Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Apr 14, 2010 |
referred to insurance |
Senate Bill S7473
2009-2010 Legislative Session
Sponsored By
(D, WF) 46th Senate District
Archive: Last Bill Status - In Senate Committee Insurance Committee
- Introduced
-
- In Committee Assembly
- In Committee Senate
-
- On Floor Calendar Assembly
- On Floor Calendar Senate
-
- Passed Assembly
- Passed Senate
- Delivered to Governor
- Signed By Governor
Actions
2009-S7473 (ACTIVE) - Details
- See Assembly Version of this Bill:
- A9739
- Current Committee:
- Senate Insurance
- Law Section:
- Insurance Law
- Laws Affected:
- Amd §§3224-a & 2406, Ins L
- Versions Introduced in 2011-2012 Legislative Session:
-
A2712
2009-S7473 (ACTIVE) - Sponsor Memo
BILL NUMBER: S7473 TITLE OF BILL : An act to amend the insurance law, in relation to settlement of claims PURPOSE OR GENERAL IDEA OF BILL : This bill amends the insurance law in relation to settlement of claims by requiring insurers and certain other licensed or certified entities to pay a claim submitted by a policyholder or person covered under such policy or to make a payment to a health care provider within fifteen days of receipt of a claim or a bill for services rendered which is transmitted electronically or within thirty days of receipt of a claim or bill for services rendered which is submitted in writing, subject to certain exceptions. This amendment also increases the civil penalties for violating such payment obligations and makes the imposition of a civil penalty mandatory, after notice and a hearing. SUMMARY OF SPECIFIC PROVISIONS : Section one amends subsection (a) of section 3224-a of the insurance law, as amended by chapter 666 of the laws of 1997, to provide that except in a case where the obligation of an insurer, an organization
2009-S7473 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 7473 I N S E N A T E April 14, 2010 ___________ Introduced by Sen. BRESLIN -- read twice and ordered printed, and when printed to be committed to the Committee on Insurance AN ACT to amend the insurance law, in relation to settlement of claims THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Subsection (a) of section 3224-a of the insurance law, as amended by chapter 237 of the laws of 2009, is amended to read as follows: (a) Except in a case where the obligation of an insurer or an organ- ization or corporation licensed or certified pursuant to article forty- three or forty-seven of this chapter or article forty-four of the public health law to pay a claim submitted by a policyholder or person covered under such policy ("covered person") or make a payment to a health care provider is not reasonably clear, or when there is a reasonable basis supported by specific information available for review by the super- intendent that such claim or bill for health care services rendered was submitted fraudulently, such insurer or organization or corporation shall pay the claim to a policyholder or covered person or make a payment to a health care provider within [thirty] FIFTEEN days of receipt of a claim or bill for services rendered that is transmitted via the internet or electronic mail, or [forty-five] THIRTY days of receipt of a claim or bill for services rendered that is submitted by other means, such as paper or facsimile. S 2. Subsection (a) of section 2406 of the insurance law, as amended by chapter 666 of the laws of 1997, is amended to read as follows: (a) If the hearing was on a charge of a defined violation the super- intendent shall make an order on his report and serve a copy of the findings and order upon the person charged with the violation and any intervenor. If the superintendent finds that the person complained of has engaged in a defined violation, the order shall require the person to cease and desist from engaging in such defined violation. Further- more, if the superintendent finds, after notice and hearing, that the person complained of has engaged in an act prohibited by section three thousand two hundred twenty-four-a of this chapter, the superintendent EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted.
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