assembly Bill A5285

2019-2020 Legislative Session

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

download bill text pdf

Sponsored By

Archive: Last Bill Status - Stricken

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

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view actions (3)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jul 06, 2020 enacting clause stricken
Jan 08, 2020 referred to insurance
Feb 08, 2019 referred to insurance



view additional multi-sponsors

A5285 (ACTIVE) - Details

See Senate Version of this Bill:
Current Committee:
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
2017-2018: A7077, S425
2021-2022: S3567

A5285 (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.

A5285 (ACTIVE) - Bill Text download pdf

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


                       2019-2020 Regular Sessions

                          I N  A S S E M B L Y

                            February 8, 2019

Introduced by M. of A. CRESPO -- Multi-Sponsored by -- M. of A. BARCLAY,
  THIELE -- 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

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