Bill Text: NY S05100 | 2017-2018 | General Assembly | Introduced


Bill Title: Allows third party notification by insurance carriers in regard to long term care policies; further prohibits the inclusion of certain goods/services in the sale of insurance policies without consent and provides penalty for a violation of this prohibition.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2018-01-03 - REFERRED TO INSURANCE [S05100 Detail]

Download: New_York-2017-S05100-Introduced.html


                STATE OF NEW YORK
        ________________________________________________________________________
                                          5100
                               2017-2018 Regular Sessions
                    IN SENATE
                                      March 8, 2017
                                       ___________
        Introduced  by  Sen. KENNEDY -- read twice and ordered printed, and when
          printed to be committed to the Committee on Insurance
        AN ACT to amend the insurance law, in relation to third party  notifica-
          tion by insurance carriers in certain instances in regard to long term
          care policies; prohibiting the inclusion of certain goods and services
          in  the  sale  of  certain  insurance  policies  without the insured's
          informed consent, and providing a specific penalty  for  violation  of
          such prohibition
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
     1    Section 1. Subsection (f) of section 3111 of  the  insurance  law,  as
     2  relettered by section 30 of part B of chapter 58 of the laws of 2004, is
     3  relettered  subsection  (g) and a new subsection (f) is added to read as
     4  follows:
     5    (f) Every insurer that has in force a long-term care insurance  policy
     6  as defined in section one thousand one hundred seventeen of this chapter
     7  the  premiums  for  which are paid directly to the insurer by the senior
     8  citizen insured shall permit the insured to designate a  party  to  whom
     9  the  insurer  shall  transmit  notices  of nonpayment of premiums due or
    10  notice of cancellation for nonpayment of premiums, as determined by  the
    11  insurer.  The senior citizen shall notify the insurer that a third party
    12  has been so designated. Such notification  shall  be  delivered  to  the
    13  insurer by certified mail, return receipt requested, and shall be effec-
    14  tive  not  later  than ten business days from the date of receipt by the
    15  insurer. The notification must contain, in writing, an acceptance by the
    16  third party designee to receive such notices of cancellation. Should the
    17  third party designee desire to terminate his or her status  as  a  third
    18  party  designee,  such designee shall provide written notice to both the
    19  insurer and the  senior  citizen  insured.  Should  the  senior  citizen
    20  insured  desire  to  terminate  the third party designation, the insured
    21  shall provide written notice to the insurer.  The  transmission  to  the
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD00671-01-7

        S. 5100                             2
     1  third  party  designee  of  any  such notice of cancellation shall be in
     2  addition to a copy of such document transmitted to  the  senior  citizen
     3  insured  and  when a third party is so designated all such notices shall
     4  be  mailed in an envelope clearly marked on its face with the following:
     5  "IMPORTANT INSURANCE POLICY INFORMATION: OPEN IMMEDIATELY".  Designation
     6  as a third party shall not constitute acceptance of any liability on the
     7  third  party  for  services provided to such senior citizen. The insurer
     8  shall notify its insured senior  citizen  annually  in  writing  of  the
     9  availability  of  the  third party designee notice procedure and provide
    10  information on how the insured can  commence  this  procedure;  however,
    11  such notice need not be provided once a senior citizen has made a desig-
    12  nation.
    13    §  2.  Subsection (a) of section 2324 of the insurance law, as amended
    14  by chapter 291 of the laws of 2012, is amended to read as follows:
    15    (a) (1)  No  authorized  insurer,  no  licensed  insurance  agent,  no
    16  licensed  insurance  broker,  and no employee or other representative of
    17  any such insurer, agent or broker shall make, procure or  negotiate  any
    18  contract  of  insurance other than as plainly expressed in the policy or
    19  other written contract issued or to be issued as  evidence  thereof,  or
    20  shall  directly  or  indirectly, by giving or sharing a commission or in
    21  any manner whatsoever, pay or allow or offer to  pay  or  allow  to  the
    22  insured  or  to  any employee of the insured, either as an inducement to
    23  the making of insurance or after insurance has been effected, any rebate
    24  from the premium which is specified in the policy, or any special  favor
    25  or  advantage  in  the  dividends or other benefit to accrue thereon, or
    26  shall give or offer to give any valuable consideration or inducement  of
    27  any  kind, directly or indirectly, which is not specified in such policy
    28  or contract, other than any valuable consideration,  including  but  not
    29  limited  to merchandise or periodical subscriptions, not exceeding twen-
    30  ty-five dollars in value, or shall give, sell or purchase, or  offer  to
    31  give, sell or purchase, as an inducement to the making of such insurance
    32  or  in  connection therewith, any stock, bond or other securities or any
    33  dividends or profits accrued thereon, nor shall the insured, his or  her
    34  agent  or  representative  knowingly receive directly or indirectly, any
    35  such rebate or special favor or advantage, provided, however, a licensed
    36  insurance agent or a licensed insurance  broker  may  retain  the  usual
    37  commission  or  underwriting  fee  on insurance placed on his or her own
    38  property or risks, if the aggregate of such commissions or  underwriting
    39  fees will not exceed five percent of the total net commissions or under-
    40  writing  fees  received  by  such  licensed insurance agent or insurance
    41  broker during the calendar year.
    42    (2) No authorized insurer, no licensed insurance  agent,  no  licensed
    43  insurance  broker,  and  no employee or other representative of any such
    44  insurer, agent or broker shall include with the  sale  of  an  insurance
    45  policy any other insurance policy or product or other goods and services
    46  without first obtaining the informed consent of the proposed insured.
    47    § 3. Subsection (f) of section 2324 of the insurance law is amended to
    48  read as follows:
    49    (f)  (1)  Any  person  or corporation violating the provisions of this
    50  section shall, in addition to all other penalties provided by  law,  pay
    51  to the people of this state as a penalty the sum of five hundred dollars
    52  for each such violation.
    53    (2)  Any  person  or corporation violating the provisions of paragraph
    54  two of subsection (a) of this section shall, in addition  to  all  other
    55  penalties provided by law, pay a fine in the sum of one thousand dollars
    56  for each such violation.

