General Information Disclosure
Underwriting Your Application for Insurance
Notice to New York Residents


General Information Disclosure:
This product information contains a partial description of the principal provisions and definitions of the proposed insurance coverage. The complete terms and conditions will be set forth in the Group Policy issued by New York Life Insurance Company to the NYSBA.

Notice: BR Corp., the NYSBA Insurance Administrator, pays the NYSBA an annual fee for administrative services and royalty rights.
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Important Notice:
How New York Life Underwrites Your Request For Group Term Life Insurance
Information regarding insurability will be treated as confidential. In considering your request for insurance, we will rely on the medical information you provide, and on the information you authorize us to obtain from your doctor, other medical practitioners and facilities, other insurance companies to which you have applied for insurance, and MIB (Medical Information Bureau). New York Life will not disclose such information to anyone except those you authorize or where required or permitted by law. We may make a brief report to MIB; however, we will not disclose our underwriting decision. Information in our files may be seen by New York Life and Plan Administrator employees, but only on a "need to know" basis in considering your request. Upon receipt of all requested information, we will make a determination as to whether your request for insurance can be approved.

MIB is a nonprofit organization of life insurance companies which operates an informational exchange on behalf of its members. When you apply for insurance or submit a claim for benefits to a MIB member company, medical or non-medical information may be given to the Bureau, which may then be furnished to member companies.

If we cannot provide the coverage you request, we will tell you why. If you feel our information is inaccurate, you will be given a chance to correct or complete the information in our files. Upon written request to New York Life or MIB, you will be provided with non-medical information. Generally, medical record information will be given either directly to the proposed insured or to a medical professional designated by the proposed insured. Your request is handled in accordance with the Fair Credit Reporting Act procedures. If you question the accuracy of the information provided by MIB, you may contact MIB and seek a correction. MIB's information office is at P.O. Box 105, Essex Station, Boston, MA 02112, telephone 1-866-692-6901 (TTY 1-866-346-3642).

If we can provide the coverage you requested, we will inform you as to when such coverage will be effective. Under no circumstances will coverage be effective prior to this date. Payment of a premium contribution with your application does not mean that there is any insurance in force before the effective date as determined by New York Life.

New York Life Insurance Company 9/05ed.

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Notice to New York Residents
If your application is approved, when you receive your life insurance policy, you will also receive a Life Insurance Buyer's Guide. 

The Buyer's Guide is a pamphlet prepared by the National Association of Insurance Commissioners designed to assist prospective purchasers of life insurance on how much life insurance they should buy, decide the kind of life insurance policy they need, and compare the cost of similar life insurance policies.

You will also receive a form which will enable you to request a Consumers Shopping Guide for Life Insurance from the New York State Insurance Department.

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