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.