STATE OF NEW YORK
________________________________________________________________________
7334
IN SENATE
May 2, 2012
___________
Introduced by Sen. SEWARD -- read twice and ordered printed, and when
printed to be committed to the Committee on Insurance
AN ACT to amend the insurance law and the public health law, in relation
to health maintenance organization benefit designs
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. Subsection (e) of section 1109 of the insurance law is
2 amended to read as follows:
3 (e) The superintendent may promulgate regulations in effectuating the
4 purposes and provisions of this chapter and article forty-four of the
5 public health law and may modify requirements applicable to the
6 contracts between a health maintenance organization and its subscribers,
7 including contracts with benefit designs pursuant to subdivision six of
8 section forty-four hundred six of the public health law, subject to such
9 limitations as the superintendent shall deem necessary or proper to
10 insure the performance of such contracts.
11 § 2. Section 4406 of the public health law is amended by adding a new
12 subdivision 6 to read as follows:
13 6. Notwithstanding any state law, rule or regulation to the contrary,
14 an organization certified pursuant to this article is authorized to
15 issue contracts with benefit designs, including deductibles, coinsurance
16 and copayments, that have actuarial valuations of ninety percent, eighty
17 percent, seventy percent and sixty percent.
18 § 3. This act shall take effect January 1, 2013, and shall apply to
19 policies and contracts issued, renewed, modified, altered or amended on
20 or after such date.
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD15642-01-2
