Bill Text: NY A03664 | 2013-2014 | General Assembly | Amended


Bill Title: Permits an insurer to rescind or retroactively cancel a policy in circumstance involving an accident staged to defraud an insurer.

Spectrum: Slight Partisan Bill (Democrat 29-10)

Status: (Introduced - Dead) 2014-01-08 - referred to insurance [A03664 Detail]

Download: New_York-2013-A03664-Amended.html
                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                        3664--B
                              2013-2014 Regular Sessions
                                 I N  A S S E M B L Y
                                   January 28, 2013
                                      ___________
       Introduced  by  M.  of A. HEASTIE, CAMARA, CYMBROWITZ, GIBSON, DINOWITZ,
         ZEBROWSKI, WEPRIN,  JAFFEE,  MAGNARELLI,  MORELLE,  BRENNAN,  SIMOTAS,
         HEVESI,  MOYA,  GALEF  --  Multi-Sponsored  by  --  M.  of A. BARCLAY,
         BOYLAND, CERETTO, COOK, CRESPO,  CROUCH,  GABRYSZAK,  GLICK,  GOODELL,
         GUNTHER,  HIKIND,  HOOPER,  MAISEL,  MALLIOTAKIS,  MARKEY,  McDONOUGH,
         McLAUGHLIN, MILLMAN, MONTESANO, OAKS, PERRY, PRETLOW,  RAIA,  SCARBOR-
         OUGH,  SCHIMEL, SIMANOWITZ, STEVENSON, TITONE, WEISENBERG -- read once
         and referred to the Committee on Insurance  --  committee  discharged,
         bill  amended,  ordered  reprinted  as amended and recommitted to said
         committee -- again  reported  from  said  committee  with  amendments,
         ordered reprinted as amended and recommitted to said committee
       AN  ACT  to  amend the insurance law and the vehicle and traffic law, in
         relation to permitting an insurer to rescind or retroactively cancel a
         policy in certain circumstances
         THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section  1.  The insurance law is amended by adding a new section 3455
    2  to read as follows:
