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A11155 Summary:

BILL NOA11155
 
SAME ASNo Same As
 
SPONSORRozic
 
COSPNSR
 
MLTSPNSR
 
Add §346, Ins L
 
Requires all motor vehicle insurers to file annual detailed financial and claim data statements with the superintendent of financial services; provides all such statements shall be made available to the public.
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A11155 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          11155
 
                   IN ASSEMBLY
 
                                     April 28, 2026
                                       ___________
 
        Introduced  by M. of A. ROZIC -- read once and referred to the Committee
          on Insurance
 
        AN ACT to amend the insurance law, in relation to  requiring  all  motor
          vehicle  insurers  to  file  annual  financial statements and detailed
          claim data with the superintendent of financial services
 
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
 
     1    Section 1. This act shall be known and may be cited as the "automobile
     2  insurance sunshine act".
     3    §  2.  Legislative  intent.  The legislature hereby finds and declares
     4  that insurance companies issuing motor vehicle policies  in  this  state
     5  owe  a  duty  to  the  consumers they insure and to those who may in the
     6  future be insured by them, to fully disclose in a public and transparent
     7  manner all elements relating to their financial condition and  solvency.
     8  Automobile  use  and operation is a cornerstone of modern life; in fact,
     9  auto insurance is the only coverage most New Yorkers are required by law
    10  to purchase.  New York's consumers have a right to know the details  and
    11  specifics of the factors and circumstances behind the financial solvency
    12  of their insurer as well as the bases for the rates they are required to
    13  pay to retain their legally mandated coverage. The determination of auto
    14  insurance  premiums  in New York has, unfortunately, gone on too long in
    15  obscurity, with those who bear the premium rates unable to learn reasons
    16  why they are set where they are. As a matter of public trust, automobile
    17  liability insurers should make public the  pertinent  facts  related  to
    18  their  premium determinations and financial solvency. It is the sense of
    19  the legislature that this data should be disclosed in an open and public
    20  manner.
    21    § 3. The insurance law is amended by adding a new section 346 to  read
    22  as follows:
    23    §  346.  Financial  statement and detailed claim data to be filed with
    24  the department.  (a) For purposes of this section,  the  term  "insurer"
    25  shall mean any person, corporation, association or other business entity
    26  authorized to issue a motor vehicle insurance policy in this state.
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD15600-01-6

        A. 11155                            2
 
     1    (b) On or before April first of each year, every insurer shall provide
     2  the superintendent with a detailed financial statement to supplement and
     3  expand  upon the information contained in the statutory annual statement
     4  for the most recently concluded calendar year. The  financial  statement
     5  shall contain information on a combined basis for all lines of insurance
     6  as  well  as  information  separately for each of the following lines of
     7  insurance: (1) private passenger automobile other liability, (2) private
     8  passenger automobile personal injury protection, (3)  private  passenger
     9  automobile  physical  damage, (4) commercial automobile other liability,
    10  (5) commercial automobile personal injury protection, and (6) commercial
    11  automobile physical damage.  Such financial statement shall include  the
    12  entirety  of  its  business  activities  conducted  in  this  state,  or
    13  conducted outside this state, but having a nexus to  insurance  policies
    14  or  contracts  of  insurance  insuring  persons  or risks in this state,
    15  consistent with the procedures for determining New York state  insurance
    16  business  for statutory annual statement reporting purposes. Such state-
    17  ment shall be in a form determined by the superintendent. The form shall
    18  be sufficiently itemized in a manner  that  allows  for  an  actuarially
    19  sound  analysis  of  the income realized by the insurer from all sources
    20  during such year, including but  not  limited  to  premiums,  investment
    21  income,  profit from sale of assets and any other category or categories
    22  of income as determined  by  the  superintendent  to  reflect  the  full
    23  disclosure  requirements of this section. At a minimum, such information
    24  shall consist of the items set forth in the statement of income, exclud-
    25  ing the capital and surplus account  section  of  the  property/casualty
    26  statutory  annual  statement,  as  applicable  to the insurer's New York
    27  state business, as well as the  other  information  delineated  in  this
    28  subsection.  Such financial statement shall also contain a comprehensive
    29  and detailed disclosure of the insurer's expenses actually incurred  and
    30  paid  during  such  calendar  year, to include normal business expenses,
    31  salaries, commissions,  consulting  fees,  legal  expenses,  advertising
    32  costs  and  any  other  category  deemed pertinent to the intent of this
    33  section. At a minimum, the expense information required shall consist of
    34  the items set forth in the underwriting and investment exhibit - part  3
    35  -  expenses  of  the  property/casualty  statutory  annual statement, as
    36  applicable to the insurer's New York state  business.  With  respect  to
    37  salaries (including all other forms of compensation), each insurer shall
    38  itemize  the  salary  of the twenty most highly compensated employees of
    39  such insurer during such year, provided that the name of such  employees
    40  need  not  be disclosed. Such financial statement shall also provide the
    41  public with a synopsis of claims or settlements paid  pursuant  to  such
    42  policies  or contracts, listing the total of such claims and settlements
    43  by type of insurance or the risk insured. At a minimum, the claim infor-
    44  mation required shall consist of the items set forth in the  exhibit  of
    45  premiums and losses of the property/casualty statutory annual statement,
    46  as  applicable  to  the insurer's New York state business and identified
    47  and categorized separately for each zip code in this state.  Such finan-
    48  cial statement shall be signed and attested as full, complete and  accu-
    49  rate by the chief executive officer of the insurer, and such chief exec-
    50  utive  officer  shall be held personally responsible with respect to the
    51  accuracy of the content of  such  statement.  The  superintendent  shall
    52  provide  insurers  with  a  method  to submit their financial statements
    53  electronically via the internet, which method shall include instructions
    54  relating to the use of an electronic signature which  shall  be  subject
    55  to,  and  submitted  in accordance with section three hundred sixteen of

