Assembly Bill A101

2011-2012 Legislative Session

Requires insurance companies to disclose claims information to municipalities employing 400 or more employees

download bill text pdf

Sponsored By

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

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2011-A101 (ACTIVE) - Details

See Senate Version of this Bill:
S1120
Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Add ยง3217-e, Ins L
Versions Introduced in Other Legislative Sessions:
2009-2010: A9130, S7560
2013-2014: A7291, S2056
2015-2016: A2066, S1185
2017-2018: A1536, S1960
2019-2020: A2826

2011-A101 (ACTIVE) - Summary

Requires insurance companies to disclose claims information to municipalities employing 400 or more employees to determine how their benefits are used; provides for imposition of a fine for failure to disclose such information in a timely manner.

2011-A101 (ACTIVE) - Bill Text download pdf

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

                                   101

                       2011-2012 Regular Sessions

                          I N  A S S E M B L Y

                               (PREFILED)

                             January 5, 2011
                               ___________

Introduced by M. of A. LATIMER, JAFFEE, GUNTHER, COLTON, CASTRO, LIFTON,
  LUPARDO,  GALEF,  SCHIMEL, ZEBROWSKI -- Multi-Sponsored by -- M. of A.
  BOYLAND, GABRYSZAK, GIBSON, HOOPER, REILLY, THIELE --  read  once  and
  referred to the Committee 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 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;
  (7) INFORMATION REGARDING COST ON  THE  TOP  TWENTY-FIVE  PRESCRIPTION
DRUGS BEING USED BY MEMBER EMPLOYEES;

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

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