Description of applicable insurance law
New York State Insurance Law § 2612 and related regulations establish provisions for persons insured by an individual insurance policy issued to another person (the "policyholder") or a group insurance policy. This law and the related regulations place requirements on insurance companies, such as State Farm®, when the insurance companies are provided with a valid Order of Protection against the policyholder or another person covered under a group insurance policy. For the duration of the Order of Protection, the insurance company is prohibited from disclosing the address and telephone number of the insured or of any person or entity providing services to the insured, to the policyholder or another person covered by a group insurance policy. If a child is the insured, this right may be asserted by the child's parent or legal guardian.
In addition, an insurer may not discriminate against a person solely because he or she has been a victim of domestic violence.
State Farm insurance affiliates will accommodate a request made by a person covered by insurance to receive communications of claim related information from State Farm at an alternative address or by an alternative means if such person clearly states that the disclosure of information could endanger himself or herself. If the covered person is a child, then the child's parent or legal guardian may make the request to State Farm. Except with the express consent of the person making the request, State Farm will be prohibited from disclosing to the policyholder or other person the:
- address, telephone number, or any other personally identifying information of the covered person and any child residing with the covered person;
- nature of the health care services provided to the covered person; or
- name or address of the provider of the covered services to the covered person.
To initiate or revoke a request
To initiate a request to ensure the necessary confidentiality of information as it relates to a valid order of protection or a reasonable request for the use of an alternate address or an alternative means of communication:
- Send a copy of the order of protection; and/or
- Complete, sign and send the Confidential Communication Request Form to:
Attention: Enterprise Compliance & Ethics – Office of Privacy, C-2
PO Box 2322
Bloomington, IL 61704
To revoke your request, please send a letter to the same address above.