Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Jan 08, 2010 |
print number 9130b |
Jan 08, 2010 |
amend and recommit to insurance |
Jan 06, 2010 |
referred to insurance |
Dec 21, 2009 |
print number 9130a |
Dec 21, 2009 |
amend and recommit to insurance |
Sep 04, 2009 |
referred to insurance |
Assembly Bill A9130
2009-2010 Legislative Session
Sponsored By
LATIMER
Archive: Last 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
Actions
Bill Amendments
2009-A9130 - Details
2009-A9130 - Sponsor Memo
BILL NUMBER:A9130 TITLE OF BILL: An act to amend the insurance law, in relation to requiring insurance companies to disclose claims information to municipalities PURPOSE OR GENERAL IDEA OF BILL: This bill allows the different levels of government an opportunity to assess accurately the true needs of their employees when addressing health care benefits. This bill will allow these governments to negotiate more effectively with all insurance companies that are bidding on future contracts. SUMMARY OF SPECIFIC PROVISIONS: Every year local governments are responsible to put in place budgets that reflect sound fiscal planning on the part of their leadership. Taxpayers expect transparency, assume that services will be provided, and this will be accomplished by using reasonable measures to keep the rising cost down. Providing a health care benefit packaged to employees has become very expensive for local governments. That being said, insurance companies are not required by New York State law to maintain or disclose utilization rates to local governments. This is accomplished by claiming these local governments are part of a "community rated" group and are a fraction of an aggregate of other groups. Not providing the utilization rates creates an unfair advantage for the insurance companies and puts the local governments at a disadvantage. In effect town, village, city and county governments across the state can not determine how well health
2009-A9130 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 9130 2009-2010 Regular Sessions I N A S S E M B L Y September 4, 2009 ___________ Introduced by M. of A. LATIMER -- read once and referred to the Commit- tee on Insurance AN ACT to amend the insurance law, in relation to requiring insurance companies to disclose claims information to municipalities 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 3217-e to read as follows: S 3217-E. DISCLOSURE OF INFORMATION TO MUNICIPALITIES. (A) EVERY INSURER CONTRACTING WITH MUNICIPALITIES, INCLUDING MUNICIPAL COOPERATIVE HEALTH BENEFIT PLANS CERTIFIED PURSUANT TO ARTICLE FORTY-SEVEN OF THIS CHAPTER, SHALL PROVIDE UPON REQUEST THE FOLLOWING INFORMATION TO THE INSURED MUNICIPALITY: (1) SPECIFIC CLAIMS EXPERIENCE COVERED BY THE INSURER UNDER A COMMUNI- TY RATED OR EXPERIENCED RATED POLICY; (2) AVERAGE ANNUAL PER MEMBER COST OF CLAIMS REIMBURSEMENT; (3) NUMBER OF MEMBERS WHO DID NOT FILE A CLAIM WITHIN A TWELVE MONTH PERIOD; (4) A COMPARISON OF EMERGENCY SERVICES USED BY MEMBERS TO OUT-PATIENT SERVICES; AND (5) ANY OTHER INFORMATION THE MUNICIPALITY REQUESTS TO DETERMINE USE OF BENEFITS BY MEMBERS. (B) NOTWITHSTANDING THE FOREGOING PROVISIONS, NO INSURER SHALL DISCLOSE PERSONAL MEDICAL INFORMATION OF ANY MEMBER OF SUCH POLICY. S 2. This act shall take effect immediately. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD14695-01-9
2009-A9130A - Details
2009-A9130A - Sponsor Memo
BILL NUMBER:A9130A TITLE OF BILL: An act to amend the insurance law, in relation to requiring insurance companies to disclose claims information to munici- palities PURPOSE OR GENERAL IDEA OF BILL: This bill allows the different levels of government an opportunity to assess accurately the true needs of their employees when addressing health care benefits. This bill will allow these governments to negotiate more effectively with all insurance companies that are bidding on future contracts. SUMMARY OF SPECIFIC PROVISIONS: Section 1. Amends the insurance law by adding a new section 3217-e to read as follows: A. Every insurer contracting with municipalities, including cooperative health benefit plans certified pursuant to article forty-seven of this chapter, shall provide upon request the following information to the insured municipality. 1. Specific claims information must be furnished by the insurer under community rated and experience rated policies; 2. Average annual per member cost of claims reimbursement; 3. Number of members that did not file a claim within a 12 month period;
