Bill > A08763

This bill amends the New York Insurance Law to revise the definition of "small group" for health insurance policies and contracts, specifically reducing the employee threshold from one hundred to fifty employees or fewer. The legislation eliminates previous provisions that allowed certain exceptions for groups with 51-100 employees, particularly those related to stop loss, catastrophic, and reinsurance coverage. The bill prohibits insurers from acting as administrators or claims paying agents for small groups and from providing stop loss, catastrophic, or reinsurance coverage to such groups. Additionally, the bill repeals a previous requirement that mandated the superintendent of financial services to contract with an independent entity to assess the impact of prohibiting certain insurance coverage in the small group market. The changes aim to standardize health insurance regulations for smaller employers and simplify the insurance landscape by removing temporary transition provisions that were previously in place. The bill takes effect immediately, with specific amendments to certain sections of the insurance law maintaining their original expiration dates.

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https://www.nysenate.gov/legislation/bills/2025/A8763