Published January 2025

This Notice applies to Members of health plans offered by the following MVP operating subsidiaries: MVP Health Plan, Inc. (except for Medicare Advantage products), MVP Health Services Corp., and MVP Health Insurance Company.

The New York State Department of Financial Services recommends that Providers print and post this notice in their offices. The PDF notice is available for download in both English and Spanish under Legal Notices and Reports.

Insurance Law § 2612 states that if any person covered by an insurance policy issued to another person who is the policyholder or if any person covered under a group policy delivers to the insurer that issued the policy, a valid order of protection against the policyholder or other person, then the insurer is prohibited for the duration of the order from disclosing to the policy holder or other person the address and phone number of the insured, or of any person or entity providing covered services to the insured. The regulation governs confidentiality protocols for domestic violence victims and endangered individuals.

Members experiencing domestic violence or in physical danger and having a valid order of protection may contact the MVP Customer Care Center to request that their current address and contact information not be shared with the policyholder. Such member must provide the MVP Customer Care Center with an alternative address, phone number, or another method of contact, and may be required to provide the MVP Customer Care Center with a copy of the order of protection.

To revoke a request, the requestor should submit a sworn statement to the address indicated on the notice posted to the MVP website. To contact the New York State Domestic Violence and Sexual Violence Hotline, call 1-800-942-6906.