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Bill > S08457


NY S08457

NY S08457
Amends the definition of "small group" for purposes of health insurance policies and contracts to fifty employees or fewer; repeals provisions requiring the superintendent to conduct an impact study.


summary

Introduced
07/16/2025
In Committee
01/07/2026
Crossed Over
Passed
Dead

Introduced Session

2025-2026 General Assembly

Bill Summary

AN ACT to amend the insurance law, in relation to the definition of small group; and to repeal section 7 of chapter 12 of the laws of 2016 relating to directing the superintendent of financial services to contract with an independent entity to conduct an assessment regarding the impact of the prohibition on the sale of stop loss, catastrophic and reinsurance coverage to the small group market relating thereto

AI Summary

This bill amends New York state insurance law to redefine the definition of "small group" for health insurance policies and contracts from groups covering up to 100 employees to groups covering up to 50 employees or fewer. The bill removes previous provisions that allowed for special treatment of groups with 51-100 employees during a transitional period from 2015-2016. It also eliminates provisions that previously permitted stop loss, catastrophic, and reinsurance coverage for certain small groups between 51-100 employees. Additionally, the bill repeals a previous requirement that the superintendent of financial services conduct an independent assessment of the impact of prohibiting stop loss and other coverage in the small group market. These changes effectively standardize insurance regulations for smaller employers, restricting the definition of "small group" to businesses with 50 or fewer employees and removing previous exceptions that allowed more flexibility for slightly larger groups. The bill will take effect immediately, with some technical provisions about the expiration of certain amended paragraphs.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

REFERRED TO INSURANCE (on 01/07/2026)

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