Requires insurers and corporations that issue, sell, renew or offer a specialized dental benefits plan policy or contract to report annually on data related to such dental benefits plan policies.
STATE OF NEW YORK
________________________________________________________________________
3919--A
2025-2026 Regular Sessions
IN ASSEMBLY
January 30, 2025
___________
Introduced by M. of A. WEPRIN, HEVESI, TAYLOR, PAULIN, BROOK-KRASNY --
read once and referred to the Committee on Insurance -- committee
discharged, bill amended, ordered reprinted as amended and recommitted
to said committee
AN ACT to amend the insurance law, in relation to establishing a
requirement for information related to specialized dental benefit
plans
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. Section 3231 of the insurance law, as added by chapter 501
2 of the laws of 1992, is amended by adding a new subsection (j) to read
3 as follows:
4 (j) (1) Any insurer that issues, sells, renews, or offers a special-
5 ized dental benefits plan policy or contract shall be required to file
6 an annual report with the superintendent organized by market and product
7 type which shall include, but not be limited to, the following informa-
8 tion:
9 (A) the number of covered persons, including the number of covered
10 persons that meet or exceed the annual coverage limit;
11 (B) plan cost-sharing and deductible amounts; and
12 (C) the annual maximum coverage limit.
13 (2) The report required by this subsection shall be based on the
14 fiscal year during which the dental coverage is provided by the plan.
15 (3) The superintendent shall issue a report on the data collected
16 pursuant to this subsection to the speaker of the assembly and the
17 temporary president of the senate. The superintendent's report shall
18 include the data collected from all insurers required to report pursuant
19 to this subsection.
20 (4) Beginning on the first of January following the submission of the
21 first report required to be filed pursuant to this subsection, and annu-
22 ally thereafter, the superintendent shall make collected dental loss
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD07555-02-5
A. 3919--A 2
1 ratio information available to the public in a searchable format on a
2 public website by plan type.
3 § 2. Section 4308 of the insurance law is amended by adding a new
4 subsection (c-1) to read as follows:
5 (c-1)(1) Any corporation that issues, sells, renews, or offers a
6 specialized dental benefits plan policy or contract shall be required to
7 file an annual report with the superintendent organized by market and
8 product type which shall include, but not be limited to, the following
9 information:
10 (A) the number of covered persons, including the number of covered
11 persons that meet or exceed the annual coverage limit;
12 (B) plan cost-sharing and deductible amounts; and
13 (C) the annual maximum coverage limit.
14 (2) The report required by this subsection shall be based on the
15 fiscal year during which the dental coverage is provided by the plan.
16 (3) The superintendent shall issue a report on the data collected
17 pursuant to this subsection to the speaker of the assembly and the
18 temporary president of the senate. The superintendent's report shall
19 include the data collected from all corporations required to report
20 pursuant to this subsection.
21 (4) Beginning on the first of January following the submission of the
22 first report required to be filed pursuant to this subsection, and annu-
23 ally thereafter, the superintendent shall make collected dental loss
24 ratio information available to the public in a searchable format on a
25 public website by plan type.
26 § 3. This act shall take effect immediately and shall apply to any
27 policies issued or in effect on and after January 1, 2026.
