S06004 Summary:
BILL NO | S06004 |
  | |
SAME AS | SAME AS A08300 |
  | |
SPONSOR | SEWARD |
  | |
COSPNSR | |
  | |
MLTSPNSR | |
  | |
Amd SS3231 & 4317, Ins L; amd S5, Chap of 2015 (as proposed in S.5928-A and A.8134-A) | |
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Relates to catastrophic or reinsurance coverage issued to certain small groups. |
S06004 Actions:
BILL NO | S06004 | |||||||||||||||||||||||||||||||||||||||||||||||||
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06/19/2015 | REFERRED TO RULES | |||||||||||||||||||||||||||||||||||||||||||||||||
06/25/2015 | ORDERED TO THIRD READING CAL.1908 | |||||||||||||||||||||||||||||||||||||||||||||||||
06/25/2015 | PASSED SENATE | |||||||||||||||||||||||||||||||||||||||||||||||||
06/25/2015 | DELIVERED TO ASSEMBLY | |||||||||||||||||||||||||||||||||||||||||||||||||
06/25/2015 | referred to ways and means | |||||||||||||||||||||||||||||||||||||||||||||||||
06/25/2015 | substituted for a8300 | |||||||||||||||||||||||||||||||||||||||||||||||||
06/25/2015 | ordered to third reading rules cal.747 | |||||||||||||||||||||||||||||||||||||||||||||||||
06/25/2015 | passed assembly | |||||||||||||||||||||||||||||||||||||||||||||||||
06/25/2015 | returned to senate | |||||||||||||||||||||||||||||||||||||||||||||||||
12/16/2015 | DELIVERED TO GOVERNOR | |||||||||||||||||||||||||||||||||||||||||||||||||
12/28/2015 | SIGNED CHAP.589 | |||||||||||||||||||||||||||||||||||||||||||||||||
12/28/2015 | APPROVAL MEMO.43 |
S06004 Committee Votes:
Go to topS06004 Floor Votes:
Yes
Abbate
Yes
Corwin
Yes
Goodell
Yes
Lupardo
Yes
Paulin
ER
Silver
Yes
Abinanti
Yes
Crespo
Yes
Gottfried
Yes
Lupinacci
Yes
Peoples-Stokes
Yes
Simanowitz
Yes
Arroyo
Yes
Crouch
Yes
Graf
Yes
Magee
Yes
Perry
Yes
Simon
Yes
Aubry
Yes
Curran
ER
Gunther
Yes
Magnarelli
Yes
Persaud
Yes
Simotas
Yes
Barclay
Yes
Cusick
Yes
Hawley
Yes
Malliotakis
Yes
Pichardo
Yes
Skartados
Yes
Barrett
Yes
Cymbrowitz
Yes
Hevesi
Yes
Markey
Yes
Pretlow
Yes
Skoufis
Yes
Barron
ER
Davila
Yes
Hikind
Yes
Mayer
Yes
Quart
Yes
Solages
Yes
Benedetto
Yes
DenDekker
Yes
Hooper
Yes
McDonald
Yes
Ra
Yes
Stec
ER
Bichotte
Yes
Dilan
Yes
Jaffee
Yes
McDonough
Yes
Raia
Yes
Steck
Yes
Blake
Yes
Dinowitz
Yes
Jean-Pierre
Yes
McKevitt
Yes
Ramos
Yes
Stirpe
Yes
Blankenbush
ER
DiPietro
Yes
Johns
Yes
McLaughlin
Yes
Richardson
Yes
Tedisco
Yes
Borelli
Yes
Duprey
Yes
Joyner
ER
Miller
Yes
Rivera
Yes
Tenney
Yes
Brabenec
Yes
Englebright
Yes
Kaminsky
Yes
Montesano
ER
Roberts
Yes
Thiele
Yes
Braunstein
Yes
Fahy
ER
Katz
Yes
Morelle
Yes
Robinson
Yes
Titone
ER
Brennan
Yes
Farrell
Yes
Kavanagh
ER
Mosley
Yes
Rodriguez
ER
Titus
Yes
Brindisi
Yes
Finch
ER
Kearns
Yes
Moya
Yes
Rosenthal
Yes
Walker
Yes
Bronson
Yes
Fitzpatrick
Yes
Kim
Yes
Murray
Yes
Rozic
Yes
Walter
Yes
Brook-Krasny
Yes
Friend
Yes
Kolb
Yes
Nojay
Yes
Russell
Yes
Weinstein
Yes
Buchwald
Yes
Galef
Yes
Lalor
Yes
Nolan
Yes
Ryan
Yes
Weprin
Yes
Butler
Yes
Gantt
Yes
Lavine
Yes
Oaks
Yes
Saladino
Yes
Woerner
Yes
Cahill
Yes
Garbarino
Yes
Lawrence
Yes
O'Donnell
Yes
Santabarbara
Yes
Wozniak
Yes
Ceretto
Yes
Giglio
Yes
Lentol
Yes
Ortiz
Yes
Schimel
ER
Wright
ER
Clark
Yes
Gjonaj
Yes
Lifton
Yes
Otis
Yes
Schimminger
Yes
Zebrowski
Yes
Colton
Yes
Glick
Yes
Linares
Yes
Palmesano
Yes
Seawright
Yes
Mr. Speaker
Yes
Cook
Yes
Goldfeder
Yes
Lopez
Yes
Palumbo
Yes
Sepulveda
‡ Indicates voting via videoconference
S06004 Text:
Go to top STATE OF NEW YORK ________________________________________________________________________ 6004 2015-2016 Regular Sessions IN SENATE June 19, 2015 ___________ Introduced by Sen. SEWARD -- read twice and ordered printed, and when printed to be committed to the Committee on Rules AN ACT to amend the insurance law, in relation to catastrophic or rein- surance coverage issued to certain small groups; and to amend a chap- ter of the laws of 2015 amending the insurance law relating to catastrophic or reinsurance coverage issued to certain small groups, as proposed in legislative bills numbers S. 5928-A and A. 8134-A, in relation to the effectiveness of such chapter; and in relation to directing the superintendent of financial services to contract with an independent entity to conduct an assessment regarding the impact of the prohibition on the sale of stop loss, catastrophic and reinsurance coverage to the small group market The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Paragraph 1 of subsection (h) of section 3231 of the insur- 2 ance law, as amended by a chapter of the laws of 2015 amending the 3 insurance law relating to catastrophic or reinsurance coverage issued to 4 certain small groups, as proposed in legislative bills numbers S. 5928-A 5 and A. 8134-A, is amended to read as follows: 6 (1) Notwithstanding any other provision of this chapter, no insurer, 7 subsidiary of an insurer, or controlled person of a holding company 8 system may act as an administrator or claims paying agent, as opposed to 9 an insurer, on behalf of small groups which, if they purchased insur- 10 ance, would be subject to this section. No insurer, subsidiary of an 11 insurer, or controlled person of a holding company