New York 2025-2026 Regular Session

New York Assembly Bill A04776

Introduced
2/6/25  
Refer
2/6/25  

Caption

Requires insurer to respond within thirty days of a written request from an insured for their health plan documents, including copies of most recent group or individual contracts.

Summary

Bill A04776 amends the insurance law and public health law to require health insurers to provide individuals with access to their health plan documents. Specifically, it mandates that insurers respond to written requests from individuals covered under group contracts, particularly those that were subject to collective bargaining, by providing copies of the most recent contracts within thirty days of the request. This requirement aims to enhance transparency and accessibility of health insurance information for insured individuals.

Impact

The bill's passage would strengthen consumer rights by ensuring that individuals have timely access to their health insurance contracts. It would amend existing laws to clarify the obligations of insurers regarding document disclosure, potentially leading to greater accountability in the insurance industry. This could also influence how insurers manage their documentation processes and customer service protocols, as they will need to comply with the new timeline for responses.

Sentiment

The sentiment around Bill A04776 appears to be generally positive, as it seeks to improve access to important health insurance information for consumers. However, there may be concerns from insurers regarding the administrative burden of complying with the new requirements, which could lead to discussions about the feasibility of the thirty-day response timeline.

Contention

Notable points of contention may arise from insurance companies who argue that the thirty-day response requirement could be too stringent, potentially leading to operational challenges. On the other hand, consumer advocacy groups are likely to support the bill, emphasizing the importance of transparency and timely access to health plan documents for individuals, especially those covered under collective bargaining agreements.

Companion Bills

NY S04378

Same As Requires insurer to respond within thirty days of a written request from an insured for their health plan documents, including copies of most recent group or individual contracts.

Previously Filed As

NY S04378

Requires insurer to respond within thirty days of a written request from an insured for their health plan documents, including copies of most recent group or individual contracts.

NY S07577

Prohibits an insurer or health maintenance organization from including certain requirements in insurance contracts.

NY A01631

Requires insurers to provide certificate holders with at least thirty days prior written notice of termination of group health insurance coverage.

NY HB281

Requires motor vehicle insurers to disclose liability policy information to third-party claimants upon written request

NY A1387

Requires oral agreements concerning health insurance be delivered in writing within 30 days of contract formation.

NY SB23

Requiring agents and insurers to respond to inquiries from the commissioner of insurance within 14 calendar days and authorizing certain rebate pilot programs to exceed one year in duration.

NY S2254

Requires every individual or group health insurance contract effective on or after January 1, 2027, to provide coverage to the insured and the insured's spouse and dependents for all FDA-approved contraceptive drugs, devices and other products.

NY H7323

Requires every individual or group health insurance contract effective on or after January 1, 2027, to provide coverage to the insured and the insured's spouse and dependents for all FDA-approved contraceptive drugs, devices and other products.

NY S0268

Requires every individual or group health insurance contract effective on or after January 1, 2026, to provide coverage to the insured and the insured's spouse and dependents for all FDA-approved contraceptive drugs, devices and other products.

NY S959

"New Jersey Respect for Physicians Act"; requires prompt response by insurers to requests for prior authorization of health care services.

Similar Bills

No similar bills found.