S T A T E O F N E W Y O R K
________________________________________________________________________
4099
2011-2012 Regular Sessions
I N A S S E M B L Y
February 1, 2011
___________
Introduced by M. of A. MORELLE -- read once and referred to the Commit-
tee on Insurance
AN ACT to amend the insurance law, in relation to the arbitration of
no-fault insurance claims
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Subsections (a) and (b) of section 5106 of the insurance
law, subsection (b) as amended by chapter 452 of the laws of 2005, are
amended to read as follows:
(a) Payments of first party benefits and additional first party bene-
fits shall be made as the loss is incurred. Such benefits are overdue
if not paid within thirty days after the claimant supplies proof of the
fact and amount of loss sustained. If proof is not supplied as to the
entire claim, the amount which is supported by proof is overdue if not
paid within thirty days after such proof is supplied. All overdue
payments shall bear interest at the rate of [two] ONE percent per month.
If a valid claim or portion was overdue, the claimant shall also be
entitled to recover his attorney's reasonable fee, for services neces-
sarily performed in connection with securing payment of the overdue
claim, subject to limitations promulgated by the superintendent in regu-
lations.
(b) [Every insurer shall provide a claimant with the option of submit-
ting any dispute] ALL DISPUTES involving the insurer's liability to pay
first party benefits, or additional first party benefits, the amount
thereof or any other matter which may arise pursuant to subsection (a)
of this section SHALL BE SUBMITTED to arbitration pursuant to simplified
procedures to be promulgated or approved by the superintendent. Such
simplified procedures shall include an expedited eligibility hearing
option, when required, to designate the insurer for first party benefits
pursuant to subsection (d) of this section. The expedited eligibility
hearing option shall be a forum for eligibility disputes only, and shall
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD05421-01-1
A. 4099 2
not include the submission of any particular bill, payment or claim for
any specific benefit for adjudication, nor shall it consider any other
defense to payment.
S 2. This act shall take effect on the two hundred seventieth day
after it shall have become a law and shall apply to all claims made on
or after such effective date.