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NY A00101
Bill
Status
1/5/2011
Primary Sponsor
William Boyland
Click for details
AI Summary
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Insurance companies contracting with municipalities employing 400 or more employees must provide requested claims information including specific claims experience, per-member costs, claims history, and medical loss ratio reports.
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Required disclosures include comparison of emergency versus outpatient services, large loss claims over $30,000, top 25 prescription drugs used, number of members with no claims in 12 months, and any other statistical information requested by the municipality.
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Insurers failing to provide required information within 30 days face a $300,000 fine plus $10,000 per day for each day of continued non-compliance, with all fines paid to the requesting municipality.
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All information disclosed must comply with federal HIPAA requirements to protect health information privacy.
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The act takes effect immediately upon enactment.
Legislative Description
Requires insurance companies to disclose claims information to municipalities employing 400 or more employees to determine how their benefits are used; provides for imposition of a fine for failure to disclose such information in a timely manner.
Last Action
referred to insurance
1/5/2011