Assembly Bill A9980

2013-2014 Legislative Session

Redefines "small group" for the purposes of sections 3231 and 4317 of the insurance law

download bill text pdf

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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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2013-A9980 (ACTIVE) - Details

See Senate Version of this Bill:
S6917
Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3231 & 4317, Ins L
Versions Introduced in Other Legislative Sessions:
2015-2016: A1154, S2366
2017-2018: A99, S8500
2019-2020: A172
2021-2022: A1039

2013-A9980 (ACTIVE) - Summary

Redefines "small group" for the purposes of certain provisions of sections 3231 and 4317 of the insurance law.

2013-A9980 (ACTIVE) - Bill Text download pdf

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

                                  9980

                          I N  A S S E M B L Y

                              June 5, 2014
                               ___________

Introduced  by  COMMITTEE ON RULES -- (at request of M. of A. Cahill) --
  read once and referred to the Committee on Insurance

AN ACT to amend the insurance law, in relation to rating  of  individual
  and small group health insurance contracts and policies

  THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section 1. Paragraph 1 of subsection (a) of section 3231 of the insur-
ance law, as amended by section 69 of part D of chapter 56 of  the  laws
of 2013, is amended to read as follows:
  (1)  No  individual health insurance policy and no group health insur-
ance policy covering between one and fifty employees or members  of  the
groupr,  EXCEPT  AS  SET  FORTH  IN  SUBSECTION  (H) OF THIS SECTION, or
between one and one hundred employees or members of the group for  poli-
cies  issued  or renewed on or after January first, two thousand sixteen
exclusive of spouses and dependents, hereinafter referred to as a  small
group,  providing  hospital  and/or medical benefits, including medicare
supplemental insurance, shall be issued in this state unless such policy
is community rated and, notwithstanding any other provisions of law, the
underwriting of such policy involves no more than the  imposition  of  a
pre-existing  condition  limitation if otherwise permitted by this arti-
cle.
  S 2. Paragraph 1 of subsection (h) of section 3231  of  the  insurance
law,  as added by chapter 501 of the laws of 1992, is amended to read as
follows:
  (1) Notwithstanding any other provision of this chapter,  no  insurer,
subsidiary  of  an  insurer,  or  controlled person of a holding company
system may act as an administrator or claims paying agent, as opposed to
an insurer, on behalf of small groups which, if  they  purchased  insur-
ance,  would  be  subject  to this section. No insurer, subsidiary of an
insurer, or controlled person of a  holding  company  may  provide  stop
loss,  catastrophic  or  reinsurance  coverage to small groups which, if
they purchased insurance, would be subject to this section. FOR PURPOSES
OF THIS SUBSECTION, "SMALL  GROUP"  SHALL  MEAN  A  GROUP  COMPRISED  OF

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD14480-01-4
              

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