STATE OF NEW YORK
        ________________________________________________________________________

                                         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.