysis of the actual expenses incurred for the operation and administration of the SUM forum during the preceding calendar year.

(a) This analysis shall be forwarded to the SUM Optional Arbitration Advisory Committee and the superintendent.

(b) The SUM Optional Arbitration Advisory Committee shall notify the designated organization and the superintendent whether it accepts or rejects the designated organization's cost analysis in whole or in part.

(c) In the event that the designated organization and the SUM Optional Arbitration Advisory Committee cannot resolve any differences that may exist, such differences will be referred to the superintendent for resolution. The superintendent's decision shall be binding on the designated organization and insurers.

(3) Once the designated organization submits a final cost analysis that has either been approved by the SUM Optional Arbitration Advisory Committee or resolved by the superintendent, the designated organization shall send to each applicable insurer an accounting of the actual assessment. Any adjustment due to the difference between the estimate of expenses and the actual expenses incurred for the operation and administration of the SUM forum shall be made to the bill for the next quarterly estimated assessment.

(4) The designated organization and the SUM Optional Arbitration Advisory Committee may, by agreement subject to the approval of the superintendent, augment or modify the manner and timing of assessment billings through written guidelines.

(5) The designated organization shall impose an interest charge, at prime rate plus one percent, for all assessment charges that are unpaid for more than 90 days after the billing date. Interest collected will be used to reduce the overall current year SUM forum operating expenses.

N.Y. Comp. Codes R. & Regs. Tit. 11 §§ 60-2.4

Amended New York State Register July 26, 2017 /Volume XXXIX, Issue 30, eff. 8/1/2017