Bill Text: NY A05428 | 2017-2018 | General Assembly | Introduced


Bill Title: Extends the free look period for senior citizens purchasing individual health insurance policies or contracts.

Spectrum: Moderate Partisan Bill (Democrat 5-1)

Status: (Introduced - Dead) 2018-01-03 - referred to insurance [A05428 Detail]

Download: New_York-2017-A05428-Introduced.html


                STATE OF NEW YORK
        ________________________________________________________________________
                                          5428
                               2017-2018 Regular Sessions
                   IN ASSEMBLY
                                    February 9, 2017
                                       ___________
        Introduced  by M. of A. WEPRIN -- Multi-Sponsored by -- M. of A. JAFFEE,
          MONTESANO, MORELLE, PERRY, RIVERA -- read once  and  referred  to  the
          Committee on Insurance
        AN  ACT to amend the insurance law, in relation to an extended free look
          period for senior  citizens  purchasing  individual  health  insurance
          policies or contracts
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
     1    Section 1. Paragraph 10 of subsection  (c)  of  section  3216  of  the
     2  insurance  law,  as amended by section 31 of part B of chapter 58 of the
     3  laws of 2004, is amended to read as follows:
     4    (10) (A) There is prominently printed on the  first  page  thereof  or
     5  there is attached thereto a notice to the effect that during a specified
     6  period  of  time,  which  shall  not be less than ten days nor more than
     7  twenty days from the date the policy is delivered to  the  policyholder,
     8  it may be surrendered to the insurer together with a written request for
     9  cancellation of the policy and in such event the insurer will refund any
    10  premium  paid  therefor  including  any  policy  fees or other charges[,
    11  provided, however, that this paragraph shall not apply to single premium
    12  nonrenewable policies insuring  against  accidents  only  or  accidental
    13  bodily injuries only; provided, however, that].
    14    (B)  Notwithstanding  subparagraph (A) of this paragraph, a [contract]
    15  policy or certificate sold by mail order [and]; a [contract]  policy  or
    16  certificate  providing  medicare  supplemental  insurance  covering  any
    17  insured under age sixty-five on the effective date  of  coverage;  or  a
    18  policy or certificate providing long-term care insurance [must] covering
    19  any insured under age sixty-five on the effective date of coverage shall
    20  contain a provision, or shall have attached thereto a notice, permitting
    21  the [contract] policy or certificate holder a thirty day period for such
    22  surrender as described in subparagraph (A) of this paragraph.
    23    (C)  Notwithstanding subparagraph (A) of this paragraph, a policy sold
    24  to any insured who is age sixty-five or older on the effective  date  of
    25  coverage  shall  have  prominently  printed on the first page thereof or
    26  attached thereto a notice to the effect that, for  a  period  of  ninety
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD09516-01-7

        A. 5428                             2
     1  days  from  the  date  the  policy is delivered to the policyholder, the
     2  policy may be surrendered to the insurer together with a written request
     3  for cancellation of the policy; and in  such  event,  the  insurer  will
     4  refund  any  premium  paid  therefor  including any policy fees or other
     5  charges provided that no claim  for  benefits  has  been  incurred.  The
     6  notice shall also state that, in the event a claim for benefits has been
     7  incurred under the policy within the time period from the effective date
     8  of  coverage  until ninety days from the date the policy is delivered to
     9  the policyholder, the insurer will  refund  any  premium  paid  therefor
    10  including  any policy fees or other charges less any amounts the insurer
    11  has paid on claims for benefits under the policy.
    12    (D) This paragraph shall not  apply  to  single  premium  nonrenewable
    13  policies  insuring  against accidents only or accidental bodily injuries
    14  only.
    15    § 2. Subsection (h) of section 4306 of the insurance law,  as  amended
    16  by section 32 of part B of chapter 58 of the laws of 2004, is amended to
    17  read as follows:
    18    (h)  (1)  a statement on the first page of the contract or in a notice
    19  attached to the contract that during a specified period of  time,  which
    20  shall  not be less than ten days nor more than twenty days from the date
    21  the contract is delivered to the individual, it may  be  surrendered  to
    22  the  corporation together with a written request for cancellation of the
    23  contract and that in such event the corporation will refund any  premium
    24  paid  therefor  including any contract fees or other charges; [provided,
    25  however, that]
    26    (2) notwithstanding paragraph one of this subsection, a contract  sold
    27  by  mail  order [and]; a contract providing medicare supplemental insur-
    28  ance covering any individual under age sixty-five on the effective  date
    29  of  coverage;  or  a  contract providing long-term care insurance [must]
    30  covering any individual under age sixty-five on the  effective  date  of
    31  coverage  shall  contain  a  provision, or shall have attached thereto a
    32  notice, permitting the individual a thirty day period for such surrender
    33  as described in paragraph one of this subsection;
    34    (3) notwithstanding paragraph one of this subsection, a contract  sold
    35  to  any  insured who is age sixty-five or older on the effective date of
    36  coverage shall have a statement on the first page of the contract or  in
    37  a notice attached to the contract that, for a period of ninety days from
    38  the  date  the contract is delivered to the individual, the contract may
    39  be surrendered to the corporation together with a  written  request  for
    40  cancellation  of  the contract, and that, in such event, the corporation
    41  will refund any premium paid therefor including  any  contract  fees  or
    42  other  charges  provided  no  claim  for benefits has been incurred. The
    43  statement or notice shall also state that, in  the  event  a  claim  for
    44  benefits  has  been  incurred  under the contract within the time period
    45  from the effective date of coverage until ninety days from the date  the
    46  contract is delivered to the individual, the corporation will refund any
    47  premium  paid therefor including any contract fees or other charges less
    48  any amounts the corporation has paid on claims for  benefits  under  the
    49  contract;
    50    § 3. This act shall take effect on the one hundred eightieth day after
    51  it  shall  have  become a law and shall apply to all insured individuals
    52  whose effective date of coverage is on or after the  effective  date  of
    53  this act.
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