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Bill > A04776


NY A04776

NY A04776
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.


summary

Introduced
02/06/2025
In Committee
02/06/2025
Crossed Over
Passed
Dead

Introduced Session

2025-2026 General Assembly

Bill Summary

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

AI Summary

This bill requires health insurance providers (including insurers, group contracts, and health services organizations) to provide a copy of their most recent individual or group contracts within thirty days when a covered individual submits a written request. Specifically, the bill amends existing insurance and public health laws to mandate that for group contracts that were negotiated through collective bargaining, insurers must promptly supply the requested contract documents upon receiving a written request from a covered individual. The bill applies to various types of health insurance contracts, including individual and direct pay subscriber contracts, and ensures that individuals have a clear and time-bound mechanism to access their health plan documentation. The new requirement creates a standard 30-day response window for insurers, giving policyholders a more transparent way to review the details of their health insurance coverage. The bill will go into effect 60 days after becoming law, providing insurers a transition period to implement the new documentation request process.

Committee Categories

Business and Industry

Sponsors (15)

Last Action

referred to insurance (on 02/06/2025)

bill text


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