Bill Text: NY A00310 | 2019-2020 | General Assembly | Introduced

New York Assembly Bill 310 (Prior Session Legislation)

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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: Slight Partisan Bill (Democrat 31-12)

Status: (Introduced - Dead) 2020-01-08 - referred to insurance [A00310 Detail]

Download: New_York-2019-A00310-Introduced.html



                STATE OF NEW YORK
        ________________________________________________________________________
                                           310
                               2019-2020 Regular Sessions
                   IN ASSEMBLY
                                       (Prefiled)
                                     January 9, 2019
                                       ___________
        Introduced  by  M.  of  A. STECK, PEOPLES-STOKES, FAHY, ARROYO, GUNTHER,
          MOSLEY, MONTESANO, RAIA, PALMESANO, STIRPE, HAWLEY, GOTTFRIED,  BRABE-
          NEC,  FRIEND, ZEBROWSKI, GALEF, ENGLEBRIGHT, BARRETT, GIGLIO, BLANKEN-
          BUSH, BUCHWALD, BLAKE, LIFTON, WOERNER, LUPARDO, HEVESI -- Multi-Spon-
          sored by -- M. of A.  BARCLAY,  CROUCH,  LAVINE,  SCHIMMINGER,  SIMON,
          THIELE -- read once and referred to the Committee on Insurance
        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.
                                                                   LBD03515-01-9
        A. 310                              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.