|Assembly Actions - Lowercase
Senate Actions - UPPERCASE
|Feb 03, 2021||referred to insurance|
senate Bill S4305
Current Bill Status - In Senate Committee Insurance Committee
- In Committee
- On Floor Calendar
- Passed Senate
- Passed Assembly
- Delivered to Governor
- Signed/Vetoed by Governor
S4305 (ACTIVE) - Details
S4305 (ACTIVE) - Summary
Relates to the designation of an independent consumer assistance program to assist consumers with the filing of complaints and appeals, track problems, educate consumers, assist uninsured, insured, or underinsured consumers in accessing appropriate health care services, assist with enrollment and provide other health insurance assistance.
S4305 (ACTIVE) - Sponsor Memo
BILL NUMBER: S4305 SPONSOR: RIVERA TITLE OF BILL: An act to amend the insurance law, in relation to the designation of an independent consumer assistance program PURPOSE: To designate an independent consumer assistance program, their duties, and require that New York State regulated health plans provide contact information of the state independent consumer assistance programs to consumers. SUMMARY OF PROVISIONS: Section one of the bill amends the insurance law by adding a new section that the superintendent of financial services, in consultation with the commissioner of health, shall designate an independent consumer assist- ance program. The legislation designates the duties of independent
S4305 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 4305 2021-2022 Regular Sessions I N S E N A T E February 3, 2021 ___________ Introduced by Sen. RIVERA -- 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 designation of an independent consumer assistance program THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. The insurance law is amended by adding a new section 211 to read as follows: § 211. INDEPENDENT CONSUMER ASSISTANCE PROGRAM. THE SUPERINTENDENT, IN CONSULTATION WITH THE COMMISSIONER OF HEALTH, SHALL DESIGNATE AN INDE- PENDENT CONSUMER ASSISTANCE PROGRAM THAT WILL HAVE THE FOLLOWING DUTIES: (A) THE INDEPENDENT CONSUMER ASSISTANCE PROGRAM SHALL: (1) ASSIST CONSUMERS WITH THE FILING OF COMPLAINTS AND APPEALS, INCLUDING FILING APPEALS WITH THE INTERNAL APPEAL OR GRIEVANCE PROCESS OF THE GROUP HEALTH PLANS OR HEALTH INSURANCE ISSUERS INVOLVED AND PROVIDING INFORMATION ABOUT AND ASSISTING CONSUMERS WITH THE EXTERNAL APPEALS AND ADMINISTRATIVE HEARING PROCESS; (2) COLLECT, TRACK, AND QUANTIFY PROBLEMS AND INQUIRIES ENCOUNTERED BY CONSUMERS; (3) EDUCATE CONSUMERS ON THEIR RIGHTS AND RESPONSIBILITIES WITH RESPECT TO GROUP HEALTH PLANS AND HEALTH INSURANCE COVERAGE; (4) ASSIST CONSUMERS WITH ENROLLMENT IN A GROUP HEALTH PLAN OR HEALTH INSURANCE COVERAGE BY PROVIDING INFORMATION, REFERRAL, AND ASSISTANCE; (5) RESOLVE PROBLEMS WITH OBTAINING PREMIUM TAX CREDITS UNDER SECTION 36B OF THE INTERNAL REVENUE CODE OF 1986; (6) ASSIST CONSUMERS WITH DISPUTES ELIGIBLE FOR RESOLUTION UNDER ARTI- CLE SIX OF THE FINANCIAL SERVICES LAW; (7) ASSIST UNINSURED, INSURED, OR UNDERINSURED CONSUMERS IN ACCESSING APPROPRIATE HEALTH CARE SERVICES, HOSPITAL FINANCIAL ASSISTANCE OR THE RESOLUTION OF THEIR HEALTH CARE BILLS; AND EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD00383-01-1
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