        S. 5100                             3
     1    §  4.  Subsection (c) of section 4224 of the insurance law, as amended
     2  by chapter 496 of the laws of 2013, is amended to read as follows:
     3    (c)  (1)  Except  as  permitted  by section three thousand two hundred
     4  thirty-nine of this chapter or subsection (f) of this section,  no  such
     5  life  insurance  company  and  no such savings and insurance bank and no
     6  officer, agent, solicitor or representative thereof and no such  insurer
     7  doing in this state the business of accident and health insurance and no
     8  officer,  agent,  solicitor  or  representative thereof, and no licensed
     9  insurance broker and no employee or other  representative  of  any  such
    10  insurer,  agent  or  broker,  shall pay, allow or give, or offer to pay,
    11  allow or give, directly or indirectly, as an inducement to any person to
    12  insure, or shall give, sell or purchase,  or  offer  to  give,  sell  or
    13  purchase,  as such inducement, or interdependent with any policy of life
    14  insurance or annuity contract or policy of accident  and  health  insur-
    15  ance,  any  stocks,  bonds,  or  other  securities,  or any dividends or
    16  profits accruing or to accrue thereon, or any valuable consideration  or
    17  inducement  whatever not specified in such policy or contract other than
    18  any valuable consideration, including but not limited to merchandise  or
    19  periodical  subscriptions,  not  exceeding twenty-five dollars in value;
    20  nor shall any person in this state knowingly receive as such inducement,
    21  any rebate of premium or policy fee or any special favor or advantage in
    22  the dividends or  other  benefits  to  accrue  on  any  such  policy  or
    23  contract,  or  knowingly  receive  any  paid  employment or contract for
    24  services of any kind, or any valuable consideration or inducement  what-
    25  ever which is not specified in such policy or contract.
    26    (2)  No  such life insurance company and no such savings and insurance
    27  bank and no such insurer doing in this state the  business  of  accident
    28  and  health insurance and no officer, agent, solicitor or representative
    29  thereof and no licensed insurance broker and no employee or other repre-
    30  sentative of any such insurer, agent or broker shall  include  with  the
    31  sale  of  an  insurance  policy any other insurance policy or product or
    32  other goods and services without first obtaining the informed consent of
    33  the proposed insured.
    34    § 5. Section 4224 of the insurance law is  amended  by  adding  a  new
    35  subsection (g) to read as follows:
    36    (g)  Any  person  or corporation violating the provisions of paragraph
    37  two of subsection (c) of this section shall in  addition  to  all  other
    38  penalties  provided by law pay a fine in the sum of one thousand dollars
    39  for each such violation.
    40    § 6. This act shall take effect immediately, except that  section  one
    41  of  this  act  shall take effect on the first of January next succeeding
    42  the date on which it shall have become a law and shall apply to policies
    43  issued or renewed on or after such date.
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