Bill Text: NY A02002 | 2011-2012 | General Assembly | Introduced


Bill Title: Extends the free look period for senior citizens purchasing individual health insurance policies or contracts.

Spectrum: Bipartisan Bill

Status: (Introduced - Dead) 2012-01-04 - referred to insurance [A02002 Detail]

Download: New_York-2011-A02002-Introduced.html
                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         2002
                              2011-2012 Regular Sessions
                                 I N  A S S E M B L Y
                                   January 12, 2011
                                      ___________
       Introduced  by M. of A. WEPRIN, MORELLE -- read once and referred to the
         Committee on Insurance
       AN ACT to amend the insurance law, in relation to an extended free  look
         period  for  senior  citizens  purchasing  individual health insurance
         policies or contracts
         THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section  1.  Paragraph  10  of  subsection  (c) of section 3216 of the
    2  insurance law, as amended by section 31 of part B of chapter 58  of  the
    3  laws of 2004, is amended to read as follows:
    4    (10)  (A)  There  is  prominently printed on the first page thereof or
    5  there is attached thereto a notice to the effect that during a specified
    6  period of time, which shall not be less than  ten  days  nor  more  than
    7  twenty  days  from the date the policy is delivered to the policyholder,
    8  it may be surrendered to the insurer together with a written request for
    9  cancellation of the policy and in such event the insurer will refund any
   10  premium paid therefor including  any  policy  fees  or  other  charges[,
   11  provided, however, that this paragraph shall not apply to single premium
   12  nonrenewable  policies  insuring  against  accidents  only or accidental
   13  bodily injuries only; provided, however, that].
   14    (B) NOTWITHSTANDING SUBPARAGRAPH (A) OF THIS PARAGRAPH,  a  [contract]
   15  POLICY  or  certificate sold by mail order [and]; a [contract] POLICY or
   16  certificate  providing  medicare  supplemental  insurance  COVERING  ANY
   17  INSURED  UNDER  AGE  SIXTY-FIVE  ON THE EFFECTIVE DATE OF COVERAGE; or A
   18  POLICY OR CERTIFICATE PROVIDING long-term care insurance [must] COVERING
   19  ANY INSURED UNDER AGE SIXTY-FIVE ON THE EFFECTIVE DATE OF COVERAGE SHALL
   20  contain a provision, OR SHALL HAVE ATTACHED THERETO A NOTICE, permitting
   21  the [contract] POLICY or certificate holder a thirty day period for such
   22  surrender AS DESCRIBED IN SUBPARAGRAPH (A) OF THIS PARAGRAPH.
   23    (C) NOTWITHSTANDING SUBPARAGRAPH (A) OF THIS PARAGRAPH, A POLICY  SOLD
   24  TO  ANY  INSURED WHO IS AGE SIXTY-FIVE OR OLDER ON THE EFFECTIVE DATE OF
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD05103-01-1
       A. 2002                             2
    1  COVERAGE SHALL HAVE PROMINENTLY PRINTED ON THE  FIRST  PAGE  THEREOF  OR
    2  ATTACHED  THERETO  A  NOTICE  TO THE EFFECT THAT, FOR A PERIOD OF NINETY
    3  DAYS FROM THE DATE THE POLICY IS  DELIVERED  TO  THE  POLICYHOLDER,  THE
    4  POLICY MAY BE SURRENDERED TO THE INSURER TOGETHER WITH A WRITTEN REQUEST
    5  FOR  CANCELLATION  OF  THE  POLICY;  AND IN SUCH EVENT, THE INSURER WILL
    6  REFUND ANY PREMIUM PAID THEREFOR INCLUDING  ANY  POLICY  FEES  OR  OTHER
    7  CHARGES  PROVIDED  THAT  NO  CLAIM  FOR  BENEFITS HAS BEEN INCURRED. THE