2009-A9130A - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 9130--A 2009-2010 Regular Sessions I N A S S E M B L Y September 4, 2009 ___________ Introduced by M. of A. LATIMER -- read once and referred to the Commit- tee 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 requiring insurance companies to disclose claims information to municipalities 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 3217-e to read as follows: S 3217-E. DISCLOSURE OF INFORMATION TO MUNICIPALITIES. (A) EVERY INSURER CONTRACTING WITH MUNICIPALITIES, INCLUDING MUNICIPAL COOPERATIVE HEALTH BENEFIT PLANS CERTIFIED PURSUANT TO ARTICLE FORTY-SEVEN OF THIS CHAPTER, SHALL PROVIDE UPON REQUEST THE FOLLOWING INFORMATION TO THE INSURED MUNICIPALITY: (1) SPECIFIC CLAIMS EXPERIENCE COVERED BY THE INSURER UNDER A COMMUNI- TY RATED OR EXPERIENCED RATED POLICY. FOR PURPOSES OF THIS SECTION "EXPERIENCE RATINGS" SHALL MEAN AND INCLUDE ALL QUANTITATIVE MEASURES USED BY THE INSURANCE CARRIER SUCH AS EXPENSES PER MEMBER AND ANY HISTORICAL DATA; (2) AVERAGE ANNUAL PER MEMBER COST OF CLAIMS REIMBURSEMENT; (3) NUMBER OF MEMBERS WHO DID NOT FILE A CLAIM WITHIN A TWELVE MONTH PERIOD; (4) A COMPARISON OF EMERGENCY SERVICES USED BY MEMBERS TO OUT-PATIENT SERVICES; AND (5) ANY OTHER INFORMATION THE MUNICIPALITY REQUESTS TO DETERMINE USE OF BENEFITS BY MEMBERS. (B) THE SUPERINTENDENT SHALL IMPOSE A FINE OF THREE HUNDRED THOUSAND DOLLARS FOR FAILURE TO PROVIDE WITHIN THIRTY DAYS OF A WRITTEN REQUEST BY THE INSURED MUNICIPALITY THE INFORMATION REQUIRED BY PARAGRAPH ONE OF SUBSECTION (A) OF THIS SECTION RELATING TO HOW FUNDING WAS SPENT BY THE INSURANCE CARRIER REGARDING THE INSURED EMPLOYEES. A FINE OF TEN THOU- EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD14695-03-9
co-Sponsors
Ellen C. Jaffee
Aileen Gunther
William Colton
Nelson Castro
multi-Sponsors
William Boyland
Francine DelMonte
Dennis H. Gabryszak
Vanessa Gibson
2009-A9130B (ACTIVE) - Details
2009-A9130B (ACTIVE) - Sponsor Memo
BILL NUMBER:A9130B TITLE OF BILL: An act to amend the insurance law, in relation to requiring insurance companies to disclose claims information to municipalities PURPOSE OR GENERAL IDEA OF BILL: This bill allows the different levels of government employing 400 or more workers an opportunity to assess accurately the true needs of their employees when addressing health care benefits. It will create transparency allowing these governments to negotiate more effectively with all insurance companies that are bidding on future contracts. SUMMARY OF SPECIFIC PROVISIONS: Section 1. Amends the insurance law by adding a new section 3217-c to read as follows: §3217-c Disclosure of information,to municipalities. (a) Every insurer contracting with municipalities, including cooperative health benefit plans certified pursuant to article forty-seven of this chapter shall provide upon request the following information to the insured municipality. 1. Specific claims information must be furnished by the insurer under community rated or experience rated policies; 2. Average annual per member cost of claims reimbursement;
2009-A9130B (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 9130--B 2009-2010 Regular Sessions I N A S S E M B L Y September 4, 2009 ___________ Introduced by M. of A. LATIMER -- read once and referred to the Commit- tee on Insurance -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee -- recommitted to the Committee on Insurance in accordance with Assembly Rule 3, sec. 2 -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the insurance law, in relation to requiring insurance companies to disclose claims information to municipalities 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 3217-e to read as follows: S 3217-E. DISCLOSURE OF INFORMATION TO MUNICIPALITIES. (A) EVERY INSURER CONTRACTING WITH MUNICIPALITIES EMPLOYING FOUR HUNDRED OR MORE EMPLOYEES, INCLUDING MUNICIPAL COOPERATIVE HEALTH BENEFIT PLANS CERTI- FIED PURSUANT TO ARTICLE FORTY-SEVEN OF THIS CHAPTER, SHALL PROVIDE UPON REQUEST THE FOLLOWING INFORMATION TO THE INSURED MUNICIPALITY: (1) SPECIFIC CLAIMS EXPERIENCE COVERED BY THE INSURER UNDER A COMMUNI- TY RATED OR EXPERIENCED RATED POLICY. FOR PURPOSES OF THIS SECTION "EXPERIENCE RATINGS" SHALL MEAN AND INCLUDE ALL QUANTITATIVE MEASURES USED BY THE INSURANCE CARRIER SUCH AS EXPENSES PER MEMBER AND ANY HISTORICAL DATA; (2) AVERAGE ANNUAL PER MEMBER COST OF CLAIMS REIMBURSEMENT; (3) NUMBER OF MEMBERS WHO DID NOT FILE A CLAIM WITHIN A TWELVE MONTH PERIOD; (4) A COMPARISON OF EMERGENCY SERVICES USED BY MEMBERS TO OUT-PATIENT SERVICES; (5) A LOSS RATIO REPORT; (6) CLAIMS HISTORY FOR THE LAST TWELVE MONTHS FOR EXPERIENCE RATED PLANS SEPARATED BY MEDICAL AND PRESCRIPTION; EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD14695-04-0
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