    3    S 3455. CANCELLATION OF POLICY. (A) AN INSURER MAY, WITHIN  THE  FIRST
    4  THIRTY  DAYS,  RESCIND  OR RETROACTIVELY CANCEL TO THE INCEPTION A NEWLY
    5  ISSUED AUTOMOBILE INSURANCE POLICY SUBJECT TO  SECTIONS  THREE  THOUSAND
    6  FOUR  HUNDRED  TWENTY-FIVE  OR THREE THOUSAND FOUR HUNDRED TWENTY-SIX OF
    7  THIS ARTICLE, IF THE INITIAL PREMIUM PAYMENT IS NOT HONORED BY A  FINAN-
    8  CIAL  INSTITUTION  DUE  TO  THE NONEXISTENCE OF A BANK ACCOUNT.  FOR THE
    9  PURPOSES OF THIS SECTION "NONEXISTENCE OF A  BANK  ACCOUNT"  SHALL  MEAN
   10  THAT  NO  ACCOUNT  WITH THE NAME AND ACCOUNT NUMBER PROVIDED WAS EVER IN
   11  EXISTENCE AND SHALL NOT INCLUDE ACCOUNTS THAT MAY BE CLOSED OR OTHERWISE
   12  INACTIVE.  IN THE EVENT THAT SUCH INITIAL PAYMENT IS NOT  HONORED  BY  A
   13  FINANCIAL  INSTITUTION  DUE  TO  THE NONEXISTENCE OF A BANK ACCOUNT, THE
   14  INSURER SHALL NOTIFY THE POLICYHOLDER BY CERTIFIED AND FIRST CLASS  MAIL
   15  THAT  UNLESS  THE  POLICYHOLDER REMITS PAYMENT TO THE INSURER WITHIN TEN
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD04289-04-3
       A. 3664--B                          2
    1  BUSINESS DAYS, THE POLICY MAY BE RESCINDED OR CANCELLED RETROACTIVELY TO
    2  THE INCEPTION OF THE POLICY. HOWEVER, IF PAYMENT IS REMITTED  AFTER  THE
    3  TENTH BUSINESS DAY AND THE INSURED HAS NOT BEEN NOTIFIED THAT THE POLICY
    4  HAS  BEEN  RESCINDED  OR RETROACTIVELY CANCELED, THE RIGHT TO RESCIND OR
    5  RETROACTIVELY CANCEL SUCH POLICY  PURSUANT  TO  THIS  SECTION  SHALL  BE
    6  DEEMED  TO HAVE BEEN WAIVED AND SUCH POLICY SHALL REMAIN IN EFFECT. THIS
    7  SECTION SHALL NOT APPLY TO POLICIES REQUIRED UNDER ARTICLE EIGHT OF  THE
    8  VEHICLE AND TRAFFIC LAW.
    9    (B)  A PERSON WHO IS INJURED DURING THIS PERIOD AND WHO WOULD ORDINAR-
   10  ILY BE COVERED UNDER THE INSURED'S  POLICY  HAD  IT  NOT  BEEN  CANCELED
   11  PURSUANT TO SUBSECTION (A) OF THIS SECTION, SHALL BE ENTITLED TO RECOVER
   12  UNDER  HIS  OR HER OWN POLICY SUBJECT TO THE TERMS AND CONDITIONS OF THE
   13  CONTRACT, OR IF THE INJURED PERSON IS UNINSURED, THEY SHALL BE  ENTITLED
   14  TO RECOVER UNDER THE MOTOR VEHICLE ACCIDENT INDEMNIFICATION CORPORATION,
   15  PROVIDED  SUCH  PERSON  DID  NOT PARTICIPATE IN ANY FRAUDULENT ACTIVITY,
   16  INCLUDING, BUT NOT LIMITED TO, AN ACCIDENT STAGED TO DEFRAUD AN INSURER.
   17  THE MOTOR VEHICLE ACCIDENT INDEMNIFICATION CORPORATION MAY NOT SUBROGATE
   18  ITS CLAIM AGAINST THE RESCINDING INSURER.
   19    S 2. Paragraph 2 of subsection (d) of section 3420  of  the  insurance
   20  law,  as  amended by chapter 388 of the laws of 2008, is amended to read
   21  as follows:
   22    (2) If under a liability policy issued or delivered in this state,  an
   23  insurer  shall disclaim liability [or], deny coverage, OR RESCIND COVER-
   24  AGE PURSUANT TO SECTION THREE THOUSAND FOUR HUNDRED FIFTY-FIVE  OF  THIS
   25  ARTICLE, for death or bodily injury arising out of a motor vehicle acci-
   26  dent,  INCLUDING  ANY  CLAIM  FOR  PERSONAL  INJURIES UNDER AN UNINSURED
   27  MOTORIST ENDORSEMENT BY ANY OCCUPANT OF A MOTOR VEHICLE OR OTHER  PERSON
   28  INVOLVED  IN  AN  ACCIDENT WHICH WAS STAGED TO DEFRAUD AN INSURER WHO IS
   29  WITHOUT KNOWLEDGE OF THE STAGING OR FRAUDULENT INTENT OF  THE  ACCIDENT,
   30  or any other type of accident occurring within this state, it shall give
   31  written  notice  as soon as is reasonably possible of such disclaimer of
   32  liability or denial of coverage to the insured and the injured person or
   33  any other claimant.
