Assembly Bill A172

2019-2020 Legislative Session

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

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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2019-A172 (ACTIVE) - Details

Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Amd §§3231 & 4317, Ins L
Versions Introduced in Other Legislative Sessions:
2013-2014: A9980
2015-2016: A1154
2017-2018: A99
2021-2022: A1039

2019-A172 (ACTIVE) - Summary

Redefines "small group" for the purposes of certain provisions.

2019-A172 (ACTIVE) - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                    172
 
                        2019-2020 Regular Sessions
 
                           I N  A S S E M B L Y
 
                                (PREFILED)
 
                              January 9, 2019
                                ___________
 
 Introduced  by  M.  of A. CAHILL, GARBARINO, STIRPE, HEVESI, MAGNARELLI,
   ZEBROWSKI, STECK, QUART, RAIA, FRIEND, KOLB -- Multi-Sponsored  by  --
   M. of A.  FITZPATRICK, STEC -- 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
 group, EXCEPT AS SET FORTH IN SUBSECTION (H) OF THIS SECTION, or between
 one and one hundred employees or  members  of  the  group  for  policies
 issued or renewed on or after January first, two thousand sixteen exclu-
 sive  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.
   §  2.  Paragraph  1 of subsection (h) of section 3231 of the insurance
 law, as amended by chapter 12 of the laws of 2016, 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-
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
              

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