S 1081: Requires dental insurance plans to automatically carry over a portion of the enrollee's unused benefit amount of up to 25% of the total benefit amount for use in the succeeding year.
The proposed law aims to modify the current dental insurance plan under the Civil Service Law. The key points are as follows: The law allows the president to make, amend, and rescind regulations for dental insurance plans, which may differ from existing health insurance plan standards. These regulations must require dental insurance plans to automatically carry over unused benefit amounts, up to 25% of the enrollee's benefit amount, to the next year. Retirees are allowed to participate in the dental insurance plan, but their claims experience and premiums will be separately rated and funded. The full costs of participation, including administrative costs, will be borne by retirees. The law ensures that any regulation enacted does not create an inconsistent benefit structure, promoting efficient and economical administration of the plan.
| Jan. 07, 2026 | REFERRED TO CIVIL SERVICE AND PENSIONS |
| Jan. 08, 2025 | REFERRED TO CIVIL SERVICE AND PENSIONS |
STATE OF NEW YORK ________________________________________________________________________ 1081 2025-2026 Regular Sessions IN SENATE (Prefiled) January 8, 2025 ___________ Introduced by Sen. RAMOS -- read twice and ordered printed, and when printed to be committed to the Committee on Civil Service and Pensions AN ACT to amend the civil service law, in relation to requiring dental insurance plans to automatically carry over a portion of the enrollee's benefit amount for use in the succeeding year The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Subdivision 2 of section 160 of the civil service law, as 2 amended by chapter 414 of the laws of 1980, is amended to read as 3 follows: 4 2. The president, in [his] the president's discretion, is hereby 5 empowered to make, amend and rescind, from time to time, regulations 6 establishing a dental insurance plan which shall be a part of the health 7 insurance plan authorized by this article. Such regulations may provide 8 for negotiating unit, employee and employer participation or nonpartic- 9 ipation, employee, dependent and retiree eligibility or noneligibility 10 and such contribution rates as the president may determine even though 11 such regulations establish standards which differ from those applicable 12 by law to other parts of such health insurance plan; provided, however, 13 that such regulations shall require dental insurance plans to automat- 14 ically annually carry over any unused benefit amount of such plan in an 15 amount up to at least twenty-five percent of the enrollee's benefit 16 amount and which shall be added to the enrollee's benefit amount for the 17 succeeding year. The president is hereby authorized and directed to 18 provide in such regulations for participation in the dental insurance 19 plan by retirees; provided, however, that the claims experience for 20 retirees shall be separately rated and premiums established separate 21 from other participants in the plan and provided further that the full 22 costs of participation in such plan, including all administrative costs, 23 shall be borne by such retirees. Considering the dental insurance plan EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD03198-01-5S. 1081 2 1 as a whole, no regulation enacted pursuant to this subdivision shall 2 provide or permit a benefit structure inconsistent with the most effi- 3 cient and economical administration of such plan. 4 § 2. This act shall take effect immediately.