   34    S 3. Paragraph 1 of subsection (f) of section 3420  of  the  insurance
   35  law,  as  amended by chapter 305 of the laws of 1995, is amended to read
   36  as follows:
   37    (1) No policy insuring against loss resulting from  liability  imposed
   38  by law for bodily injury or death suffered by any natural person arising
   39  out  of  the  ownership,  maintenance  and use of a motor vehicle by the
   40  insured shall be issued or delivered by any authorized insurer upon  any
   41  motor vehicle then principally garaged or principally used in this state
   42  unless  it  contains a provision whereby the insurer agrees that it will
   43  pay to the insured, as defined in such provision, subject to  the  terms
   44  and conditions set forth therein to be prescribed by the board of direc-
   45  tors  of  the  Motor  Vehicle  Accident  Indemnification Corporation and
   46  approved by the superintendent, all sums, not exceeding a maximum amount
   47  or limit of twenty-five  thousand  dollars  exclusive  of  interest  and
   48  costs,  on  account  of  injury to and all sums, not exceeding a maximum
   49  amount or limit of fifty thousand  dollars  exclusive  of  interest  and
   50  costs,  on  account of death of one person, in any one accident, and the
   51  maximum amount or limit, subject to such limit for  any  one  person  so
   52  injured  of  fifty thousand dollars or so killed of one hundred thousand
   53  dollars, exclusive of interest and costs, on account of  injury  to,  or
   54  death of, more than one person in any one accident, which the insured or
   55  his legal representative shall be entitled to recover as damages from an
   56  owner  or  operator  of  an  uninsured motor vehicle, unidentified motor
       A. 3664--B                          3
    1  vehicle which leaves the scene of an accident, a  motor  vehicle  regis-
    2  tered  in  this  state as to which at the time of the accident there was
    3  not in effect a policy of liability insurance, A MOTOR VEHICLE FOR WHICH
    4  THE  POLICY  OF  INSURANCE  HAS  BEEN RESCINDED OR CANCELLED PURSUANT TO
    5  SECTION THREE THOUSAND FOUR HUNDRED FIFTY-FIVE OF THIS ARTICLE, a stolen
    6  vehicle, A MOTOR VEHICLE INVOLVED IN AN ACCIDENT  WHICH  WAS  STAGED  TO
    7  DEFRAUD AN INSURER, EXCEPT SUCH VEHICLE OWNED AND OPERATED BY THE PERPE-
    8  TRATOR  OR PERPETRATORS OF SUCH ACCIDENT, a motor vehicle operated with-
    9  out permission of the owner, an insured motor vehicle where the  insurer
   10  disclaims  liability  or  denies  coverage  or  an  unregistered vehicle
   11  because of bodily injury, sickness or disease, including death resulting
   12  therefrom, sustained by the insured, caused  by  accident  occurring  in
   13  this  state and arising out of the ownership, maintenance or use of such
   14  motor vehicle. No payment for non-economic loss shall be made under such
   15  policy provision to a covered person unless such person has  incurred  a
   16  serious  injury,  as such terms are defined in section five thousand one
   17  hundred two of this chapter. Such policy shall not duplicate any element
   18  of basic economic loss provided for  under  article  fifty-one  of  this
   19  chapter.  No  payments  of  first party benefits for basic economic loss
   20  made pursuant to such article shall  diminish  the  obligations  of  the
   21  insurer under this policy provision for the payment of non-economic loss
   22  and  economic loss in excess of basic economic loss. Notwithstanding any
   23  inconsistent provisions of section three thousand four  hundred  twenty-
   24  five  of this article, any such policy which does not contain the afore-
   25  said provisions shall be construed as if such provisions  were  embodied
   26  therein.
