senate Bill S2056

2013-2014 Legislative Session

Requires insurance companies to disclose claims information to municipalities employing 400 or more employees

download bill text pdf

Sponsored By

Archive: Last Bill Status - In Senate Committee


  • Introduced
  • In Committee
  • On Floor Calendar
    • Passed Senate
    • Passed Assembly
  • Delivered to Governor
  • Signed/Vetoed by Governor

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Actions

view actions (2)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jan 08, 2014 referred to insurance
Jan 10, 2013 referred to insurance

Co-Sponsors

S2056 - Details

See Assembly Version of this Bill:
A7291
Current Committee:
Law Section:
Insurance Law
Laws Affected:
Add §3217-g, Ins L
Versions Introduced in Previous Legislative Sessions:
2011-2012: S1120, A101
2009-2010: S7560, A9130B

S2056 - Summary

Requires insurance companies to disclose claims information to municipalities employing 400 or more employees to determine how their benefits are used; provides for imposition of a fine for failure to disclose such information in a timely manner.

S2056 - Sponsor Memo

S2056 - Bill Text download pdf

                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                  2056

                       2013-2014 Regular Sessions

                            I N  S E N A T E

                            January 10, 2013
                               ___________

Introduced  by  Sen. LATIMER -- 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  requiring  insurance
  companies to disclose claims information to municipalities

  THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section 1. The insurance law is amended by adding a new section 3217-g
to read as follows:
  S 3217-G. DISCLOSURE  OF  INFORMATION  TO  MUNICIPALITIES.  (A)  EVERY
INSURER  CONTRACTING  WITH MUNICIPALITIES EMPLOYING FOUR HUNDRED OR MORE
EMPLOYEES, INCLUDING MUNICIPAL COOPERATIVE HEALTH BENEFIT  PLANS  CERTI-
FIED PURSUANT TO ARTICLE FORTY-SEVEN OF THIS CHAPTER, SHALL PROVIDE UPON
REQUEST THE FOLLOWING INFORMATION TO THE INSURED MUNICIPALITY:
  (1) SPECIFIC CLAIMS EXPERIENCE COVERED BY THE INSURER UNDER A COMMUNI-
TY  RATED  OR  EXPERIENCED  RATED POLICY.   FOR PURPOSES OF THIS SECTION
"EXPERIENCE RATINGS" SHALL MEAN AND INCLUDE  ALL  QUANTITATIVE  MEASURES
USED  BY  THE  INSURANCE  CARRIER  SUCH  AS  EXPENSES PER MEMBER AND ANY
HISTORICAL DATA;
  (2) AVERAGE ANNUAL PER MEMBER COST OF CLAIMS REIMBURSEMENT;
  (3) NUMBER OF MEMBERS WHO DID NOT FILE A CLAIM WITHIN A  TWELVE  MONTH
PERIOD;
  (4)  A COMPARISON OF EMERGENCY SERVICES USED BY MEMBERS TO OUT-PATIENT
SERVICES;
  (5) A LOSS RATIO REPORT;
  (6) CLAIMS HISTORY FOR THE LAST TWELVE  MONTHS  FOR  EXPERIENCE  RATED
PLANS SEPARATED BY MEDICAL AND PRESCRIPTION;
  (7)  INFORMATION  REGARDING  COST  ON THE TOP TWENTY-FIVE PRESCRIPTION
DRUGS BEING USED BY MEMBER EMPLOYEES;
  (8) LARGE LOSS CLAIMS REPORT INDICATING DIAGNOSIS  AND  PROGNOSIS  FOR
CLAIMS GREATER THAN THIRTY THOUSAND DOLLARS;
  (9) MEDICAL LOSS RATIO REPORT; AND

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD05135-01-3

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