ERISA law ensures plan members receive a summary description of benefits, have appeal rights, and can file a suit for unpaid claims. What is the overall deductible?Favorable State Insurance Law Rules: Although some features of ERISA can be favorable to the claimant, state insurance law is frequently more favorable. Complete Form D, Request for Coverage Information (the service coordinator should fill out the information in the box at the top of the page) c. This booklet describes the healthcare and other benefits provided to participants in the 1199SEIU Greater New York. This chapter contains information about our Provider Networks and Member Benefit Plans. Providers may be required to sign multiple agreements to participate. Organization ("Network") to provide a network of medical providers. A. Preliminary Review of. In-network Cost-Sharing.