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NY S08457
NY S08457Amends 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
07/16/2025
In Committee
01/07/2026
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)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.nysenate.gov/legislation/bills/2025/S8457 |
| BillText | https://assembly.state.ny.us/leg/?default_fld=&bn=S08457&term=2025&Summary=Y&Actions=Y&Text=Y&Committee%26nbspVotes=Y&Floor%26nbspVotes=Y#S08457 |
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