        A. 11155                            3

     1  this article; provided, however, that no exception  authorized  in  such
     2  section may be requested or granted.
     3    (c) On or before April first of each year, every insurer shall provide
     4  the  superintendent  with detailed closed claim information for the same
     5  lines of insurance provided for in subsection (b) of  this  section  for
     6  the  most  recently  concluded  calendar  year. Until the superintendent
     7  promulgates data collection forms and procedures for  private  passenger
     8  automobile  insurance,  data shall be collected using, at a minimum, the
     9  most recent publicly available forms  used  by  the  Insurance  Research
    10  Council for its Auto Injury Survey. The superintendent may require addi-
    11  tional information beyond that which is contained in such survey if such
    12  superintendent  deems it necessary and warranted.  Instead of collecting
    13  information for all private passenger automobile claims the  superinten-
    14  dent  may  collect  data for a statistically valid sample of claims. The
    15  minimum sample size shall represent five per centum  of  the  number  of
    16  claims   for  each  year.  Until  the  superintendent  promulgates  data
    17  collection forms and procedures  for  commercial  automobile  insurance,
    18  data  shall  be  collected using information which may be available from
    19  any other source. For commercial automobile claims, instead of  collect-
    20  ing information for all claims the superintendent may collect data for a
    21  statistically  valid  sample  of  claims.  The minimum sample size shall
    22  represent ten per centum of the number of claims for each year for  such
    23  line of insurance. Such detailed claim data shall be signed and attested
    24  as  full,  complete  and  accurate by the chief executive officer of the
    25  insurer, and such chief  executive  officer  shall  be  held  personally
    26  responsible with respect to the accuracy of the data. The detailed claim
    27  data shall be submitted in the same manner as provided for in subsection
    28  (b) of this section.
    29    (d)  The superintendent shall, in both written form and as part of the
    30  department website, make such financial statements  and  detailed  claim
    31  information  available  to  the  public.  The detailed claim information
    32  shall be provided in aggregate form for all  insurers  combined  without
    33  any  identification  of  a specific claim to a specific insurer. None of
    34  the publicly available detailed claim  information  shall  identify  the
    35  individual  insurer,  defendant  or plaintiff associated with the claim.
    36  Such financial statements and detailed claim information shall be deemed
    37  a public document and no person shall be required to file a request  for
    38  such financial statements pursuant to article six of the public officers
    39  law  in order to receive a copy thereof, but upon request and payment of
    40  the fee for copying such document, it shall be provided. With respect to
    41  the electronic copy of such  financial  statements  and  detailed  claim
    42  information,  which shall be accessible on the department's website, the
    43  department shall highlight the availability of such information  to  the
    44  public  on such website, and the link to each insurer's financial state-
    45  ment and the aggregated detailed claim information shall  be  accessible
    46  in a simple and easy manner. Both the financial statement and aggregated
    47  detailed  claim information on the department website shall be available
    48  in spreadsheet format, in addition to any other format  the  superinten-
    49  dent determines is appropriate.
    50    (e)  On  or  before  July first of each year, the superintendent shall
    51  issue reports summarizing and explaining the information collected  from
    52  the  financial  statements and the detailed claim information. Copies of
    53  such reports shall be  forwarded  to  the  temporary  president  of  the
    54  senate,  the  speaker  of the assembly and the chairs of both the senate
    55  and assembly insurance committees. Such reports shall  be  public  docu-

        A. 11155                            4
 
     1  ments and shall be accessible both in paper copy and on the department's
     2  website.
     3    (f)  Where  an  insurer fails or refuses to provide the superintendent
     4  with a full and complete disclosure as required  by  this  section,  the
     5  superintendent shall take such action the superintendent deems necessary
     6  to  bring  the  insurer  into full compliance.   Such action may include
     7  imposition of a civil penalty of up to fifty thousand  dollars  assessed
     8  against  the  insurer  for  each  violation, temporary suspension of any
     9  right to issue additional policies or contracts until the insurer brings
    10  itself into full compliance, an audit of the insurer's  records  by  the
    11  department  or  its  designated representative to obtain the information
    12  and which audit shall be paid for by the insurer,  or  any  other  civil
    13  remedy the superintendent deems warranted or necessary until such insur-
    14  er fully complies. In addition the officer whose signature is affixed to
    15  such statement may be personally penalized to the same extent.
    16    (g)  The superintendent may promulgate such rules and regulations such
    17  superintendent deems necessary for  the  proper  administration  of  the
    18  provisions  of  this  section,  and  such  rules  and regulations may be
    19  promulgated on an emergency basis if the  superintendent  warrants  such
    20  action to be necessary.
    21    § 4. Severability. If any item, clause, sentence, subparagraph, subdi-
    22  vision  or  other  part  of  this act, or the application thereof to any
    23  person or circumstances shall be held to be invalid, such holding  shall
    24  not  affect, impair or invalidate the remainder of this act but it shall
    25  be confined in its operation to the  item,  clause,  sentence,  subpara-
    26  graph,  subdivision  or other part of this act directly involved in such
    27  holding, or to the person and circumstances therein involved.
    28    § 5. This act shall take effect immediately.
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