Bill > A01766

This bill authorizes municipalities (defined as cities, towns, villages, or other municipal corporations that are not part of the state government) to join a county's self-funded or self-insured health plan, subject to specific requirements and approvals. To join such a plan, the county must file a certification with the superintendent of financial services demonstrating that the plan meets six key criteria: (1) mutual consent of the county and municipalities, (2) maintaining a reserve fund of at least 12% of total annual incurred claims, (3) establishing a surplus account of at least 5% of annualized earned premium equivalents, (4) having a specific stop-loss per individual claim with a deductible between $200,000 and $250,000, (5) covering at least 1,000 lives including retirees, and (6) establishing a specific liability structure where participating municipalities can be assessed pro-rata for plan shortfalls. The bill requires an independent actuary approved by the superintendent of financial services to certify compliance with these criteria, and grants the superintendent the ability to review and potentially reject the certification within one year. The legislation aims to provide municipalities with more flexible and potentially cost-effective health insurance options while establishing safeguards to protect the financial stability of such plans.

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https://www.nysenate.gov/legislation/bills/2025/A1766