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S09393 Summary:

BILL NOS09393
 
SAME ASNo Same As
 
SPONSORJACKSON
 
COSPNSR
 
MLTSPNSR
 
Add §338, Ins L
 
Requires insurance carriers to provide access to underwriting models or granular claim data to the department of financial services to evaluate underwriting practices and risk assessment methodologies.
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S09393 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          9393
 
                    IN SENATE
 
                                      March 9, 2026
                                       ___________
 
        Introduced  by  Sen. JACKSON -- read twice and ordered printed, and when
          printed to be committed to the Committee on Insurance
 
        AN ACT to amend the insurance law, in relation  to  requiring  insurance
          carriers  to  provide  access to underwriting models or granular claim
          data to the department of financial services
 
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
 
     1    Section 1. The insurance law is amended by adding a new section 338 to
     2  read as follows:
     3    §  338. Access to underwriting models and claim data. (a) Definitions.
     4  For purposes of this section:
     5    (1) "Underwriting model" means any algorithm, formula,  or  structured
     6  methodology  used  by  an  insurance  carrier  to assess risk, determine
     7  premiums, or evaluate eligibility for coverage.
     8    (2) "Granular claim data"  means  detailed,  record-level  information
     9  regarding claims, including but not limited to claim type, amount, date,
    10  geographic location, and resolution status.
    11    (3)  "Mutually  agreed  department staff" means employees or agents of
    12  the department designated by the superintendent and agreed upon with the
    13  insurance carrier for purposes of review.
    14    (b) Access to underwriting models. Every insurance carrier  authorized
    15  to  do  business  in this state shall provide access to its underwriting
    16  models to mutually agreed department staff, upon request of  the  super-
    17  intendent.
    18    (c)  Access  to  granular  claim  data. In the event that underwriting
    19  models are not available, an insurance carrier shall provide  access  to
    20  granular  claim  data to mutually agreed department staff, sufficient to
    21  allow the department to evaluate underwriting practices and risk assess-
    22  ment methodologies.
    23    (d) Confidentiality. Information provided under this section shall  be
    24  subject  to confidentiality protections consistent with applicable state
    25  and federal law. Department staff shall maintain such information solely
    26  for regulatory purposes.
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD14111-01-5

        S. 9393                             2
 
     1    (e) Compliance. Failure to comply with this section shall constitute a
     2  violation and may subject  the  insurance  carrier  to  penalties  under
     3  section  one  hundred nine of this chapter, including fines, suspension,
     4  or revocation of license.
     5    §  2.  This  act shall take effect on the ninetieth day after it shall
     6  have become a law.
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