Bill Text: NY A04776 | 2025-2026 | General Assembly | Introduced

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Bill Title: Requires insurer to respond within thirty days of a written request from an insured for their health plan documents, including copies of most recent group or individual contracts.

Spectrum: Partisan Bill (Democrat 15-0)

Status: (Introduced) 2025-02-06 - referred to insurance [A04776 Detail]

Download: New_York-2025-A04776-Introduced.html

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                STATE OF NEW YORK
        ________________________________________________________________________

                                          4776

                               2025-2026 Regular Sessions

                   IN ASSEMBLY

                                    February 6, 2025
                                       ___________

        Introduced  by M. of A. COOK, PEOPLES-STOKES, TAYLOR, BICHOTTE HERMELYN,
          SAYEGH, EPSTEIN, COLTON, STECK --  Multi-Sponsored  by  --  M.  of  A.
          BUTTENSCHON, DAVILA, GLICK, GRIFFIN, HYNDMAN, ROSENTHAL, SIMON -- read
          once and referred to the Committee on Insurance

        AN ACT to amend the insurance law and the public health law, in relation
          to disclosure and access to health insurance plan documents

          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:

     1    Section 1. Paragraph 3 of subsection (b)  of  section  3217-a  of  the
     2  insurance  law,  as added by chapter 705 of the laws of 1996, is amended
     3  to read as follows:
     4    (3) provide a copy of the most recent individual, direct pay subscrib-
     5  er contracts and, upon the written  request  of  an  individual  covered
     6  under  a  group contract which was the subject of collective bargaining,
     7  provide a copy of such contract within thirty days  of  the  receipt  of
     8  such request;
     9    §  2.  Paragraph  3 of subsection (b) of section 4324 of the insurance
    10  law, as added by chapter 705 of the laws of 1996, is amended to read  as
    11  follows:
    12    (3) provide a copy of the most recent individual, direct pay subscrib-
    13  er  contracts  and,  upon  the  written request of an individual covered
    14  under a group contract which was the subject of  collective  bargaining,
    15  provide  a  copy  of  such contract within thirty days of the receipt of
    16  such request;
    17    § 3. Paragraph (c) of subdivision 2 of  section  4408  of  the  public
    18  health  law,  as added by chapter 705 of the laws of 1996, is amended to
    19  read as follows:
    20    (c) provide a copy of the most recent individual, direct pay subscrib-
    21  er contracts and, upon the written  request  of  an  individual  covered
    22  under  a  group contract which was the subject of collective bargaining,

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD05807-01-5
        A. 4776                             2

     1  provide a copy of such contract within thirty days  of  the  receipt  of
     2  such request;
     3    §  4.  This  act  shall take effect on the sixtieth day after it shall
     4  have become a law.