New York Residents Only: Confidentiality Protocols for Victims Of Domestic Violence and Endangered Individuals
This notice is posted as required by New York Law Section 2612 and 11 NYCRR 244 (Regulation 168).
Summary: New York Insurance law provides that if any person covered by an insurance policy delivers to an insurer at its home office a valid court order of protection against the policyholder or other person covered by the policy, the insurer is prohibited from disclosing to the policyholder or other person the address and telephone number of the insured. The regulation governs confidentiality protocols for domestic violence victims and endangered individuals who are covered by a health or disability insurance policy in the State of New York.
Make a Request: If you are a victim of domestic violence, you must send a valid order of protection or a written request for confidentiality to Mutual of America's Home Office along with an alternate address for contacting you.
Revoking a Request: To revoke a request, the insured must send a notarized statement to Mutual of America's Home Office seeking revocation.
Correspondence under this procedure should be sent to:
Mutual of America Life Insurance Company
Attn: Disability Section, Beneficiary Claims Department
320 Park Avenue
New York, NY 10022-1366
New York State Domestic Violence Hotline: 800.942.6906