|Assembly Actions - Lowercase
Senate Actions - UPPERCASE
|May 10, 2016||referred to insurance|
delivered to assembly
|May 03, 2016||advanced to third reading|
|Apr 12, 2016||2nd report cal.|
|Apr 11, 2016||1st report cal.550|
|Mar 28, 2016||referred to insurance|
senate Bill S7104
Archive: Last Bill Status - Passed Senate
- In Committee
- On Floor Calendar
- Passed Senate
- Passed Assembly
- Delivered to Governor
- Signed/Vetoed by Governor
S7104 - Details
S7104 - Sponsor Memo
BILL NUMBER: S7104 TITLE OF BILL : An act to amend the insurance law, in relation to the definition of small group; and to repeal section 7 of chapter 12 of the laws of 2016 relating to directing the superintendent of financial services to contract with an independent entity to conduct an assessment regarding the impact of the prohibition on the sale of stop loss, catastrophic and reinsurance coverage to the small group market relating thereto PURPOSE : To conform the insurance law definition of "small group" with the definition of "small employer" under the recently enacted federal Protecting Affordable Coverage for Employees (PACE) Act (Public Law 114-60, effective October 7, 2015), which amended applicable provisions of the federal Patient Protection and Affordable Care Act (ACA) (Public Law 111-148). SUMMARY OF PROVISIONS : Section 1 amends insurance law section 3231(a)(1) to return the definition of "small group" to 1-50 employees or members of such group. Section 2 amends insurance law section 3231(a)(3) to return the
S7104 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 7104 I N S E N A T E March 28, 2016 ___________ 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 the definition of small group; and to repeal section 7 of chapter 12 of the laws of 2016 relating to directing the superintendent of financial services to contract with an independent entity to conduct an assessment regarding the impact of the prohibition on the sale of stop loss, catastrophic and reinsurance coverage to the small group market relating thereto 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 group [or between one and one hundred employees or members of the group for policies 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 impo- sition of a pre-existing condition limitation if otherwise permitted by this article. S 2. Paragraph 3 of subsection (a) of section 3231 of the insurance law, as amended by section 69 of part D of chapter 56 of the laws of 2013, is amended to read as follows: (3) Once accepted for coverage, an individual or small group cannot be terminated by the insurer due to claims experience. Termination of an individual or small group shall be based only on one or more of the reasons set forth in subsection (g) of section three thousand two hundred sixteen or subsection (p) of section three thousand two hundred twenty-one of this article. Group hospital and/or medical coverage, including medicare supplemental insurance, obtained through an out-of- EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted.
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