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NY A05130
Bill
Status
3/2/2023
Primary Sponsor
Jeffrey Dinowitz
Click for details
AI Summary
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Creates new section 211 of the Insurance Law requiring the superintendent of insurance, in consultation with the health commissioner, to designate an independent consumer assistance program
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Program shall assist consumers with filing complaints and appeals to health plans and insurance issuers, including internal and external appeals processes
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Program shall collect, track, and quantify consumer problems and inquiries; educate consumers on their rights; and assist with enrollment in health plans and insurance coverage
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Program shall resolve problems with federal premium tax credits, assist with financial services law disputes, and help uninsured or underinsured consumers access health care services and resolve medical bills
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All New York state regulated health plans must list the independent consumer assistance program's contact information on adverse determination notices, explanation of benefits, subscriber agreements, member handbooks, and other consumer materials as determined by regulators
Legislative Description
Relates to the designation of an independent consumer assistance program to assist consumers with the filing of complaints and appeals, track problems, educate consumers, assist uninsured, insured, or underinsured consumers in accessing appropriate health care services, assist with enrollment and provide other health insurance assistance.
Last Action
referred to insurance
1/3/2024