NY A01766

Allows municipalities (cities, towns, villages, and other municipal corporations) to join a county self-funded or self-insured health plan with mutual consent from both the county and the municipality's governing body

Requires county health plans to maintain a minimum 12% reserve fund of total annual incurred claims and a surplus account of at least 5% of annualized earned premium equivalents

Mandates plans have specific stop loss insurance with a deductible between $200,000 and $250,000 per individual claim, and a minimum of 1,000 covered lives including retirees

Abolishes joint and several liability for participating municipalities, replacing it with a pro rata assessment system if the plan becomes financially impaired

Requires certification by an actuary approved by the Superintendent of Financial Services before municipalities can be admitted, with the superintendent having one year to reject the certification