Bill Text: NY S01185 | 2015-2016 | General Assembly | Amended

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Bill Title: Requires insurance companies to disclose claims information to municipalities employing 400 or more employees to determine how their benefits are used; provides for imposition of a fine for failure to disclose such information in a timely manner.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2016-01-19 - PRINT NUMBER 1185A [S01185 Detail]

Download: New_York-2015-S01185-Amended.html

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                STATE OF NEW YORK
        ________________________________________________________________________
                                         1185--A
                               2015-2016 Regular Sessions
                    IN SENATE
                                     January 9, 2015
                                       ___________
        Introduced  by  Sen. LATIMER -- read twice and ordered printed, and when
          printed to be committed to the Committee on Insurance  --  recommitted
          to the Committee on Insurance in accordance with Senate Rule 6, sec. 8
          --  committee  discharged,  bill amended, ordered reprinted as amended
          and recommitted to said committee
        AN ACT to amend the insurance law, in relation  to  requiring  insurance
          companies to disclose claims information to municipalities
          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 3217-i
     2  to read as follows:
     3    § 3217-i. Disclosure  of  information  to  municipalities.  (a)  Every
     4  insurer  contracting  with municipalities employing four hundred or more
     5  employees, including municipal cooperative health benefit  plans  certi-
     6  fied pursuant to article forty-seven of this chapter, shall provide upon
     7  request the following information to the insured municipality:
     8    (1) specific claims experience covered by the insurer under a communi-
     9  ty  rated  or  experienced  rated policy.   For purposes of this section
    10  "experience ratings" shall mean and include  all  quantitative  measures
    11  used  by  the  insurance  carrier  such  as  expenses per member and any
    12  historical data;
    13    (2) average annual per member cost of claims reimbursement;
    14    (3) number of members who did not file a claim within a  twelve  month
    15  period;
    16    (4)  a comparison of emergency services used by members to out-patient
    17  services;
    18    (5) a loss ratio report;
    19    (6) claims history for the last twelve  months  for  experience  rated
    20  plans separated by medical and prescription;
    21    (7)  information  regarding  cost  on the top twenty-five prescription
    22  drugs being used by member employees;
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD02936-02-6