NY S03660

Permits municipalities (including cities, towns, villages, school districts, public authorities, and other governmental entities) to join a county self-funded or self-insured health plan with consent from the county and the municipality's governing body.

Requires the county to file certification with the superintendent of financial services that the plan maintains a reserve fund of 13-15% of medical claims and minimum 4% of prescription claims.

Specifies the plan must have specific stop loss per individual claim only (no aggregate) with a minimum deductible of $200,000 to $250,000 and a minimum of 1,000 covered lives including retirees.

Requires the plan to satisfy contingent liability provisions under insurance law section 4708 and include an agreement with participating municipalities.

Allows municipalities to join upon the superintendent's approval or automatically after six months if the superintendent does not object; requires annual recertification each January that requirements remain in effect.