Bill Text: NY A00704 | 2009-2010 | General Assembly | Introduced


Bill Title: An act to amend the insurance law, in relation to the eligibility of small employers and individuals for participation in the program for standardized health insurance contracts

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2010-01-06 - referred to insurance [A00704 Detail]

Download: New_York-2009-A00704-Introduced.html
                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                          704
                              2009-2010 Regular Sessions
                                 I N  A S S E M B L Y
                                      (PREFILED)
                                    January 7, 2009
                                      ___________
       Introduced by M. of A. JEFFRIES -- read once and referred to the Commit-
         tee on Insurance
       AN  ACT  to  amend  the insurance law, in relation to the eligibility of
         small employers and individuals for participation in the  program  for
         standardized health insurance contracts
         THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section 1. Item (ii) of subparagraph (A) of paragraph 1 of  subsection
    2  (c)  of  section 4326 of the insurance law, as amended by chapter 419 of
    3  the laws of 2000, is amended to read as follows:
    4    (ii) resides in [a household] THE COUNTIES OF BRONX, DUTCHESS,  KINGS,
    5  NASSAU,  NEW  YORK, ORANGE, PUTNAM, QUEENS, RICHMOND, ROCKLAND, SUFFOLK,
    6  OR WESTCHESTER IN A HOUSEHOLD HAVING A  GROSS  HOUSEHOLD  INCOME  AT  OR
    7  BELOW  THREE  HUNDRED  PERCENT OF THE NON-FARM FEDERAL POVERTY LEVEL (AS
    8  DEFINED AND UPDATED BY  THE  FEDERAL  DEPARTMENT  OF  HEALTH  AND  HUMAN
    9  SERVICES),  OR  RESIDES  ELSEWHERE  IN THE STATE IN A HOUSEHOLD having a
   10  [net] GROSS household income at  or  below  two  hundred  [eight]  FIFTY
   11  percent of the non-farm federal poverty level (as defined and updated by
   12  the  federal  department  of  health  and  human services) [or the gross
   13  equivalent of such net income];
   14    S 2. Subparagraph (B) of paragraph 1 of subsection (c) of section 4326
   15  of the insurance law, as added by chapter 1 of  the  laws  of  1999,  is
   16  amended to read as follows:
   17    (B) An employer [with]:
   18    (i) WITH not more than fifty eligible employees;
   19    (ii)  WITH  no  group  health  insurance which provides benefits on an
   20  expense reimbursed or prepaid basis covering employees in effect  during
   21  the  twelve  month  period  prior  to application for a qualifying group
   22  health insurance contract under the program established by this section;
   23  and
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD00034-01-9
       A. 704                              2
    1    (iii) FOR AN EMPLOYER LOCATED IN  THE  COUNTIES  OF  BRONX,  DUTCHESS,
    2  KINGS,  NASSAU,  NEW  YORK,  ORANGE, PUTNAM, QUEENS, RICHMOND, ROCKLAND,
    3  SUFFOLK, OR WESTCHESTER, at least thirty percent of its eligible employ-
    4  ees receiving annual wages from the employer at a level equal to or less
    5  than  [thirty]  FORTY-TWO  thousand  dollars, OR FOR AN EMPLOYER LOCATED
    6  ELSEWHERE IN THE STATE, AT LEAST THIRTY PERCENT  OF  ELIGIBLE  EMPLOYEES
    7  RECEIVING  ANNUAL  WAGES  FROM  THE EMPLOYER AT A LEVEL EQUAL TO OR LESS
    8  THAN THIRTY-FIVE THOUSAND DOLLARS. The [thirty thousand]  dollar  figure
    9  UTILIZED  IN  THIS  CLAUSE  shall  be  adjusted periodically pursuant to
   10  subparagraph (F) of this paragraph.
   11    S 3. Subparagraph (F) of paragraph l of subsection (c) of section 4326
   12  of the insurance law, as added by chapter 1 of  the  laws  of  1999,  is
   13  amended to read as follows:
   14    (F)  The  wage  levels  utilized in subparagraph (B) of this paragraph
   15  shall be adjusted annually, beginning in two thousand [two]  TEN.    The
   16  adjustment shall take effect on July first of each year. For July first,
   17  two  thousand  [two]  TEN,  the  adjustment shall be a percentage of the
   18  annual wage [figure] FIGURES specified in subparagraph (B) of this para-
   19  graph. For subsequent years, the adjustment shall be a percentage of the
   20  annual wage [figure] FIGURES which took effect  on  July  first  of  the
   21  prior  year.  The  percentage adjustment shall be the same percentage by
   22  which the current year's non-farm federal poverty level, as defined  and
   23  updated  by  the  federal department of health and human services, for a
   24  family unit of four persons for the forty-eight  contiguous  states  and
   25  Washington,  D.C., changed from the same level established for the prior
   26  year.
   27    S 4. Item (iii) of subparagraph (A) of paragraph 3 of  subsection  (c)
   28  of  section 4326 of the insurance law, as added by chapter 1 of the laws
   29  of 1999, is amended to read as follows:
   30    (iii) resides in [a household] THE COUNTIES OF BRONX, DUTCHESS, KINGS,
   31  NASSAU, NEW YORK, ORANGE, PUTNAM, QUEENS, RICHMOND,  ROCKLAND,  SUFFOLK,
   32  OR  WESTCHESTER  IN  A  HOUSEHOLD  HAVING A GROSS HOUSEHOLD INCOME AT OR
   33  BELOW THREE HUNDRED PERCENT OF THE NON-FARM FEDERAL  POVERTY  LEVEL  (AS
   34  DEFINED  AND  UPDATED  BY  THE  FEDERAL  DEPARTMENT  OF HEALTH AND HUMAN
   35  SERVICES), OR RESIDES ELSEWHERE IN THE STATE IN  A  HOUSEHOLD  having  a
   36  [net]  GROSS  household  income  at  or  below two hundred [eight] FIFTY
   37  percent of the non-farm federal poverty level (as defined and updated by
   38  the federal department of health  and  human  services)  [or  the  gross
   39  equivalent of such net income]; and
   40    S  5.  This  act shall take effect on the ninetieth day after it shall
   41  have become a law.
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