Requires persons or entities providing benefits in the event of disability to not impose "onerous or unreasonable conditions" for the payment or continued payment of benefits thereunder, and provides for the enforcement thereof including actual damages, interest and penalties, reasonable costs and attorney's fees, and in the court's discretion, exemplary damages; exempts worker's compensation and NYS disability insurance.
STATE OF NEW YORK
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3101--A
Cal. No. 130
2019-2020 Regular Sessions
IN ASSEMBLY
January 28, 2019
___________
Introduced by M. of A. DINOWITZ, WEPRIN, SEAWRIGHT, GOTTFRIED -- Multi-
Sponsored by -- M. of A. CUSICK -- read once and referred to the
Committee on Judiciary -- ordered to a third reading, amended and
ordered reprinted, retaining its place on the order of third reading
AN ACT to amend the general obligations law, in relation to onerous or
unreasonable conditions in the performance of disability related
contracts
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. The general obligations law is amended by adding a new
2 section 5-338 to read as follows:
3 § 5-338. Performance of written contracts for benefits in the event of
4 disability. 1. No person, firm, association, corporation or other enti-
5 ty, whether such person or entity be an employer or otherwise, excluding
6 workers' compensation or New York state disability insurance, who enters
7 into a written contract providing for payment of benefits or the waiver
8 of obligations or both in the event of the disability of a named indi-
9 vidual shall, by contract or otherwise, impose on a disabled person
10 onerous or unreasonable conditions for the payment or continued payment
11 of contractual benefits or the waiver or continued waiver of obli-
12 gations. Conditions are "onerous or unreasonable" if by their contin-
13 uous or repetitious nature they require the disabled beneficiary to
14 perform unnecessary or duplicative acts in order to obtain or collect
15 the benefits to which he or she is otherwise entitled under the contract
16 and include but are not limited to:
17 (a) Requiring the disabled person to undergo unreasonably repetitive
18 medical examinations; or
19 (b) Requiring the disabled person to provide finely-detailed or repe-
20 titious medical documentation of a disabling condition; or
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD00762-02-0
A. 3101--A 2
1 (c) Bargaining in bad faith or engaging in any of the acts described
2 in the paragraphs of subsection (a) of section two thousand six hundred
3 one of the insurance law, relating to unfair claim settlement practices.
4 2. Any party to the contract or contract beneficiary injured by an
5 action or failure to act in violation of subdivision one of this section
6 may maintain an action to recover and, upon proof of such injury due to
7 violation of subdivision one of this section by a preponderance of the
8 evidence, shall recover actual damages, including any interest and
9 penalties incurred due to the violation of subdivision one of this
10 section, and reasonable costs and attorney's fees. The court may in its
11 discretion award exemplary damages.
12 § 2. This act shall take effect immediately.
