Assembly Bill A3919A

2025-2026 Legislative Session

Establishes a requirement for information related to specialized dental benefit plans

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Sponsored By

Current Bill Status - In Assembly Committee

  • Introduced
    • In Committee Assembly
    • In Committee Senate
    • On Floor Calendar Assembly
    • On Floor Calendar Senate
    • Passed Assembly
    • Passed Senate
  • Delivered to Governor
  • Signed By Governor

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Bill Amendments

co-Sponsors

2025-A3919 - Details

See Senate Version of this Bill:
S6254
Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3231 & 4308, Ins L
Versions Introduced in 2023-2024 Legislative Session:
A7852, S7013

2025-A3919 - Summary

Requires insurers and corporations that issue, sell, renew or offer a specialized dental benefits plan policy or contract to report annually on data related to such dental benefits plan policies.

2025-A3919 - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   3919
 
                        2025-2026 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             January 30, 2025
                                ___________
 
 Introduced  by  M. of A. WEPRIN, HEVESI, TAYLOR, PAULIN, BROOK-KRASNY --
   read once and referred to the Committee on Insurance
 
 AN ACT to amend the insurance law, in relation to establishing a medical
   loss ratio for dental insurance
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.    Paragraph  3  of  subsection (e) of section 3231 of the
 insurance law, as added by chapter 107 of the laws of 2010,  is  amended
 to read as follows:
   (3)  (A) All policy forms subject to this subsection, other than medi-
 care supplemental insurance policy forms,  BUT  INCLUDING  POLICY  FORMS
 COVERING  ANY DENTAL SERVICES WHERE A PREMIUM IS COLLECTED, issued or in
 effect during calendar year two thousand ten shall be subject to a mini-
 mum loss ratio requirement of eighty-two percent. Insurers may  use  the
 alternate filing procedure set forth in paragraph two of this subsection
 to adjust premium rates in order to meet the required minimum loss ratio
 for calendar year two thousand ten. The rate filing or application shall
 be submitted no later than September thirtieth, two thousand ten.
   (B)  THE  EXPECTED MINIMUM LOSS RATIO FOR A DENTAL POLICY FORM SUBJECT
 TO THIS SUBSECTION ISSUED OR IN EFFECT DURING AND  AFTER  CALENDAR  YEAR
 TWO  THOUSAND  TWENTY-SIX,  OTHER THAN A MEDICARE SUPPLEMENTAL INSURANCE
 CONTRACT, SHALL NOT BE LESS THAN EIGHTY-TWO PERCENT. IN REVIEWING A RATE
 FILING OR APPLICATION, THE  SUPERINTENDENT  MAY  MODIFY  THE  EIGHTY-TWO
 PERCENT  EXPECTED  MINIMUM  LOSS RATIO REQUIREMENT IF THE SUPERINTENDENT
 DETERMINES THE MODIFICATION TO BE IN THE INTERESTS OF THE PEOPLE OF THIS
 STATE OR IF THE SUPERINTENDENT DETERMINES THAT A MODIFICATION IS  NECES-
 SARY  TO  MAINTAIN  INSURER SOLVENCY. NO LATER THAN JULY THIRTY-FIRST OF
 EACH YEAR, EVERY CORPORATION SUBJECT TO THIS SUBPARAGRAPH SHALL ANNUALLY
 REPORT THE ACTUAL LOSS RATIO FOR THE PREVIOUS CALENDAR YEAR IN A  FORMAT
 ACCEPTABLE  TO THE SUPERINTENDENT. IF AN EXPECTED LOSS RATIO IS NOT MET,
 THE SUPERINTENDENT MAY DIRECT THE CORPORATION TO TAKE CORRECTIVE ACTION,
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD07555-01-5

co-Sponsors

2025-A3919A (ACTIVE) - Details

See Senate Version of this Bill:
S6254
Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3231 & 4308, Ins L
Versions Introduced in 2023-2024 Legislative Session:
A7852, S7013

2025-A3919A (ACTIVE) - Summary

Requires insurers and corporations that issue, sell, renew or offer a specialized dental benefits plan policy or contract to report annually on data related to such dental benefits plan policies.

2025-A3919A (ACTIVE) - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                  3919--A
 
                        2025-2026 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             January 30, 2025
                                ___________
 
 Introduced  by  M. of A. WEPRIN, HEVESI, TAYLOR, PAULIN, BROOK-KRASNY --
   read once and referred to the  Committee  on  Insurance  --  committee
   discharged, bill amended, ordered reprinted as amended and recommitted
   to said committee
 
 AN  ACT  to  amend  the  insurance  law,  in  relation to establishing a
   requirement for information  related  to  specialized  dental  benefit
   plans
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Section 3231 of the insurance law, as added by chapter  501
 of  the  laws of 1992, is amended by adding a new subsection (j) to read
 as follows:
   (J) (1) ANY INSURER THAT ISSUES, SELLS, RENEWS, OR OFFERS  A  SPECIAL-
 IZED  DENTAL  BENEFITS PLAN POLICY OR CONTRACT SHALL BE REQUIRED TO FILE
 AN ANNUAL REPORT WITH THE SUPERINTENDENT ORGANIZED BY MARKET AND PRODUCT
 TYPE WHICH SHALL INCLUDE, BUT NOT BE LIMITED TO, THE FOLLOWING  INFORMA-
 TION:
   (A)  THE  NUMBER  OF  COVERED PERSONS, INCLUDING THE NUMBER OF COVERED
 PERSONS THAT MEET OR EXCEED THE ANNUAL COVERAGE LIMIT;
   (B) PLAN COST-SHARING AND DEDUCTIBLE AMOUNTS; AND
   (C) THE ANNUAL MAXIMUM COVERAGE LIMIT.
   (2) THE REPORT REQUIRED BY THIS  SUBSECTION  SHALL  BE  BASED  ON  THE
 FISCAL YEAR DURING WHICH THE DENTAL COVERAGE IS PROVIDED BY THE PLAN.
   (3)  THE  SUPERINTENDENT  SHALL  ISSUE  A REPORT ON THE DATA COLLECTED
 PURSUANT TO THIS SUBSECTION TO THE  SPEAKER  OF  THE  ASSEMBLY  AND  THE
 TEMPORARY  PRESIDENT  OF  THE  SENATE. THE SUPERINTENDENT'S REPORT SHALL
 INCLUDE THE DATA COLLECTED FROM ALL INSURERS REQUIRED TO REPORT PURSUANT
 TO THIS SUBSECTION.
   (4) BEGINNING ON THE FIRST OF JANUARY FOLLOWING THE SUBMISSION OF  THE
 FIRST REPORT REQUIRED TO BE FILED PURSUANT TO THIS SUBSECTION, AND ANNU-
 ALLY  THEREAFTER,  THE  SUPERINTENDENT  SHALL MAKE COLLECTED DENTAL LOSS
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD07555-02-5

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