§ 5503. Plan of operation. (a) The association shall operate in
accordance with a plan of operation approved by the superintendent which
provides for economic, fair and non-discriminatory administration and
for the prompt and efficient provision of medical malpractice insurance.

(b) The plan shall contain other provisions including but not limited
to preliminary assessment of all members for initial expenses necessary
to commence operations, establishment of necessary facilities,
management of the association, assessment of members to defray losses
and expenses, service charges, acceptance and cession of reinsurance,
appointment of servicing carriers or other servicing arrangements and
procedures for determining amounts of insurance to be provided by the
association.

(c) Amendments to the plan of operation may be made by the board of
directors of the association, subject to the approval of the
superintendent, or shall be made at the direction of the superintendent.

(d) The association shall be subject to the provisions of this chapter
applicable to property/casualty insurers in the conduct of its business,
in order to provide for the fair treatment of policyholders and
claimants.

(e) The association shall make the lump sum payments provided for in
subdivision (b) of section five thousand thirty-six of the civil
practice law and rules and receive the periodic payments due under the
annuity contract provided for therein.