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Bill > A08536


NY A08536

NY A08536
Improves transparency in the insurance claims process; regulates insurance adjusting professionals; institutes licensing standards for insurance professionals; ensures timely responses to insurance claims; enhances policyholder protections.


summary

Introduced
05/20/2025
In Committee
05/20/2025
Crossed Over
Passed
Dead

Introduced Session

2025-2026 General Assembly

Bill Summary

AN ACT to amend the insurance law, in relation to improving transparency in the insurance claims process, regulating insurance adjusting professionals, instituting licensing standards for insurance professionals, ensuring timely responses to insurance claims, and enhancing policyholder protections

AI Summary

This bill improves transparency and regulation in the insurance claims process for real property damage, introducing several key provisions to protect policyholders and establish clearer standards for insurers and insurance professionals. The bill defines a comprehensive "period of restoration" that includes time for damage assessment, repairs, and claim processing, and requires insurers to provide additional living expense coverage throughout this period. It mandates that insurers must acknowledge claims within five business days, provide a full policy copy within 30 days, issue an estimated payout within 60 days, and maintain detailed, unaltered records of all claim-related documents. The bill also establishes new requirements for appraisers, including selecting only competent and disinterested professionals, and sets specific timelines for the appraisal process. Additionally, the legislation introduces mandatory training for insurance adjusters, creates a grievance procedure for policyholders, establishes a review board for complaints, and requires insurers to conduct regular audits of their claims management practices. The bill further requires the creation of a tracking system for claim denials and imposes significant penalties for non-compliance, including potential license revocation, and mandates that building consultants and technicians involved in claim assessments meet specific licensing and disclosure requirements.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

referred to insurance (on 05/20/2025)

bill text


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