assembly Bill A7077

2017-2018 Legislative Session

Relates to the definition of small group for the purposes of health insurance policies and contracts; repealer

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Archive: Last Bill Status - In Assembly Committee

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

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view actions (2)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jan 03, 2018 referred to insurance
Apr 04, 2017 referred to insurance


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A7077 (ACTIVE) - Details

See Senate Version of this Bill:
Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3231 & 4317, Ins L; rpld §7, Chap 12 of 2016
Versions Introduced in Other Legislative Sessions:
2015-2016: A10402, S7104
2019-2020: A5285, S5161
2021-2022: S3567

A7077 (ACTIVE) - Summary

Amends the definition of "small group" for purposes of health insurance policies and contracts to fifty employees or fewer; and repeals provisions requiring the superintendent to conduct an impact study.

A7077 (ACTIVE) - Bill Text download pdf

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


                       2017-2018 Regular Sessions

                          I N  A S S E M B L Y

                              April 4, 2017

Introduced by M. of A. CRESPO -- read once and referred 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


  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.
  § 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

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