may provide stop 12 loss, catastrophic or reinsurance coverage to small groups which, if 13 they purchased insurance, would be subject to this section. Provided, 14 however, the provisions of this paragraph shall not apply to stop loss, 15 catastrophic or reinsurance coverage issued and in effect on or before 16 [June] January first, two thousand fifteen to small groups covering 17 between fifty-one and one hundred employees or members of the group. EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD11569-13-5S. 6004 2 1 § 2. Paragraph 1 of subsection (e) of section 4317 of the insurance 2 law, as amended by a chapter of the laws of 2015 amending the insurance 3 law relating to catastrophic or reinsurance coverage issued to certain 4 small groups, as proposed in legislative bills numbers S. 5928-A and A. 5 8134-A, is amended to read as follows: 6 (1) Notwithstanding any other provision of this chapter, no insurer, 7 subsidiary of an insurer, or controlled person of a holding company 8 system may act as an administrator or claims paying agent, as opposed to 9 an insurer, on behalf of small groups which, if they purchased insur- 10 ance, would be subject to this section. No insurer, subsidiary of an 11 insurer, or controlled person of a holding company may provide stop 12 loss, catastrophic or reinsurance coverage to small groups which, if 13 they purchased insurance, would be subject to this section. Provided, 14 however, the provisions of this paragraph shall not apply to stop loss, 15 catastrophic or reinsurance coverage issued and in effect on or before 16 [June] January first, two thousand fifteen to small groups covering 17 between fifty-one and one hundred employees or members of the group. 18 § 3. Section 5 of a chapter of the laws of 2015 amending the insurance 19 law relating to catastrophic or reinsurance coverage issued to certain 20 small groups, as proposed in legislative bills numbers S.5928-A and 21 A.8134-A, is amended to read as follows: 22 § 5. This act shall take effect immediately; and shall be deemed 23 repealed [5] 2 years after it shall have become a law. 24 § 4. 1. The superintendent of financial services shall contract with 25 an independent entity to conduct an assessment regarding the impact of 26 the prohibition on the sale of stop loss, catastrophic and reinsurance 27 coverage to the small group market. Such contract shall be awarded on a 28 competitive basis through a request for proposals process. Issues to be 29 assessed shall include, but not be limited to, the following: 30 (a) the costs to small group employers of providing health coverage; 31 (b) the ability of small group employers to continue to provide health 32 coverage; 33 (c) benefit package and wellness program comparability between self- 34 insured and small group products; 35 (d) whether the inability of small group employers to self-insure 36 affects such employers' ability to remain in or relocate to New York 37 state; 38 (e) the impact of allowing the sale of stop loss, catastrophic or 39 reinsurance coverage to groups with 51-100 employees or members exempted 40 from paragraph 1 of subsection (h) of section 3231 and paragraph 1 of 41 subsection (e) of section 4317 of the insurance law by a chapter of the 42 laws of 2015 amending the insurance law relating to catastrophic or 43 reinsurance coverage issued to certain small groups, as proposed in 44 legislative bills numbers S.5928-A and A.8134-A, on the affordability of 45 health insurance purchased in the small group health insurance market, 46 including: 47 (i) the impact on the premiums within the small group health insurance 48 market of allowing such exempted groups to obtain stop loss, catastroph- 49 ic or reinsurance coverage; and 50 (ii) whether allowing the sale of stop loss, catastrophic or reinsur- 51 ance coverage to such exempted groups with 51-100 members results in 52 adverse selection within the small group health insurance market by 53 allowing such groups to select either stop loss or a small group insur- 54 ance product; and 55 (f) differences in consumer protections provided under small group 56 health insurance products versus those provided under stop loss,S. 6004 3 1 catastrophic or reinsurance coverage including, but not limited to, 2 differences in limits on cost sharing, network adequacy, patient appeal 3 rights, consumer review of rates during the prior approval process, 4 department of financial services audits and oversight and insurer 5 solvency requirements. 6 2. The department of financial services shall submit its report to the 7 governor, the temporary president of the senate, the speaker of the 8 assembly, and the chairs of the senate and assembly standing committees 9 on insurance no later than January 1, 2017. 10 § 5. This act shall take effect on the same date and in the same 11 manner as a chapter of the laws of 2015 amending the insurance law 12 relating to catastrophic or reinsurance coverage issued to certain small 13 groups, as proposed in legislative bills numbers S.5928-A and A.8134-A, 14 takes effect.