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NY S08414

Bill

Status

Introduced

6/29/2010

Primary Sponsor

Neil Breslin

Click for details

Origin

Senate

2009-2010 General Assembly

AI Summary

  • Establishes 30-day payment deadline for first-party auto insurance benefits, with overdue claims bearing 2% monthly interest and allowing claimants to recover attorney's fees for services securing payment.

  • Permits insurers to deny claims within 60 days based on lack of medical necessity when reviewed by a licensed provider in the relevant field, with review reports provided to claimant within 30 business days.

  • Authorizes superintendent to suspend or remove health service providers' authorization to bill for services for up to three years upon findings of fraud, misconduct, unlicensed personnel use, billing for unrendered services, or other violations.

  • Expands definition of "serious injury" to include complete tears or ruptures of nerve, tendon, ligament, cartilage or muscle, and tears or ruptures that cause significant impairment of body function.

  • Modifies auto insurance coverage to exclude intoxicated drivers from non-emergency benefits but require coverage for emergency hospital services, and allows insurers to pursue claims against covered persons found in violation of DWI laws.

Legislative Description

Enacts the automobile fraud prevention act of 2010.

Last Action

REFERRED TO RULES

6/29/2010

Committee Referrals

Rules6/29/2010

Full Bill Text

No bill text available