Bill Text: NY A10755 | 2009-2010 | General Assembly | Introduced

---

Bill Title: Requires that dental health and dental insurance plans all pay as primary providers under their plans and that this method of coordination of benefits be clearly explained to patients.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2010-04-20 - referred to insurance [A10755 Detail]

Download: New_York-2009-A10755-Introduced.html

---

                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         10755
                                 I N  A S S E M B L Y
                                    April 20, 2010
                                      ___________
       Introduced by M. of A. ABBATE -- read once and referred to the Committee
         on Insurance
       AN  ACT to amend the insurance law, in relation to coordination of bene-
         fits among dental health plans
         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 3224-d
    2  to read as follows:
    3    S  3224-D.  COORDINATION  OF  DENTAL  BENEFITS. EVERY HEALTH INSURANCE
    4  PLAN, MANAGED CARE HEALTH PLAN, HEALTH MAINTENANCE ORGANIZATION, OR  ANY
    5  OTHER PLAN OF ANY TYPE AUTHORIZED UNDER THIS ARTICLE, ARTICLE FORTY-TWO,
    6  FORTY-THREE  OR  FORTY-EIGHT  OF  THIS  CHAPTER, OR ANY OTHER ARTICLE OR
    7  PROVISION OF THIS CHAPTER, OR UNDER ARTICLE  FORTY-FOUR  OF  THE  PUBLIC
    8  HEALTH  LAW  OR ANY OTHER ARTICLE OR PROVISION OF THE PUBLIC HEALTH LAW,
    9  OR SECTION THREE HUNDRED SIXTY-FOUR-J OF THE SOCIAL SERVICES LAW OR  ANY
   10  OTHER  PROVISION  OF THE SOCIAL SERVICES LAW, INCLUDING ANY GOVERNMENTAL
   11  PLAN, WHETHER AUTHORIZED UNDER ANY FEDERAL OR STATE LAW, SHALL DETERMINE
   12  AND PAY ITS BENEFITS FOR A PERSON'S DENTAL HEALTH CARE COVERAGE  WITHOUT
   13  TAKING  THE  EXISTENCE  OF  ANY OTHER PLAN INTO CONSIDERATION. NO PERSON
   14  SHALL BE ENTITLED TO BE PAID MORE THAN THE TOTAL  AMOUNT  OF  THE  CLAIM
   15  SUBMITTED  PURSUANT  TO THIS SECTION. EVERY PLAN COVERED BY THIS SECTION
   16  SHALL EXPLAIN IN CLEAR,  PLAIN,  APPROPRIATE  LANGUAGE  TO  ALL  PERSONS
   17  COVERED  BY  THE PLAN THE COORDINATION OF BENEFIT RULES REQUIRED BY THIS
   18  SECTION, AND SHALL CONSULT IN ADVANCE WITH THE  NEW  YORK  STATE  DENTAL
   19  ASSOCIATION ON SUCH APPROPRIATE LANGUAGE.
   20    S 2. This act shall take effect January 1, 2011.
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD16865-01-0