Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Feb 12, 2016 |
print number 2066a |
Feb 12, 2016 |
amend and recommit to insurance |
Jan 06, 2016 |
referred to insurance |
Jan 15, 2015 |
referred to insurance |
Assembly Bill A2066A
2015-2016 Legislative Session
Sponsored By
ZEBROWSKI
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
2015-A2066 - Details
- See Senate Version of this Bill:
- S1185
- Current Committee:
- Assembly Insurance
- Law Section:
- Insurance Law
- Laws Affected:
- Add §3217-i, Ins L
- Versions Introduced in Other Legislative Sessions:
-
2009-2010:
A9130, S7560
2011-2012: A101, S1120
2013-2014: A7291, S2056
2017-2018: A1536, S1960
2019-2020: A2826
2015-A2066 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 2066 2015-2016 Regular Sessions I N A S S E M B L Y January 15, 2015 ___________ Introduced by M. of A. ZEBROWSKI -- 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-h to read as follows: S 3217-H. 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; (8) LARGE LOSS CLAIMS REPORT INDICATING DIAGNOSIS AND PROGNOSIS FOR CLAIMS GREATER THAN THIRTY THOUSAND DOLLARS; (9) MEDICAL LOSS RATIO REPORT; AND EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD02936-01-5
2015-A2066A (ACTIVE) - Details
- See Senate Version of this Bill:
- S1185
- Current Committee:
- Assembly Insurance
- Law Section:
- Insurance Law
- Laws Affected:
- Add §3217-i, Ins L
- Versions Introduced in Other Legislative Sessions:
-
2009-2010:
A9130, S7560
2011-2012: A101, S1120
2013-2014: A7291, S2056
2017-2018: A1536, S1960
2019-2020: A2826
2015-A2066A (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 2066--A 2015-2016 Regular Sessions I N A S S E M B L Y January 15, 2015 ___________ Introduced by M. of A. ZEBROWSKI -- read once and referred to the Committee on Insurance -- 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 commit- tee 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-i to read as follows: S 3217-I. 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. LBD02936-03-6
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