    8  NOTICE SHALL ALSO STATE THAT, IN THE EVENT A CLAIM FOR BENEFITS HAS BEEN
    9  INCURRED UNDER THE POLICY WITHIN THE TIME PERIOD FROM THE EFFECTIVE DATE
   10  OF COVERAGE UNTIL NINETY DAYS FROM THE DATE THE POLICY IS  DELIVERED  TO
   11  THE  POLICYHOLDER,  THE  INSURER  WILL  REFUND ANY PREMIUM PAID THEREFOR
   12  INCLUDING ANY POLICY FEES OR OTHER CHARGES LESS ANY AMOUNTS THE  INSURER
   13  HAS PAID ON CLAIMS FOR BENEFITS UNDER THE POLICY.
   14    (D)  THIS  PARAGRAPH  SHALL  NOT  APPLY TO SINGLE PREMIUM NONRENEWABLE
   15  POLICIES INSURING AGAINST ACCIDENTS ONLY OR ACCIDENTAL  BODILY  INJURIES
   16  ONLY.
   17    S  2.  Subsection (h) of section 4306 of the insurance law, as amended
   18  by section 32 of part B of chapter 58 of the laws of 2004, is amended to
   19  read as follows:
   20    (h) (1) a statement on the first page of the contract or in  a  notice
   21  attached  to  the contract that during a specified period of time, which
   22  shall not be less than ten days nor more than twenty days from the  date
   23  the  contract  is  delivered to the individual, it may be surrendered to
   24  the corporation together with a written request for cancellation of  the
   25  contract  and that in such event the corporation will refund any premium
   26  paid therefor including any contract fees or other  charges;  [provided,
   27  however, that]
   28    (2)  NOTWITHSTANDING PARAGRAPH ONE OF THIS SUBSECTION, a contract sold
   29  by mail order [and]; a contract providing medicare  supplemental  insur-
   30  ance  COVERING ANY INDIVIDUAL UNDER AGE SIXTY-FIVE ON THE EFFECTIVE DATE
   31  OF COVERAGE; or A CONTRACT PROVIDING  long-term  care  insurance  [must]
   32  COVERING  ANY  INDIVIDUAL  UNDER AGE SIXTY-FIVE ON THE EFFECTIVE DATE OF
   33  COVERAGE SHALL contain a provision, OR SHALL  HAVE  ATTACHED  THERETO  A
   34  NOTICE, permitting the individual a thirty day period for such surrender
   35  AS DESCRIBED IN PARAGRAPH ONE OF THIS SUBSECTION;
   36    (3)  NOTWITHSTANDING PARAGRAPH ONE OF THIS SUBSECTION, A CONTRACT SOLD
   37  TO ANY INSURED WHO IS AGE SIXTY-FIVE OR OLDER ON THE EFFECTIVE  DATE  OF
   38  COVERAGE  SHALL HAVE A STATEMENT ON THE FIRST PAGE OF THE CONTRACT OR IN
   39  A NOTICE ATTACHED TO THE CONTRACT THAT, FOR A PERIOD OF NINETY DAYS FROM
   40  THE DATE THE CONTRACT IS DELIVERED TO THE INDIVIDUAL, THE  CONTRACT  MAY
   41  BE  SURRENDERED  TO  THE CORPORATION TOGETHER WITH A WRITTEN REQUEST FOR
   42  CANCELLATION OF THE CONTRACT, AND THAT, IN SUCH EVENT,  THE  CORPORATION
   43  WILL  REFUND  ANY  PREMIUM  PAID THEREFOR INCLUDING ANY CONTRACT FEES OR
   44  OTHER CHARGES PROVIDED NO CLAIM FOR  BENEFITS  HAS  BEEN  INCURRED.  THE
   45  STATEMENT  OR  NOTICE  SHALL  ALSO  STATE THAT, IN THE EVENT A CLAIM FOR
   46  BENEFITS HAS BEEN INCURRED UNDER THE CONTRACT  WITHIN  THE  TIME  PERIOD
   47  FROM  THE EFFECTIVE DATE OF COVERAGE UNTIL NINETY DAYS FROM THE DATE THE
   48  CONTRACT IS DELIVERED TO THE INDIVIDUAL, THE CORPORATION WILL REFUND ANY
   49  PREMIUM PAID THEREFOR INCLUDING ANY CONTRACT FEES OR OTHER CHARGES  LESS
   50  ANY  AMOUNTS  THE  CORPORATION HAS PAID ON CLAIMS FOR BENEFITS UNDER THE
   51  CONTRACT;
   52    S 3. This act shall take effect on the one hundred eightieth day after
   53  it shall have become a law and shall apply to  all  insured  individuals
   54  whose  effective  date  of coverage is on or after the effective date of
   55  this act.
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