| Date of Action |
Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|---|---|
| Apr 22, 2016 |
referred to insurance |
Senate Bill S7370
2015-2016 Legislative Session
Sponsored By
(R, C, IP) Senate District
Archive: Last Bill Status - In Senate Committee Insurance Committee
Actions
2015-S7370 (ACTIVE) - Details
- Current Committee:
- Senate Insurance
- Law Section:
- Insurance Law
- Laws Affected:
- Amd ยง3224-a, Ins L
- Versions Introduced in Other Legislative Sessions:
-
2017-2018:
S5779
2019-2020: S6341
2015-S7370 (ACTIVE) - Sponsor Memo
BILL NUMBER: S7370
TITLE OF BILL : An act to amend the insurance law, in relation to
requiring health insurers to provide, when liability for a claim is
not reasonably clear, the coverage the policyholder or covered person
is enrolled in
PURPOSE :
The require plans to clearly identify to a provider the product an
individual is enrolled in for health coverage purposes.
SUMMARY OF PROVISIONS :
Section 1 amends subsection (b) of section 3224-a of the Insurance Law
to add a new requirement that an insurer identify the specific type of
plan or product the policy-holder or covered person is enrolled in.
Section 2 amends subsection (d) of section 3224-a of the Insurance law
to define the plans or products that must be identified by the
insurer.
Section 3 provides that this act shall take effect July 1, 2017.
JUSTIFICATION :
2015-S7370 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K
________________________________________________________________________
7370
I N S E N A T E
April 22, 2016
___________
Introduced by Sen. HANNON -- 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 health
insurers to provide, when liability for a claim is not reasonably
clear, the coverage the policyholder or covered person is enrolled in
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Paragraph 2 of subsection (b) of section 3224-a of the
insurance law, as amended by chapter 237 of the laws of 2009, is amended
and a new paragraph 3 is added to read as follows:
(2) to request all additional information needed to determine liabil-
ity to pay the claim or make the health care payment[.]; AND
(3) OF THE SPECIFIC TYPE OF PLAN OR PRODUCT THE POLICYHOLDER OR
COVERED PERSON IS ENROLLED IN.
S 2. Subsection (d) of section 3224-a of the insurance law is amended
by adding a new paragraph 3 to read as follows:
(3) "PLAN OR PRODUCT" SHALL MEAN:
(I) MEDICAID COVERAGE CERTIFIED PURSUANT TO SECTION THREE HUNDRED
SIXTY-FOUR-J OF THE SOCIAL SERVICES LAW;
(II) A CHILD HEALTH INSURANCE PLAN CERTIFIED PURSUANT TO SECTION TWEN-
TY-FIVE HUNDRED ELEVEN OF THE PUBLIC HEALTH LAW;
(III) BASIC HEALTH PROGRAM COVERAGE CERTIFIED PURSUANT TO SECTION
THREE HUNDRED SIXTY-NINE-GG OF THE SOCIAL SERVICES LAW, INCLUDING THE
SPECIFIC RATING GROUP THE POLICYHOLDER OR COVERED PERSON IS ENROLLED IN;
(IV) COVERAGE PURCHASED ON THE NEW YORK INSURANCE EXCHANGE ESTABLISHED
PURSUANT TO ARTICLE SIXTY-TWO OF THIS CHAPTER; AND
(V) ANY OTHER PRODUCT FULLY INSURED AND REGULATED BY THE STATE UNDER
ARTICLE FORTY-TWO, FORTY-THREE, OR FORTY-SEVEN OF THIS CHAPTER, OR ARTI-
CLE FORTY-FOUR OF THE PUBLIC HEALTH LAW.
S 3. This act shall take effect July 1, 2017.
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD15055-02-6
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