senate Bill S3567

2021-2022 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 - In Senate Committee Insurance 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 05, 2022 referred to insurance
Jan 30, 2021 referred to insurance


S3567 (ACTIVE) - Details

Current Committee:
Senate 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: S7104
2017-2018: S425
2019-2020: S5161

S3567 (ACTIVE) - Summary

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

S3567 (ACTIVE) - Sponsor Memo

S3567 (ACTIVE) - Bill Text download pdf

                     S T A T E   O F   N E W   Y O R K
                        2021-2022 Regular Sessions
                             I N  S E N A T E
                             January 30, 2021
 Introduced  by  Sen. BRESLIN -- 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
   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.


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