   27    S 4. Subparagraph (A) of paragraph 2 of subsection (f) of section 3420
   28  of  the  insurance law, as separately amended by chapters 547 and 568 of
   29  the laws of 1997, is amended to read as follows:
   30    (A) Any such policy shall, at the option of the insured, also  provide
   31  supplementary  uninsured/underinsured  motorists  insurance  for  bodily
   32  injury, in an amount up to the bodily injury liability insurance  limits
   33  of  coverage  provided  under  such  policy, subject to a maximum of two
   34  hundred fifty thousand dollars because of bodily injury to or  death  of
   35  one  person  in  any  one  accident  and,  subject to such limit for one
   36  person, up to five hundred thousand dollars because of bodily injury  to
   37  or  death  of  two  or  more  persons in any one accident, or a combined
   38  single limit policy of five hundred thousand dollars because  of  bodily
   39  injury  to or death of one or more persons in any one accident. Provided
   40  however, an insurer issuing such policy, in  lieu  of  offering  to  the
   41  insured   the   coverages   stated   above,  may  provide  supplementary
   42  uninsured/underinsured motorists insurance  for  bodily  injury,  in  an
   43  amount  up  to  the bodily injury liability insurance limits of coverage
   44  provided under such policy, subject to a maximum of one hundred thousand
   45  dollars because of bodily injury to or death of one person  in  any  one
   46  accident  and, subject to such limit for one person, up to three hundred
   47  thousand dollars because of bodily injury to or death  of  two  or  more
   48  persons  in any one accident, or a combined single limit policy of three
   49  hundred thousand dollars because of bodily injury to or death of one  or
   50  more persons in any one accident, if such insurer also makes available a
   51  personal  umbrella  policy with liability coverage limits up to at least
   52  five hundred thousand dollars which also provides coverage  for  supple-
   53  mentary    uninsured/underinsured    motorists   claims.   Supplementary
   54  uninsured/underinsured motorists insurance shall  provide  coverage,  in
   55  any  state  or  Canadian  province, if the limits of liability under all
   56  bodily injury liability bonds and insurance policies  of  another  motor
       A. 3664--B                          4
    1  vehicle  liable  for  damages INCLUDING BUT NOT LIMITED TO A VEHICLE FOR
    2  WHICH THE POLICY OF INSURANCE HAS BEEN RESCINDED OR  CANCELLED  PURSUANT
    3  TO  SECTION  THREE  THOUSAND  FOUR HUNDRED FIFTY-FIVE OF THIS ARTICLE, A
    4  MOTOR  VEHICLE  INVOLVED  IN  AN ACCIDENT WHICH WAS STAGED TO DEFRAUD AN
    5  INSURER, EXCEPT SUCH VEHICLE OWNED AND OPERATED BY  THE  PERPETRATOR  OR
    6  PERPETRATORS  OF  SUCH  ACCIDENT, are in a lesser amount than the bodily
    7  injury liability insurance limits of coverage provided by  such  policy.
    8  Upon   written   request   by   any   insured  covered  by  supplemental
    9  uninsured/underinsured motorists insurance or his duly authorized repre-
   10  sentative and upon disclosure by the insured  of  the  insured's  bodily
   11  injury   and  supplemental  uninsured/underinsured  motorists  insurance
   12  coverage limits, the insurer of any other owner or operator  of  another
   13  motor  vehicle  against  which  a claim has been made for damages to the
   14  insured shall disclose, within forty-five days of the request, the bodi-
   15  ly injury liability insurance limits of its coverage provided under  the
   16  policy  or all bodily injury liability bonds. The time of the insured to
   17  make any supplementary uninsured/underinsured motorist claim,  shall  be
   18  tolled  during  the period the insurer of any other owner or operator of
   19  another motor vehicle that may be liable for  damages  to  the  insured,
   20  fails to so disclose its coverage. As a condition precedent to the obli-
   21  gation    of    the    insurer    to   pay   under   the   supplementary
   22  uninsured/underinsured  motorists  insurance  coverage,  the  limits  of
   23  liability  of  all  bodily  injury liability bonds or insurance policies
   24  applicable at the time of the accident shall be exhausted by payment  of
   25  judgments or settlements.
   26    S  5.  Paragraph  1 of subsection (b) of section 5103 of the insurance
   27  law is amended to read as follows:
