senate Bill S6917

2013-2014 Legislative Session

Redefines "small group" for the purposes of sections 3231 and 4317 of the insurance law

download bill text pdf

Sponsored By

Archive: Last Bill Status -


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

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Actions

view actions (7)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jun 19, 2014 referred to insurance
delivered to assembly
passed senate
May 07, 2014 advanced to third reading
May 06, 2014 2nd report cal.
May 05, 2014 1st report cal.492
Mar 31, 2014 referred to insurance

S6917 - Details

See Assembly Version of this Bill:
A9980
Law Section:
Insurance Law
Laws Affected:
Amd ยงยง3231 & 4317, Ins L

S6917 - Summary

Redefines "small group" for the purposes of certain provisions of sections 3231 and 4317 of the insurance law.

S6917 - Sponsor Memo

S6917 - Bill Text download pdf

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

                                  6917

                            I N  S E N A T E

                             March 31, 2014
                               ___________

Introduced  by  Sen.  SEWARD -- 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 rating  of  individual
  and small group health insurance contracts and policies

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

  Section 1. Paragraph 1 of subsection (a) of section 3231 of the insur-
ance law, as amended by section 69 of part D of chapter 56 of  the  laws
of 2013, is amended to read as follows:
  (1)  No  individual health insurance policy and no group health insur-
ance policy covering between one and fifty employees or members  of  the
groupr,  EXCEPT  AS  SET  FORTH  IN  SUBSECTION  (H) OF THIS SECTION, or
between one and one hundred employees or members of the group for  poli-
cies  issued  or renewed on or after January first, two thousand sixteen
exclusive of spouses and dependents, hereinafter referred to as a  small
group,  providing  hospital  and/or medical benefits, including medicare
supplemental insurance, shall be issued in this state unless such policy
is community rated and, notwithstanding any other provisions of law, the
underwriting of such policy involves no more than the  imposition  of  a
pre-existing  condition  limitation if otherwise permitted by this arti-
cle.
  S 2. Paragraph 1 of subsection (h) of section 3231  of  the  insurance
law,  as added by chapter 501 of the laws of 1992, is amended to read as
follows:
  (1) Notwithstanding any other provision of this chapter,  no  insurer,
subsidiary  of  an  insurer,  or  controlled person of a holding company
system may act as an administrator or claims paying agent, as opposed to
an insurer, on behalf of small groups which, if  they  purchased  insur-
ance,  would  be  subject  to this section. No insurer, subsidiary of an
insurer, or controlled person of a  holding  company  may  provide  stop
loss,  catastrophic  or  reinsurance  coverage to small groups which, if
they purchased insurance, would be subject to this section. FOR PURPOSES
OF THIS SUBSECTION, "SMALL  GROUP"  SHALL  MEAN  A  GROUP  COMPRISED  OF

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD14480-01-4

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