|Assembly Actions - Lowercase
Senate Actions - UPPERCASE
|Jan 08, 2014||referred to insurance|
|Jan 10, 2013||referred to insurance|
senate Bill S2056
Archive: Last Bill Status - In Committee
- In Committee
- On Floor Calendar
- Passed Senate
- Passed Assembly
- Delivered to Governor
- Signed/Vetoed by Governor
S2056 - Details
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
BILL NUMBER:S2056 TITLE OF BILL: An act to amend the insurance law, in relation to requiring insurance companies to disclose claims information to municipalities PURPOSE OR GENERAL IDEA OF BILL: This bill allows the different levels of government employing 400 or more workers an opportunity to assess accurately the true needs of their employees when addressing health care benefits. It will create transparency allowing these governments to negotiate more effectively with all insurance companies that are bidding on future contracts. SUMMARY OF SPECIFIC PROVISIONS: Section 1. Amends the insurance law by adding a new section 3217-g to read as follows: § 3217-g Disclosure of information, to municipalities. (a) Every insurer contracting with municipalities, including cooperative health benefit plans certified pursuant to article forty-seven of this chapter shall provide upon request the following information to the insured municipality. 1. Specific claims information must be furnished by the insurer under community rated or experience rated policies; 2. Average annual per member cost of claims reimbursement;
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
Open Legislation comments facilitate discussion of New York State legislation. All comments are subject to moderation. Comments deemed off-topic, commercial, campaign-related, self-promotional; or that contain profanity or hate speech; or that link to sites outside of the nysenate.gov domain are not permitted, and will not be published. Comment moderation is generally performed Monday through Friday.
By contributing or voting you agree to the Terms of Participation and verify you are over 13.