New York S 4719: Authorizes all municipalities to join a county self-funded or self-insured health plan

Bill Text

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S04719 Summary:

BILL NOS04719B

&nbsp

SAME ASSAME AS A01766-B

&nbsp

SPONSORFAHY

&nbsp

COSPNSRJACKSON

&nbsp

MLTSPNSR

&nbsp

&nbsp

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.

Go to top S04719 Actions:

BILL NOS04719B

&nbsp

02/12/2025REFERRED TO INSURANCE

12/31/2025AMEND AND RECOMMIT TO INSURANCE

12/31/2025PRINT NUMBER 4719A

01/07/2026REFERRED TO INSURANCE

05/15/2026AMEND AND RECOMMIT TO INSURANCE

05/15/2026PRINT NUMBER 4719B

Go to topS04719 Committee&nbspVotes:

Go to topS04719 Floor&nbspVotes:

There are no Assembly votes for this bill in this legislative session.

Go to topS04719 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 4719--B

 2025-2026 Regular Sessions

 IN SENATE

 February 12, 2025
 ___________

 Introduced by Sens. FAHY, JACKSON -- read twice and ordered printed, and
 when printed to be committed to the Committee on Insurance -- commit-
 tee discharged, bill amended, ordered reprinted as amended and recom-
 mitted to said committee -- 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 commit-
 tee

 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. A municipality is permitted, with the consent of the county
 2 and the governing body of such municipality, to join a county self-fund-
 3 ed or self-insured health plan in any county in which such municipality
 4 is located in whole or in part. For the purposes of this act, a munici-
 5 pality shall be defined as any city, town, or village. In order for a
 6 municipality or municipalities to join the county self-funded or self-
 7 insured health plan, the governing board of the municipality shall adopt
 8 a resolution indicating that they consent to joining such plan and the
 9 county shall file with the superintendent of financial services certif-
 10 ication that, with inclusion of the lives to be covered in the plan,
 11 prior to the admission of the municipality or municipalities, that the
 12 county self-funded or self-insured health plan meets the following six
 13 requirements:
 14 (a) That the county and any municipality or municipalities joining
 15 such plan have mutually consented to join such plan.
 16 (b) That it maintain a reserve fund, calculated as a percentage of
 17 total annual incurred claims, of a minimum of 12% of claims.
 18 (c) That it has a surplus account, established and maintained for the
 19 sole purpose of satisfying unexpected obligations of the benefit plan in
 20 the event of termination or abandonment of the plan, which shall not be

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD04716-05-6

 S. 4719--B 2

 1 less than 5% of the annualized earned premium equivalents during the
 2 current fiscal year of the plan.
 3 (d) That it has in effect a specific stop loss per individual claim
 4 only, no aggregate, and with a minimum deductible of $200,000 to
 5 $250,000.
 6 (e) That it has a minimum of 1,000 covered lives including retirees,
 7 but not including dependents.
 8 (f) That joint and several liability of participating municipalities
 9 for the obligations of the plan is hereby abolished, and such liability
 10 shall be governed as follows:
 11 1. If the plan does not have admitted assets, as defined in section
 12 107 of the insurance law, at least equal to the aggregate of its liabil-
 13 ities and reserves and minimum surplus as provided in subdivision (b) of
 14 this section, the governing board of such plan shall, within 30 days
 15 thereafter, order an assessment for the amount that will provide suffi-
 16 cient funds to remove such impairment and collect from each municipal
 17 corporation a pro rata share of such assessed amount.
 18 2. Every municipal corporation that participated in the plan at any
 19 time during the two-year period prior to the issuing of an assessment
 20 order by the plan's governing board shall