NY A07109

Authorizes the superintendent of financial services to establish a pilot program allowing municipalities in Albany and Schenectady counties to join county self-funded or self-insured health plans with county and municipal consent.

Requires participating plans to maintain a 12% reserve fund of total annual incurred claims, a 5% surplus account, and specific stop-loss insurance with a $200,000-$250,000 minimum deductible per individual claim.

Requires plans to have a minimum of 1,000 covered lives (excluding dependents) and abolishes joint and several liability among participating municipalities, replacing it with pro rata share assessments based on earned premiums.

Mandates the superintendent review certifications within six months, with annual recertification required, and requires the pilot program to operate for at least two years before potentially becoming permanent.

Requires the superintendent to submit a report to the governor and legislature 30 months after the effective date analyzing pilot program data and providing recommendations.