   28    (1) Intentionally causes his own injury,  EXCEPT  ANY  OCCUPANT  OF  A
   29  MOTOR  VEHICLE OR OTHER PERSON INVOLVED IN AN ACCIDENT STAGED TO DEFRAUD
   30  AN INSURER WHO IS WITHOUT KNOWLEDGE OF THE STAGING OR FRAUDULENT  INTENT
   31  OF SUCH ACCIDENT.
   32    S  6.  Paragraph  2 of subsection (a) of section 5103 of the insurance
   33  law is amended to read as follows:
   34    (2) The named insured and members of his household, other  than  occu-
   35  pants  of  a motorcycle, for loss arising out of the use or operation of
   36  (i) an uninsured motor vehicle or motorcycle, OR A VEHICLE WHOSE  COVER-
   37  AGE  IS  RESCINDED  OR CANCELLED PURSUANT TO SECTION THREE THOUSAND FOUR
   38  HUNDRED FIFTY-FIVE OF THIS CHAPTER, within the United States, its terri-
   39  tories or possessions, or Canada; and (ii) an insured motor  vehicle  or
   40  motorcycle  outside  of  this  state  and  within the United States, its
   41  territories or possessions, or Canada.
   42    S 7. Paragraph (a) of subdivision 1 of section 313 of the vehicle  and
   43  traffic  law,  as amended by chapter 569 of the laws of 1981, is amended
   44  to read as follows:
   45    (a) [No] EXCEPT AS PROVIDED FOR IN SECTION THREE THOUSAND FOUR HUNDRED
   46  FIFTY-FIVE OF THE INSURANCE LAW, NO contract of insurance  for  which  a
   47  certificate  of  insurance has been filed with the commissioner shall be
   48  terminated by cancellation by the insurer until  at  least  twenty  days
   49  after  mailing to the named insured at the address shown on the policy a
   50  notice of termination by regular mail, with a  certificate  of  mailing,
   51  properly endorsed by the postal service to be obtained, except where the
   52  cancellation  is  for  non-payment of premium in which case fifteen days
   53  notice of cancellation by the insurer  shall  be  sufficient,  provided,
   54  however,  if  another  insurance  contract has been procured, such other
   55  insurance contract shall, as of its effective date and  hour,  terminate
   56  the  insurance  previously  in effect with respect to any motor vehicles
       A. 3664--B                          5
    1  designated in both contracts. No  contract  of  insurance  for  which  a
    2  certificate of insurance has been filed with the commissioner in which a
    3  natural  person  is  the  named  insured  and  the motor vehicle is used
    4  predominantly  for  non-business  purposes  shall  be  non-renewed by an
    5  insurer unless at least forty-five, but not  more  than  sixty  days  in
    6  advance  of  the renewal date the insurer mails or delivers to the named
    7  insured at the address shown on the  policy  a  written  notice  of  its
    8  intention not to renew. No such contract of insurance in which the named
    9  insured  is  not  a natural person or the motor vehicle is used predomi-
   10  nantly for business purposes shall be non-renewed by an  insurer  unless
   11  at least twenty days in advance of the renewal date the insurer mails or
   12  delivers to the named insured at the address shown on the policy a writ-
   13  ten  notice  of  its  intention not to renew. All notices of non-renewal
   14  shall be sent by regular mail with a certificate  of  mailing,  properly
   15  endorsed  by  the  postal  service to be obtained. Time of the effective
   16  date and hour of termination stated in the notice shall become  the  end
   17  of the policy period. Every notice or acknowledgement of termination for
   18  any  cause whatsoever sent to the insured shall include in type of which
   19  the face shall not be smaller than twelve point a statement  that  proof
   20  of financial security is required to be maintained continuously through-
   21  out  the registration period and a notice prescribed by the commissioner
   22  indicating the punitive effects of failure to maintain continuous  proof
   23  of  financial  security and actions which may be taken by the insured to
   24  avoid such punitive effects.
   25    S 8. Paragraphs 6 and 7 of subsection  (b)  of  section  5201  of  the
   26  insurance  law  are  amended  and  a new paragraph 8 is added to read as
   27  follows:
   28    (6) insured motor vehicles where the insurer  disclaims  liability  or
   29  denies coverage, [and]
   30    (7) unregistered motor vehicles[.], AND
   31    (8) AN ACCIDENT STAGED TO DEFRAUD AN INSURER.
   32    S  9. This act shall take effect one year after it shall have become a
   33  law.
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