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State RegulationsNY specificDifficulty 2/5

A policyholder living in Buffalo buys an individual accident and health policy delivered in New York and later moves to another state. Under the conformity with state statutes provision, which law governs the policy's construction?

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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)(2)(I), the conformity provision looks to the statutes of the state in which the insured resided at the time the policy was issued. Because the insured was a New York resident when the New York policy was issued, New York law governs its construction, and a later move does not change the governing law. Agents can reassure relocating clients that the policy's construction does not shift with each move.

Why the other options are wrong

  • A) A later change of residence has no effect; the governing law is fixed at the time of issue.
  • B) The insurer's place of business is irrelevant; the provision keys to the insured's residence at issue.
  • D) No federal insurance code displaces state law here; the conformity clause references state statutes, not federal law.

Memory hook

Residence at issue locks in the law - later moves do not rewrite the policy.

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