Bill Text: NY S03660 | 2017-2018 | General Assembly | Amended

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Bill Title: Authorizes all municipalities, with the consent of the county and the governing body of such municipality, to join a county self-funded or self-insured health plan; requires certification.

Spectrum: Moderate Partisan Bill (Republican 8-1)

Status: (Engrossed - Dead) 2018-06-19 - referred to insurance [S03660 Detail]

Download: New_York-2017-S03660-Amended.html

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                STATE OF NEW YORK
        ________________________________________________________________________
                                         3660--A
                               2017-2018 Regular Sessions
                    IN SENATE
                                    January 25, 2017
                                       ___________
        Introduced by Sens. GRIFFO, AMEDORE, HELMING, LITTLE, MARCHIONE, O'MARA,
          RITCHIE,  TEDISCO, VALESKY -- read twice and ordered printed, and when
          printed to be committed to the Committee on Insurance  --  recommitted
          to the Committee on Insurance in accordance with Senate Rule 6, sec. 8
          --  committee  discharged,  bill amended, ordered reprinted as amended
          and recommitted to said committee
        AN ACT authorizing municipalities to join a county self-funded or  self-
          insured health plan
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
     1    Section 1. Notwithstanding articles 44 or 47 of the insurance  law  or
     2  any  other provision of law to the contrary, and subject to the require-
     3  ments set forth in this section, a municipality is permitted,  with  the
     4  consent  of  the  county and the governing body of such municipality, to
     5  join a county self-funded or self-insured health plan in any  county  in
     6  which  such municipality is located in whole or in part. Municipality is
     7  defined as any city, town, village or any other municipal corporation, a
     8  school district or any governmental entity operating  a  public  school,
     9  college  or  university,  a  public  improvement  or special district, a
    10  public authority, commission, or  public  benefit  corporation,  or  any
    11  other  public  corporation, agency or instrumentality or unit of govern-
    12  ment which exercises governmental powers under the laws of the state but
    13  is not a part of, nor a department of, nor an agency of  the  state.  In
    14  order  for a municipality to join the county self-funded or self-insured
    15  health plan, the county shall file with the superintendent of  financial
    16  services  certification  that, with inclusion of the lives to be covered
    17  in the plan following admission of the municipality,  the  county  self-
    18  funded  or  self-insured  health  plan meets the following four require-
    19  ments:
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD07657-03-8
        S. 3660--A                          2
     1    (a) That it maintain a reserve fund, calculated  as  a  percentage  of
     2  total  annual  incurred claims, of a minimum of 13% and a maximum of 15%
     3  of medical claims and a minimum of 4% of prescription claims.
     4    (b)  It  has in effect a specific stop loss per individual claim only,
     5  no aggregate, and with a minimum deductible of $200,000 to $250,000.
     6    (c) It has a minimum of 1,000 covered lives  including  retirees,  but
     7  not including dependents.
     8    (d) The plan has in effect an agreement between itself and any munici-
     9  palities  that  have  joined  the  plan such that the plan satisfies the
    10  contingent liability provisions set forth in section 4708 of the  insur-
    11  ance law.
    12    The  superintendent  of financial services shall have the authority to
    13  review such certification to  determine  that  the  four  aforementioned
    14  requirements  have been met; provided, however, that in the absence of a
    15  finding of the superintendent to the contrary within a six-month  period
    16  following the filing of such certification, the admission of the munici-
    17  pality  to the county self-funded or self-insured health plan shall take
    18  effect. In January of every year following the initial  filing  of  such
    19  certification, the county shall file a subsequent certification that the
    20  four aforementioned requirements remain in full force and effect.
    21    § 2. This act shall take effect immediately.