JSA2026: Insurance Market Reform Agenda for New York
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🔵 JSA2026: Insurance Market Reform Agenda
Fixing New York’s Broken Insurance Market
“In New York, you get punished for being poor and penalized for protecting your home. That ends day one.”
Premiums must reflect risk fairly — not corporate games, junk fees, and hidden denials.
Core Reforms
- Ban Credit Scores in Pricing. Stop discriminatory rating schemes — no more punishing families for medical debt, layoffs, or student loans.
- Public Option for Home & Auto (“NYS Insurance Choice”). State-backed, nonprofit coverage to keep legal coverage available in high-risk zones and underserved communities.
- Cap Executive & Lobby Overhead (for regulated lines). Premiums must fund protection and claims — not endless “administration,” bonuses, and influence peddling.
- Rate-Hike Transparency. Require full actuarial justification + independent consumer review before approval — no “trust us” filings.
- Fix Assigned-Risk Pool Abuse. A real appeals process with safeguards for drivers unfairly dumped into high-cost pools.
- No-Fault Fraud Crackdown (without hurting legitimate victims). Target staged accidents, medical mills, and inflated billing with analytics and enforcement.
- Reward Risk Mitigation. Mandatory premium credits for storm hardening, flood barriers, fireproofing, upgraded roofs, and mitigation work.
New Additions for 2026
- Climate & Catastrophe Risk Reform. Fair pools for flood and storm-prone zones — no automatic “redlining” of whole counties.
- Local Competition. Incentives for credit unions, regional insurers, and mutuals to enter NY and compete — breaking monopoly behavior.
- Consumer Dashboard. A public portal showing rate filings, denials, complaint stats, fraud recoveries, and executive pay for regulated lines.
- Whistleblower Protections. Shield employees who expose kickbacks, claim suppression, fraud rings, or illegal steering.
Day One & First 100 Days
- Day One: Introduce legislation banning credit-score pricing in regulated insurance lines.
- Day One: Direct NYS DFS/DOI to publish rate-hike dashboards and executive compensation disclosures for regulated lines.
- First 60 Days: Stand up a fraud-analytics strike team focused on staged accidents and billing mills.
- First 100 Days: File legislation for catastrophe pooling + small-insurer entry incentives + consumer appeal protections.
Transparency & Metrics
Affordability
- Average auto premium vs. national average
- Homeowner coverage availability in high-risk zones
- Rate-increase approvals vs. reductions after review
Integrity
- Fraud cases detected and dollars recovered
- Medical-mill enforcement actions
- Whistleblower reports protected and resolved
Fairness
- Consumer complaints resolved within 30/60/90 days
- Assigned-risk appeals granted/denied with reasons published
- Denial/underpayment trends flagged and corrected
Discover more from JSA NYS Gov. 2026
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